Field Nurse Case Management for Injury Claims
An experienced clinical professional in the exam room, working for clarity on your claim.
Overview
What field case management covers
When an injury claim stays open, the details that matter most — diagnosis, treatment plan, work restrictions, and the expected path to recovery — are often discussed in a doctor's office the claims team never sees. Field case management closes that gap.
Our case managers meet the injured person, attend medical appointments alongside them, and communicate directly with treating providers. After each visit you receive a clear, timely report so you can make informed decisions on the claim.
What's included
- In-person attendance at physician, specialist, and therapy appointments
- Direct communication with treating providers to clarify diagnosis and treatment plans
- Documentation of work status, restrictions, and anticipated maximum medical improvement
- Coordination of referrals, diagnostics, DME, and follow-up care
- Identification of barriers to recovery and recommendations to address them
- Timely written reports to the adjuster after every significant contact
Outcomes
What it means for your claims.
- 01
Fewer surprises
Know what happened at each appointment — and what comes next — without chasing records for weeks.
- 02
Appropriate, efficient care
Treatment stays aligned with the injury and evidence-based guidelines, reducing unnecessary delays and costs.
- 03
Momentum toward resolution
Clear goals and work status keep the claim moving toward return to work and closure.
When to consider field case management
Not sure it's the right fit? Tell us about the claim and we'll recommend the right level of involvement.
- Lost-time workers' compensation claims
- Auto and liability claims with ongoing treatment
- Claims with unclear diagnosis or treatment direction
- Cases with extended time away from work
FAQ
Field Case Management questions
What is field case management?
Field case management is in-person, on-site medical case management. A clinical case manager meets the injured person, attends medical appointments, communicates with treating providers, and reports findings and recommendations to the insurance carrier, TPA, or employer managing the claim.
How is field case management different from telephonic case management?
Telephonic case management is handled remotely by phone and email. Field case management puts a case manager physically in the appointment, which gives a more complete picture of the injured person's condition, the provider's plan, and any barriers to recovery — especially valuable on complex or high-exposure claims.
Related services
- Catastrophic Case ManagementSpecialized management of severe, life-altering injuries — coordinating complex care from the hospital through rehabilitation and home.
- Return-to-Work CoordinationClear restrictions, realistic goals, and employer coordination for a safe and timely return to work.
- Clinical Claim ConsultingClinical review of records and treatment plans, with practical recommendations to move stalled claims toward resolution.
Contact
Request field case management
Tell us about the claim and we'll respond promptly to discuss next steps and assign the right case manager.
For a new referral, it helps to include:
- Claim number and line of coverage
- Injured person's name and date of injury
- Service requested and claim location
- Adjuster contact information