Medical Record Review: Careful review of medical records can assist in determining the level of care required for an individual. Establishing this aids in identifying optimal utilization of resources. This review can be instrumental at various points in an individual's care to assure appropriate treatment and placement. Our medical record review is performed by a registered nurse with advanced education and experience who can determine the client needs, develop outcome criteria based upon those needs, and assess delivery methods to determine the quality of services provided.
Life Care Plan: A life care plan provides an accurate assessment of an individual's medical and functional status, current and future care needs, and potential complications. The life care plan identifies recommended educational and vocational options, residential considerations specific to the individual's own location, and the cost of care in present-day value. A plan can be developed which is comprehensive, or limited to the areas in which the insurer is responsible. The development of a life care plan can identify necessary reserves to be established, and assist in negotiating appropriate settlement of a case. Our life care plans are prepared by a registered nurse who is nationally certified as a Rehabilitation Registered Nurse (CRRN) and as a Life Care Planner (CLCP), with advanced education and experience.
Case Management: Individuals with complex medical and therapeutic needs benefit by the consistent involvement of a Case Manager to oversee and coordinate care. A comprehensive case management plan is effective in streamlining interventions to avoid duplication of services, and assure needed care is provided to prevent more costly complications in the future. An independent Nursing Case Manager is able to support the client and family through all phases of the continuum of care, and assist them to navigate related healthcare, educational/vocational and social systems. Independent nursing case management can be a cost-effective alternative for the insurer, avoiding conflict between the objective assessment of client needs and the utilization management of resources that are available, or for which the payer is responsible. Our case management is provided by a registered nurse who is nationally certified as a Rehabilitation Registered Nurse (CRRN) and in Nursing Case Management (Cm), with advanced education and experience.