Out of State Nurse Case Management Services

Workforce Safety & Insurance (WSI) of North Dakota is conducting a limited competitive procurement for out-of-state nurse case management services targeting injured employees receiving medical treatment outside the state. The solicitation seeks registered nurses licensed in their respective jurisdictions to provide comprehensive case management support for workers' compensation claims. Specific service requirements include contacting involved parties within two business days, conducting comprehensive claim evaluations, completing action planning, attending medical appointments, coordinating care, and managing complex claims. The contract will run from July 1, 2025 through June 30, 2027, with potential two-year renewals that could extend the agreement through June 30, 2031. Vendors must submit electronic responses through the State Procurement Office Online system by April 9, 2025, at 5:00 PM CT, with submission requirements including a maximum of five clearly labeled documents covering company information, contact details, service specifications, value-added features, and cost information.

The procurement is specifically targeting three intended sources: Corvel Healthcare Corporation, Genex Services, and Paradigm Complex Care Solutions, which WSI has identified as the only vendors capable of providing national-level nurse case management services. The contract establishes a pricing structure of $95.00 - $105.00 per billable hour, with billing increments of at least 6 minutes. No specific set-aside designations or restrictions for disadvantaged enterprises are mentioned in the documentation. The limited competitive nature of the procurement suggests these three vendors have been pre-selected based on their demonstrated capabilities in delivering comprehensive, multi-jurisdictional nurse case management services for workers' compensation claims. While a precise total contract value is not specified, the hourly rate and potential two-year contract term with possible extensions indicate a substantial potential revenue opportunity for the selected vendor(s).