Choices Case Management

February 08, 2012
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* indicates required field

* Date of Referral:		* Claim #:
Employee Information:
* Employee Name:		* DOI:
* Address:		* City, State, ZIP:
* Phone:		* SSN#:
* Accepted Injury (Body Part):		* DOB:
Employer Information:
*Employer:		* EE Occupation:
Employer Address:		City, State, ZIP:
Phone:		Fax:
Contact Person:		Email:
Physician Information:
* Treating M.D.:		* Phone:
Address:		Fax:
City, State, ZIP:
Attorney Information:
*Applicant's Attorney:		Phone:
Address:		Fax:
City, State, ZIP:
Carrier Information:
* Carrier:		* Examiner Name:
* Billing Address:		* Phone:
* City, State, ZIP:		* Fax:
* Email:
Criteria for Benchmarks:
Last Day Worked:		T.T.D. Start Date:
Mod/Light Duty Release Date:		Average Weekly Wage:
* Case Type: Field Telephonic Task EI
Spanish Speaking NCM
Special Instructions:

When Is It Time To Consider a Nurse Case Manager?

We can deliver the most value when we're called in earlier in a case and have an opportunity to prevent it from ever getting to the point where you're wondering "What is going on?!!!" Early intervention is critical and a proven means for saving costs.

But when you have more questions than answers, more problems than solutions, and no indication of when or if a claim will ever be closed, give us a call. You don't even have to be a client. We have a reputation for our expertise, frequently fielding calls from examiners or employers seeking advice on cases we're not even assigned. And we're glad to help.

Could any of your current cases benefit from the intervention of a nurse case manager? Check out this list of warning signs, then give us a call.

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