White Paper

The Human Impact of Nurse Case Management

At its most fundamental level, WC managed care is a patient being supported and assisted by a clinical expert and a claims management expert. Though the world of WC is far more complex – its core is people helping people through a challenging time.

White Paper Summary

Though the world of workers’ compensation is complex due to its protocols, regulations, and bureaucracy, its core is simple – people helping people through a challenging time. That’s what drew EK Health’s Founder and CEO, Eunhee Kim, when she began her career as a Field Nurse Case Manager. And it’s what keeps her engaged today, as she still carries a full caseload of patients who depend on her for the clinical support they need.

Operating from a position of patient advocacy, the nurse case manager focuses on the clinical aspects of the claim – the injury, the diagnoses, the treatment plan, the evidence-based medical guidelines, the comorbidities that may complicate or prolong the recovery process, and the total wellbeing of the patient. In addition to being an advocate for the injured worker’s medical care, the nurse case manager is a good steward for the payer by ensuring compensability is clear, channeling care to the most appropriate providers in a timely fashion and setting clear expectations for treatment, recovery and probable outcomes. This philosophy of connecting the resources involved in a claim is demonstrated every day from the highest levels of the company down, beginning with Founder and CEO Eunhee Kim.

Nurse case managers bring a wealth of clinical knowledge, compassion, and comprehensive understanding of the diagnoses and recovery factors. We celebrate the empathy that nurse case managers embody when they step into the gap to humanize a challenging or complex claim.

To hear more on this topic from Eunhee, read the full story below.


To learn more about EK Health visit ekhealth.com.

 

As a leading national managed care company, EK Health Services, Inc. sets the gold standard for medical case management, utilization review, medical bill review, network management, and Medicare Set-Asides. We facilitate quality, cost-efficient medical treatment for workers' compensation claims.

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