Case Manager - Stony Brook University : Job Details

Position Summary: The Case Manager (CM) provides all aspects of discharge planning and utilization review activities for an identified group of patients. The CM is responsible for assessing the patient's physical, social and mental wellness needs, and preferences and abilities in planning, directing, implementing and coordinating a comprehensive discharge plan. The CM works within the interdisciplinary team and oversees the development of coordinated, integrated and individualized care plans and discharge plans. The CM is responsible for coordinating services with other post-acute care providers and community-based organizations. The CM assists patients in making informed decisions by acting as their advocate regarding their clinical status and treatment options. The CM is responsible for coordinating care that is safe, timely, effective, efficient, and equitable and client centered.

Job Duties & Essential Functions:

• Addresses the special needs of each age group served and assists in making reasonable accommodations for the hearing/visually impaired, physically challenged, or any other patient who may require services.
• Assesses the patient's physical and mental and social wellness needs, preferences and abilities of patients to assist in planning, directing, implementing and coordinating a comprehensive discharge plan.
• Demonstrates appropriate understanding of the needs of patients and visitors for each specific age group.
• Monitors inpatient and outpatient (MIP/MOB) cases for quality of care with focus on aspects of care and indicators.
• Utilizes MCG and Navi-health/Careport software to assist in level of care determination and discharge planning.
• Identifies quality of care concerns that may require immediate action and/or reporting.
• Works within the interdisciplinary team and oversees the development of coordinated, integrated and individualized care plans and discharge plans.
• Assists patients in making informed decisions by acting as their advocate regarding their clinical status and treatment options.
• Effectively coordinates services and other post-acute care providers and community-based organizations.
• Coordinates care that is safe, timely, effective, efficient, equitable and client centered.
• Assures confidentiality of all information.
• Maintains appropriate documentation of all patient care activities.
• Communicates and collaborates effectively with others.
• Serves as a resource for Medical and Hospital Staff.
• Provides timely concurrent and retrospective clinical reviews to insurance companies.
• Makes appropriate and timely referrals to insure appropriate continuing care based on needs.
• Monitor patient's progress towards discharge and communicates issues identified to appropriate members of interdisciplinary team.
• Acts as a resource and leader to interdisciplinary team.
• Accurately documents status on PRI and SCREENS.
• Maintains professional ties with appropriate outside professional groups.
• Maintains ethical relationships.
• Adheres to hospital and departmental rules and regulations.
• Participate in in-service programs.
• Participate in annual recertification training, compliance training, HIPPA training.
• Perform all other related duties as assigned by management.

Required Education & Qualifications:

• Registered Professional Nurse currently licensed in NYS required.
• One (1) to two (2) years case management experience in an acute hospital setting preferred.
• Experience in Utilization Management (InterQual and/or MCG), Performance/Quality Improvement and D/C Planning required.
• Critical thinking, ability to multitask and problem solve.
• Compassionate with teamwork skills.
• Excellent verbal and written/electronic communication skills.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Good vision and hearing.
• Maintain physical and mental capabilities to perform work related duties.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of SBELIH.

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

• 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 Eastern Long Island and related facilities.

Anticipated Pay Range:

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 SBEILH's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Your total compensation goes beyond the number in your paycheck!

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 Eastern Long Island'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 Human Resources department will be responsible for any fee incurred for examination.

Company Overview:

As part of Stony Brook Medicine, Stony Brook Eastern Long Island Hospital (SBELIH) combines the best in academic and community medicine, improving access to advanced medical care for residents of the North Fork and Shelter Island. With 70 beds, SBELIH is Suffolk County's first hospital, serving the North Fork since 1905. SBELIH provides care to 25,000 year-round residents and expanding to 60,000 summer residents with comprehensive healthcare solutions, including behavioral health, medical-surgical, orthopedics and general surgery, wound care, interventional pain management and GI, advanced ambulatory care, diagnostic, and physical therapy services. The hospital is also a clinical campus and training site for Stony Brook Medicine, with its first SBELIH Psychiatry resident having graduated in 2022.

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Eastern Long Island employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations. 

Given StaffCo's employment responsibilities, it is deemed the “employer” for employment and labor law purposes.  Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.  The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.

Stony Brook Medicine 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.

Stony Brook Eastern Long Island 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.