Nurse Case Management

CASE INTEGRETATION ADMINISTRATORS
SUSAN HOPPER, R.N.


As part of our Claims Service team, Anchor has an "in house" nurse, Susan Hopper.

She will provide assistance on Claims with those complex and/or questionable medical issues through our telephonic Nurse Case Management and Medical Review Department.  Her goal is to provide a cost effective design commensurate with the level of services we can provide our partners.  The focus is achieving best possible outcomes through optimal medical management.

Active Telephonic Case Management - This level of service is for those partners that want CIA directly involved in the administration of the Claim.  Beyond just reviewing and making recommendations, in this capacity CIA is involved with assisting the partner in the decision making process.

  • Assess need for/facilitate on-site field case nurse
  • Provides medical case management to achieve gols of med plan and best possible outcome
  • Monitors / oversees field case nurse manager to achieve goals
  • Recommends alternate options for medical care including outside medical review/expert opinion to facilitate Claim resolution

On-site Case Management - Comprehensive, independent assessments of injured worker medical status through entire Claim episode and evaluates need for on-site case management services

  • Review medical records appropriateness ofr care and progress
  • Flesibile services according to employer and/or Adjuster requests
  • Coordinate Onsite Case Management through actual assignment and monitor of services to be rendered

FOR MORE INFORMATION VISIT :   http://www.mycaseadmin.com

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