Why Do Insurance Companines Hire Nurse Case Managers?
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Why Do Insurance Companines Hire Nurse Case Managers?


Hello, my name is Jason Perkins. I’d like to welcome you to another episode
of my Georgia Workers’ Compensation video series. I’m an attorney that specializes in Georgia
Workers’ Compensation Law. I created this series in order to provide
people with helpful information about the rules and benefits available to them under
it. Today, I want to talk to you about Nurse Case
Managers, what they are and why insurance companies hire them. There’s a good chance, especially if your
injuries occurred more recently, that you may have a Nurse Case Manager assigned to
your case. The reason that may have happened is because
the rules of Workers’ Compensation in Georgia on when insurance companies can hire Nurse
Case Managers, changed within the last couple of years. It used to be the case that Nurse Case Manager
was not hired on your case unless both you and the insurance company agree to it, or
a special type of Nurse Case Manager called a Catastrophic Supplier was assigned to your
case if your case was designated for what’s called a Catastrophic Designation. Now, I’m not going to talk about Catastrophic
Suppliers here today, I’m just talking about Nurse Case Managers in non-catastrophic cases. So, when that rule changed a couple of years
ago, in-non catastrophic cases, insurance companies can now appoint Nurse Case Managers
without having to have your agreement. That basically means that the insurance company
gets to decide whether there’s a Nurse Case Manager in your case or not. When they appoint a Nurse Case Manager, they
may often think that it’s to their advantage do so, that they may get some benefit from
doing it. Insurance companies are businesses and generally
they’re in business to make money. When you have a workers’ compensation injury,
they’re having to pay benefits to you. So, they would generally like to pay as little
as possible out, because it costs them money whenever they’re paying you weekly checks,
or whenever they’re paying for medical treatment that you need with a doctor after an injury. Often, I tend to think that when insurance
companies hire Nurse Case Managers, it’s to try to reduce the amount that they may have
to pay out of workers’ compensation benefits on your case. Now, a Nurse Case Manager does have specific
rules and guidelines that they’re supposed to follow in Georgia workers’ compensation
cases. They’re supposed to try to help you get the
medical treatment that you need, and help you return to work after your injury. You need to be sure that if a Nurse Case Manager
is appointed in your case, that they follow all those rules. Because again, the law has changed now, and
you’re no longer able to just say that you don’t want a Nurse Case Manager in your case
anymore. The insurance company can have one in your
case without your consent on having that Nurse Case Manager work on your case. I hope you found this information about Nurse
Case Managers helpful. If you have, please let me know by liking
this video and by giving it a thumbs up. If you’d like to see more videos from the
Georgia Workers’ Compensation video series, they’re all available on our Perkins-Studdard
Workers’ Compensation YouTube channel, and you can subscribe to that channel to be notified
of future videos, if you’d like, as they come out. If you’ve got some specific questions about
the particular facts of your case, or just want more information about Georgia Workers’
Compensation law, I’d be happy to discuss that with you. The best way to do that is normally through
a free consultation with me. There are two easy ways that you can set one
of those up. The first is by visiting our website, www.perkinslawtalk.com,
and you can complete and submit the consultation request form available there. A member of our workers’ compensation team
would be happy to set one up for you. The second is just by calling our office directly
at the phone number at the bottom of the screen, and someone from our office with speak with
you and get a consultation scheduled. Thanks again for watching today. I wish you the best of luck as you recover
from your injury.

About Bill McCormick

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