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© 2008 WellCare Health Plans Inc. All rights reserved. Onsite Nurse Care Manager Kathy Helm RN, BSN, CPHM Director, Utilization Management WellCare of.

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Presentation on theme: "© 2008 WellCare Health Plans Inc. All rights reserved. Onsite Nurse Care Manager Kathy Helm RN, BSN, CPHM Director, Utilization Management WellCare of."— Presentation transcript:

1 © 2008 WellCare Health Plans Inc. All rights reserved. Onsite Nurse Care Manager Kathy Helm RN, BSN, CPHM Director, Utilization Management WellCare of Florida

2 p 1 5/2/2015 12:40 AM Onsite Utilization Management Program Onsite Inpatient Care Management nurses deployed at hospitals with census > 20 Allows for real-time collaboration with hospital staff Reduction in discharge delays Increased focus on Discharge Planning and Transitions of Care Reduction in admission denials Program expansion planned in 2015 for 12 additional hospitals ER Nurse Care Manager pilot program Integration with BH and Field-based Care Management Teams

3 p 2 5/2/2015 12:40 AM Onsite Nurse Roster ONSITE HOSPITALNURSEEMAILPHONE Tallahassee MemorialGlenique HampshireGlenique.Hampshire@wellcare.com850-377-0976 Oak HillPatricia BryantPatricia.Bryant@wellcare.com813-362-7927 Memorial Hosp JacksonvilleMichole FredericksMichole.Fredericks@wellcare.com904-412-9580 Shands JacksonvilleDenita Yatesdenita.yates@wellcare.com904-662-6704 St Vincent's Medical CenterVictoria QuansahVictoria.Quansah@wellcare.com954-383-9047 CRMC Bayonet Point/TrinityNatalija CrnkicNatalija.Crnkic@wellcare.com352-610-2685 Lakeland RegionalKathleen Wainoris Valerie Jaques kathleen.wainoris@wellcare.com valerie.jacques@wellcare.com 863-409-7005 863-430-5581 St Joseph's HospitalAnna WoodAnna.Wood@wellcare.com813-226-7986 Tampa GeneralJohn WilliamsJohn.Williams@wellcare.com813-217-3194 Brandon RegionalNaomi Sherman-RuizNaomi.Shermanruiz@wellcare.com813-217-3193 Manatee MemorialAnnaMarie Brownannamarie.brown@wellcare.com727-504-4728 Lee Memorial/HealthparkOPEN Osceola RegionalMayra Borrero mayra.borrero@wellcare.com 407-865-2967 Arnold Palmer ChildrensJoselyn Wiscovitch-Caro joselyn.wiscovitchcaro@wellcare.com 407-718-0559 ORHS Dr. PhillipsPearlie Williams pearlie.williams@wellcare.com 407-718-6540 Florida Hospital East OrlandoNancy Gonzalez nancy.gonzalez@wellcare.com pending Florida Hospital Orlando Diane Atherton Kimberly Howard Diane.Atherton@wellcare.com kimberly.howard@wellcare.com 407-437-2238 407-620-8252 Health CentralTamia Julius tamia.julius@wellcare.com 407-921-8240 Orlando Regional Kathy Miller Angelina Torres-Narvaez kathy.miller@wellcare.com angelina.torresnarvaez@wellcare.com 407-925-7495 Florida Hosp AltamonteEileen TorroellaEileen.Torroella@wellcare.com407-921-3829 Wuesthoff Rockledge & MemorialOPEN Jackson MemorialCarolyn Enzinna carolyn.enzinna@wellcare.com 954-734-4096

4 p 3 5/2/2015 12:40 AM UM Administration Cynthia ScollinsVP, Health Services Cynthia.Scollins@wellcare.com813-206-7524 Dr Bruce Himelstein Medical Director, Fl Health Services Bruce.Himelstein@wellcare.com813-206-7966 Katherine Helm Director, Utilization Management Katherine.helm@wellcare.com813-206-3683 Rubina ViraniSr. Mgr. Field Health Services Rubina.Virani@wellcare.com813-206-6679


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