onsite nurse care manager kathy helm rn, bsn, cphm director, utilization management

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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 Florida

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Onsite Nurse Care Manager Kathy Helm RN, BSN, CPHM Director, Utilization Management WellCare of Florida. Onsite Utilization Management Program. Onsite Inpatient Care Management nurses deployed at hospitals with census > 20 Allows for real-time collaboration with hospital staff - PowerPoint PPT Presentation

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Page 1: Onsite Nurse Care Manager  Kathy Helm RN, BSN, CPHM Director, Utilization Management

© 2008 WellCare Health Plans Inc. All rights reserved.

Onsite Nurse Care Manager

Kathy Helm RN, BSN, CPHMDirector, Utilization Management

WellCare of Florida

Page 2: Onsite Nurse Care Manager  Kathy Helm RN, BSN, CPHM Director, Utilization Management

p 204/20/23 17:39

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

Page 3: Onsite Nurse Care Manager  Kathy Helm RN, BSN, CPHM Director, Utilization Management

p 304/20/23 17:39

Onsite Nurse Roster

ONSITE HOSPITAL NURSE EMAIL PHONE

Tallahassee Memorial Glenique Hampshire [email protected] 850-377-0976

Oak Hill Patricia Bryant [email protected] 813-362-7927

Memorial Hosp Jacksonville Michole Fredericks [email protected] 904-412-9580

Shands Jacksonville Denita Yates [email protected] 904-662-6704

St Vincent's Medical Center Victoria Quansah [email protected] 954-383-9047

CRMC Bayonet Point/Trinity Natalija Crnkic [email protected] 352-610-2685Lakeland Regional Kathleen Wainoris

Valerie [email protected]@wellcare.com

863-409-7005863-430-5581

St Joseph's Hospital Anna Wood [email protected] 813-226-7986

Tampa General John Williams [email protected] 813-217-3194

Brandon Regional Naomi Sherman-Ruiz [email protected] 813-217-3193

Manatee Memorial AnnaMarie Brown [email protected] 727-504-4728

Lee Memorial/Healthpark OPEN    

Osceola Regional Mayra Borrero [email protected] 407-865-2967

Arnold Palmer Childrens Joselyn Wiscovitch-Caro [email protected] 407-718-0559

ORHS Dr. Phillips Pearlie Williams [email protected] 407-718-6540

Florida Hospital East Orlando Nancy Gonzalez

[email protected]

pendingFlorida Hospital Orlando Diane Atherton

Kimberly Howard [email protected]@wellcare.com

407-437-2238407-620-8252

Health Central Tamia Julius [email protected] 407-921-8240

Orlando RegionalKathy Miller

Angelina Torres-Narvaez [email protected]@wellcare.com

407-925-7495

Florida Hosp Altamonte Eileen Torroella [email protected] 407-921-3829

Wuesthoff Rockledge & Memorial OPEN

 

 

Jackson Memorial Carolyn Enzinna [email protected] 954-734-4096

Page 4: Onsite Nurse Care Manager  Kathy Helm RN, BSN, CPHM Director, Utilization Management

p 404/20/23 17:39

UM Administration

Cynthia Scollins VP, Health Services   [email protected] 813-206-7524

Dr Bruce HimelsteinMedical Director, Fl Health

Services  [email protected] 813-206-7966

Katherine HelmDirector,

Utilization Management  [email protected] 813-206-3683

Rubina Virani Sr. Mgr. Field Health Services   [email protected] 813-206-6679