Telephonic Case Management

JND Healthcare’s Telephonic Case Management Program: Proactive, Efficient, and Cost-Effective

JND Healthcare’s Telephonic Case Management Program offers a proactive and streamlined approach to medical and disability management. By utilizing skilled, effective communication and continuous engagement, we ensure that claims are resolved in a timely and cost-efficient manner. Our program is designed to provide constructive resolutions while fostering a collaborative relationship between the injured workers, healthcare providers, and employers.

The Power of Early Telephonic Case Management

• Early Intervention: Engaging telephonic case management within the first 30 days of a complex medical-only or lost-time claim is critical for achieving the best possible outcome. Early intervention ensures that both the medical and vocational aspects of the claim are addressed promptly, reducing unnecessary delays and preventing escalating costs.

• Proven Impact: Research from the National Council on Compensation Insurance (NCCI) demonstrates the effectiveness of early case management:

  • Claim Costs: Early intervention can reduce overall claim costs by up to 23%.
  • Closure Rates: Claims managed early have a 27% higher closure rate, enabling quicker resolution and reducing long-term liabilities.

• Enhanced Return-to-Work Outcomes: Injured employees with active case management can return to work 27 weeks sooner on average than those whose claims are not medically managed, ultimately reducing the time lost to disability.

Key Indicators for Telephonic Case Management:

JND Healthcare’s Telephonic Case Management is especially effective in managing complex cases, and it is activated based on specific indicators that suggest the need for intervention:

• Medical-Only Claims
• Lack of Documentation
• Unclear Treatment Plans
• Anticipated Surgery
• Unconventional Treatment Modalities
• Need for Specialist Referrals
• Repetitive Injuries or Cumulative Trauma
• Non-Compliance with Treatment

Why Telephonic Case Management Works

• Timely Communication: Through regular phone consultations, our case managers are able to maintain open lines of communication with all parties involved—injured workers, employers, healthcare providers, and insurers. This ensures that the claim remains on track, reducing delays and confusion.

• Cost-Effectiveness: By identifying potential issues early and addressing them proactively, telephonic case management helps control escalating medical costs and minimizes the risk of prolonged disability, leading to substantial cost savings for employers and insurers.

• Patient-Centered Approach: We prioritize the health and recovery of the injured worker, ensuring they receive the right care at the right time while facilitating a smooth and safe return to work.