Director of Case Management and Social Work Services

POSITION SUMMARY:

At Stony Brook Southampton Hospital, the director of case management and social work services must have acute and transitional care experience with a minimum of 10 as a registered nurse. This key leadership position will be responsible for overseeing the development, implementation, and management of care management programs and services and will play a critical role in improving patient outcomes, optimizing resource utilization, and ensuring the delivery of high-quality care. This individual will work closely with physicians, nurses and other healthcare professionals to enhance care coordination across various settings. Most possess excellent communication, coordination and organizational skills to streamline processes regarding safe discharge planning and financial compensation.

JOB DUTIES & ESSENTIAL FUNCTIONS:

Leadership and Department Management

• Lead and manage the case management, social work and utilization review functions, ensuring timely, effective, and patient-centered case coordination services, including all Article 28 ambulatory locations.
• Oversee daily operations, including schedule and staffing management.
• Manage and mentor a team of case managers and social workers, providing leadership, training, and support to achieve professional development goals and high-quality case outcomes.
• Promote employee satisfaction, support staff development, and utilize progressive discipline processes when necessary.
• Prepare annual budget and support cost containment initiatives.
• Chairs and the readmissions, long stay and transfer care coordination committees.
• Direct report to CFO.

Strategic Planning and Policy Development

• 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 the organization’s case management and utilization review functions.
• Lead initiatives to improve patient satisfaction, reduce readmissions, and promote cost-effective case management.

Case Coordination and Patient Management

• Oversee clinical assessments and case coordination processes to ensure quality outcomes and compliance with healthcare regulations.
• Collaborate with interdisciplinary teams to assess and manage patient care needs, including discharge planning, long-term care, and community-based services.
• Manage the 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.

Performance Monitoring and Reporting

• Prepare and present reports on case management and social work outcomes, budget performance, and program initiatives for senior leadership and stakeholders.
• Overall involvement in process improvement for multiple areas such as throughput initiatives and Accountable Care Organizations.

Regulatory and Compliance Knowledge

• Knowledge of healthcare laws, regulations, and accreditation standards, including CMS, EMTALA, etc.
• Expertise in case coordination, healthcare delivery systems, and clinical best practices.
• Knowledge of healthcare regulations, including patient safety, quality, and compliance issues.

Analytical and Data Management Skills

• Ability to analyze complex data, monitor performance metrics, and identify opportunities for process improvement.
• Other major duties as assigned.

REQUIRED EXPERIENCE AND QUALIFICATIONS:

• Masters degree in related field or currently enrolled with anticipated date of completion within 3 years of hire.
• Prior case management experience.
• NY RN License.
• Acute hospital experience and transitional experience.
• Demonstrate knowledge of discharge planning and length of stay.
• Courteous, professional, focus and good listening skills.
• Computer literate.
• PRI certified.

PREFERRED EXPERIENCE AND QUALIFICATIONS:

• Certified in Case Management, UM, Quality, Risk or MCG.
• Experience with post-acute care coordination, including acute rehab/skilled nursing.
• Home Care or telehealth experience.

As part of employment at Southampton Hospital, there may be occasions when travel to other locations is needed to support operational needs.

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 University Hospital and related facilities.

Anticipated Pay Range: