IPMG Blog

Insurance Program Managers Group

The Benefits of Nurse Case Management

Posted by Kim McMahon, Director Case Management on Jan 16, 2019 8:00:00 AM

benefits of nurse case management

From the frequent doctor visits to the care provided by loved ones, recovering from a serious illness or injury can be draining for all involved. Care can become even more confusing if you are required to see multiple physicians with different specialties who are all recommending different and sometimes competing treatments.

Luckily, there’s a better way. Nurse case management ensures that the case manager overseeing your care has been medically trained, allowing them to guide you on the road to recovery.

Here’s what you need to know.

What is a Nurse Case Manager?

A nurse case manager is a registered nurse (RN) who coordinates all aspects of a patient’s care. This role was developed to make healthcare more personable, targeted and effective. 

Serving as one single point of contact overseeing your medical needs, nurse case managers provide:

  • Excellent care coordination and transition of care
  • Reduction in readmissions
  • Valuable education and information exchange for patients and families
  • Medication and treatment adherence
  • Communication with the clinical team and various providers
  • Promotion of safe and cost-effective care
  • Assistance with a timely and safe return to work

How Does it Help?

Studies have found time and time again that nurse case management can not only help high-risk patients avoid readmissions, but also cut down on medical costs — up to $3,700 per patient in one study. 

The healthcare system is complex, which makes navigating it difficult for patients — especially if they’re going it on their own. With an RN as your case manager, you’ll have a qualified sounding board who can help you overcome a wide range of issues.

While beneficial for organizations of all sizes and natures, nurse case management can be especially life changing for employees of public entities. Police officers, firefighters, EMS employees and more all work in stressful positions where their health and mental well-being are routinely tested.

As employees who meet essential public needs, prolonged periods of absence due to injury or health issues resulting from years of stress and unhealthy lifestyles can have a negative effect on the communities they serve.

A nurse case management system provides them with the care they need to not only address a recent injury but any other underlying health concerns, leading to happier and healthier employees.

Getting the Support You Need

Ultimately, we’re just scraping the surface of the many benefits you can expect with nurse case management. Along with what we’ve outlined above, IPMG’s nurse case management services cover:

  • Workers’ compensation telephonic case management
  • Employee benefits large case management
  • Disease management
  • Health management
  • Full case management
  • Task based assignments
  • Disability case management (including Short Term Disability)
  • Leave administration (FMLA)
  • Medical file reviews
  • IME scheduling and coordination
  • Triage
  • Consultation and much more

If you have any questions about nurse case management, reach out and we’ll be happy to help.

Tags: nurse case management