Hospital Senior Director of Care Management and Social Work MSN and Minimum of 9 Years relevant experience required.

NYU Langone Health • Mineola, NY

7d

About The Position

We have an exciting opportunity to join our team as a Hospital Senior Director of Care Management and Social Work MSN and Minimum of 9 Years relevant experience required . In this role, the successful candidate Oversees the preparation, organization, administration and monitoring of the programs/processes necessary for the operation of the Case Management and Social Services departments. Oversees the coordination and development of utilization management, discharge planning, progression of care management and social services in order to promote quality of care, safe transitions in care, and appropriate utilization of resources. Provides leadership for multidisciplinary process improvement activities for unit specific and Hospital wide initiatives.

Requirements

• Master's Degree Nursing.
• Current New York State Professional Nurse License.
• New York State (NYS) Department of Health (DOH) certification as a Patient Review Instrument (PRI) Assessor.
• 9 - 11 years Acute care clinical patient care, utilization management, discharge planning, post acute care placement, and insurance denial management.
• Management of clinical social work function.
• Exceptional interpersonal communication skills, ability to manage projects and lead improvement teams.
• Strong leadership, organizational, prioritization, problem solving and deductive reasoning skills.
• Enhanced understanding of utilization management, discharge planning, progression of care management and social services operations within the acute careHospital setting.
• Expanded clinical knowledge of regulations and standards of practice applicable to levels of patient care.
• Knowledge of the insurance denial and appeals process inclusive of external appeal and dispute resolution authority issues.
• Knowledge of commercial and governmental reimbursement mechanisms and managed care issues.

Nice To Haves

• Health Care Administration or related field.
• NYS DOH certification as a SCREEN Assessor.
• Qualified candidates must be able to effectively communicate with all levels of the organization.

Responsibilities

• Plans and directs the operations of and implements the goals, and objectives of the Case Management and Social Services Departments in alignment of the overall organizational strategy including those related to length of stay (LOS), readmissions and transitions of care.
• Performs other duties as assigned
• Performs other related administrative managerial duties as directed and required including providing leadership for multidisciplinary process improvement activities for unit specific and hospital wide initiatives.
• Provides strategic fiscal and budget oversight to all aspects of the Case Management and Social Services Departments.
• Plans appropriate use of resources including space, equipment and personnel to obtain optimal utilization and efficiency while containing cost.
• Monitors operating costs and adjusts budgetary needs to ensure cost containment.
• Responsible for compliance with all federal, state, local and organizational regulations and standards applicable to utilization review, discharge planning and social services and formulates plans for future program development accordingly to support organizational and departmental goals and objectives.
• Leads, supervises, mentors and develops Case Management and Social Service management and staff. Supports efforts to achieve full staff development and professional growth.
• Establishes and maintains a customer service approach to building both internal and external relationships and partnerships including developing collaborative relationships with external post-acute care agencies, facilities and contracted payors.
• Provides ongoing assessment and analysis of processes, procedures, and technology and continuously strives for improvement.
• Possesses the ability to implement a case management model that provides effective and efficient services and maintains statistics, data collection, analysis and data presentation to analyze performance data and identify opportunities for improvement.

Benefits

• At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package.
• Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement.
• The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support.
• Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.
• The benefits and wellness package is designed to allow you to focus on what truly matters.

What This Job Offers

• Job Type: Full-time
• Career Level: Director