{"id":1179,"date":"2023-01-26T01:01:51","date_gmt":"2023-01-26T01:01:51","guid":{"rendered":"https:\/\/www.keenanpowell.com\/blog\/?p=1179"},"modified":"2023-01-26T01:02:00","modified_gmt":"2023-01-26T01:02:00","slug":"nurse-case-managers-insurance-spies-3","status":"publish","type":"post","link":"https:\/\/www.keenanpowell.com\/blog\/2023\/01\/26\/nurse-case-managers-insurance-spies-3\/","title":{"rendered":"Nurse Case Managers – Insurance Spies"},"content":{"rendered":"
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\"medical<\/a><\/figure>\n<\/div>\n\n\n

Employees have no duty to cooperate with a nurse case manager sent by the insurance company.  <\/strong><\/h3>\n\n\n\n

Think of the nurse case manager as an insurance adjuster with a nursing degree because that is what she is. Her job is to minimize the medical benefits paid for an injured worker. She looks for evidence that the injury may not be work-related in an effort to defeat medical benefits.<\/p>\n\n\n\n

Cozy Nurse-Doctor Relationship<\/h3>\n\n\n\n

In Freeman v ASRC<\/em>, AWCB Decision No 15-0073 (6\/26\/15). the nurse case manager directed the injured worker from one physician to another with whom she had an established professional relationship - a relationship so cozy that the doctor signed letters that had been written by the nurse as if he had written them himself. The real reason the nurse sent the employee to that doctor was not because she was trying to secure good medical treatment from him but because she was hoping her favorite doctor would say the surgery wasn't needed or that it wasn't work related.<\/p>\n\n\n\n

Under the Freeman<\/em> case, the nurse case manager has a legal duty to inform the injured worker :<\/p>\n\n\n\n