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Field case management

What is field case management?

This service encompasses the very essence of our work, face-to-face contact between the Aurora case manager, the employee, and the employer. All parties benefit from this level of direct interaction in that the employee receives immediate clarification of information and objective support; the customer receives accurate information relative to the employee and the employer now has a resource at their disposal to assist with the return to work process. Through direct communication, Aurora case managers are able to impact cases positively, striving to provide favorable resolution of all issues.

What is catastrophic case management?

Aurora case managers have an extensive history of managing catastrophic losses such as closed head injuries, severe burns, spinal cord injuries and/or other significant traumas. Many case managers maintain the professional certifications critical to our industry. Through a coordinated effort, using telephonic and field case management, a plan is established to reach the optimum outcome. Direction is offered to ensure that the most appropriate medical facilities are being used, at a cost reduced through skillful negotiation. Our medical experts can also offer recommendations surrounding the long-term medical-financial exposure by providing assistance in establishing medical case reserves.

What is medical appointment coverage?

In those instances where limited activity or information is needed, Aurora case managers stand ready to provide the exact service requested. Be it attendance at one medical appointment, one visit to an employer or the coordination of a second opinion, the Aurora case manager will deliver the precise service requested.

When should you consider a referral to Aurora for medical case management?

• When a catastrophic injury has occurred.
• When medical guidelines indicate that treatment may be excessive.
• When multiple medical providers have been involved.
• When a definitive treatment plan has not been identified.
• When a “guarded” prognosis has been indicated in medical notes.
• When recovery has been complicated by non-medical issues.
  • When there has been a delay in return to work and/or medical recovery.
• When the employee has an unusual disease or disorder.
• When pre-existing conditions or multiple diagnoses have impacted the healing process.
• When communication has been lacking or unclear.
• When objective findings are different from subjective complaints.
• When loss time has exceeded 30 days.