The consistent effectiveness of ISYS Nurse Case Management is attributed to the CaseSmart® approach. But what is the CaseSmart® approach? It begins on the first day of New Case Manager Training and extends beyond the initial six months of rigorous training, continuing throughout the career of each ISYS Nurse Case Manager (NCM). ISYS NCMs are meticulously trained to be proactive, forward-focused, intensive, timely, responsive, and outcomes-driven.
Because of this continuous training, combined with their clinical nursing experience, good judgement and common sense, ISYS NCMs focus on minimizing the claim’s exposure to costs along the entire claim continuum. They do this by serving as the central point of communication, collaboration, and coordination for all direct parties involved in the claim keeping all aligned to the common goal: facilitating the injured worker’s return to work as swiftly and appropriately as possible.
By working with a sense of urgency, ISYS NCMs are able to anticipate challenges and barriers that could otherwise delay the forward progress of the injured worker’s medical treatment, delays that are a primary cause driving up both hard and soft costs of the claim. Additionally, ISYS NCMs serve as advocates for injured workers by ensuring they understand the workers compensation process, keeping them apprised and on track with their own treatment and recovery.
More importantly, by focusing on file progression instead of billable time, ISYS NCMs work intensively to ensure two things: 1) that the injured worker gets the medical treatment they need, when they need it, and in the amount they need it; and 2) keeping a close eye on any medical treatment that is unnecessary, untimely and/or excessive. By focusing on these two things, ISYS NCMs are able to deliver on our promise to our customers: the most cost effective Nurse Case Management that consistently achieves successful outcomes for all direct parties involved.
The impact of the CaseSmart® approach is particularly evident in Catastrophic and Rush files, where it is critical for the NCM to gain control of the injured worker’s medical treatment. Intensive case management in these situations ensures the injured worker has the best chance of a timely and effective recovery.
The final component of the CaseSmart® approach is a robust internal support network, encompassing Quality Control, Customer Relations, IT, Finance, Service & Process Enhancement, and HR departments, alongside a dedicated Case Management leadership team. This network provides ISYS NCMs with the support they need, empowering them to consistently deliver the highest quality case management.
While there are many approaches to Nurse Case Management, we believe—and our loyal customers agree—that CaseSmart® is the most effective and intelligent solution. We invite you to experience the difference with ISYS.
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