Asst Dir Case Management

Maimonides Medical Center

13d•$148,000 - $160,000

About The Position

Assistant Director of Case Management plays a key leadership role in overseeing the coordination, quality, and effectiveness of the Case Management Department. Working under the Director of Case Management, the position supports strategic planning, operational management, and staff development to ensure patients receive timely, patient-centered, and cost-effective care. The Assistant Director provides the day-to-day supervision of nurse case managers and support staff. Responsibilities include monitoring throughput, length of stay, discharge planning efficiency, utilization management, and interdisciplinary collaboration. Overall, the Assistant Director of Case Management ensures that care coordination services safe transitions, reduce avoidable readmissions, optimize resource utilization, and promote positive patient outcomes while advancing the mission and goals of the organization.

Requirements

BASIC COMPETENCIES
Education:
BSN Required.
Current and valid NYS licensure required.
Experience:
5 years Clinical Experience in Case Management, Utilization, Discharge Planning
Minimum of 4 years of direct experience in utilization management, discharge planning, case management or home care management required.

Nice To Haves

MSN preferred
CCM preferred
Minimum of 2 years of leadership or managerial experience in a healthcare environment, preferred.

Responsibilities

Communication: Strong written and verbal skills are demonstrated in reports, correspondence and presentations. Ensures staff is kept informed of Medical Center and departmental priorities. Communicates vision statement and Organizational goals and demonstrates commitment toward their achievement.
Professional Development : Participates in conferences, workshops, and other professional development activities to maintain licensure and/or remain professionally current with advances in field of expertise.
Staff Development : Ensures staff receive mandated in servicing in Safety, Quality Assurance, Risk Management, Customer Service, Infection Control and any other in-service that may apply.
Problem Solving : Recommendations and decision making reflect strong analytical skills and focus on quality, cost containment, and impact of change on other departments.
Customer Service Management : Incorporates the Medical Center's Customer Service and Organizational Goals in developing and/or revising departmental policies and systems. Continually reviews the service delivery process to exceed customer expectations. Is perceived as a role model by staff, peers in customer service leadership.
Project Management : Participates in multidisciplinary task forces, committees and projects, demonstrating team spirit and ability to work with different internal customers. When leading a project team demonstrates the ability to bring together different views and skills toward timely and effective completion of project objectives.
Clinical Leadership : Clinical management staff provide clinical supervision. Leads clinical (treatment) planning meetings. Provide in-service training and maintenance of clinical standards. May provide leadership for hospital-wide clinically oriented committees.
Responsible for assisting the Director of Case Management in the development and implementation of Case Management departmental plans and goals.
Responsible for assisting the Director of Case Management in administrative and clinical functions of the Case management Department.
Work closely with the Director of Case Management to coordinate daily operations, ensure compliance with regulatory agencies, manage staffing, monitor objectives and provide comprehensive reports.
Responsible for Assisting the Director of Case Management in projects, track progress and evaluate and improve departmental performance.
Responsible assisting the Director of Case Management in selecting, hiring of Case Management staff.
Responsible assisting the Director of Case Management to establish and enforce budget, timelines and metrics.
Responsible for evaluating staff performance.
Serves as a leader in discharge planning for units throughout the Medical Center.
Coordinates the scheduling to ensure adequate coverage in Case management.
Serves as a liaison on outreach projects to utilize additional resources, authorize charity funds to be used to expedite discharge and prevent readmission.
Responsible for assisting the director in the development and implementation of LOS, DRG, Millman Criteria in-services, etc., provided all levels of staff.
Functions as a resource person and expediter for Case Management, discharge planning regarding length of stay issues.
Conducts team meetings.
Negotiates with vendors, providers, and home care agencies to optimize services.
Collaborates with managed care companies to facilitate appropriate use of benefits and services to patients (e.g., obtains optimum coverage for patients while in hospital; negotiates appropriate nursing home/home care services with company-approved agencies or arranges for use of alternate agency).
Responsible for directly managing nurse case manager and Social Worker assistants.
In the absence of Assistant Vice President and/or Director, provides administrative coverage for the Case Management Department.
Leadership and Strategy: Develop and implement strategic initiatives to improve case management and care coordination processes.
Provide leadership and mentorship to nurse case managers, social workers, leadership staff, and administrative personnel.
Foster collaboration among care teams, nursing, physicians, and ancillary departments.
Establish departmental goals and support staff development through training and continuing education.
Partner with senior hospital leadership to align departmental programs with broader institutional goals.
Regulatory Compliance and Audit Oversight: Ensure full compliance with CMS Conditions of Participation, NYS Article 28, and Medicare/Medicaid guidelines.
Lead preparation and response efforts for audits conducted by CMS, The Joint Commission, NYSDOH, and other accrediting agencies.
Oversee an internal audit program to review documentation, medical necessity criteria, and patient status assignment.
Collaborate with compliance and legal teams on audit findings and corrective action plans.
Operational and Financial Management: Lead and manage departmental budgeting, staffing models, and resource allocation.
Drive initiatives that reduce length of stay, prevent readmissions, and support effective utilization review.
Monitor and analyze departmental key performance indicators such as avoidable days, discharge efficiency, and throughput.
Ensure cost-effective service delivery while maintaining high standards of patient care.
Utilization Management and Quality Improvement: Participate in hospital-wide committees focused on quality, throughput, and readmission reduction.
Partner with interdisciplinary teams to promote evidence-based best practices in care transitions.
Collaborate with external agencies and post-acute providers to strengthen community care partnerships.
Committee Participation and Interdepartmental Collaboration: Serve as a key member on committees addressing quality improvement and operational performance.
Lead and support initiatives aimed at enhancing patient satisfaction and interdisciplinary collaboration.
Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.