Medical Case Management

Catastrophic injury management

  • Acquired brain injury

    Severe, moderate, mild, post-concussive syndrome


  • Spinal cord injury

    Complete, incomplete – tetraplegia, paraplegia
  • Severe burns (over 20% 3rd degree)

    Flame, chemical, inhalation injuries


  • Multiple trauma

Catastrophic injury is just that… catastrophe… for the patient, their family, the employer, and the insurance carrier responsible for paying the medical bills. Nowhere is medical case management more crucial. In the immediate aftermath of a catastrophic injury, the patient typically cannot be a competent advocate for expert medical care… nor are most families prepared to tackle the complex arena of interdisciplinary care during their intense shock and early adjustment. At these times, a knowledgeable consultant is invaluable. Ensuring the right care the first time around saves the patient and family avoidable distress.

Gateway also provides medical case management of the following:

  • Amputation
  • Orthopedic injuries
  • Corneal injuries
  • Chronic pain management
  • Reflex sympathetic dystrophy/CRPS
  • Post-traumatic stress disorder
  • Worksite evaluation/injury prevention
  • Disease state management

Gateway’s expert management accurately targets appropriate services, facilitates knowledge and communication among an individual’s various providers of service, thereby averting contraindicated cross-treatment, and mitigating complications that lead to diminished quality of life and enhanced disability.

Medical/Legal Consulting

File Review Experienced registered nurses review medical records and provide expert analysis of medical and psychosocial treatment.

Life Care Planning Gateway Health Management is a leader in the field of life care planning. Our plans are powerful legal tools that credibly predict the true value of a catastrophic injury. Every aspect of care required over the course of the catastrophically injured individual's lifetime is thoroughly researched and documented with skill and precision. Our expertise is widely recognized within the healthcare industry, as we are frequently asked to present at medical/legal conferences and advanced training workshops.

Covered topics include mechanisms for predicting:

  • Medical and psychosocial evaluations
  • Therapeutic interventions
  • Diagnostic testing
  • Educational assessments
  • Durable medical equipment
  • Orthotics and prosthetics
  • Home equipment and accessories
  • Medications
  • Supplies
  • Surgical interventions
  • Transportation
  • Architectural renovations
  • Recreational equipment


File Review

Gateway's RN case managers are available to provide the adjustor complementary review of medical records. Determination of appropriateness of level and scope of care are provided, as well as recommendations for optimal course of action to facilitate recovery.


Gateway makes presentations on relevant medical, psychosocial, and legal topics at educational in-services and industry conferences. Expert presenters are available to instruct classes on such topics as: Medical Case Management, Life Care Planning, Social and Vocational Reintegration Following Catastrophic Injury, and Disease State Management.