Transcript Onsite Nurse Care Manager Program

Onsite Nurse Care Manager
Kathy Helm RN, BSN, CPHM
Director, Utilization Management
WellCare of Florida
© 2008 WellCare Health Plans Inc. All rights reserved.
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
4/8/2015 8:30 AM
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Onsite Nurse Roster
ONSITE HOSPITAL
Tallahassee Memorial
Oak Hill
Memorial Hosp Jacksonville
Shands Jacksonville
St Vincent's Medical Center
CRMC Bayonet Point/Trinity
Lakeland Regional
NURSE
Glenique Hampshire
Patricia Bryant
Michole Fredericks
Denita Yates
Victoria Quansah
Natalija Crnkic
Kathleen Wainoris
Valerie Jaques
EMAIL
Glenique.Hampshire@wellcare.com
Patricia.Bryant@wellcare.com
Michole.Fredericks@wellcare.com
denita.yates@wellcare.com
Victoria.Quansah@wellcare.com
Natalija.Crnkic@wellcare.com
kathleen.wainoris@wellcare.com
valerie.jacques@wellcare.com
PHONE
850-377-0976
813-362-7927
904-412-9580
904-662-6704
954-383-9047
352-610-2685
863-409-7005
863-430-5581
St Joseph's Hospital
Tampa General
Brandon Regional
Manatee Memorial
Lee Memorial/Healthpark
Osceola Regional
Arnold Palmer Childrens
ORHS Dr. Phillips
Anna Wood
John Williams
Naomi Sherman-Ruiz
AnnaMarie Brown
OPEN
Mayra Borrero
Joselyn Wiscovitch-Caro
Pearlie Williams
Anna.Wood@wellcare.com
John.Williams@wellcare.com
Naomi.Shermanruiz@wellcare.com
annamarie.brown@wellcare.com
813-226-7986
813-217-3194
813-217-3193
727-504-4728
mayra.borrero@wellcare.com
joselyn.wiscovitchcaro@wellcare.com
pearlie.williams@wellcare.com
nancy.gonzalez@wellcare.com
407-865-2967
407-718-0559
Florida Hospital East Orlando
Florida Hospital Orlando
Orlando Regional
Florida Hosp Altamonte
Nancy Gonzalez
Diane Atherton
Kimberly Howard
Tamia Julius
Kathy Miller
Angelina Torres-Narvaez
Eileen Torroella
kathy.miller@wellcare.com
angelina.torresnarvaez@wellcare.com
Eileen.Torroella@wellcare.com
Wuesthoff Rockledge & Memorial
Jackson Memorial
OPEN
Carolyn Enzinna
carolyn.enzinna@wellcare.com
Health Central
Diane.Atherton@wellcare.com
kimberly.howard@wellcare.com
tamia.julius@wellcare.com
407-718-6540
pending
407-437-2238
407-620-8252
407-921-8240
407-925-7495
407-921-3829
954-734-4096
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UM Administration
Cynthia Scollins
VP, Health Services
Cynthia.Scollins@wellcare.com
Dr Bruce Himelstein
Medical Director, Fl Health
Services
Katherine Helm
Director,
Utilization Management
Katherine.helm@wellcare.com
813-206-3683
Rubina Virani
Sr. Mgr. Field Health Services
Rubina.Virani@wellcare.com
813-206-6679
813-206-7524
Bruce.Himelstein@wellcare.com 813-206-7966
4/8/2015 8:30 AM
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