Return To Work
WSI has registered nurses on staff to assist with the return-to-work
process. Medical case managers are located in Minot, Bismarck, Fargo,
and Grand Forks. Medical case managers work with the claims adjuster,
injured worker, employer, and medical provider to assess, plan,
coordinate, and implement the options and services needed to support
the injured worker in the recovery process and help them return-to-work.
Medical case managers will be assigned to cases where:
- Catastrophic Injury
- Medically complex
- Chronic pain
- Appropriate referral from claims adjuster, employer or medical provider
- Common Referral Criteria for Medical Case Management is appropriate
The Medical case managers assist in coordinating care, evaluate
the proposed medical care for appropriateness and medical necessity,
and play a role as a facilitator and communicator when multiple
providers may be involved in the care of the injured worker. They
assist with transitional work and work restrictions, act as a
liaison between the injured worker, employer, medical provider, and
the WSI claims adjuster and provide recommendations for care. They
do not make decisions on compensability of claims.
Medical case managers attend appointments with injured workers
to assist with questions and treatment plans. Some of the cases
referred involve severe burns, amputations, multiple traumas, head
injuries, and spinal cord injuries. The MCM will continue to follow
care until:
- Medical stability is reached
- Lack of cooperation from injured worker
- No further impact on medical issues can be made
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