What are the responsibilities and job description for the Case Management Supervisor - Eastern Long Island Hospital position at Stony Brook Eastern Long Island Hospital?
Case Management Supervisor - Eastern Long Island Hospital
Position Summary: The Case Management (CM) Supervisor is responsible for the overall administration and operation of the case management department. The CM Supervisor is responsible for the development, implementation, and evaluation of systems and processes related to case management, inclusive of utilization management. The CM Supervisor will work collaboratively with the Social Work department in developing an organization wide health equity program, with the goal of meeting and sustaining the requirements for Joint Commission advanced certification. The CM Supervisor is responsible for ensuring the department provides high quality, fiscally responsible and cost-effective services that are responsive to the needs of the patients, families, and other members of the healthcare team. The CM Supervisor is a member of the management team and reports directly to the VP of Behavioral Health and the Senior Director of Nursing Operations.
Job Duties & Essential Functions:
- Responsible for assisting with the coordination and implementation of Hospital-wide Quality and Performance Improvement programs
- Assures compliance with HIPAA, Joint Commission, Federal/New York State and Risk Management
- Provides assistance with patient satisfaction and complaint management as an opportunity for improvement
- Assists with physician Performance Improvement and physician profiling for reappointment – Quality Reviews
- Assures confidentiality of all information
- Directs and supervises the case management team
- Works collaboratively with the interdisciplinary team
- Maintains appropriate documentation of all patient care activities
- Communicates and collaborates effectively with others
- Assists and coordinates guardianship, PRUCOL and complex cases
- Maintains professional ties with outside organizations
- Attends and participates in committee meetings; creates and maintains committee reports
- Manages insurance denials and reports
- Assists with contract management
- Acts as a liaison to community-based organizations
- Actively participates in Hospitalist-Case Management huddles daily
- Maintains current policies and procedures
- Conducts audits to ensure regulatory compliance
- Develops annual performance improvement goals and strategies
- Maintains ethical relationships.
- Adheres to hospital and departmental rules and regulations.
- Participates in in-service programs and performs all other related duties assigned by management.
- Participates in annual recertification training, compliance training, HIPPA training.
Required Education & Qualifications:
- Bachelor's degree in nursing with current licensure
- PRI and SCREEN certification
- Minimum 5-7 years' experience in Case Management
- Experience in Med/Surg./ICU/ ED
- Excellent written and interpersonal communication
- Knowledgeable in WORD, EXCEL
- Knowledge of regulatory and accreditation requirements
Preferred Education and Qualifications:
- Master's degree in nursing or related field
- Supervisory/Leadership experience
- Case Management certification
- Knowledgeable in MCG guidelines
Physical Demands:
- Good vision and hearing
- Maintain physical and mental capabilities to perform work related duties.
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of ELIH.
Special Notes: Resume/CV should be included with the online application.
- 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 Eastern Long Island and related facilities.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established based on relevant experience. The above salary range (or hiring range) represents SBEILH’s good faith and reasonable estimate of the range of possible compensation at the time of posting.
Your total compensation goes beyond the number in your paycheck!
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.
- The Human Resources department will be responsible for any fee incurred for examination.
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.
StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Eastern Long Island employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits. SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.
Given StaffCo’s employment responsibilities, it is deemed the “employer” for employment and labor law purposes. Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY. The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.
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.
Job Number: 2501157
Job Field: Nursing
Primary Location: US-NY-Greenport
Department/Hiring Area: Quality and Regulatory Affairs
Schedule: Full-time Shift :Day Shift Shift Hours: 8a-4p
Posting Start Date: Apr 1, 2025
Posting End Date: Ongoing
Salary:$126,000 - $145,000 / Year
Salary : $126,000 - $145,000
