Telephonic Case Management

Telephonic Case Management

When an employee is injured, you need expedited and safe return to work while decreasing medical, indemnity, disability, and litigation costs. Our Telephonic Case Management service accurately identifies the appropriate medical intervention, manages cost and effective treatment, and returns the injured employee to work at the earliest opportunity.

This Solution Helps Mitigate

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Regulatory Changes & Fines

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Lost Time & Productivity

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Control Medical Costs

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Adjuster Overload

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Siloed Data

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Optimal medical treatment and early recovery

Upon notification of illness or injury, a telephonic case manager will immediately begin managing the claim. They notify all appropriate parties, monitor progress and provide weekly reports. Using their clinical expertise in conjunction with evidence-based guidelines, they make recommendations for safe and effective return to work. They are supported by on-site physician advisors who handle complex cases and peer negotiation.

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Utilization review jurisdictional compliance

Our telephonic case managers meet state-by-state jurisdictional regulations for utilization review so you don’t need to worry about regulatory fees and fines.

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Data collection and outcome analysis

Throughout the claim and across your program, we collect claims data and benchmark against industry guidelines and norms to identify areas for program fine-tuning and improvement.

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Multicultural services

In addition to onsite case management, you can leverage national telephonic case management, recorded statements, and translations for non-English-speaking claimants.

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Early Telephonic Intervention

Not every worker’s injury warrants a trip to the ER, but without medical expertise, it’s natural for supervisors to err on the side of caution. Genex’s 24/7 Nurse Triage Hotline provides medical expertise at the time of injury, so injured employees are channeled to the most appropriate and cost-effective level of care. Now you can influence medical care, claims costs, return-to-work outcomes, and employee satisfaction at the earliest, most critical point.

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Need to reduce your total cost of risk?

To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers’ comp expert. Together, we will begin to build a workers' comp program to meet your company’s unique needs.