Reasons for Termination of WC PPO Nurse Case Management (NCM)
- Claim controverted – by law, WC PPO can no longer manage
- Terminated Employee – WC PPO cannot direct the care of a terminated employee
- Injured Worker Opt-Out – after 30 days the Injured Worker can opt-out of program. (Over 20 years of operation, UHS’ opt-out rate is less than 2 %.)
- Injured Worker engages attorney who requests termination of Nurse Case Management
(Employers report a 75% decrease in litigated claims)
WITH ALL THE ABOVE CIRCUMSTANCES THE CLAIM WOULD BE RETURNED TO TPA/Carrier FOR MANAGEMENT
UHS News
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Know where to go for your medical concernMay 16, 2025It can be tough to distinguish where to go for medical care when your symptoms feel unbearable, and your primary care provider is unavailable. Here are some key differences to help you decide.
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UHS awarded significant grant to advance nursing excellenceMay 14, 2025UHS is proud that our organization has been selected as a recipient of a transformative grant from the Mother Cabrini Health Foundation, as part of the Foundation’s new Nursing Initiative. UHS will receive nearly $3.9 million in multi-year funding to strengthen nursing excellence, support nurses at every stage of their careers, and improve outcomes for the patients and families we serve across the Greater Binghamton region.
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