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Good Evening
5:59:52 PM CDT
Tuesday, November 25, 2014

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Return To Work

Topics Vocational Rehabilitation Forms & Publications Physical Demands-Strength Rating
Return to Work Services Preferred Worker Program WSI SAW/RTW Initiatives Actions and Motions
Transitional Work Job Development Vocational Rehabilitation Brochure The Role of Medical Case Manager
On-Site Return to Work School Coordinator Preferred Worker Program Brochure  
Medical Case Managers When Work Related Disability is Medical Required MCM Referral Criteria  

Medical Case Managers
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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