About Our
Services:
-
Disability Management Services
Disability Management Services was developed to provide you with the tools necessary to develop and
implement a successful return to work program for injured or ill employees who may be
limited in their ability to maintain productivity due to physical or emotional
complications. A variety of services are offered, including: Consultation/Education
Services, Post Offer/Pre-Employment Services, and Case Management/Prevention Services.
Medical
Management
A rehabilitation
consultant conducts on-site, face-to-face meetings with an injured worker, the
employer and the healthcare provider. Our goal is to assist the injured worker
through the maze of medical treatment, assure appropriate medical care and
return the employee to work.
Vocational Evaluation and Assessment
When injured
employees cannot return to work in their original positions, a rehabilitation
consultant determines their potential for new ones. An injured worker’s
physical, vocational and cognitive abilities are assessed to determine how they
may be used in a new position. Vocational rehabilitation can include vocational
assessment, vocational testing, transferable skills analysis, job analysis,
surveying the labor market, teaching job seeking skills, identifying potential
employers, interviewing and following up with employers.
Job Development and Placement
Vocational case manager works individually with claimant to develop and provide job leads
and placement. Also provides follow up and documentation of compliance.
IME Only
Carolina Case Management will coordinate and schedule an IME with appropriate
physician. We will send a letter to the physician confirming the IME and
listing requested information to be addressed by the physician. A letter
will also be sent to the client to confirm the IME. The physician's office
will also be contacted for confirmation. With client approval, we will
attend the IME appointment to get the needed information from the client and the
physician. A report will be generated providing the requested information
and the file will be closed unless the carrier requests further
activity.
Telephonic Case Management
Includes file assignment to a specified Registered Nurse for complete medical case
management services via telephone. This type of case management is a very cost-effective
tool for claims that are not complex enough to require extensive onsite medical
management.
Labor Market Survey
Conducted to determine viability of employment in a particular geographic area. Carolina
Case Management will contact prospective employers whose work environments match the
client’s vocational abilities and physical restrictions to determine job availability
and salary levels. A report with recommendations will be provided and the file will be
closed unless further activity is requested by the carrier.
Medical Bill Audits
Review of a file and/or bill to render a nursing opinion on such issues as appropriateness
of treatment to claimant’s diagnosis or accident and subsequent related costs.
Utilization
Review
Encompasses review of inpatient and outpatient procedures and treatments; and
may involve reviews by physicians, not associated with Carolina Case Management,
to address specific issues.
Peer Review
Carolina Case Management will arrange to have a specialized physician review medical
records and diagnostic studies to determine appropriateness of care or proposed plan of
treatment. A full report will follow the evaluation.
Life Care Planning
We will review the current status and history of the referred patient and will research to
determine the approximate lifetime costs of medical care. This information is extremely
useful in setting reserves for catastrophic cases.
National Network
By establishing strategic alliances with privately owned rehabilitation
companies possessing compatible philosophies and quality assurance standards,
the National Network is capable of offering consistency of service and
results throughout the United States. We believe that utilization of this
approach is superior to that of national firms. Through the National
Network, customers can now utilize the "local" companies known for
excellent, personalized service for all their rehabilitation needs.
Customized Services
In addition to the standard services described here, Carolina Case Management will make
every effort to accommodate individual needs through customized programs and services. We
work with the carrier to define, design, and implement these custom services. We will also
provide a Value Statement periodically to show your true cost containment savings.
Medical
Community Relationships
During our many years experience in this field, we have developed close working
relationships with many of the state’s top physicians and treatment facilities. We
have negotiated rate reductions for many treatment sources such as HealthSouth and
NovaCare Rehabilitation. We have established numerous vendor contacts for medical equipment
and services. Isn’t it nice to know these savings are directly related to your cost
savings?
CAROLINA ELDERCARE
Carolina Eldercare, Inc. was formed in 2003 in response to the growing
need for care management services for older adults. As the number of
elderly citizens in America continues to grow, so too do the needs for
support services. Advancing age is often accompanied by declining health
and mental faculties, and this is a time when support services can be of
great value.
Referral Process
For your convenience, you may refer a case in any of the following ways:
- Telephone our main office at 800-546-9636 with referral information. Refer to the
information sheet on the next page.
- A.
Fill out our
electronic form and submit:
or,
B. If you prefer, click the following button to download a
copy of the CCM Referral Form in portable document format (.pdf). You will need to install
Adobe Acrobat Reader on your computer if you do not already have a copy of this free
software. You can download Adobe Acrobat Reader and have it installed on your computer in
a matter of minutes and will find it very useful. Click here to access
Adobe Systems Free download page: Once you have installed Adobe Acrobat Reader,
you will be able to click on the follwing link, open our form in .pdf format. CCM Referral Form (.pdf) Complete referral
information sheet and fax to 919-846-4740 or mail to 118 Wind Chime Court, Raleigh, NC
27615
- Contact one of the following Customer Account Representatives directly who will come to
your office for copying and pick up of the referral:
| 
