Medical Case Management

Upcoming Event: Training for Case Managers

Attention Case Managers! We would like to partner with you in informing injured workers about our Next Step Program. This training will be delivered online via Microsoft Teams.  Space will be limited in order to maintain a collaborative learning environment.

  • Online, Free
  • Date: TBD Summer 2022
  • Available Credit: 1 clock hour (pending approval of the Commission for Case Manager Certification)

The purpose of the Medical Case Management Program, or Case Management, is to help coordinate the medical treatment services provided to injured employees for their work-related injuries.  This is done through a Case Manager that assists in obtaining medical treatment and is used to promote the most cost-effective treatment without compromising the patient's quality of care.  

Is Case Management Required?

No.  Employers or insurance adjusters may, at their own expense, utilize case management but it is not required.  If utilized, injured workers must cooperate with the case manager.  

Elements

Case Management services shall include, but not be limited to:

  • Developing a treatment plan to provide appropriate medical services;
  • Monitoring the treatment and medical progress;
  • Assessing whether medical services are appropriate and delivered in a cost-effective manner, based on acceptable medical standards;
  • Ensuring that the injured employee is following the treatment plan
  • Formulating a plan for return to work, with due regard for the employee's recovery, restrictions, and limitations, if any.

Register as a Case Manager

Case managers are employed by the insurance carrier as they coordinate the medical diagnostic and treatment services provided by the authorized treating physician to the injured employee.  

Case Managers must register with the Bureau prior to providing services involving Tennessee Claims. 

Application for Case Manager Registration

Registration may be faxed to (615) 253-5265, submitted by email to wccase.management@tn.gov, or mailed to:

Attention: Medical Case Management Coordinator 
Bureau of Workers' Compensation
220 French Landing Drive, Suite 1B
Nashville, TN 37243