The case management approach to work-related injuries

Treating injured workers can be a time-consuming task for the physician. These patients bring with them a host of issues and needs that influence their response to treatment. The physician must be aware of the numerous nonmedical issues that can influence the patient's recovery and ability to return to work. The physician is the key player in managing these patients and the physician's approach to the injured worker is paramount to the successful outcome of the treatment plan. Communication is the critical component in managing these patients. The physician must be willing to work cooperatively with the case manager toward the goal of facilitating a safe return to work for the worker. The case manager can function as an extension of the physician and can be of benefit to the physician and the worker during the recovery process. The needs of the injured worker, the provider, and the insurer all receive attention with the case management approach. This approach can help minimize fragmentation of care and maximize the coordination and delivery of quality services. Injured workers are in need of physicians who are willing to provide quality care and who will be sensitive to their often complex needs. The physician who will work in conjunction with an experienced case manager can realize the reward of witnessing the patient's recovery in an appropriate time frame. The case manager can assist the physician by acting as the liaison among parties, which allows the physician to do what he or she does best--practice medicine. The case management approach can be a win-win situation for all involved.