At Stony Brook Medicine, a TH Staff Associate/Case Manager is a valuable member of our team, who provides clinical services to our patient population.
Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to our high standard of excellence.
Duties of a TH Staff Associate/Case Manager in the Care Management Department may include the following but are not limited to:
Screen patients for Level of Care i.e. Inpatient, Observation, Emergency and other outpatient services
Coordination of Care with Interdisciplinary team
Resource Management- including capturing Avoidable Days, over utilization of services, etc.
Discharge Planning Activities which includes communication with the interdisciplinary team, patient and/or significant other, early coordination with post-acute providers.
Develop and document Assessment, Patient Progress Note and Transitional Care Plan.
Retrospective reviews when needed for short stay admissions
Active participation with insurance and physician to avoid denials and/or work to reverse negative denial decisions from payer.
Review all admissions for appropriate level of care.
Communicate with physicians, transferring hospitals, payers, admitting for authorization prior to transfer.
Prepare PRI, departmental forms, ensure education of patient and family with accurate documentation throughout hospital stay and at discharge.
Active participation in performance improvement, department activities and data collection efforts.
Always maintain a high level of customer service
Selected candidate will be required to provide periodic weekend coverage
Required Qualifications : RN Licensure in NY State. At least five years of Acute Care Nursing Experience. Bachelor Degree or Associate Degree enrolled in a Bachelor Degree program . Knowledge of Length of Stay and discharge planning. Computer proficient in Electronic Medical Record applications. Leadership skills, ability to run meetings, rounds, etc. High level of customer service skills. Weekday and Weekend flexibility.
**Flex time occasionally 11am-7:30pm
Preferred Qualifications: Master degree. Experience in CM, UR, Coding, Risk or Quality. Experience in NICU, Pediatrics or Emergency Room. Experience in Managed Care/Insurance Industry/MD Office. Certified in Case Management, UR, or Quality. Working knowledge of MCG/Interqual criteria. PRI Certified. Recent experience in tertiary care hospital. Knowledge of regulatory requirements i.e. CMS, EMTALA, Managed Care, etc. Bi-lingual. Leadership skills.
Special Notes: 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 are 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 position will remain posted until filled or for 90 days max.
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.
The selected candidate must successfully clear a background investigation. 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 (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients' lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island's premier academic medical center. With 603 beds, we serve as the region's only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children's Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County's only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation's first Pediatric Multiple Sclerosis Center.
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.
This function/position has been 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.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at email@example.com .
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Staff Associate
Job Field: Other
Primary Location: US-NY-Stony Brook
Department/Hiring Area: Care Management-Stony Brook University Hospital
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.