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About the Role
This key leadership position at Stony Brook Southampton Hospital oversees the development, implementation, and management of care management programs and services. The role is critical in improving patient outcomes, optimizing resource utilization, and ensuring high-quality care delivery. The individual will collaborate with healthcare professionals to enhance care coordination and streamline safe discharge planning and financial compensation processes.
Responsibilities
- Lead and manage case management, social work, and utilization review functions for timely, effective, and patient-centered case coordination.
- Oversee daily operations, including schedule and staffing management.
- Manage and mentor case managers and social workers, providing leadership, training, and support.
- Promote employee satisfaction, support staff development, and utilize progressive discipline.
- Prepare 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.
- 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 for 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 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.
- Participate in process improvement for areas such as throughput initiatives and Accountable Care Organizations.
- Maintain knowledge of healthcare laws, regulations, and accreditation standards (CMS, EMTALA, etc.).
- Demonstrate expertise in case coordination, healthcare delivery systems, and clinical best practices.
- Maintain knowledge of healthcare regulations, including patient safety, quality, and compliance issues.
- Analyze complex data, monitor performance metrics, and identify opportunities for process improvement.
- Perform other major duties as assigned.
Requirements
- Masters degree in a related field or currently enrolled with anticipated completion within 3 years of hire.
- Prior case management experience.
- NY RN License.
- Acute hospital experience and transitional experience.
- Demonstrated knowledge of discharge planning and length of stay.
- Courteous, professional, focused, and good listening skills.
- Computer literate.
- PRI certified.
- Certified in Case Management, UM, Quality, Risk or MCG (preferred).
- Experience with post-acute care coordination, including acute rehab/skilled nursing (preferred).
- Home Care or telehealth experience (preferred).
- Ability to travel to other locations to support operational needs.
- Successfully complete pre-employment physical examination and obtain medical clearance.
- Complete electronic reference check with a minimum of three 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).
Skills
- Acute and transitional care experience
- Care coordination
- Discharge planning
- Financial compensation
- Communication skills
- Coordination skills
- Organizational skills
- Leadership skills
- Mentoring
- Training
- Budget preparation
- Cost containment
- Strategic planning
- Policy development
- Regulatory compliance
- Clinical assessment
- Performance monitoring
- Data analysis
- Process improvement
Location
- Southampton, NY
Work Type
- Full-time
Experience Level
- Minimum of 10 years as a registered nurse
- Prior case management experience
- Acute hospital experience
- Transitional care experience
Education Level
- Masters degree in related field or currently enrolled
- NY RN License
Salary/Compensations
- The starting salary range (or hiring range) for this position has been established based on relevant experience.
- The above salary range (or hiring range) represents SBSH’s good faith and reasonable estimate of the range of possible compensation at the time of posting.
Benefits
- All employee benefits are maintained by StaffCo.
About the Company
- Stony Brook Southampton Hospital, as part of Stony Brook Medicine, provides direct access to the highest level of academic-based medical care.
- Located in Southampton, NY, the hospital serves a diverse community of year-round residents, second homeowners, and vacationers.
- Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by Newsday.
- StaffCo is a Professional Employer Organization (PEO) responsible for employment, payroll, and human resource services for Stony Brook Southampton employees.
- Stony Brook Medicine is committed to excellence in diversity and the creation of an inclusive learning and working environment.
- Stony Brook Southampton Hospital is dedicated to supporting healthier and more resilient communities.
Equal Opportunity
- 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.