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Workers' Comp Case Study

Experience Matters in Restoring Lives

2 MIN READ

Prior to becoming a case manager, Kayla Payne had worked as an emergency department (ED) nurse in one of the busiest EDs in her state. As a catastrophic care case manager, she regularly is assigned to injured employees who are transferred to the same ED. Her experiences dealing with traumatic injuries there have prepared her to manage the most critical workplace injuries, while Payne’s relationships with former ED medical colleagues allow her to quickly gather and report necessary information to adjusters to initiate treatment plans.

Workers' Comp Blog

Utilizing Health and Behavioral Coaching Tools to Promote Wellness & Injury Recovery

1 MIN READ

Nearly 50% of all adults have at least one chronic condition such as arthritis, high blood pressure, obesity, cardiovascular disease, or diabetes. Chronic illnesses are a leading health concern — and can pose challenges to recovery and return-to-work. When an injury does occur, it is important to understand how the injured workers’ comorbidities can complicate recovery. Incorporating age-specific prevention measures and wellness initiatives into risk management programs makes good business sense.

Workers' Comp Podcast

Using Risk Prediction Technology to Move Claims Forward

Technology is playing a larger role in helping comp claims progress. In today’s Inside Workers’ Comp, Bobbie Doyle, director of utilization management at Genex, explains the ins and outs of a program designed to do just that. It’s called Referral Expert.

Workers' Comp Blog

Post-traumatic Stress Disorder and Workers’ Comp

3 MIN READ

PTSD typically starts with exposure to a critical incident. In order to meet the definition of PTSD, symptoms must last 30 days or more and disrupts normal life pursuits. It results from violation of expectations, deeply held beliefs, core beliefs such as belief in a just and fair world, need to trust others, self-esteem-self efficacy, and need for predictable and safe world.

Workers' Comp Article

Health Literacy’s Impact on Delayed Recovery

4 MIN READ

This article is authored by guest blogger, Mariellen Blue, National Director of Case Management, Genex Services. Workers’ compensation professionals are seeing delayed recovery as an increased challenge in claims—as injured employees may not be progressing along a medically reasonable and expected time frame. However, it can be difficult to pinpoint exactly why the delay is occurring in order to address the issue.

Workers' Comp Blog

Catastrophic Case Management: Immediate coordinated response by clinical experts

2 MIN READ

Most illnesses or injuries progress well with traditional case management services. However, a small percentage of cases require more intense and careful management. Early intervention and proper procedure are imperative in the treatment of catastrophically injured people. Clinical situations that require catastrophic case management are characterized by diagnosis, complexity of treatment, and high dollar exposure.

Workers' Comp Case Study

Healing Body and Soul

2 MIN READ

Meet Dana Schwartz, RN, CCM. One of the unique advantages a case manager brings to a workers’ comp case is a holistic approach to treatment. This focus on the person, rather than the injury, is how Dana Schwartz has managed to return injured employees back to their jobs safely and efficiently throughout her exceptional 22-year career as a case manager.