One purpose of a claims risk manager is to provide the best possible care while controlling the total cost of risk. The goal is to help injured workers recover from injuries and return them to work quickly with transparency all while managing the cost-effectively through results, not process.
All we have been hearing and seeing are the absolute negatives of the COVID-19. Of course the impact has been absolutely overwhelming! I have searched my mind daily looking for a reason to be positive about this situation. It has impacted our health resources, economic viability and our mental stability.
Psychosocial behaviors have a significant impact on the management of the injured worker. Clinical research has addressed much of the role of psychosocial factors in recovery and rehabilitation outcomes. However, it is essential to identify and classify the behaviors to better understand how to respond to them.
If one of your employees is injured, what do you as an employer do? Has your human resources department written protocols, so your employees know exactly what to do? Communicating the proper information and process is important so that the injured employee receives the most immediate and appropriate care.
As the Medical Director of a physician-driven utilization review organization, I can attest our reviewers understand the business of medicine and how the virus has impacted the utilization review process in workers’ compensation.