Integrated Case Management

Focused on our client's specific needs, UPMC Work Partners' case management services are designed to be the most successful method for managing work-related injuries. UPMC Work Partners has provided effective and integrated case management services for more than twelve years. Our case managers possess strong clinical backgrounds with specialized experience in occupational health medicine, workers' compensation, case management, utilization review, and short term and long term disability. Many of our case managers hold advanced clinical credentials including Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Manager Certified (CMC), Certified Rehabilitation Counselor (CRC), and Licensed Professional Counselor (LPC).

Our strategy at UPMC Work Partners is to facilitate and ensure the achievement of clinical and quality outcomes. Furthermore, our program can be customized to support all levels of case management including early telephonic intervention, traditional field case management, and catastrophic injury care coordination.

Your guide through the complex system of health care and workers' compensation

UPMC Work Partners ensures that the recommended treatment plan for the injured employee is provided in a timely and sensible manner. By providing ongoing support to an employee's restoration of health and employment, this access to and coordination of medical services promotes evaluation for appropriateness and cost-effectiveness, based on established medical standards.

Successful return to work support

By promoting a safe but early return to work philosophy as well as coordination of testing and appointments, UPMC Work Partners gears its services toward minimizing an employee's time away from gainful, productive work. Work Partners also offers additional vocational case management tools:

• job analyses with written job descriptions including detailed essential, physical requirements, and videotape of job duties
• consultation to employers on coordination of reasonable, necessary job modifications, and accommodations
• vocational assessments including, evaluations of vocational aptitudes, transferable skills analyses, and earning power evaluations
• resume preparation, individualized job search skills training, career counseling, and job placement assistance
• vocational expert witness testimony in litigation
  

Clear communication between the provider, injured employee, and insurer

UPMC Work Partners believes the sharing of pertinent, real-time information will assist the injured employee to regain their optimal level of functioning and eliminate any factors that may be preventing the case from proceeding in a positive direction.

Monitoring of outcomes with meaningful performance measures

Workers' compensation is a top issue for employers who have much at stake when they lose valuable employees to injury. At UPMC Work Partners, we believe ongoing feedback and reporting to employers and their insurers is an important ingredient to a program's success. Furthermore, we believe in objective performance measures and continuously improving those performance measures based on what we learn. In fact, performance outcomes measurement, benchmarking, and quality improvement are all important components to our approach to disability and medical case management. By using objective clinical guidelines, Work Partners monitors compliance through a utilization review program and reports program performance to clients on a regular basis.

To learn more about our case management services, call UPMC Work Partners toll-free at 800-633-1197.