AT THE HEART OF

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Experienced Nurses.

Cost-Effective Solutions.

Custom Case Management provides medical case management and claims-resolution services to employers and insurance companies throughout Illinois, Indiana and Wisconsin. With a dedicated team of knowledgeable nurse case managers, we have the clinical expertise and processes to identify and overcome hidden barriers to claims resolution which save our clients both time and money. Our reputation and raving client reviews are a testament to the experience and value we provide.


The Custom Case Advantage

Highly Respected

Our NCM’s are well-known and highly respected within our fields which enables them to secure appointments with difficult-to-schedule physicians and therapists.

Experienced Insights

All of our case managers are graduates
of accredited nursing programs with extensive experience in a variety of
health-related fields.

Efficiency Improvements

We understand the importance of attending all physician appointments in person to ensure that interventions are appropriate and on-track.

Readily Available

With a dedicated nurse case manager on every case, we strive for prompt, responsive service. We answer the phone and are readily available.

Diverse Knowledge

Our nurse case managers are experienced in a variety of workers’ compensation claims with the knowledge to evaluate treatment against medical best-practices.

Honest Ethics

Custom Case Management provides case-management services at reasonable rates with superior expertise. We do not pad or bill for unnecessary services.

Customer Case Reviews

Thank you so much, you are excellent at keeping us in the loop and being pro-active, we greatly appreciate it.

HRM - Executive Director

It’s great working with a company that gets it right and does a great job as well. Made my job a lot easier.

BS RN CCM, Case Management Vendor Coordinator

You guys are the BEST and I would love to work with you on all my programs!!!

Senior Resolution Manager

Thank you for your prompt response! I love working with nurse case managers, you guys are the best.

Attorney at Law, Law Office

I truly love working with you and the nurses at Custom Case Management. They are the best in the industry!

Client Testimonial

Custom Case Management has worked so hard and have persevered through some pretty stressful situations on this case. We are truly grateful for all that you have done to get us to this point. We are moving in a very positive direction and with your expertise and coordination we have turned the corner on this claim.

Client Testimonial

We would love to prevent all injuries from occurring, but it is nice to know we have the help when needed.

Client Testimonial

Thank you for all you do to keep things running smoothly between the nurses and the adjusters. I really appreciate working with someone as nice as you!!

Claims Supervisor

Where have you been all my LIFE? Absolutely love working with you!

Self-Insured Client

You are great! Thank you.

Client Testimonial

Just a note to say I really appreciate your help with this. You’re always on top of things.
Thanks!

Client Testimonial

You are so easy to work with, professional, smart, kind, and compassionate. I am so thankful for you.

Client Testimonial

I just want to reiterate how wonderful it is to be working with you.

Client Testimonial

Thank you so much for all of your assistance and communication. You really did help the process be less stressful and I really appreciate that during this whole period.

Client Testimonial

Thank you for all that you do for my files, I feel like you absolutely have all my messy ones. You are appreciated!!!

Client Testimonial

“Our Continued growth year after year is the result of new clients introduced to us from our existing and previous clients. Our success is realized through our reputable results and high client satisfaction.”

LEARN ABOUT OUR SERVICES

Superior Credentialed Service

At Custom Case Management, we hire intelligent, and experienced professionals in the managed care business. Our staff are highly trained and educated with achievements of their CCM certification. The CCM is prized as the gold standard for case manager excellence, across all health care and health management settings.

Custom Case Advantage Training

Custom Case Management continues to strive with continuing education for our staff. We educate our staff on the most current and innovative treatment available. In doing so, we provide an ongoing wide range of stimulating topics taught by content experts in the field.

Premium Preferred Physician Network

We work collaboratively with the top medical specialists and facilities in your area. Your injured worker is at the heart of our business to ensure that they are being treated with the best care available to them. We ensure the highest quality of care and the best outcomes for all.

REFER A FILE TODAY

PLEASE INCLUDE: DEMOGRAPHIC INFORMATION, FIRST REPORT OF INJURY AND ATTACH PERTINENT MEDICAL FILES (PDF)
SUBMIT FILES NOW
AREAS OF COVERAGE
FIELD CASE MANAGEMENT: ILLINOIS, NORTHEAST WISCONSIN, NORTHWEST INDIANA
TELEPHONIC CASE MANAGEMENT: ALABAMA, ARIZONA, ARKANSAS, COLORADO, DELAWARE, FLORIDA, GEORGIA, IDAHO, ILLINOIS, INDIANA, IOWA, KANSAS, KENTUCKY, LOUISIANA, MAINE, MARYLAND, MISSISSIPPI, MISSOURI, MONTANA, NEBRASKA, NEW HAMPSHIRE, NEW JERSEY, NEW MEXICO, NORTH CAROLINA, NORTH DAKOTA, OKLAHOMA, SOUTH CAROLINA, SOUTH DAKOTA, TENNESSEE, UTAH, VIRGINIA, WEST VIRGINIA, WISCONSIN, WYOMING
CASE STUDY

FCE WITH INVALID RESULTS

THE CASE:

48-YEAR OLD MALE MAINTENANCE WORKER UNDERWENT LEFT SHOULDER ARTHROSCOPY AND MD WROTE 25LB PERMANENT WORK RESTRICTIONS.

THE OUTCOME:

NCM Inquired the rationale of the restrictions and realized that the MD did not have or review the FCE report, therefore he formulated an opinion without all of the pertinent information. Our NCM provided a copy of the FCE report. MD changed work status to full duty, avoiding permanent restrictions.

THE CUSTOM IMPACT:

The Case Manager knew the case and was prepared with a physical copy of the FCE report. She was able to question the initial restrictions and provide the MD with the report resulting in a full work duty status, saving the employer time and money.

CASE STUDY

HERNIA MISDIAGNOSIS

THE CASE:

32-YEAR OLD MALE ELECTRICIAN WITH LEFT-SIDED ABDOMINAL PAIN AFTER LIFTING.

THE OUTCOME:

Custom Case Management received the referral 3-months post injury with the injured worker still off work, and the same complaints since the injury date. After the NCM reviewed the file, she determined based on the mechanism of injury and symptoms of the claimant, the injured worker needed to see a general surgeon. The initial diagnosis from the treating MD was an abdominal wall strain. In fact, the patient was misdiagnosed.

THE CUSTOM IMPACT:

The Case Manager was able to help the claimant find a great general surgeon who repaired a missed hernia and got the claimant back to full duty 8 weeks after surgery. The NCM’s knowledge of mechanism of injury and symptoms helped facilitate an accurate treatment plan resulting in a full duty return to work, saving the employer time and money.

Reduce Claim Durations by 50%

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