Field Case Management definition

Field Case Management or “FCM,” which means the ongoing onsite management of patient treatment by a nurse professional.
Field Case Management or “FCM,” which means the ongoing onsite management of patient
Field Case Management or “FCM” refers to the Medical Management Service pertaining to the initial contact that the Nurse Case Manager (NCM) will make with the Claimant, the claims examiner, the medical provider, and the JBWCP Member Representative within 24 – 48 hours to direct care, apply medical decision to treatment plan, and review protocols of treatment and work on issues of return-to-work.

Examples of Field Case Management in a sentence

  • Fee does not include Managed Care Services (Telephonic or Field Case Management).

  • Network Access 28% of savings Pharmacy AWP minus 5% plus $3.00 dispensing fee Telephonic Case Management $250/month per claim Pre-Authorization/Pre- Certification Nurse: $125/review Physician: $250/hour Field Case Management $85 per hour plus mileage Medical ▇▇▇▇ Review $8.50 per ▇▇▇▇ Claims will be handled for the “life of the partnership” with no additional per claim fees.

  • RN Field Case Management and Telephonic Nurse Case Management assignments.

  • Chatham County has very few claims that require Field Case Management.

  • The County desires NCM outcomes in achieving quality medical treatment, lower medical costs, lower indemnity costs and the highest return-to-work rates possible in accordance with the Field Case Management and Telephonic Case Management Best Practice Models documents at the time of service.

  • The NCM plan must consist of Early-Intervention Telephonic Case Management (TCM)/Triage, Field Case Management (FCM), Task Assignments, and Catastrophic Case Management.

  • Field Case Management services will not be provided by the Contractor.

  • If Field Case Management (FCM) services are deemed necessary by adjuster, CONTRACTOR shall receive prior written approval of COUNTY.

Related to Field Case Management

  • Case management means a care management plan developed for a Member whose diagnosis requires timely coordination. All benefits, including travel and lodging, are limited to Covered Services that are Medically Necessary and set forth in the EOC. KFHPWA may review a Member's medical records for the purpose of verifying delivery and coverage of services and items. Based on a prospective, concurrent or retrospective review, KFHPWA may deny coverage if, in its determination, such services are not Medically Necessary. Such determination shall be based on established clinical criteria and may require Preauthorization.

  • Targeted case management means services that assist a beneficiary to access needed 2 medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The 3 service activities may include, but are not limited to, communication, coordination and referral;

  • Case management services means planned referral, linkage, monitoring and support, and advocacy provided in partnership with a consumer to assist that consumer with self sufficiency and community tenure and take place in the individual’s home, in the community, or in the facility, in accordance with a service plan developed with and approved by the consumer and qualified staff.

  • Case manager means a Department of Human Services or Area Agency on Aging employee who assesses the service needs of an applicant, determines eligibility, and offers service choices to the eligible individual. The case manager authorizes and implements the service plan and monitors the services delivered.

  • Adaptive management means reliance on scientific methods to test the results of actions taken so that the management and related policy can be changed promptly and appropriately.