12 8500 Medical Case Management SWIF

The Commonwealth of Pennsylvania’s Department of Labor & Industry, on behalf of the State Workers’ Insurance Fund (SWIF), is issuing an Invitation for Bids (IFB) to procure independent contractors to deliver Field‑Based Medical Case Management Services statewide. Qualified firms must provide Registered Nurses (RNs) to assess, coordinate, and manage workers’ compensation medical care, including initial contact, ongoing case reviews, catastrophic injury response, and reporting. The contract is for an initial three‑year term with two optional one‑year renewals; no guarantee of volume, but an estimated 20,000 RN hours per year across three territories. Bidders submit only the standardized Attachment A price sheet; all other pricing is ignored. Compliance with Pennsylvania Workers’ Compensation Act, HIPAA, and URAC accreditation is required. • Scope: On‑demand RN‑led case management for workers’ compensation claims across the Commonwealth. • Estimated workload: ~20,000 RN hours annually (8,000 hrs in Territory A, 4,000 hrs in B, 8,000 hrs in C). • Contract term: 3 years + up to two 1‑year renewals; no purchase orders, work begins upon Notice to Proceed. • Qualification: Minimum 5 years field‑based medical case management experience in PA, URAC‑accredited, RN staff licensed in PA. • Submission: Only Attachment A price sheet; deadline 09/22/2026 4:00 PM ET. • Questions due: 09/14/2026 4:00 PM ET via designated email. • Compensation: Hourly rates to be submitted; reimbursement for approved travel mileage only.