Assistant Director of Case Management

Stony Brook University-posted 3 months ago
$117,300 - $167,244/Yr
Full-time • Mid Level
Town of Brookhaven, NY
11-50 employees
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At Stony Brook Medicine, the Assistant Director of Case Management is a valuable member of our team, who provides empathic care to our patients, families and visitors, with the highest degree of integrity and respect. Case Managers at Stony Brook apply the principles and practices of their profession to provide evidence based clinical care, supervisory oversight and project management as well as assessment and planning. The Assistant Director of Case Management reports directly to the Director of Case Management assisting with oversight and supervision of the care management staff, as well as multiple projects focusing on process improvement and quality in regards to Care Management and Social Work at Stony Brook University Hospital. They maintain compliance with regulatory standards within the scope of Case Management including, outcomes management, utilization and appeal management, reporting/data analysis to leadership and staff.

  • Responsible for addressing Utilization management, denials and appeal, discharge and transition planning activities, quality reviews in order to optimize patient outcomes within appropriate time frame with upper and lower level leadership.
  • Coordinates the design, development, implementation and monitoring of the organizations case management and utilization review functions.
  • Manages daily operations, which includes oversite of all Case Management leadership and staff functions regarding care management and utilization management activities.
  • Manages human resources utilization, promotes employee satisfaction, supports staff development and utilizes the progressive discipline process when appropriate.
  • Maintains goals to achieve clinical, financial, and utilization goals through effective management, communication and role modeling.
  • Internal resource on issues related to the appropriate utilization of resources, coordination of care across the continuum, utilization review, discharge and transition planning and performance of leadership.
  • Performs chart review and oversight of documentation compliance.
  • Staff Supervision, evaluations and performance program review.
  • Project management and assignment follow up. Involved in complex discharge cases.
  • Maintain human resource management, leadership, quality and operational management objectives.
  • Process improvement and quality improvement oversight. Education and presentations to the department, other hospitals, meetings and committees as assigned.
  • Form and policy creation from the Director.
  • Overall involvement in process improvement for multiple areas such as CTO and CIN.
  • Attendance at leadership meetings with the Director or acting as when indicated.
  • Assist Director in program development and unit performance improvement activities.
  • Demonstrates core values of Stony Brook Medicine. Is a role model to all employees which is to provide high-quality, cost-effective healthcare for the people in the communities served.
  • Weekend coverage for CTO.
  • Ability to return to the hospital for crisis intervention.
  • Mentoring and training other leadership and staff.
  • Possession of license to practice as a registered nurse in New York State.
  • Master’s degree with minimum 3 years supervisory experience, in lieu of Masters, Bachelors with minimum 5 years of supervisory experience.
  • Tertiary hospital experience.
  • Demonstrates strong leadership skills.
  • Experience in multiple patient settings, i.e. medical, surgical, pediatric etc.
  • Demonstrates strong skills in communication, initiation, independent work and project follow through.
  • Knowledge of regulatory requirements such as CMS, EMTALA, etc.
  • Intermediate in all MS Office applications.
  • Knowledge of InterQual and/or MCG.
  • Knowledge of length of stay, readmission, inpatient vs. observation.
  • ACM, CMAC and/or CCM.
  • Bilingual.
  • Experience in a large teaching hospital.
  • Experience with homecare/home IV infusion, SNF, AIR.
  • Generous leave.
  • Health plans.
  • State pension.
  • Location pay for UUP full-time positions ($4000).
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