Hospital Case Manager: Discharge & Care Coordination

Stony Brook; Stony Brook, Northern (NY, KY); Híbrido; USD 93.000 - 132.000; Jornada completa

Descripción de la vacante

Stony Brook University Hospital is seeking a TH Staff Associate/Case Manager to provide clinical case management within the Care Management department. The role emphasizes accurate documentation, coordination of inpatient/outpatient care, and collaboration with physicians and payers to ensure appropriate levels of care.

The successful candidate will have a Bachelor's degree or be an RN student, with strong interpersonal skills, and experience in hospital settings; certification or CM-related

Formación

• Requires a Bachelor's degree or RN with current RN license and 5 years hospital experience.
• Strong interpersonal skills and ability to document accurately.
• Ability to prioritize workload and follow up on cases.

Responsabilidades

• Completes utilization review screens for inpatient and observation cases with team.
• Reviews short stay, long stay and complex cases to ensure safe discharge planning.
• Reviews Medicare level of care and communicates with Attending and payer for authorization.
• Communicates with transferring hospital, Patient Access and physicians for authorization prior to transfer.
• Maintains consistent EMR documentation on acuity, plan of care and communications.
• Assists with discharge planning and transitional care coordination.

Conocimientos

Communication skills

Interpersonal skills

Prioritization

Collaboration

Educación

Bachelor's degree

RN license

Herramientas

EMR

Descripción del empleo

Job Description - Case Manager (2603317)

Case Manager

Position Summary

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:

• Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit to ensure guidelines are reviewed and the plan of care is discussed with the team. Works closely with the Case Managers and Social Workers on the units and reviews findings with them. Ensures that patients are placed in the correct level of care from initial assess point. Follows cases for authorization for in patient stay.
• Staff review short stay, long stay and complex cases to affect and ensure a safe discharge plan. Completes retrospective review, one and two day short stay reviews and other projects as assigned. Identifies, follows and documents Avoidable delays in Care Management Program. Reviews and documents on patients who were readmitted within thirty days. Documents over utilization of resources and services.
• All Medicare cases are reviewed for level of care on admission. Reviews with the Attending, any patient who does not meet in-patient criteria for admission. Follows the process for Code 44 on Medicare patients. Follow the process for Code 44 on all other payers.
• Active participation with the physician and payer to prevent denials. Reviews cases for potential change in level of care with the CM and physician.
• Communicates with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals.
• Consistent documentation in the EMR regarding acuity, plan of care and communication with the team. Charting includes data for authorization and data management.
• Reviews cases daily from admission through discharge to prevent denials.This includes patient and family contacts, insurance authorizations, tests, procedures, community resources etc.
• Assistants with coordination for discharge planning including patient and family education with the interdisciplinary team. Coordinates transitional care planning for outpatient resources, prepares PRI for early referrals and contacts with agencies and facilities throughout the hospital stay.
• Actively involved in performance improvement activities including program development, data collection and analysis.
• Maintain high level customer service.
• All unit coverage as needed and other duties as required.

Qualifications

Required: A Bachelor’s degree or a nurse working on their degree with an RN license and working history of 5 years in hospital setting. A candidate should have a good understanding of the admission/discharge process. They need good interpersonal skills to work with all team members. They need to document accurately and be able to prioritize their work and follow up with cases.

Preferred: CM, UM, Quality, Coding, Risk or MCG CertificationWorking knowledge of MCG or InterqualPRI CertifiedKnowledge of regulatory requirementsBilingualRecent experience in tertiary careExperience in pediatrics, NICU, Mother/Baby or EDLeadership skillsMaster’s prepared.

Please Note: Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

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 4panel 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.

Anticipated Pay Range:

The salary range for this position is listed below. This range reflects Stony Brook University Hospital’s good faith and reasonable estimate of potential compensation at the time of posting.

The final offer will be determined based on the candidate’s verified years of relevant, comparable experience. Please note that misrepresentation or inflation of experience may result in disqualification from the hiring process or termination of employment if hired.

Some positions may also include annual supplemental pay, such as:

• Location Pay: for UUP, CSEA, and PEF full-time positions
• Shift Differentials: Additional pay for evening, night, or other supplemental shifts (e.g., inconvenience pay, geographic pay, or other applicable differentials)

At Stony Brook University Hospital, your compensation extends beyond your paycheck. We offer comprehensive benefits including generous leave, health insurance, and participation in the state pension system that contribute significantly to your overall total rewards package.

Stony Brook Medicine integrates and elevates all of Stony Brook University’s health-related initiatives: education, research and patient care. It includes our Health Sciences schools — Medicine, Dental, Health Professions, Nursing and Social Welfare—a Program in Public Health,as well as Stony Brook University Hospital, Stony Brook Children’s Hospital,Stony Brook Southampton Hospital, Stony Brook Eastern Long Island Hospital, Long Island State Veterans Home, andmore than 200 community-based healthcare settings throughout Suffolk County.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and workingenvironment. 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 University is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application, interview, or hiring process, please request one by contacting [e-mail] . We will consider accommodation requests in compliance with applicable law. This process is separate from and does not require any voluntary self-identification of disability status. Please include the position title and position number (if known) in your message.

In accordance with the Title II Crime Awareness and Security Actacopy of our crime statistics can be viewed here .

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.

Anticipated Pay Range:

The salary range (or hiring range) for this position is $92,902 - $132,454 Base

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, CSEA & PEF full-time positions ($4000)

Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and a state pension that add to your bottom line.

Job Number:

Job Number:

2603317

Official Job Title : TH Staff Associate

Job Field

Job Field

: Other

Primary Location

Department/Hiring Area : Care Management

Schedule

Schedule

: Full-time

Shift

: Day Shift Shift Hours : 8:00am - 4:30pm Pass Days : Sat, Sun

Posting Start Date

Posting Start Date

: Sep 16, 2026

Posting End Date

Salary Grade : SL4