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Occupational Injury Management - WorkLink©

Occupational Injury Management - WorkLink©

Memorial Hermann Health Solutions, Inc.

Memorial Hermann Health Solutions, Inc.

WorkLink©, from Memorial Hermann Health Solutions is committed to partnering with Houston-area businesses and industries to provide comprehensive, cost-effective, quality healthcare administration. This includes ongoing network development, utilization management, case management and medical claims bill review to specifically meet your company's needs.

From the moment an injury occurs through the employee's return to work, WorkLink is involved with you, your employee and the provider. WorkLink provides comprehensive, cost-effective solutions for your occupational injury needs, including:

Case Management

As the employer, you will be kept up-to-date on your employee's treatment. Modified duty options will also be presented for each appropriate case. Our goal is to return the employee to work as soon as possible, while reducing the occurrence of re-injury through objective work, task evaluations and appropriate treatment.

Clinical case management services reduce lost work time and medical costs by:

  • Returning the employee to full or modified duty as soon as medically appropriate
  • Minimizing legal complications and providing case documentation
  • Monitoring the employee's medical treatment plan and utilization
  • Utilizing WorkLink PPO networks
  • Facilitating case closure

Utilization Review

By combining claim activities into one easy-to-access program, we ensure all treatment is pre-authorized and the care is appropriate for the injury diagnosis. Our review process examines all documents and analyzes the use of medical resources. Integrating medical management into a single system allows us to monitor treatment patterns for appropriateness and ensure that utilization thresholds are maintained.

Medical Director Services

WorkLink is pleased to have medical oversight from board-certified Occupational Medical physicians as well as onsite medical directors, which enhances the communication with our team. Medical director services include:

  • Individual peer reviews
  • Medical review officer (MRO) services
  • Case management and utilization direction
  • Client Company specific medical protocols
  • Resource for toxicology relating to chemical exposures
  • Return-to-work programs
  • Drug and alcohol programs

Medical Bill Review

Medical Bill Review services work in conjunction with our PPO network to further the cost-containment process. We manage all financial aspects of an occupational claim, including examining provider bills to determine if charges are reasonable and appropriate. We can examine provider bills for Texas subscribers and non-subscribers, workers' compensation, or those groups operating under the Longshoreman Act or Jones Act.

Occupational Injury Provider Network

WorkLink customizes a network of providers for clients who opt out of the Texas Workers' Compensation Program. Our providers are contracted through WorkLink and can be matched to your specific occupational health needs, locations and work schedules. Each site will have access to its own primary care physicians who offer personal, quality treatment in a quick and convenient manner.

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