Case Management Insights

The Role of Case Management in Complex Spinal Cord Injury Recovery

The Role of Case Management in Complex Spinal Cord Injury Recovery

Complex spinal cord injury recovery rarely follows a straight path from hospitalization to rehabilitation and return to work. Patients may move through multiple levels of care…

When Should a Nurse Case Manager Get Involved in a Claim?

When Should a Nurse Case Manager Get Involved in a Claim?

The timing of case management can influence how effectively a claim moves forward.When an injury or illness affects an employee’s ability to work, multiple priorities begin…

How Robotic Spine Surgery Is Improving Recovery for Injured Workers

How Robotic Spine Surgery Is Improving Recovery for Injured Workers

Low back pain is one of the most common and costly conditions affecting today’s workforce. It is the leading cause of disability in the United States…

How Functional Neurology Supports Traumatic Brain Injury Rehabilitation

How Functional Neurology Supports Traumatic Brain Injury Rehabilitation

Traumatic brain injuries (TBIs) and concussions are complex conditions that can lead to persistent symptoms such as dizziness, headaches, fatigue, cognitive challenges, and balance instability. These…

Brachial Plexus Injuries: A Practical Guide for Adjusters and Case Managers

Brachial Plexus Injuries: A Practical Guide for Adjusters and Case Managers

A worker is injured in an ATV rollover. He can move his hand, but his shoulder and elbow are completely paralyzed. He’s told by several providers…

Post Traumatic Stress Syndrome (PTSD)

Post Traumatic Stress Syndrome (PTSD)

Post-traumatic stress disorder (PTSD) can affect functioning well beyond the initial traumatic event. Symptoms commonly intersect with sleep, pain, mood, concentration, and the body’s stress response.…

Invasive Pain Management Techniques

Invasive Pain Management Techniques

Invasive pain management is one of the most rapidly evolving areas in modern medicine—especially in workers’ compensation and medico-legal cases where pain can become a long-term…

How Case Management Supports Return-to-Work Success

How Case Management Supports Return-to-Work Success

Returning to work after a workplace injury involves far more than medical treatment alone. While physical healing is essential, successful recovery also depends on coordinated care,…

How Case Management Supports PTSD Recovery

How Case Management Supports PTSD Recovery

A diagnosis of Post-Traumatic Stress Disorder (PTSD) is often just the beginning of the recovery journey. While therapy, medication, and other clinical treatments play an important…

Upper Extremity Injuries: What Case Managers Need to Know

Upper Extremity Injuries: What Case Managers Need to Know

A worker reaches for a falling box, feels a pop in the elbow, and within weeks their file has stalled, not because the injury is unusual,…

Shoulder Labral Tears and Biceps Tears: Diagnosis, Treatment, and Return-to-Work Strategies

Shoulder Labral Tears and Biceps Tears: Diagnosis, Treatment, and Return-to-Work Strategies

Introduction: Why Shoulder Labral and Biceps Injuries Matter Labral tears and biceps tendon injuries are among the most frequently diagnosed shoulder conditions in individuals whose work…

Prosthetic Considerations for the Injured Worker

Prosthetic Considerations for the Injured Worker

When a worker leaves for a shift and returns without a limb, the impact extends far beyond the operating room. In workers’ compensation, you are not…

Meniscus Tears: Anatomy, Biomechanics, and Modern Treatment Approaches

Meniscus Tears: Anatomy, Biomechanics, and Modern Treatment Approaches

Meniscus tears are one of the most common and impactful knee injuries, affecting mobility, stability, and long-term joint health. For years, there has been debate about…

Managing Knee Injuries for Faster Recovery and Mobility

Managing Knee Injuries for Faster Recovery and Mobility

Knee injuries impact far more than movement. They affect independence, confidence, and overall quality of life. For individuals whose work or lifestyle depends on physical activity,…

Home Assessment for Life After a Severe Injury

Home Assessment for Life After a Severe Injury

The transition from hospital to home represents a defining moment in the recovery journey for patients who have suffered catastrophic injuries. While returning home is a…

Regenerative Orthopedics: New Treatment Options for Common Orthopedic Injuries

Regenerative Orthopedics: New Treatment Options for Common Orthopedic Injuries

This Injury Insight session provides an in-depth look into regenerative orthopedics and its application to common orthopedic conditions. Presented by Dr. Kai Mithoefer, a leading orthopedic…

Top Insights on Upper Extremity Injuries: From Diagnosis to Recovery

Top Insights on Upper Extremity Injuries: From Diagnosis to Recovery

In the fourth and final session of the Injury Insight series, Dr. Charles Cassidy—Chairman of Orthopedics at Tufts University—shared invaluable perspectives on the diagnosis, treatment, and…

Managing the Top Three Workers’ Compensation Injuries: Practical Strategies for Claims Professionals

Managing the Top Three Workers’ Compensation Injuries: Practical Strategies for Claims Professionals

Workers’ compensation claims often involve predictable injury patterns that, when not managed early, can lead to prolonged recovery times and increased claim costs. Three categories stand…

Navigating Complex Spinal Injury Rehabilitation with an Interdisciplinary Approach

Navigating Complex Spinal Injury Rehabilitation with an Interdisciplinary Approach

Recovering from a complex spinal cord injury (SCI) is never one-size-fits-all. These injuries can range in severity and presentation from complete paralysis to partial sensory or…

Work Conditioning in Practice: Tools, Assessments, and Progress

Work Conditioning in Practice: Tools, Assessments, and Progress

When someone is injured on the job, recovery is rarely as simple as rest and a few weeks of physical therapy. Especially for physically demanding occupations,…

Brain Injury Litigation: Types, Hidden Symptoms, Costs, and Life Care Planning

Brain Injury Litigation: Types, Hidden Symptoms, Costs, and Life Care Planning

In the United States, someone experiences a brain injury approximately every seven seconds. Despite growing awareness around concussion protocols, chronic traumatic encephalopathy (CTE), and blast injuries,…

Negotiating the Fine Line Between Injury and Comorbidity

Negotiating the Fine Line Between Injury and Comorbidity

In the medico-legal world, accurately determining whether a condition stems from a recent injury or was already present can significantly affect outcomes. The line between injury…

Determining the Right Home Health Solutions

Determining the Right Home Health Solutions

When a person experiences an injury or illness that impacts their ability to live independently, proper home health planning becomes essential. The transition from hospital to…

Options for Managing Pain Within Workers’ Compensation Claims

Options for Managing Pain Within Workers’ Compensation Claims

Each year millions of claims are submitted by workers who may have suffered a work-related injury or illness. The Bureau of Labor Statistics reported 2.8 million…

Obesity within workers’ compensation case management Strategies to help patients along the road to recovery and improve rehabilitation outcomes

Obesity within workers’ compensation case management Strategies to help patients along the road to recovery and improve rehabilitation outcomes

The battle of the bulge has been a losing battle for many as the obesity rate for Americans has steadily increased to over 40%. More and…

Caring in the midst of a crisis: Re-examining workers’ compensation case management during COVID-19

Caring in the midst of a crisis: Re-examining workers’ compensation case management during COVID-19

In the wake of COVID-19 healthcare professionals worldwide are experiencing drastic changes in how they work and care for their patients – changes which not only…

The Benefits of Worker’s Comp Claims Triage

The Benefits of Worker’s Comp Claims Triage

When a worker is injured on the job, it can be stressful for the worker, the employer, and even the claims adjuster or manager as they…

Hypertension and workers’ compensation case management: Three strategies for improving patient and claim outcomes

Hypertension and workers’ compensation case management: Three strategies for improving patient and claim outcomes

In January 2018, the American Heart Association published an estimate that 103 million U.S. adults have high blood pressure, which accounts for nearly half of all…

Early intervention equals improved outcomes for all: The importance of nurse case management in catastrophic injury and illness claims

Early intervention equals improved outcomes for all: The importance of nurse case management in catastrophic injury and illness claims

Last year (2019), in the state of Massachusetts, a little over 1,600 new workers compensation cases were filed. A number representing a very small percentage of the Massachusetts…

Post-Pandemic Case Management: What’s Changed, What Remains the Same, and How to Prepare for What’s Next

Post-Pandemic Case Management: What’s Changed, What Remains the Same, and How to Prepare for What’s Next

Workers’ compensation and case management are inextricable from the other. Medical management professionals involved in helping an employee travel the road to recovery and return safely…