Case Manager- Part Time Temporary

Stony Brook University • Stony Brook, NY

96d • $88,000 - $125,466

About The Position

At Stony Brook Medicine, a TH Staff Associate/Case Manager is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high standard of excellence.

Requirements

• A Bachelor's degree or a nurse working on their degree with an RN license.
• Working history of 5 years in hospital setting.
• Good understanding of the admission/discharge process.
• Good interpersonal skills to work with all team members.
• Ability to document accurately and prioritize work.

Nice To Haves

• CM, UM, Quality, Coding, Risk or MCG Certification.
• Working knowledge of MCG or Interqual.
• PRI Certified.
• Knowledge of regulatory requirements.
• Bilingual.
• Recent experience in tertiary care.
• Experience in pediatrics, NICU, Mother/Baby or ED.
• Leadership skills.
• Master's prepared.

Responsibilities

• Completes Utilization review screen for inpatient and observation cases.
• Works closely with the Case Managers and Social Workers on the units and reviews findings with them.
• Ensures that patients are placed in the correct level of care from initial assess point.
• Follows cases for authorization for inpatient stay.
• Staff review short stay, long stay and complex cases to affect and ensure a safe discharge plan.
• Completes retrospective review, one and two day short stay reviews and other projects as assigned.
• Identifies, follows and documents Avoidable delays in Care Management Program.
• Reviews and documents on patients who were readmitted within thirty days.
• Documents over utilization of resources and services.
• All Medicare cases are reviewed for level of care on admission.
• Communicates with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals.
• Consistent documentation in the EMR regarding acuity, plan of care and communication with the team.
• Reviews cases daily from admission through discharge to prevent denials.
• Assists with coordination for discharge planning including patient and family education with the interdisciplinary team.
• Coordinates transitional care planning for outpatient resources.
• Actively involved in performance improvement activities including program development, data collection and analysis.
• Maintain high level customer service.
• All unit coverage as needed and other duties as required.

Benefits

• Generous leave.
• Health plans.
• State pension.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Education Level: Bachelor's degree