Information applies to Utah claims
Medical-case management is a service offered by WCF Insurance to our catastrophically injured workers or for claims that are medically and psychologically complicated. Our medical-case managers (MCMs) are registered nurses certified in rehabilitation and/or case management. They provide onsite coordination of care for injured workers and communicate with the medical providers to establish treatment plans and to help facilitate optimal functional outcomes.
- Our MCMs meet face-to-face with injured workers in their homes, healthcare facilities, and at medical provider appointments, and they serve as important facilitators among the injured worker, family, claims adjuster, treating providers, healthcare team, and the community.
- While there are many definitions of case management, the WCF Insurance medical-case managers support the Case Management Society of America definition: Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality cost effective outcomes.
- The MCMs will attend physician appointments with the injured worker to stay current on the treatment plan and the progress towards recovery, and assist in the coordination of recommended treatment. The WCF Insurance MCMs always adhere to the Labor Commission Rule 612-300-2-G-Injured Worker’s Right to Privacy (laborcommission.utah.gov)
- Not all WCF Insurance injured workers are assigned an MCM. Physicians may request the services of an MCM to assist with coordination of care by calling one of the contact numbers listed below.
Important Contact Information:
Manager, Medical-Case Management