Main Line Health, Inc. Philadelphia , PA 19107
Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA has a newly created opportunity for RN Care Coordinator
The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey.
DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region's largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending.
Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs. To learn more, please go to www.DVACO.org.
Why Work for Main Line Health?
We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are.
The RN Care Coordinator is a Registered Nurse who facilitates patient continuity of care with the healthcare team. Under the clinical direction and oversight of the Primary Care Physician, the Care Coordinator coordinates care for high risk/complex patients by collaborating with the patient, family, physician, nurses, and other members of the healthcare team to identify needs and expedite appropriate, cost effective care.
S/he assists in the development of the patient's care plan reviews LOS target outcomes and discharge plans with area facilities. . The Care Coordinator will serve as the patient's primary conduit to the primary care provider as they help coordinate necessary services both within and outside the practice, coordinating care from a variety of sources physicians, specialists, home care providers, rehab centers, pharmacists, etc. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices and adopt life-long healthy behaviors.
Education: Graduate of an accredited School of Nursing, Bachelors degree required, MSN preferred
Licensures & Certifications:
Valid Pennsylvania RN licensure required.
Bachelor's degree required
Case Manager (CCM) certification preferred
5 Years Experience in clinical, utilization management, home care, discharge planning, and/or case management required
3 years experience in a managed care environment preferred
Ability to interact with physicians and other health care professionals in a professional manner required
Computer proficiency required.
Excellent verbal and written communication and interpersonal skills required
Ability to prioritize daily tasks and caseload activities to meet patient needs and turnaround. Ability to travel in the local or regional area depending on facility location. Ability to establish a home office work space
Strong problem solving, conflict resolution, and negotiating skills
Knowledge of managed are models financial reimbursement systems, clinical case management processes and utilization management issues
Knowledge of NCQA (PCMH) guidelines for care management
We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45888
Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing.
We are an Equal Opportunity Employer. Please, no agency calls