CASE-0648 - USA (New Mexico) - Case Management Services - Deadline December 6,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: CASE-0648

Government Authority located in New Mexico; USA based organization looking for expert vendor for case management services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide case management services s for certain identified injured or disabled workers on a contract basis, Potential contractors must demonstrate experience with workers’ compensation cases to the government authority located in New Mexico.
- Case management is fundamentally a collaborative, multidisciplinary process provided by skilled professionals with multiple outcome objectives, which include quality care, cost containment and client empowerment, cases will be assigned to case managers only and only on a case-by-case basis,
- Within a month of receiving the assignment, review all relevant medical records for purposes of determining past medical history, developing a treatment plan to coordinate the care of injured workers, and create a plan to reach maximum medical improvement and return to work,
- Clarifying questions between treating providers and injured workers and asking questions of the providers to ascertain appropriate and reasonable coordination of medical treatment,
- Communicating with the participants in the worker’s claim concerning the diagnosis, treatment plan, appointment schedule for reasonable and necessary medical treatment, and return to work,
- Providing, as needed and for a limited time, inpatient pre-certification review and authorization,
- Submitting by the 10th of each month, the Agency’s monthly status report detailing all activities related to each assigned case and appropriate reporting to, and coordination between, the parties and health care providers.
(2) All the questions must be submitted no later than November 19, 2019.

[C] Eligibility:

- Onshore (USA Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 6 December, 2019

Question Answer Deadline : Tuesday, 19 November, 2019

Category : Case Management Services

Country : USA

State : New Mexico

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