Managed Care Services Occupational Health

A full-service certified managed care and utilization review organization

Managed care is a health care delivery system that influences utilization of services, cost of services, and measures performance. The goal is a system that delivers value by giving people access to quality, cost effective health care.

Managed Care with Workcomp Network

• Workcomp Network is a certified MCO focusing on containing employer costs for workers’ compensation
• Cost containment services include intervening in the early stages of a claim; assuring that all cost are necessary and appropriate; and promoting return to work as soon as possible
• Medical Management staff consists of registered nurses with expertise in occupational injury management, and we have a board certified physician on staff. A review panel of Board Certified physicians assists in the medical management process

Services include:

• Medical Case Management
• Utilization Review
• Medical Bill Audit
• 24-hour, On-call nurse
• Preferred Provider Network
• Comprehensive reports
• Training for employers, employees, and providers in our network
• Grievance Procedures
  
  

Preferred Provider Network

Recommendations of MDs for Network Provider Nomination Form