Catastrophic – Medical Case Management
Catastrophic medical case management involves coordinating complex care for individuals with severe injuries. We handle case management from Post Motor Vehicle Accidents, Worker’s Comp Injuries, and other severe injuries. This specialized form of case management focuses on providing comprehensive and personalized support to help these individuals achieve the best possible outcomes.
- Experienced & dedicated team specializing in catastrophic medical case management.
- Personalized care & support tailored to individual needs.
- Comprehensive coordination of care to optimize recovery & outcomes.
How We Work For You
Coordinating Care and Identifying Losses
Initial Medical Evaluation:
- Identify pre-MVA medical, psychiatric, and psychosocial factors to understand the individual’s baseline health and well-being.
- Assess social, recreational, educational, and vocational aspects to gauge the individual’s lifestyle and daily activities.
- Evaluate the individual’s functional status and any pre-existing conditions that may impact their recovery post-accident.
- Conduct a thorough review of medical records and history to gather comprehensive information for effective case management.
Case Management Process:
- Collaborate with the individual’s healthcare team to develop and implement a comprehensive care plan tailored to their specific needs.
- Monitor the individual’s progress and adjust the care plan as necessary to ensure optimal outcomes.
- Provide ongoing support and education to the individual and their family to help them navigate the complexities of the healthcare system.
- Coordinate appointments, treatments, and other services to streamline care and minimize disruptions to the individual’s life.
- Advocate for the individual’s rights and ensure they receive the best possible care and support throughout their recovery journey.
Treatment, DISCHArGE & Resources:
- Evaluate the individual’s progress and readiness for discharge from case management.
- Ensure that all necessary services and supports are in place for the individual’s continued well-being post-discharge.
- Provide education and resources to help the individual and their family transition smoothly from intensive case management to a more independent care routine.
- Coordinate with community resources and support services to ensure ongoing access to care and support.
- Follow up with the individual periodically to monitor their progress and address any emerging needs or challenges.
Communication with Insurance Adjusters:
- Maintain regular and open communication with insurance adjusters to keep them informed of the individual’s progress and care needs.
- Provide detailed and accurate documentation of all treatments, services, and costs associated with the individual’s care.
- Offer to arrange tours of recommended programs or facilities to help insurance adjusters better understand the individual’s care plan and needs.
- Educate insurance adjusters about the role of a Catastrophic Case Manager and the importance of the recommended treatments and services.
- Notify insurance adjusters of any services that require payment, including specialty treatments or appointments that may require objective data to substantiate their accident-relatedness.
Summary:
Working closely with your entire healthcare team, including doctors, therapists, and insurance providers, we ensure that every step of your recovery journey is supported and guided with care. We believe in open communication with you and your family, making sure you’re always informed and involved in decisions about your health. Together, we set goals that are meaningful and tailored to your needs, focusing on getting you back to doing what you love. Your involvement is crucial in creating a plan that works best for you, and every effort we make is aimed at making a real difference in your life.