Employee's Guide to Handling On-the-Job Injuries
The Role of University Hospitals CompCare Case Managers
- Monitoring your course of treatment after a work-related injury
- Initiating your return to work
- Facilitating communication among you, your employer and your provider
Q. What is a case manager?
A. A
University Hospitals CompCare case manager is a highly trained professional who
will guide your recovery and successful return-to-work.
All of our case managers are registered nurses and/or certified case
managers. Our case management program has received Case
Management Organization full accreditation by URAC, the premier
organization for accreditation of case management services.
Q. Why is URAC accreditation so important?
A. URAC accreditation signifies that University Hospitals CompCare has all
of the necessary policies and procedures in place for medical case
management and that they are applied consistently. We create case
management plans for injured workers that set short- and long-term
goals, and we are committed to the confidentiality of client-specific
information.
Q. What is the case manager's involvement in my case?
A. If you are
injured on the job, a case manager will be assigned to oversee your progress
after initial treatment has begun. The case manager monitors your medical needs,
helps guide you along an appropriate course of treatment and coordinates a
successful return-to-work program in conjunction with you, your employer and
your provider.
Q. Can my case manager suggest a return-to-work program that includes
transitional work?
A. Yes. The
case manager can arrange for you to return to work with limitations determined
by your physician, for a limited period of time. Of course, this arrangement is
appropriate if your employer can accommodate a transitional, or modified,
position that fits your functional capacity.
Q. How can a period of transitional work help me?
A. By
returning you to your work environment sooner, transitional work helps avoid
re-injury and reduce any gaps in experience or training you might encounter from
a long-term absence from your job.
Q. How long will the case manager handle my case?
A. Your case
manager will coordinate and monitor your medical services until you are able to
return to work and/or your case is closed according to BWC guidelines.
Q What if I disagree with my case manager's decisions regarding
medical treatment or rehabilitation?
A. If you disagree
disagree with any of the treatment decisions made by one of
our case managers, you can appeal that decision directly to
University Hospitals CompCare via the Alternative Dispute Resolution process. After a thorough
review of the particular decision and the case in general,
University Hospitals CompCare will issue its final decision on the issue within 21
days from the date of receipt of the appeal. The opportunity to appeal
University Hospitals CompCare's final decision to BWC is available if needed.
Q What if I have complaints about the level, timeliness or
courteousness of the administrative service I receive
from University Hospitals CompCare?
A. University Hospitals CompCare is commited to a high level of customer
service and teamwork. If you ever have questions about the service you are
receiving, you can contact the customer service representative
assigned to your employer by calling University Hospitals CompCare at
1-800-818-7273. If you are seeking a more formal response, please direct
your concerns to the Director of Operations at University Hospitals CompCare
at the address listed on your identification card. Your concerns will be
addressed and a response issued within 10 calendar days of receipt.
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