Success Story: CorVel’s Certified Managed Care Program

Empowering Plant Operators Through Guided Recovery

In the heart of a bustling industrial plant, a seasoned operator diligently performed his duties, ensuring the smooth operation of the facility. However, an unexpected twist of fate occurred on a chilly January morning in 2022. While chopping ice, the operator felt a sharp pop in his right shoulder, beginning his journey through the complex world of workers’ compensation.

Swift Support: CorVel’s Intervention

As soon as the injury occurred, CorVel’s certified managed care program was introduced, accompanied by a seasoned certified managed care nurse case manager who provided steadfast support to expedite recovery. Despite the operator’s unfamiliarity with the process, the nurse case manager stepped in, ready to guide him through every step of his recovery. With a keen understanding of the intricacies of the workers’ compensation system, the nurse case manager became an invaluable ally, ensuring the operator received the care and support he needed.

Financial Efficiency: Cost Savings and Streamlined Processes

The nurse case manager’s expertise not only aided the injured worker but also yielded significant cost savings for the employer. Leveraging the certified managed care program’s network of trusted providers and carefully managing the operator’s treatment plan, the nurse case manager minimized the required physical therapy, reducing medical expenses. Moreover, the nurse case manager’s vigilance led to the identification and termination of an ordered occupational therapy for a body part unrelated to the compensable injury, further reducing costs.

Proactive Recovery: Facilitating Return-to-Work

Through proactive communication with the employer, the nurse case manager facilitated an expedited release for restricted work, eliminating the need for a Qualified Rehabilitation consultant (QRC) on the file, streamlining the process, and saving valuable resources. In April 2022, the operator successfully underwent distal biceps tendon repair, a crucial milestone in his recovery. Throughout the process, the nurse case manager remained a source of support, ensuring the operator received the care and attention he needed to recover fully.

Testimonial of Success: CorVel’s Impact

This case serves as a testament to the efficacy of CorVel’s certified managed care program. Through the nurse case manager’s efforts, the employer realized a total savings of $29,922, which included $14,979 in medical and utilization management savings and $14,943 in indemnity savings, equivalent to 126 days.

By partnering with CorVel, employers can ensure that their injured workers receive the most appropriate and efficient care, leading to better outcomes, reduced costs, and a smoother path to recovery. In a landscape where every dollar counts and every employee matters, CorVel stands ready to help businesses navigate the complexities of workers’ compensation and emerge stronger than ever before.