Assistant Director of Case Management

Position Summary

At Stony Brook Medicine, the Assistant Director of Care Management is a valuable member of our team, who provides empathic care to our patients, families and visitors, with the highest degree of integrity and respect. Care Managers at Stony Brook apply the principles and practices of their profession to provide evidence based clinical care, supervisory oversight and project management as well as assessment and planning. The Assistant Director of Care Manager reports directly to the Director of Care Management assisting with oversight and supervision of the care management staff, as well as multiple projects focusing on process improvement and quality in regards to Care Management and Social Work at Stony Brook University Hospital. They maintain compliance with regulatory standards within the scope of Care Management including, outcomes management, utilization and appeal management, reporting/data analysis to leadership and staff.

Qualified candidates will demonstrate excellent verbal and written communication skills, staff education skills, interpersonal skills, presentation skills, project management skills, as well as knowledge and understanding of patient care, integrated patient care and ability to affectively respond to changing patient and hospital-based needs always adhering to our high standard of excellence.

Duties of an Assistant Director of Care Management may include the following but are not limited to:

• Responsible for addressing Utilization management, denials and appeal, discharge and transition planning activities, quality reviews in order to optimize patient outcomes within appropriate time frame with upper and lower level leadership.
• Coordinates the design, development, implementation and monitoring of the organizations case management and utilization review functions.
• Manages daily operations, which includes oversite of all Case Management leadership and staff functions regarding care management and utilization management activities.
• Manages human resources utilization, promotes employee satisfactions, supports staff development and utilizes the progressive discipline process when appropriate.
• Maintains goals to achieve clinical, financial, and utilization goals through effective management, communication and role modeling.
• Internal resource on issues related to the appropriate utilization of resources, coordination of care across the continuum, utilization review, discharge and transition planning and performance of leadership.
• Performs chart review and oversight of documentation compliance
• Staff Supervision, evaluations and performance program review
• Project management and assignment follow up. Involved in complex discharge cases.
• Maintain human resource management, leadership, quality and operational management objectives.
• Process improvement and quality improvement oversight. Education and presentations to the department, other hospitals, meetings and committees as assigned.
• Form and policy creation from the Director.
• Overall involvement in process improvement for multiple area such as CTO and CIN.
• Attendance at leadership meetings with the Director or acting as when indicated.
• Assist Director in program development and unit performance improvement activities. Demonstrates core values of Stony Brook Medicine. Is a role model to all employees which is to provide high-quality, cost-effective healthcare for the people in the communities served.

Qualifications

Required Qualifications:

* Bachelor's degree

* Possession of license to practice as a registered nurse in New York State.

* Minimum 3 years RN supervisory experience

* Minimum five years Care Management experience.

* Hospital tertiary experience.

* Weekend coverage for CTO .

* Ability to return to the hospital for crisis intervention.

* Mentoring and training other leadership and staff.

* Demonstrates strong leadership skills.

* Experience in multiple patient settings, i.e. medical, surgical, pediatric etc.

* Demonstrates strong skills in communication, initiation, independent work and project follow through.

* PRI certified.

* Knowledge of regulatory requirements such as CMS, EMTALA, etc. .

* Intermediate in all MS Office applications.

* Working knowledge of InterQual and/or MCG.

* Knowledge of length of stay, readmission, inpatient vs. observation.

Preferred Qualifications:

* Master's degree

* ACM, CMAC and/or CCM certification

* Bilingual.

* Experience in a large teaching hospital.

* Experience with homecare/home IV infusion, SNF, AIR..

Special Notes: Resume/CV should be included with the online application.

Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

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• Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
• All Hospital positions may be subject to changes in pass days and shifts as necessary.
• This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
• This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Prior to start date, the selected candidate must meet the following requirements:

• Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
• Complete electronic reference check with a minimum of three (3) professional references.
• Successfully complete a 4 panel drug screen*
• Meet Regulatory Requirements for pre-employment screenings.
• Provide a copy of any required New York State license(s)/certificate(s).

Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

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

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Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.

In accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here.

Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.

Anticipated Pay Range:

The starting salary range (or hiring range) for this position is - $119000 - $149000 / year.

The above salary range represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary offer will be based on the candidate's validated years of comparable experience. Any efforts to inflate or misrepresent experience are grounds for disqualification from the application process or termination of employment if hired.

Some positions offer annual supplemental pay such as:

* Location pay for UUP, CSEA & PEF full-time positions ($3400)

Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.

Visit our WHY WORK HERE page to learn about the total rewards we offer.