Significantly, telephonic case management is valuable in the provision of essential information on the severity of a given injury, and the complicated issues that may emerge. It also gives a detailed overview on the available opportunities for an early resumption of work. Broadly, it is concerned with the assessment of the injured worker’s medical needs, review, monitoring and evaluation of the available treatment choices, and the facilitation and harmonization of an effective communication among the employer, employees, and claims personnel to assist in a well-timed return to work (Fero et al., 2010). This service greatly impacts on the employers base lines through a reduction on the number of days the employees are off work due to the illness.
In the provision of the telephonic case management services a highly qualified staff is required to bridge the gap between the employer and the injured employees. In the hospital facility the telephonic managers bring together the concerns of the hospital administration and any injured hospital staff for a quick treatment and cost settlements to achieve a timely return to work plan.
Several steps have been discussed to address the issue of risk management in the hospitals. Remarkably, utilization management has greatly been considered in the push to attain a greater impact in the process of predictive modeling and data analysis. This step incorporates the effective evaluation of medical need, suitability and efficacy of the application of health care, processes and the facilities envisioned in the provision of an appropriate health benefits plan. Notable under this step is the hiring of highly qualified and experienced nurses who have been in the clinical practice for at least three years in the highly demanding and sensitive units in the hospitals such as the neurology, emergency room, radiology and the orthopedic units. There is also the employment of several board certified ...
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