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

1. Onsite Nurse Care Manager Kathy Helm RN, BSN, CPHM Director, Utilization Management WellCare of Florida

2. 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. Onsite Nurse Roster

4. UM Administration