The City, OMF-Risk Management is seeking proposals from experienced Certified Managed Care Organizations, hereafter called Proposer(s), to engage the successful Proposer for the following services:
Access to contracted hospitals and physician provider panel to provide services to subject injured workers;
Utilization and Quality Management services of subject MCO providers;
A designated Case Manager to work directly with the Citys MCO program;
As needed, assistance with facilitating the Citys Early Return to Work Program.
As needed, staffing sessions with City WC analysts to discuss specific cases.
As needed, assistance with calculating provider discounts at or above those provided by the state fee schedule