Nurse case management

The City of Scottsdale, Arizona is seeking Nurse Case Management Services for its self-insured workers' compensation program through a Request for Proposal (RFP) with solicitation number 26RFP042. The procurement aims to contract with qualified firms to provide field and catastrophic case management services for injured workers, including initial evaluations, worker interviews, treatment goal coordination, medical treatment coordination, recovery monitoring, and communication with claims adjusters. Required services encompass approximately 700 hours of field case management, 100 hours of 24/7 catastrophic case management, 200 hours of travel and waiting time, 100 hours of clerical activities, 500 miles of mileage reimbursement, and five medical necessity reviews. Contractor qualifications mandate a minimum of four years of medical case management experience, full-time representation in the Phoenix metropolitan area, and 24/7 availability. Key personnel must hold current Registered Nurse (RN) licensure with Certified Case Manager (CCM) or Certified Disability Management Specialist (CDMS) certification, or an RN with five years of workers' compensation experience. The RFP requires submission of firm, fixed, fully loaded hourly rates, with proposal submissions due January 15, 2026, at 2:00 PM local time through the Bonfire Interactive procurement portal, and questions accepted until January 7, 2026, at 2:00 PM local time.

The City encourages small, minority-owned businesses (MBE/WBE/DBE) to respond and requires contractors to comply with E-Verify Program requirements and demonstrate lawful presence in the United States. The initial contract term is one year, with four optional one-year renewal periods available at mutual agreement. Contractors must maintain comprehensive insurance coverage, including commercial general liability insurance of $1,000,000 per occurrence with $2,000,000 aggregate limits, professional liability insurance of $1,000,000 per claim and $2,000,000 all claims, and workers' compensation insurance. The City's recent utilization spend provides context for potential contract value, with expenditures of $160,000 in fiscal year 2021-22, $200,000 in 2022-23, and $130,000 through FY 2023-24. The procurement allows for multiple contract awards, and the City reserves the right to conduct short-listed offeror presentations prior to final award recommendation. Evaluation criteria will include project approach, catastrophic availability, pricing, and firm and staff qualifications, with the contract to be awarded to the lowest responsible and responsive bidder.