Job Description - Case Manager - Eastern Long Island Hospital (2500902)
Position Description:
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 and mental wellness needs, 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. CM is responsible for coordinating care that is safe, timely, effective, efficient, equitable, and client-centered.
Qualifications: Required:
Registered Professional nurse currently licensed in the State of New York
Critical thinking, ability to multi-task and problem-solve
Compassionate with teamwork skills
Excellent verbal and written communication skills
Preferred:
PRI and SCREEN certification (Mandatory upon hire)
Case Management experience in an acute hospital setting.
Knowledge of Case Management principles, healthcare management, and reimbursement.
Experience in Utilization Management (InterQual and/or MCG), Performance/Quality Improvement, and D/C planning.
RESPONSIBILITIES:
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 wellness needs, preferences, and abilities 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 cases for quality of care with a focus on aspects of care and indicators.
Identifies problems that require immediate action.
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 with 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 clinical reviews to insurance companies.
Makes appropriate and timely referrals to ensure appropriate continuing care based on needs.
Monitors patient’s progress toward discharge and communicates issues identified to appropriate members of the interdisciplinary team.
Acts as a resource and leader to the interdisciplinary team.
Maintains professional ties with appropriate outside professional groups.
PHYSICAL DEMANDS:
Good vision and hearing. Maintain physical and mental capabilities to perform work-related duties.
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.
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.
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.