Out of State Nurse Case Management Services

North Dakota Workforce Safety & Insurance (WSI) is conducting a limited competitive procurement for out-of-state nurse case management services, seeking nationwide providers to support workers' compensation claims. The procurement requires registered nurses licensed in their respective jurisdictions to provide comprehensive case management for injured employees receiving treatment outside North Dakota. Key service deliverables include initial case evaluations, medical appointment attendance, treatment planning coordination, medical documentation management, and oversight of catastrophic workers' compensation claims. Qualified vendors must demonstrate national-level capability to provide nurse case management services across multiple states. The solicitation specifies a billable hour rate between $95.00 and $105.00, with billing increments of no less than 6 minutes. Responses are due by March 6, 2025, at 5:00 PM Central Time, and must be submitted through the State Procurement Online system. All potential providers must have robust clinical expertise, state-specific licensure, and the ability to manage complex medical scenarios for out-of-state injured workers.

The procurement is specifically limited to vendors with demonstrated national service capabilities, effectively restricting competition to a narrow set of providers. WSI has identified three intended sources: Corvel Healthcare Corporation, Genex Services, and Paradigm Complex Care Solutions, explicitly stating these are the only known organizations capable of providing the required nationwide nurse case management services. No specific set-aside designations for disadvantaged enterprises are mentioned in the documentation. The procurement appears to prioritize operational capability and geographic coverage over diversity considerations. While exact contract value is not specified, the hourly rate structure and potential breadth of workers' compensation cases suggest a potentially significant annual contract value. The limited competitive approach indicates WSI has carefully evaluated the market and determined these three vendors as the most suitable for meeting their specialized out-of-state nurse case management requirements.