Preferred Case Management, LLC, acknowledges the following definition of case management set forth by the Case Management Society of America:
Case management is a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates options and services to meet an individual’s healthcare needs through communication and available resources to promote quality cost-effective outcomes. (CMSA 1995)
Preferred Case Management employs experienced licensed registered nurses who are Certified Medical Case Managers by the Case Management Society of America. A medical case manager is an experienced healthcare professional that is responsible for assessing the healthcare needs of injured claimants and coordinating care within the limits of covered services.
Routine services provided by PCM’s case managers are outlined in detail below:
We have found that medical case managers, not only help to streamline the claims process, but also are often effective in avoiding or eliminating barriers to recovery and rehabilitation. Medical case managers are experienced in coordinating the type of private care required for traumatic injuries such as brain injury. They are familiar with local healthcare providers and services and can help explore options for care. In many cases they can anticipate the care, equipment and other accommodations that you may need in the course of recovery. These case management services are provided at no additional cost to you.
The benefits of our Medical Case Management to senior clients are as follows:
Medical case managers coordinate the medical care for their clients with the goal of expediting their recovery and reaching maximum medical improvement. PCM has an experienced group of Certified Case Managers with a vast range of expertise managing the following kinds of injuries: catastrophic, orthopedic, psychiatric, behavioral, neurological, and brain and spinal cord trauma. Many of PCM’s case managers hold special certifications. The case managers at PCM have experience coordinating care for children, adults, and seniors/elderly. Case managers assist in controlling the costs associated with medical care by keeping the insurance companies and employers routinely apprised both over the phone and in written status reports of the client’s needs in a medical update and by obtaining the needed medical opinions to document whether other health issues are unrelated to the underlying medical claim. Our medical case managers also coordinate the necessary arrangements for treatment, therapy, surgery, discharge planning, home care, durable medical equipment, attendant care and replacement services.
The benefits of Professional Case Management services provided to Special Needs Trusts are detailed below:
PCM also offers telephonic case management services for claimants that need medical follow-up, which can be achieved without face to face contact. Case managers communicate with the claimant, adjuster, employer, and the treating physicians, as needed, with the goal of achieving maximum medical improvement and expedite a return to work, when possible.
PCM Medical Case Managers are experienced in projecting the future medical needs of an injured client based on the client's diagnosis, medical records, payment history, life expectancy, additional medical research and our vast professional experience in the field. This service is vital in catastrophic and complex cases, where structured settlements and medical reserves need to be determined.
PCM’s Medical Case Managers, Vocational Consultants, Social Security Application Coordinators, Nurse Case Managers, Disability Case Managers, and Home Modification Facilitators have a great deal of experience and many hold Master’s Degrees and special certifications, which make PCM’s Consultants highly qualified as medical expert witnesses to meet your legal needs. Many of PCM’s Consultants have experience testifying under oath during depositions and in court trials.