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Coordinating Care and Identifying Losses
Initial Assessment:
Identify pre-MVA medical, psychiatric and psychosocial life the person had prior to MVA. This includes the identification of social, recreational, educational, and vocational life.
Case Management Process:
Continue to identify with physicians and rehabilitation teams the continued deficits and losses that a person is receiving treatment for in their care, recovery, and rehabilitation.
Discharge from Case Management:
Identify the continued problems or losses that affect the person's quality of life that they had prior to MVA.
Communication with Insurance Adjusters
Keep the insurance adjuster up to date. Offer a tour of programs that are recommended for the client's care and recovery. Provide written documentation for all forms of treatment. Provide education on the services that were recommended, as well as the role of a Catastrophic Case Manager. Educate adjusters to the role of all disciplines on the rehabilitation team. Notify of any services that require payment from the insurance carrier, including any specialty treatments or appointments that may require objective data to substantiate accident relatedness.
Summary
Collaboration with the entire rehabilitation/medical team, case manager and insurance adjuster from initial evaluation and throughout the client's recovery will ensure a greater outcome.
Communication is essential with patient/family, rehabilitation/medical team, case manager, the insurance adjuster and attorney for greater outcomes for the client.
Focus on client-centered, functional and meaningful goals.
Involve patient/family, rehabilitation/medical team and insurance adjuster with all rehabilitation plans.
Always remember, you are making a difference in the lives of every client.