My View On Nurse Case Managers & Workers Compensation
“I give you a straight-up insider’s view of work injury law. It isn’t politically correct or pretty. But it is always the truth.” - Bill Turley
Remember the old saying about a wolf in sheep's clothing. This is actually an idiom with a Biblical origin. It is used to describe those playing a role contrary to their real character, with whom contact is dangerous.
Which, of course, is a typical nurse case manager. I am not trying to suggest that every nurse case manager is a hack for the workers’ compensation insurance company. And I have only been doing this for over the past 20 years, so what the heck?
But based upon what I have seen on the front lines, most nurse case managers are bad news. Very occasionally I have seen a patient advocate nurse case manager. But these are very, very few and far between.
Thus, the very first thing we do at our office, on a routine basis, is tell our client that they are to have no more communications with the nurse case manager. In addition, nurse case managers are not allowed into examination rooms with our clients.
Why is this? Because the nurse case manager is an agent of the insurance company. Speaking to the nurse case manager is akin to speaking to the insurance adjuster. Every word you say to the workers’ compensation nurse case manager is repeated in a detailed report to the insurance adjuster. Depend on it.
Our clients are never allowed to speak to the insurance adjuster. Why? Because everything you say can and will be used against you in a court of law. It is the same with the workers’ compensation nurse case manager.
It doesn’t matter if you have a California workers’ compensation case, Longshore case, Defense Base Act case or a Jones Act case. At the end of the day, the nurse case manager depends on the insurance company for their next “case.”
Who do you think the dog is going to be loyal to? You or the person that feeds the dog? Not to mix my metaphors - but you get the idea.
Only we aren’t talking about a cocker spaniel or a golden retriever. Think a very, very bad wolf.
Many nurse case managers are sugary sweet when they speak to you. That is the sheep’s clothing I was talking about. Which reminds me of the Pink Floyd song:
“You have to be trusted by the people that you lie to,
So that when they turn their backs on you,
You'll get the chance to put the knife in.”
Dogs Waters, Gilmour.
Most seriously injured workers don’t have the wherewithal to tell the nurse case manager that they are “off the case,” so to speak. That is why you need to hire the best lawyer that you can find that specializes in the type of case you have. Meaning, if you got injured on the job in Arizona, I would recommend you hire an Arizona workers’ compensation lawyer.
But if you live in Arizona (or any where else in the world) and you have a Defense Base Act injury, Longshore injury or a Jones Act injury (all which fall under maritime law) - you need a lawyer that specializes in that type of case - - which isn’t going to be an Arizona workers’ compensation lawyer.
Disclaimer: Please understand these discussions and/or examples are not legal advice. All legal situations are different. This testimonial, endorsement and/or discussion does not constitute a guarantee, warranty, or prediction regarding the outcome of your legal matter, your particular case/ situation and/or this particular case/ situation. Thanks, Bill Turley