Case Management Impact
Upon one of her first visits, the man admitted to Wilcox he felt “the world had given up on him” and was extremely depressed and suicidal. Wilcox initiated a more aggressive treatment strategy, collaborating with orthopedic and pain management specialists. She secured approval to proceed with an extensive shoulder procedure which involved arthroscopic rotator cuff debridement, distal clavicle resection, labral cyst decompression and labrum repair. The case manager worked closely with the surgeon, physical therapists, employer and employee to formulate an appropriate transitional rehabilitation plan. She also prioritized narcotic weening by implementing the Genex Opioid Usage Case Management Care Path and collaborated with the employer to develop regular job and appropriate light-duty accommodations. To facilitate compliance, Wilcox regularly visited and encouraged the injured employee, discussing strategies and goals to assist him through range of motion, strengthening and work conditioning.