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Q -- INTEGRATED CARE MANAGER SOL 98r0044 DUE 090998 POC Contact, Joel Perrine, 310/363-5111/Contracting Officer, Kenneth Clemens, 310/363-5088 Description: This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The contractor shall provide a qualified registered nurse, herein referred to as the Integrated Care Manager (ICM). The ICM shall be responsible for providing disease and case management to Government beneficiaries. Care by the ICM will be provided at the medical treatment facility (MTF). The ICM will evaluate proactive triggers to identify potential clients suitable for effective disease/case management intervention. The ICM shall identify opportunities for intervention which affect the individual and/or population at risk. The ICM will seek authorization or consent for case management from recipient of services. The ICM shall conduct a thorough and objective evaluation of the client's current status covering such elements as: rationale for entry into the system, physical, psychosocial, environmental, spiritual, financial, vocational, primary care manager, learning capabilities/self-care, health status expectation, and community reintegration potential. The ICM shall assess resource utilization and cost management; the diagnosis, past and present treatment course and services; prognosis, goals, treatment, and provider options. The ICM shall demonstrate ability to interview, research, understand client's diagnosis, prognosis, care needs, and outcome goals of treatment plan, understand cost-containment strategies, and critically analyze situations identifying barriers to goal attainment. The ICM shall have knowledge in: health, social service, and funding sources, legal scope of practice of healthcare providers, legal requirements for reporting abuse, laws and procedures regarding client confidentiality, the American Disabilities Act, Workers' Compensation laws and act in accordance with them. The ICM shall also have knowledge of computer software applications to include spreadsheets, word processing, presentation software, electronic mail, and internet access. The ICM shall maintain communication with client and family to convey information on healthcare services, as well as with treatment team and providers to objectively discuss the care plan. Outcome goals for ICM are as follows: identify case management goals focusing on meeting client's needs, plan with client/family a goal-oriented care process that analyzes and gives direction to a treatment plan, report quantifiable quality care and/or life improvements, and recommend referral sources. The ICM shall be guided by ethical principles and provide service with respect for autonomy, dignity, privacy and rights of the individual. The ICM shall be responsible for creating and maintaining medical entries. Patient lists shall be treated as privileged information. The ICM shall only release medical information obtained during his/her contract to other staff involved in client care. He/she must be available Tuesdays and Thursdays from 7A.M. to 4P.M. September 1, 1998 through August 30, 1999, excluding federal holidays. The ICM will have the option of continuing this service for two additional service following August 30, 1999. The ICM is required to begin full performance of the contract requirements within 60 days after contract award. The government will conduct a criminal background check. The ICM must possess the following to be considered: copy of valid, current unrestricted state nursing license, and applicable national Certification, training in disease, case, and utilization management, Current Basic Life Support (BLS) certification, a signed consent for release of information, certification of current physical examination (must be current as of 12 months prior to application). A Masters degree in nursing or other related discipline is not required, but desired. The ICM shall have a background to include no less than 5 years in medical management positions. In addition, a sworn affidavit of truthfulness is required indicating experience, training, and technical expertise in the type of care to be rendered. All responsible sources may submit a bid, proposal, or quotation which shall be considered by the agency. Call or fax bids, including the solicitation number (98R0044) to Joel Perrine at 310-363-5111 (phone) or 310-363-2463 (fax). Bids are due by COB Wednesday, September 9. Estimated award date is COB Wednesday, September 16.***** Posted 08/25/98 (W-SN241679). (0237)

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