Harmony Care Management provides a member-centric approach to medical management through establishing trusting relationships and taking a holistic view of members' care. It performs utilization management to ensure members receive only appropriate and cost-effective care in the right setting. For example, sleep studies done in the home may yield better results for members than those done in a sleep clinic. The document also introduces Christina Salm, a Harmony nurse with 20 years of experience across various medical fields who helps enhance the care management program.

1. Harmony Care
Management
Mary Hughes
Sue Eickelkamp
Christina Salm

2. What is Harmony?
• Member-centric approach to medical
management
• Personal touch, establishes trusting
relationships
• View the member holistically to guide them
to the best possible care

3. The Harmony Spectrum of Care

4. Spotlight: Utilization Management
Why perform Utilization Management?
• Safety of our members
• Only appropriate care provided
• Right setting, Right price
• Help keep the cost of
premium down
• “Free Second Opinion”

5. Example: Sleep Studies
What yields better results for the
member? Sleep Studies done in the
home or in a sleep clinic?

6. How Does Harmony Compare?

7. A Medical General Contractor

8. Member Identification

9. Harmony Nurse Spotlight

10. Christina Salm – Harmony Nurse
Christina is responsible for developing and
communicating recommendations for enhancing
the Harmony Care Management program to
ensure the program meets the needs of
members. With 20 years of nursing experience
Christina has had the honor to work with
patients and health care providers in many
areas including Trauma and Life Support,
Medical/Surgical, Case Management, Hospice,
Home Health, and Insurance Operations.