When is it appropriate to refer an individual into case management?

There are many reasons for referring an individual into case management, whether it is to obtain a definitive diagnosis, coordinate services to achieve a timely conclusion, or establish a causal relationship between a work-related injury and a current condition.

Case management may also be appropriate if the individual:

  • Appears to be showing no sign of progress
  • Is treating with several physicians simultaneously
  • Has an extended disability without apparent medical cause
  • Makes frequent visits to the emergency room
  • Has prolonged medical care when he or she appears able to return to work
  • Has multiple or complicated diagnoses, such as: spinal cord injury, traumatic brain injury, burns, severe orthopedic injuries, and amputation/reattachment of limbs