Effective nurse case management requires more than coordinating appointments. It requires proactive clinical oversight, timely communication, and early identification of issues that can delay recovery or increase claim costs. Every referral is managed according to the specific needs of the claim. We provide ongoing Field and Telephonic Nurse Case Management as well as focused Task/Limited Assignments. Our approach is centered on:
Proactive treatment coordination and follow-up
Early identification and resolution of barriers
Timely communication with claims professionals and stakeholders
Monitoring treatment progress and medical recommendations
Reducing unnecessary delays and duplication of services
Supporting appropriate utilization of healthcare resources
Coordinating safe and timely return-to-work planning
Promoting cost containment and efficient claim progression
By maintaining consistent communication and clinical oversight, we help keep claims moving forward while supporting appropriate care and responsible use of claim resources.
Our Approach:
Every claim is different. We tailor our involvement to the needs of each referral, from ongoing field and telephonic nurse case management to focused, task-based assignments. Through proactive follow-up and clear communication, we help coordinate next steps, reduce unnecessary delays, and keep cases moving forward.
Bilingual Support:
Hurtado Case Management provides bilingual English-Spanish nurse case management to support injured workers who may experience language or communication barriers. Clear communication can improve understanding of treatment plans, appointment requirements, work restrictions, and next steps in the claims process. By communicating directly in Spanish when needed, we help reduce misunderstandings, improve engagement, and support more efficient coordination among injured workers, providers, employers, and claims professionals.
Our Commitment:
We are committed to providing responsive, professional, and dependable nurse case management with individualized attention to every referral. Our priorities are clear communication, appropriate clinical coordination, cost-conscious decision support, timely claim progression, and safe return-to-work outcomes. Hurtado Case Management is prepared to serve as a dependable nurse case management resource for insurance carriers, TPAs, employers, and claims organizations seeking responsive local field coverage and bilingual English-Spanish support throughout the San Francisco Bay Area and North Bay.
Clinical Expertise. Proactive Coordination. Personalized Service.
Nurse Case Management Tailored to the Needs of Each Claim:
Bilingual Case Management:
Bilingual English-Spanish nurse case management helps improve communication and understanding throughout the claims process. We support Spanish-speaking injured workers with treatment coordination, medical follow-up, work status communication, and return-to-work planning, while keeping all involved parties informed.
Field Nurse Case Management:
Hands-on case management for claims requiring direct involvement with the injured worker, healthcare providers, and treatment team.
Services may include attending medical appointments, coordinating treatment, communicating with providers, reviewing treatment recommendations, identifying potential barriers, following up on work status, and planning a return to work.
Telephonic Nurse Case Management:
Ongoing clinical coordination and case oversight are provided telephonically.
Our nurse case managers monitor treatment progress, communicate with injured workers and providers, follow up on recommended services, identify outstanding needs, and provide meaningful updates to the claims team.
Not every claim requires ongoing case management.
Hurtado Case Management is available for focused assignments when assistance is needed with a specific issue, provider, appointment, treatment recommendation, or other defined case-management need.
Task/Limited Assignment:
Supporting the Professionals and Organizations Behind Workers' Compensation Claims:
Insurance Carriers and Third Party Administrators:
We provide responsive clinical support to insurance carriers and TPAs managing occupational injury claims.
Our nurse case managers monitor the medical plan, coordinate with treating providers and injured workers, follow up on outstanding needs, and communicate meaningful developments so claims teams have a clearer understanding of treatment progress and next steps.
Claims Professionals:
Claims professionals manage many moving parts. We provide focused attention to the medical aspects of the claim.
Through clinical review, treatment follow-up, provider communication, and identification of potential barriers, we help provide the information needed to understand where the case stands medically and what may be needed next.
We respect the role of the claims professional and work as a collaborative clinical resource within the claims-management process.
Employers & Self-Insured Organizations:
We help employers remain informed about work status and return-to-work considerations while an injured employee progresses through treatment.
Our involvement may include monitoring restrictions, identifying issues affecting recovery, supporting communication regarding modified-duty opportunities, and helping coordinate the transition toward a safe and sustainable return to work.
For self-insured organizations, our services can be adapted to complement existing claims processes, reporting expectations, and program needs.
Public Agencies:
We work with cities, counties, school districts, public safety departments, and other government entities managing occupational injury claims.
Public-sector cases can involve specialized job duties, unique work restrictions, multiple stakeholders, and complex return-to-work considerations.
We provide consistent clinical oversight, treatment coordination, and communication designed to help keep the medical plan and the claim process organized.
What makes Hurtado Case Management different?
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We combine clinical nursing knowledge with personalized, responsive service and bilingual English-Spanish support. Every referral receives individualized attention, proactive communication, and focused coordination to help keep cases moving toward timely, positive, and cost-effective outcomes.
What services does Hurtado Case Management provide?
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Hurtado Case Management provides Field Nurse Case Management (FCM), Telephonic Nurse Case Management (TCM), Task/Limited Assignments, and bilingual English-Spanish support. Our services include care coordination, treatment and progress monitoring, medical appointment support, return-to-work coordination, and ongoing communication throughout the workers’ compensation process.
Who can benefit from case management services?
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Our services support injured workers, employers, claims professionals, insurance carriers, third-party administrators, attorneys, and healthcare providers involved in workers’ compensation cases. We help bridge communication between all parties, coordinate care, and support positive, timely, and cost-effective outcomes while promoting efficient claims management.
Do you serve clients outside of your local area?
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Yes. While our field nurse case management services are focused throughout the San Francisco Bay Area, our telephonic case management services allow us to support referrals remotely. Contact us to discuss your case needs, service area, and current availability.