Solutions

Regulatory Compliance
Quality Assurance
Technology

Telephonic Case Management

At M Hayes our telephonic case managers are Registered Nurses with a minimum of three years clinical experience in orthopedics, neurology, emergency room and intensive care. Our telephonic case managers have advanced credentials such as the Certified Case Manager or Certified Disability Management Specialist credentials. All are experienced in multiple workers’ compensation jurisdictions 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
 
URAC

Copyright © 2009 MHayes

Privacy Legal

Early Intervention

It is well known that claims cost can be significantly lowered through the use of an early intervention, telephonic case management model. At M Hayes we will tailor an early intervention program to meet your claims needs and model. Whether our telephonic nurses are working at your location on your claims system, or at our location on our system that provides real time data to your claims system, our early intervention process remains the same. 24 hour contacts, determination of appropriate treatment plans, severity of diagnosis, length of disability and early return to work is our focus.

PPO Channeling

With the focus of ensuring quality care at the best price M Hayes has developed relationships with Preferred Provider Organizations and can channel employees to quality providers resulting in medical savings. If the customer already has a PPO network in place, the M Hayes telephonic case managers will channel to your preferred provider network to impact case savings.

Independent Medical Examinations

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 specialists 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.

Field Case Management Coordination

With a highly trained clinician working the claim from day one, the M Hayes telephonic case manager is able to identify the more serious cases that may require field case management services, either limited in scope or full. The M Hayes case manager works in partnership with the customer to ensure the case is controlled medically and referrals for field services are derived from the customer. The telephonic case manager operates in these situations consistent with the customer’s claims philosophy and can serve as the medical liaison between field services and the customer.

Privacy Policy

M Hayes recognizes the importance of keeping your personal information private in the online environment. It is our policy that any personal information provided by a user will never be sold, rented or shared with any third party or any person or organization not directly involved with M Hayes’ business.

Information on the website is gathered through tracking of general online website statistics; for example, the number of visitors to our site, the pages viewed and the files accessed. While certain features of the site may employ "cookies" to better facilitate services, at no time is any personal or specific information about the visitor collected, except in circumstances where the visitor knowingly shares such information, such as through completion and submission of an online Referral form or an e-mail from the visitor to M Hayes.

Our privacy policy does not apply to third party websites that you link to or reach through our website. You should read the privacy policies of those third parties to learn how they collect and use information about you.