Our office receives many compliments about nurse case managers who are individuals hired by insurance companies to facilitate medical care. However, we also receive a fair share of complaints. While there are many excellent nurse case managers who assist and care about the patients, there are some nurse case managers who misrepresent themselves as “patient advocates”. In reality, nurse case managers are hired by insurance companies to assist with claims and help contain costs.
The State Worker’s Compensation Board has a list of general rules and requirements for nurse case managers. Nurses are clearly prohibited from misleading an injured worker by indicating that they are the patient’s advocate, when the truth is that they work for the insurance company.
If a nurse case manager has been assigned to your work injury case, please remember that the nurse is hired by the insurance company to contain medical costs. You may have a nurse assigned to your case that cares about you and wants what is best for you, but if you find that your nurse case managers is misrepresenting him or herself as your advocate, you may want to seek a free consultation with a qualified attorney to review your case. Contact us today.