Current Job Openings

Care Management Coordinator

We currently have an opportunity for a Care Management Coordinator at Chestnut Hill Hospital. The primary focus of this position is the concurrent utilization review and discharge planning for all Independence Blue Cross lines of business at Chestnut Hill Hospital.

• Reviews all emergency admissions within one day of admission and makes determination of appropriateness of admission.
• Conducts concurrent and retrospective reviews of all inpatient admissions.
• During the course of admission and continued stay review, evaluates potential discharge planning needs and identifies patients whose medical needs can be appropriately served through transfer to a lesser level of care.
• Identifies quality of care issues, including delays in care.
• Refers cases with potential case management needs to a case manager.
• Reviews questionable claims as requested by the claims supervisor.
• Assists the Provider Relations and Member Services Departments with clinical problems as requested.

R.N. with active license to practice in Pennsylvania, with a minimum of three years recent clinical experience, preferably in concurrent review. Candidate must have excellent interpersonal, organizational, analytical, verbal, and written communications skills. Computer skills required. Access to reliable transportation required.

Apply

Mail: Independence Blue Cross Human Resources - 27236 1901 Market Street, 25th Fl Philadelphia, PA 19103

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After receiving an applicant's information, Independence Blue Cross will hold the responses strictly confidential. EOE, M/F/D/V. No agency calls please.

Independence Blue Cross is an Equal Opportunity Employer.