Manages all aspects of the care coordination department to achieve strategic goals. Responsible for implementing all aspects of the hospital utilization management plan in collaboration with administration, medical staff, and other health care team members. Coordinates daily operations and supports ongoing problem resolution. Establishes tools, processes and systems to optimize
Education and Training
Master’s degree in Nursing or related health care field, Social Work or Business Administration, or currently pursuing and making steady progress toward completion of a master’s degree within 12 months of hire.
Certification and Licensure
Registered Nurse licensed in the State of Pennsylvania, LSW, LCSW
• Managed care, government payers, third-party reimbursement • InterQual criteria and its application • Information systems, Midas preferred • Strategic planning • Project management • Using MS Office applications • Oral and written communication skills
Five (5) years of case management experience, including two years at the managerial level
department effectiveness and meet strategic goals.
Additional Salary Information: Based on experience level
Internal Number: 00074686
About Mercy Health System-Mercy Philadelphia Hospital
Mercy Health System is the largest Catholic healthcare system serving the Greater Philadelphia area and is a part of Trinity Health and sponsored by Catholic Health Ministries.Mercy Health System is comprised of more than 6,500 caring, highly skilled employees focused on creating an outstanding patient-care experience. As a market leader for quality clinical outcomes Mercy Health System is a significant force in creating an environment where competence and compassionate care meet.As a mission-driven regional health ministry, we will become the recognized leader in improving the health of our communities and each person we serve. We will be known as the most trusted health partner for life.A diverse, integrated system providing health care services, Mercy Health System is comprised of:•Three acute-care hospitals •Mercy Fitzgerald Hospital•Mercy Philadelphia Hospital•Nazareth Hospital•A Program For All-Inclusive Care of the Elderly (PACE) •Mercy LIFE•A home health care agency (serving Bucks, Chester, Delaware, Montgomery, and Philadelphia Counties) •Mercy Home Health•Medicaid managed care plan •Gateway Health Plan