REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
June 13, 2023
FROM
VICTOR TORDESILLAS, Director, Department of Risk Management
SUBJECT
Title
Contracts for Nurse Case Management Services to Support the County's Self-Insured Workers' Compensation Program
End
RECOMMENDATION(S)
Recommendation
Approve fee-for-service contracts with the following companies to provide workers' compensation nurse case management services for an estimated aggregate cost not-to-exceed $2,250,000, for the period of June 14, 2023, through June 13, 2028:
1. EK Health Services, Inc of San Jose, CA
2. Encompass Health Solutions, Inc of Folsom, CA
3. Genex Services, LLC of Wayne, PA
4. IW Care Connection, Inc of Sherman Oaks, CA
5. Pinnacle Case Management Solutions, LLC of Riverside, CA
(Presenter: Victor Tordesillas, Director 386-8621)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
FINANCIAL IMPACT
Approval of this item will not result in the use of additional Discretionary General Funding (Net County Cost). The five-year estimated aggregate cost not-to-exceed $2,250,000 for workers' compensation nurse case management services will be paid from the Department of Risk Management (DRM) countywide and Special Districts workers' compensation insurance funds. These services will be paid on a fee-for-service basis in accordance with the contracted rate schedule (Attachment A) of each contract. Sufficient appropriation will be included in the DRM 2023-24 recommended budget and in future recommended budgets.
BACKGROUND INFORMATION
DRM manages the County's self-insured workers' compensation program and aims to reduce financial loss to the County through an integrated Managed Medical Care Program. As part of this program, DRM utilizes workers' compensation Nurse Case Management Services to maximize savings while ensuring County, Special Districts, F...
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