Nurse Case Management

USA-TPA’s case management services—led by Dee Brown, RN, CCM, are among the best in the self-insured industry. Case management is one of the most important and effective tools available to help our clients control the indemnity and medical expenses associated with workers’ compensation claims.

Registered Nurses

Our in-house team of registered nurses, many of whom carry the certified case management designation, (C.C.M.), act as advocates, not only for claimants, but also for the employer, to facilitate a prompt return to work.

Immediately after a claim is filed the Case Managers develop a plan of action that will ensure proper medical care and minimize the cost of unnecessary medical treatment. All along the way, the nurse case manager stays in continuous communication with the claimant, their employer, medical providers, and the USA-TPA claims management group. Each of these stakeholders share the common goal of achieving successful medical outcomes at the least possible cost, with minimal lost time, and at a high level of satisfaction.

Extensive Medical Support Network

Our registered nurses have access to an extensive medical support network including medical specialists, diagnostic facilities, and board-certified surgeons who act as an extension of the USA-TPA team. Reduced costs for diagnostic procedures, prescriptions, and durable medical equipment have been negotiated in advance to further reduce the cost of managing workers’ compensation claims.

Along with the highest level of client advocacy, USA-TPA also provides utilization review, ergonomic work-site evaluations, loss prevention, employee education, and return-to-work programs.

The maximum caseload for our nurse case managers is 60 cases.