678 – Workers Compensation Unmasked: From Impairment Ratings to Social Media Evidence – Rachel Toland
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In this episode of the Legal Nurse Podcast, host Pat Iyer sits down with Rachel Toland, an independent legal nurse consultant and owner of Moonstruck Legal Nurse Consulting, to shine a light on the multifaceted world of workers’ compensation. Drawing on her extensive background in nursing leadership and case management, Rachel Toland unpacks how healthcare and statutory law intersect when an employee is injured on the job, revealing a complex landscape filled with a diverse cast of people, employers, insurers, attorneys, healthcare providers, and, of course, legal nurse consultants.
Throughout their conversation, Rachel Toland walks listeners through the critical roles nurses play in workers’ compensation claims, from developing medical timelines and assessing causation to scrutinizing impairment ratings and securing appropriate treatment. The episode explores how technology, such as social media, surveillance, and even hidden cameras, is increasingly used to validate or refute injury claims. The nuances of state-by-state regulations and the financial implications for employers, particularly those that are self-insured, are dissected, as well as the profound mental health challenges that workers may face after catastrophic injuries.
Whether you’re new to the concept of workers’ compensation or seeking to deepen your understanding of its complexities, this episode offers a comprehensive look at why legal nurse consultants are invaluable partners in helping attorneys to analyze the facts and safeguard justice. Tune in for insights on everything from handling jurisdictional intricacies to the ethical dilemmas and technological advancements shaping the future of this vital field.
What You’ll Learn in This Episode on Workers Compensation Unmasked: From Impairment Ratings to Social Media Evidence
Here are 5 discussion questions answered by Pat Iyer in the podcast:
- What are the key players involved in a workers’ compensation claim, and how do their roles interact?
- How do legal nurse consultants unravel complex medical chronologies and impairment ratings?
- In what ways is technology, like social media and surveillance, reshaping the workers’ compensation landscape?
- How do state-by-state differences impact workers’ compensation cases, and what must consultants know to handle them?
- What is the psychological impact of catastrophic workplace injuries, and how can nurses help address these in legal cases?
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Your Presenters for Workers Compensation Unmasked: From Impairment Ratings to Social Media Evidence
Pat Iyer
Pat Iyer is a seasoned legal nurse consultant and business coach, renowned for her expertise in guiding new legal nurse consultants to successfully break into the field. As the host of the Legal Nurse Podcast, Pat addresses critical challenges that legal nurse consultants face, such as difficulty in landing clients and a lack of response from attorneys. Through her insightful episodes, she emphasizes the importance of effectively communicating one’s value to potential clients. With a wealth of experience, Pat has empowered countless consultants to overcome these hurdles and thrive in their careers.
Connect with Pat Iyer by email at patiyer@legalnusebusiness.com
Rachel Toland
Rachel Toland is a nurse, consultant, and educator. She is the CEO and founder of Moonstruck Legal Nurse Consulting, where she partners with attorneys across the country to bridge the gap between complex medical facts and legal strategy. With two decades of experience in nursing, leadership, and case management, plus multiple board certifications, she brings clarity, strategy, and clinical insight to her consulting work.
Connect with Rachel Toland by email at rachel@moonstrucklnc.com

