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OhioBWC - Basics:  Case management plans

               
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Case management plans

The managed care organization (MCO) case management plan is an essential tool in the management of the claim’s allowed conditions. The case manager develops the plan in collaboration with the injured worker, members of the health-care team and employer, if applicable. The plan represents a mutual commitment to the primary goal of return to work or resolution of the claim.

The plan identifies:

  • Short- and long-term goals;
  • Time frames for response to referrals, follow up and evaluation;
  • Resources;
  • Collaborative approaches;
  • Criteria for case closure;
  • Anticipated case results.


 
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