24/7 NURSE TRIAGE

• Collects important injury and incident information while memories are fresh 

• Documents the injured worker’s initial chief complaints of pain 

• Assesses severity of the medical condition and triages initial treatment options 

• Identifies potential issues and spells out expectations

• Communicates injury information to stakeholders via email

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CASE MANAGEMENT

• Detects any variances in the incident description and levels expectations

• Establishes rapport and uses straight talk to unmask hidden agendas

• Introduces a sense of confidence and concern for the employee well-being 

• Limits field assignments to accomplish a goal or overcome barriers to progress

• Closes assignments when goals are achieved or effectiveness diminished

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UTILIZATION REVIEW

• Consistently meets timeliness and compliance requirements

• Tempers physician profit incentives through focus on Evidence Based Medicine 

• Inserts common sense into the decision suggesting flexible treatment options

• Resolves disputes with physician to physician contact     

• Promotes the best medical outcomes by remaining conscious of ultimate costs

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PHYSICIAN OVERSIGHT

• Provides guidance to keep the treatment plan on track

• Injects a level of expertise that is not found in non-physician models

• Speaks directly to the network physician avoids delays of formal UR

• Acts as gatekeeper to keep minor injuries from spiraling out of control