10.27.16.02

.02 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Board" means the Board of Nursing.

(2) "Board-approved course" means an educational offering specific to the case management of the injured worker under the Workers' Compensation Commission which meets the criteria established by the Board.

(3) "Commission" means the Workers' Compensation Commission.

(4) Medical Case Management.

(a) "Medical case management" means any type of contact, including electronic, written, and personal, with the injured worker, for the purpose of the planning and coordination of health services appropriate to achievement of medical rehabilitation of the injured worker.

(b) "Medical case management" includes but is not limited to:

(i) Case assessment;

(ii) Implementation and coordination of services with the injured worker, family, and health care providers;

(iii) Evaluation of treatment results;

(iv) Coordinating community re-entry;

(v) Return to work with the employer of injury; and

(vi) Referral for further vocational rehabilitation services.

(5) "Medical claims consultant" means a registered nurse who consults on medical aspects of an injured worker's rehabilitation without any contact with the injured worker.

(6) “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.

(7) “Registered nurse (RN)” means an individual who:

(a) Is licensed by the Board to practice registered nursing; or

(b) Has a multistate licensure privilege to practice registered nursing.

(8) "RN-WCCM" means a registered nurse-workers' compensation medical case manager.