Care Management Case Manager | Discharge & Utilization

Stony Brook University; Stony Brook (NY); On-site; USD 90,000 - 121,000; Part time

Job summary

Stony Brook University Hospital, within Stony Brook Medicine, seeks a TH Staff Associate/Case Manager in the Care Management department. The role emphasizes clinical patient care, effective communication, and adherence to high standards of excellence.

Responsibilities include utilization review, discharge planning coordination, and collaboration with physicians and payers to obtain timely authorizations. Per diem schedule with day shifts and competitive pay is anticipated.

Qualifications

• Bachelor's degree or RN license required.
• Minimum 5 years in a hospital setting.
• Strong ability to document accurately and prioritize cases.

Responsibilities

• Complete utilization review screens for inpatient and observation cases and discuss plan of care with the team.
• Review short/long/complex cases to ensure safe discharge planning and prevent denials.
• Communicate with physicians and payers to obtain authorizations before transfers.
• Maintain consistent EMR documentation of acuity, plan of care, and communications.
• Assist with discharge planning and transitional care coordination with interdisciplinary team.
• Participate in performance improvement activities and data analysis.

Skills

Interpersonal skills

Documentation

Care coordination

Education

Bachelor's degree

RN license

Job description

Stony Brook University Hospital, within Stony Brook Medicine, seeks a TH Staff Associate/Case Manager in the Care Management department. The role emphasizes clinical patient care, effective communication, and adherence to high standards of excellence.

Responsibilities include utilization review, discharge planning coordination, and collaboration with physicians and payers to obtain timely authorizations. Per diem schedule with day shifts and competitive pay is anticipated.