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Medical Case Management

Professional Field and Telephone Case Management

Licensed nurse Case Managers lower risk and contain costs.

Slow and Improper Care Planning Leads to Higher Costs

Recovery is often hindered by comorbidities, uncooperative providers, and a lack of coordinated care. Without professional case management, claims spiral into unnecessary expense and prolonged disability.

Unnecessary, higher costs
Slower recovery
More days of reported disability
High costs illustration

Reduce Costs & Time With Expert Case Management

Minimize charges and get injured workers back to work sooner with a licensed nurse Case Manager who coordinates care, communicates with all parties, and drives optimal outcomes.

Improved Return-To-Work Rates (RTW)

Get injured workers back on the job faster with coordinated care planning and proactive communication between all parties.

Reduced Costs

Control medical expenses by ensuring treatment is appropriate, necessary, and aligned with evidence-based guidelines.

Clear Reporting

Stay informed with detailed progress reports that give you visibility into treatment plans, milestones, and recovery timelines.

Field and Telephonic

Case Management For Every Situation

Every workplace injury is unique. Get help for any case, no matter the complexity.

  • Catastrophic claims
  • Hospitalization of injured worker
  • Lack of clinical objective findings
  • Uncooperative providers
  • Expanding symptomatology
  • Referral to specialist physician
  • Lack of consistent modification of work status
  • High volume of medical treatment requests
  • Evidence of comorbidities

Look at What Our Customers Are Saying

"Ethos case management has been instrumental in keeping our claims out of litigation. Their nurse Case Managers communicate proactively and keep everyone aligned on the treatment plan."

Claims Adjuster

"Since partnering with Ethos, our employees are returning to work faster and we've seen a measurable reduction in overall claim costs. Their reporting keeps us informed every step of the way."

Claims Adjuster

Refer Your Case in 3 Easy Steps

Talk to Us

Tell us about your claim and the specific challenges you're facing. We'll identify the right level of case management support.

A Professional Case Manager Is Appointed

Within 24 hours, a licensed nurse Case Manager is assigned and begins coordinating care for your injured worker.

Monitor Recovery with Real-Time Reporting

Progress reports keep you informed on treatment milestones, return-to-work timelines, and cost containment results.

Frequently Asked Questions

Why would an adjuster need to request FCM/TCM?

Early intervention is key to controlling claim costs. Field or Telephonic Case Management should be considered when a claim involves extensive diagnostic testing, prolonged therapy, severe lacerations or injuries requiring surgery, or when the injured worker is not progressing as expected.

What types of situations should FCM/TCM be considered?

Case management is most effective for catastrophic injuries, claims where surgery has been requested, cases exceeding treatment guidelines, situations involving multiple providers, and when comorbid conditions are complicating recovery.

How does an FCM make an impact on my claim?

A Field Case Manager serves as the centralized point of communication between the injured worker, treating physician, employer, and adjuster. They ensure appointments are scheduled and attended, educate the injured worker on their treatment plan, and identify barriers to recovery early so they can be addressed proactively.

My claimant can't return to work. How can FCM assist with RTW?

A Case Manager works with the treating physician and employer to identify modified or transitional work opportunities that align with the worker's current restrictions. When appropriate, they can also coordinate with a vocational counselor to explore alternative duties or retraining options that facilitate a safe and timely return to work.

Real Recovery Matters More Than Money

Getting people back to work faster is better for everyone. Professional case management reduces costs while improving outcomes for injured workers and their employers.