Some states use Nurse case managers, don’t be fooled as they – like ordinary case managers- are not your friends. They are hired by worker’s compensation insurance companies and routinely attend actual doctor visits with the injured worker
Workcover nurse case managers are not your friends
Know your rights when it comes to nurse case managers in a workcover case. Nurse case managers are hired by worker’s compensation insurance companies and routinely attend actual doctor visits with the injured worker. Most workers—who are unfamiliar with a workcover injury and process—simply accept the insurance company nurse’s presence.
These nurse case managers generally pitch their services as easier navigation of medical care for the worker and facilitating communication with the insurance company. While some nurse case managers are helpful for injured workers not familiar with medical treatment and providers, most don’t have the injured worker’s best interests at heart.
A nurse case manager is hired by the insurance company. The insurance company wants to avoid payment of claims.
We have heard from many injured workers telling us how an aggressive nurse case manager was pushing for a premature return to work while the injured worker was – in fact- still recovering from an injury.
Injured workers also have seen nurse case managers argue with the treating doctor about “loosening” restrictions for return to work and even about decreasing the percentage of impairment.
Also, anything a worker tells the nurse case manager can be shared with the worker’s compensation insurance case manager.
[Article dictated by Workcovervictim and transcribed on her behalf]