Director of Case Management and Social Work Services
About The Position
The Director of Case Management and Social Work Services at Stony Brook Southampton Hospital leads the case management, social work, and utilization review functions, including services at Article 28 ambulatory locations. The role oversees department operations, staffing, budgets, and staff development, and is responsible for developing and implementing strategic plans, policies, and procedures aligned with organizational goals, regulations, and best practices. The position reports directly to the CFO. The director works with physicians, nurses, and other healthcare professionals to coordinate care across settings, oversee clinical assessments and discharge planning, and manage patient-care functions related to length of stay, readmissions, and inpatient-versus-observation metrics. The position also monitors program effectiveness, leads improvement initiatives, and reports outcomes and budget performance to senior leadership and stakeholders. Acute and transitional care experience and a minimum of 10 years as a registered nurse are stated in the position summary. The role may require travel to other locations to support operational needs. Hospital positions may be subject to changes in pass days and shifts. The position may require respiratory protection, which may prohibit facial hair, and may be designated essential during institutional emergencies. Candidates must complete the stated pre-employment medical clearance, reference check, drug screen, and regulatory screenings and provide copies of required New York State licenses or certificates.
Requirements
- Master's degree in a related field, or currently enrolled with anticipated completion within three years of hire.
- Prior case management experience.
- New York State RN license.
- Acute hospital and transitional care experience.
- Demonstrated knowledge of discharge planning and length of stay.
- Courteous and professional demeanor, focus, and good listening skills.
- Computer literacy.
- PRI certification.
- The position summary states a minimum of 10 years of experience as a registered nurse.
- Knowledge of healthcare laws, regulations, and accreditation standards, including CMS and EMTALA.
- Expertise in case coordination, healthcare delivery systems, and clinical best practices.
- Knowledge of healthcare regulations and patient safety, quality, and compliance issues.
- Ability to analyze complex data, monitor performance metrics, and identify opportunities for process improvement.
Nice To Haves
- Certification in case management, utilization management, quality, risk, or MCG.
- Experience with post-acute care coordination, including acute rehabilitation or skilled nursing.
- Home care or telehealth experience.
Responsibilities
- Lead and manage case management, social work, and utilization review functions, including case coordination services at Article 28 ambulatory locations.
- Oversee daily operations, including scheduling and staffing management.
- Manage, mentor, train, and support case managers and social workers in professional development and high-quality case outcomes.
- Promote employee satisfaction and staff development, and use progressive discipline processes when necessary.
- Prepare the annual budget and support cost-containment initiatives.
- Chair the readmissions, long-stay, and transfer care coordination committees.
- 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 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 support quality outcomes and regulatory compliance.
- Collaborate with interdisciplinary teams to assess and manage patient-care needs, including discharge planning, long-term care, and community-based services.
- Manage clinical and case management functions related to patient outcomes, including review of length of stay, readmissions, and inpatient-versus-observation metrics.
- Monitor and evaluate 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.
- Participate in process improvement across areas including throughput initiatives and Accountable Care Organizations.
- Carry out other major duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Director
