Triage Case Management

JND Healthcare Management: Proactive Early Intervention with Triage Nurse Case Management

At JND Healthcare Management, our Triage Nurse Case Management Program is designed to provide early intervention at the onset of an injury, playing a critical role in shaping the claims process and fostering positive outcomes for both the injured employee and the employer.

The Power of Early Intervention

• Positive Impact: Early intervention improves the overall experience for the injured employee, ensuring that they receive timely and appropriate care from the outset. This proactive approach leads to:

  • Appropriate medical care plans that are aligned with the employee’s specific injury.
  • Faster return-to-work timelines, minimizing downtime and supporting the employee’s recovery.
  • Reduced claim exposure through the early identification of potential complications, helping mitigate escalating medical costs.

• Targeted Identification of High-Risk Claims: By offering case management services from the inception of the injury, JND Healthcare can quickly identify claimants who may have higher potential for increased exposure, such as those with complex injuries or co-existing health conditions. Our nurse case managers collaborate with the broader team to develop a comprehensive plan of action that addresses both immediate and long-term needs.

Certified Nurse Case Management for In-Depth Assessment

• Initial Assessment: A certified Nurse Case Manager conducts a thorough medical triage of the claim, providing an initial assessment and documenting critical medical details. This step ensures that our clients receive accurate and timely information to guide the claims process.

  The assessment includes:

  • Anticipated medical conditions and their direct relationship to the cause of injury.
  • Expected treatment parameters, helping to set realistic expectations for the treatment journey.
  • A clear outline of anticipated medical treatment, offering clarity around the next steps.

Recommendations for Cost-Effective Care

• If the claim is deemed compensable, we provide strategic recommendations aimed at:

  • Achieving maximum medical improvement (MMI) as quickly as possible.
  • Promoting a timely return to work, which is not only beneficial for the employee’s well-being but also reduces the overall claim costs.

• Cost-Effective Management: By addressing the claim early and efficiently, we minimize unnecessary medical expenses and ensure that the injured worker is on the best path to recovery, both medically and financially.

Valuable Information for Sound Decision-Making

• This initial triage assessment provides invaluable insights to employers and insurance carriers, enabling them to make informed decisions regarding:
  • Claim compensability: Understanding the nature of the injury and its connection to the workplace.
  • Treatment parameters: Establishing a clear treatment plan that aligns with the expected recovery process.

By offering early, expert intervention, JND Healthcare empowers our clients to make data-driven decisions that can significantly improve claim outcomes and reduce long-term costs.