Director of Case Management Position Available In Suffolk, New York

Director of Case Management

• Position Summary
• We are seeking a highly skilled and experienced Director of Case Management to lead our care management team under the leadership of the Director of Care Management.

This key leadership position will be responsible for overseeing the development, implementation, and management of care management programs and services. The Director of Case Management 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, social workers, and other healthcare professionals to enhance care coordination across various settings. Duties of the Director of Case Management may include the following but are not limited to:

• Responsibilities
• Leadership and Department Management
• + Lead and manage the case management department, ensuring timely, effective, and patient-centered case coordination services.

+ Oversee daily operations, including managing Case Management leadership and staff functions related to case management and utilization management activities. + Manage and mentor a team of case managers, 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

• Strategic Planning and Policy Development
• + Develop and implement strategic case management 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 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.
• Crisis and Weekend Coverage
• + Provide weekend coverage as required. + Be available for crisis intervention, with the ability to return to the hospital when necessary.
• 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.
• Internal and External Stakeholders
• + Excellent communication and interpersonal skills to collaborate with clinical teams, leadership, and external partners.

• Required Qualifications:

• Master’s degree.
• Possession of license to practice as a registered nurse in New York State
• Certification in ACM or CCM (obtained within the first year of hire)
• At least 5 years of progressive leadership experience
• Strong leadership and management skills, with the ability to inspire and lead a diverse team.
• PRI Certification
• Knowledge of MCG and/or InterQual
• Acute/Inpatient Case Management experience in a large teaching hospital

• Preferred Qualifications:

• Leadership experience in case management
• Knowledge of Social Work practice and collaboration with Social Work Services
• Knowledge of Utilization Review and Denial/Appeals
• Knowledge of Data Analytics
• 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. ____________________________________________________________________________ + 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 maybe 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

•. ___________________________________________________________________________ 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.
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• Anticipated Pay Range:

• The starting salary range (or hiring range) for this position is – $138122 – $182070 / 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 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.
• 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.
• 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.

• Job Number:

• 2502489

• Official Job Title:

• : TH Senior Staff Associate
• Job Field
• : Professional Clinical
• Primary Location
• : US-NY-Stony Brook

• Department/Hiring Area:

• : Care Management
• Schedule
• : Full-time
• Shift
• : Day Shift

• Shift Hours:

• : 8:00am – 4:30pm

• Pass Days:

• : Sat, Sun
• Posting Start Date
• : Jun 23, 2025
• Posting End Date
• : Sep 21, 2025, 8:59:00 PM

• Salary:

• : 138122 – 182070

• Salary Grade:

• : SL5

• SBU Area:

• : Stony Brook University Hospital

• Req ID:

• 2502489