At M Hayes our field medical case managers are Registered Nurses with a minimum of three years clinical experience in orthopedics, neurology, emergency room and intensive care. Our case managers have advanced credentials such as the Certified Case Manager or Certified Disability Management Specialist credentials. All are experienced in their specific workers’ compensation jurisdiction and have demonstrated expertise in:

• Clinical assessment
• Diagnostics
• Early Intervention
• Light / Modified Duty Coordination
• Length of Disability based on established standards
• Return to Work Coordination
• IME Coordination
• Field Case Management Coordination
• PPO Channeling
• Facilitation of Utilization Management

Medical

Medical Case Management
Our trained nurse consultants ensure that medical care is both appropriate and cost effective. We return injured workers to jobs safely and promptly, utilizing our network of physicians, offering the right treatment in the toughest cases. Field services are used for more serious diagnosis cases, as well as those that have become chronic or complicated. Face to face contact improves overall management, providing greater influence on the outcome of the claim.

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Catastrophic Injury Management
Trauma cases require quick and expert care. For that reason we send our reports within 24 hours of assignment. Our team of catastrophic nurse experts shows compassion while evaluating trauma needs and coordinating services. Prompt management and reporting assists in setting accurate reserves as well as influencing high exposure claims.

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IME Coordination
On difficult cases there are times a need to clarify a diagnosis and treatment plan. M Hayes medical consultant’s can help you with these cases by identifying board certified specialist who can assess the claim from their area of expertise, and render an opinion as to return to work options, length of disability, extend of disability and anticipated maximum medical improvement. Through our best in class medical services consultants we can assist in providing valuable and accurate clinical information to resolve difficult claims.

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Physician Consultations
When a case does not seem to be progressing medically we offer a face to face consultation with the physician with our highly trained and clinically experience medical consultants. Our medical consultants will clarify with the physician why the case is not progressing as it should and within minutes of that consultation provide you with a verbal report of the physician consultation and make recommendations to place the case on track clinically.

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Vocational

Vocational Case Management
At M Hayes our vocational consultants hold Master’s degrees in Rehabilitation Counseling or a related field and must have or obtain advanced credentials such as a Certified Rehabilitation Counselor, Licensed Professional Counselor, Certified Case Manager, Certified Disability Management Specialist or a Certified Vocational Evaluator.

Our Vocational Consultants are experts in:

• Vocational Assessments
• Vocational Testing
• Job Analysis
• Transferable Skills Analysis
• Resume Preparation
• Job Seeking Skills Counseling
• Job Placement
• Labor Market Surveys
• Expert Testimony
• Vocational Counseling
• Return to Work Programs.

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Vocational Assessments
The purpose of a vocational assessment is to determine the residual
employability of an individual who has a disability. Our highly qualified
vocational consultants can provide you with a detailed report outlining
the transferable skills and employment options on those difficult cases
where an employee is unable to return to a job of injury.

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Job Analysis
M Hayes vocational consultants are able to perform on-site job analyses to ascertain the all aspects of a job to include skills required to provide to the customer an accurate and detailed analysis of any position in the economy. The complete report allows an employer to have a record of each position perform, or can be viewed by a physician to determine if an employee with a disability is able to perform a position.

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Resume Preparation
When a person with a disability is unable to return to a job and is in need of finding another one our trained vocational consultants are able to work with the employee to construct an effective resume to assist with a job search. The resume is tailored to the employee and to targeted jobs. M Hayes will provide both written and electronic copies of the resume to the employee.

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Return to Work Programs
At M Hayes we recognize high claims cost can be mitigated with an
effective and well-defined return to work program. We work with employers
and employees to identify jobs that allow employees with disabilities to safely return to work. The primary focus of our vocational case management services in the successful re-entry of the employee to the workplace resulting in significant cost savings.

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Job Seeking Skills Training
Often employees who can not return to a job due to a disability have not had to seek work for years, therefore are in need of assistance to find a position. An aspect of the vocational rehabilitation process is providing the employee with counseling and training to assist them in how to find and obtain suitable employment. In this regard the M Hayes vocational consultant provides the employee with information on targeting jobs and employers who hire for the types of positions sought, interviewing technique to include answering difficult questions relating to loss of a previous job or addressing a disability. By coaching the employee M Hayes is able to affect a claim that results in savings.

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Job Placement
Placing the employee who has a claim for disability is the primary focus of the vocational rehabilitation process. Our experienced vocational consultants have vast knowledge of the local labor markets. They provide to the job seeker job leads that are consistent with the employee’s education, skill level, physical and mental capabilities. Job search records are maintained by the employee and monitored by our vocational consultant to verify an earnest job seeking effort.

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