State of Connecticut Workers' Compensation Commission

MEMORANDUM NO. 1999-12

Nurse Case Managers

NOTE: This memo supersedes Memorandum No. 1999-10.

TO: Commissioners, District Administrators, Medical Practitioners, Connecticut State Medical Society, Self-Insureds, Insurance Carriers, Attorneys, Unions, Medical Advisory Panel and Advisory Board Members
FROM: Jesse M. Frankl, Chairman
DATE: July 12, 1999
RE: Nurse Case Managers

 

In an effort to improve communications between the parties and to define the rights and obligations of the parties, the following guidelines are to be followed:
 

  1. A nurse case manager or adjuster, when communicating with an injured employee, his/her representative, or his/her treating physician, shall identify him/herself and advise the injured employee, his/her representative, or his/her treating physician, as the case may be, that he/she is representing the employer or its insurance carrier.
     
  2. If the nurse case manager or adjuster wants to attend a medical examination of the injured employee performed by a physician, the nurse case manager or adjuster must first obtain the injured employee’s written or verbal consent to attend.
     
  3. If the nurse case manager or adjuster intends to meet with the treating physician following an examination of the injured employee, the injured employee or his/her representative must be given either written or verbal notice of such meeting so that the injured employee has an opportunity to attend said meeting.