Archer’s medical case management service is focused on assisting your company by managing injured employees and returning them back to work. All of Archer’s medical case managers are Registered Nurses who are also Certified Case Managers (CCM) and/or Certified Disability Management Specialists (CDMS). The case management process is performed by our professionally qualified medical nurse case managers who will, based on triage criteria, proactive triggers, and your adjuster’s instruction, select cases which require services. The types of cases which benefit from case management include complex and/or catastrophic injuries, and cases which involve high cost, utilization and risks.

The Archer case manager acts on a proactive basis to enhance treatment recommendations from the employees’ medical practitioners, coordinating, then arranging them when needed, accelerated diagnostic tests, second opinions, and specialist’s treatments as required.   This allows your adjuster to have continued clarity as to the claimant’s recovery progress and expedite the return to work while monitoring and assuring the claimant’s compliance with treatment.

Program Features Include:

Telephonic nurse case managers will:

1. Secure medical history from the injured worker;
2. Secure medical records from the treating physician;
3. Oversee the injured worker and treatment telephonically;
4. Work with the medical providers to release the injured worker to work;
5. Focus the injured worker to return to work;
6. Communicate any of the modified duty restrictions to the injured worker, claims adjuster, and employer and enhance the ability of the claimant to return to work on an expedited basis.

Field Case Management

Field nurse case managers provide all of the services discussed above for the more complex injured claimants.  Because of their medical expertise, nurse case managers are better able to secure medical information from medical providers and are less threatening to the injured worker since their focus is medical care and not compensability or  the claims process.  They are most effective, with your collaboration, to coordinate and implement a goal oriented treatment plan to maximize the use of available resources while reducing fragmentation of the injured workers’ care.  They provide necessary short-term interventions to streamline cost-effective alternatives, timeliness, and appropriate utilization of available resources and also provide a written documentation of case activity, progress and cost savings.