Application For Case Management Registration {C-38}

C-38 - APPLICATION FOR CASE MANAGER REGISTRATION. This form is used in the Tennessee Bureau of Workers' Compensation for registering as a case manager or case manager assistant with the Tennessee Bureau of Workers' Compensation (BWC). The form allows applicants to apply for either a new registration or a renewal, and it includes options for telephonic or field case management. The applicant must provide personal contact information, details about their company, credentials (such as RN, CCM, CRRN, etc.), and any relevant certifications. For renewals, proof of continuing education is required. Additionally, if the applicant is self-contracting, they must list the companies they contract with. The form should be submitted via email to the BWC, and payment should be made only after registration is processed. www.FormsWorkflow.com