Director Integrated Care Coordination

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Life and disability insurance

Retirement plan

Paid time off

Job summary

Jefferson Health in Philadelphia is seeking a Director of Integrated Care Coordination to provide strategic and operational leadership for the Inpatient Care Management Department. This role aligns with hospital and enterprise goals and oversees care coordination across multiple acute care sites.

The director will drive process improvements, regulatory compliance, and data-driven performance improvements to enhance patient transitions, reduce length of stay, and optimize resources.

Qualifications

• Master’s degree in healthcare, management, or related field.
• 3 years of hospital management or care management experience.
• Familiarity with EPIC.
• Strong interpersonal and presentation skills.
• CCM or ACM certification within 3 years.

Responsibilities

• Provides strategic and operational leadership for the care management department, aligning programs with hospital goals.
• Develops and oversees policies and processes for care coordination, discharge planning, and authorization processes.
• Directs and evaluates departmental operations, staffing, budgeting, and performance improvement.
• Collaborates with physicians and leadership to facilitate patient progression and transitions across the continuum of care.
• Ensures regulatory and payer compliance and drives data-driven performance improvements.
• Oversees daily operations, staffing deployment, and departmental effectiveness.
• Monitors productivity and turnover; develops strategies to recruit and retain staff.

Skills

Leadership

Hospital management

Care coordination

Regulatory compliance

Data analysis

EPIC

Budgeting

Staff development

Presentation skills

Interpersonal skills

Education

Master’s in healthcare/management

Master’s in social work/nursing/public health

Master’s in nursing or related field with inpatient care management

Master’s in Nursing

Tools

EPIC

PowerPoint

Excel

Job description

Job Details

The Director of Integrated Care Coordination provides strategic and operational leadership for the Inpatient Care Management Department in alignment with hospital and Jefferson Health enterprise goals. In collaboration with Regional Director of Integrated Care Management and hospital leadership, the Director oversees all departmental operations, growth, and performance. This role is responsible for planning, directing, and coordinating an integrated care coordination and inpatient case management program across assigned acute care sites. The Director drives process improvements, innovation, and resource optimization to enhance quality outcomes and ensure seamless patient transitions across the continuum of care.

Number of Positions In Requisition

1

Job Duties

• Provides strategic and operational leadership for the care management department, aligning programs and goals with the hospital and Jefferson Health's mission, vision, and strategic plan.
• Develops and oversees departmental structures, policies, and processes to ensure high-quality, efficient, and compliant care coordination, discharge planning, and authorization processes.
• Directs and evaluates departmental operations and performance, including staffing, budgeting, quality initiatives, and integration of clinical best practices across multiple facilities using high reliability organizational principles.
• Collaborates with physicians, hospital leadership, multidisciplinary teams to facilitate effective care progression, discharge planning, and transitions across the contiuum of care.
• Ensures regulatory and payer compliance and drives continuous improvement through data analysis, performance measurement, and innovation in population health management.
• Provides administrative oversite of daily operations, ensuring proper staffing, role deployment, and departmental effectiveness.
• Monitors productivity, vacancies, and turnover; develops stratigies to recruit, retain, and develop staff.
• Guides managers in variance reporting and maintains departmental operating budgets.
• Serves as a resource for and mentor for managers and team members, fostering professional growth and performance excellence.
• Leads initiatives to develop, evaluate, and refine services to improve care quality, efficency and patient outcomes.
• Facilitates implimentation of best practices and utilization management processes across the contiuumm.
• Oversees quality and data-driven performance improvement efforts, analyzing key metrics (e.g. LOS, Avoidable days, discharge barriers) to enhance outcomes.
• Identifies and applies technoligy solutions to support challenges and develop sustainable process improvements.
• Resolves complex issues related to patient care, discharge planning, coordination with families, agencies and payers.
• Represents the department and Jefferson Health in internal and external committees, task forces, and professional forums.
• Promotes multidisciplinary collaboration through forums that address regional care delivery strategies and population health initiatives.
• Build relationships with healthcare providers and community organizations to support seamless patient transitions and resource optimization.
• Ensure departmental compliance with regulatory, governmental, and payer requirements
• Stays current on case management trends, best practices, and industry standards to guide ongoing departmental advancement.
• Encourages continuing education and development for staff to maintain clinical, regulatory, and leadership competencies.

Minimum Qualifications

• Master’s Degree in healthcare or management or
• Master’s Degree in social work/nursing/public health or
• Master’s Degree any with experience in in-patient care management. or
• Master’s Degree in Nursing.
• 3 years of progressively responsible hospital management/care management positions related to care management.
• Demonstrated knowledge of inpatient care management management.
• Interpersonal skills necessary to work with physicians and other health care professionals and administrative staff.
• Familiarity with EPIC.
• Ability to use power point, excel and possess strong presentation skills.
• CCM - Certified Case Manager - Commission for Case Manager Certification within 3 Years or
• ACM - Accredited Case Manager - American Case Management Association Within 3 Years

Additional Qualifications

• LCSW or LSW in the state of New Jersey.

Physical Demands

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer

This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

111 S 11th Street, Philadelphia, Pennsylvania, United States of America  Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts