Christopher Mercedes
Utilization Review Specialist
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About
Current graduate student at Commonwealth University of Bloomsburg pursuing MSW with two months remaining. Passed licensure exam for Social Work, awaiting license upon graduation. Bilingual in English and Spanish. Comprehensive experience in medical social work, case management, and utilization review with a proven track record in collaborative work and building strong professional relationships.
Experience
Utilization Review Specialist - Geisinger Behavioral Health Northeast
(2026-04)
- Review patients' charts and advocate for hospital stays
- Communicate with insurance companies via phone, fax, and voicemail
- Conduct timely utilization reviews
- Participate in interdisciplinary meetings
Supports Coordinator - Expert Community Care Management
(2025-01 - 2026-04)
- Managed caseload of 58 clients with intellectual disabilities
- Networked with providers and county administrators
- Conducted yearly Individualized Support Plan Meetings
- Completed bi-monthly monitoring visits
- Wrote service notes
- Debriefed with county officials on maintenance of waiver services
- Worked with Spanish-speaking clients
Medical Social Work Intern - Geisinger Medical Center - Danville
(2024-08 - 2024-12)
- Completed 400 hours of Medical Social Work internship
- Worked in Care Management and Discharge Planning sectors
- Managed caseload of 10-20+ patients
- Assessed patients and drafted discharge plans
- Conducted interdisciplinary meetings
- Made referrals to other facilities through networking with liaisons
- Worked with older adults and other populations
Education
MSW - Social Work - Commonwealth University of Bloomsburg (2026)
