Director of Case Management and Social Work Services

Stony Brook UniversitySouthampton, NY

About The Position

At Stony Brook Southampton Hospital, the director of case management and social work services must have acute and transitional care experience with a minimum of 10 as a registered nurse. This key leadership position will be responsible for overseeing the development, implementation, and management of care management programs and services and will play a critical role in improving patient outcomes, optimizing resource utilization, and ensuring the delivery of high-quality care. This individual will work closely with physicians, nurses and other healthcare professionals to enhance care coordination across various settings. Most possess excellent communication, coordination and organizational skills to streamline processes regarding safe discharge planning and financial compensation.

Requirements

  • Masters degree in related field or currently enrolled with anticipated date of completion within 3 years of hire.
  • Prior case management experience.
  • NY RN License.
  • Acute hospital experience and transitional experience.
  • Demonstrate knowledge of discharge planning and length of stay.
  • Courteous, professional, focus and good listening skills.
  • Computer literate.
  • PRI certified.

Nice To Haves

  • Certified in Case Management, UM, Quality, Risk or MCG.
  • Experience with post-acute care coordination, including acute rehab/skilled nursing.
  • Home Care or telehealth experience.

Responsibilities

  • Lead and manage the case management, social work and utilization review functions, ensuring timely, effective, and patient-centered case coordination services, including all Article 28 ambulatory locations.
  • Oversee daily operations, including schedule and staffing management.
  • Manage and mentor a team of case managers and social workers, providing leadership, training, and support to achieve professional development goals and high-quality case outcomes.
  • Promote employee satisfaction, support staff development, and utilize progressive discipline processes when necessary.
  • Prepare annual budget and support cost containment initiatives.
  • Chairs and the readmissions, long stay and transfer care coordination committees.
  • Direct report to CFO.
  • Develop and implement strategic case management and social work plans, policies, and procedures aligned with organizational goals, regulatory requirements, and best practices.
  • Coordinate the design, development, implementation, and monitoring of the organization’s case management and utilization review functions.
  • Lead initiatives to improve patient satisfaction, reduce readmissions, and promote cost-effective case management.
  • Oversee clinical assessments and case coordination processes to ensure quality outcomes and compliance with healthcare regulations.
  • Collaborate with interdisciplinary teams to assess and manage patient care needs, including discharge planning, long-term care, and community-based services.
  • Manage the clinical and case management functions related to patient outcomes, including reviewing length of stay, readmission, and inpatient vs. observation metrics.
  • Monitor and evaluate the effectiveness of case management interventions and recommend improvements.
  • Prepare and present reports on case management and social work outcomes, budget performance, and program initiatives for senior leadership and stakeholders.
  • Overall involvement in process improvement for multiple areas such as throughput initiatives and Accountable Care Organizations.
  • Ability to analyze complex data, monitor performance metrics, and identify opportunities for process improvement.
  • Other major duties as assigned.

Benefits

  • The hiring department will be responsible for any fee incurred for examination.
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