Director Risk Analytics Jobs in Coram, NY (NOW HIRING)

POSITION SUMMARY: 

At Stony Brook Southampton Hospital, the director of case management and social work services must have acute and transitional care experience with a minimum of 10 as a registered nurse. This key leadership position will be responsible for overseeing the development, implementation, and management of care management programs and services and will play a critical role in improving patient outcomes, optimizing resource utilization, and ensuring the delivery of high-quality care. This individual will work closely with physicians, nurses and other healthcare professionals to enhance care coordination across various settings. Most possess excellent communication, coordination and organizational skills to streamline processes regarding safe discharge planning and financial compensation.       

JOB DUTIES & ESSENTIAL FUNCTIONS:

Leadership and Department Management

• Lead and manage the case management, social work and utilization review functions, ensuring timely, effective, and patient-centered case coordination services, including all Article 28 ambulatory locations. 
• Oversee daily operations, including schedule and staffing management. 
• Manage and mentor a team of case managers and social workers, providing leadership, training, and support to achieve professional development goals and high-quality case outcomes. 
• Promote employee satisfaction, support staff development, and utilize progressive discipline processes when necessary. 
• Prepare annual budget and support cost containment initiatives. 
• Chairs and the readmissions, long stay and transfer care coordination committees. 
• Direct report to CFO. 

Strategic Planning and Policy Development

• Develop and implement strategic case management and social work plans, policies, and procedures aligned with organizational goals, regulatory requirements, and best practices. 
• Coordinate the design, development, implementation, and monitoring of the organization's case management and utilization review functions. 
• Lead initiatives to improve patient satisfaction, reduce readmissions, and promote cost-effective case management. 

Case Coordination and Patient Management

• Oversee clinical assessments and case coordination processes to ensure quality outcomes and compliance with healthcare regulations. 
• Collaborate with interdisciplinary teams to assess and manage patient care needs, including discharge planning, long-term care, and community-based services. 
• Manage the clinical and case management functions related to patient outcomes, including reviewing length of stay, readmission, and inpatient vs. observation metrics.
• Monitor and evaluate the effectiveness of case management interventions and recommend improvements.

Performance Monitoring and Reporting

• Prepare and present reports on case management and social work outcomes, budget performance, and program initiatives for senior leadership and stakeholders. 
• Overall involvement in process improvement for multiple areas such as throughput initiatives and Accountable Care Organizations. 

Regulatory and Compliance Knowledge

• Knowledge of healthcare laws, regulations, and accreditation standards, including CMS, EMTALA, etc.
• Expertise in case coordination, healthcare delivery systems, and clinical best practices. 
• Knowledge of healthcare regulations, including patient safety, quality, and compliance issues.

Analytical and Data Management Skills

• Ability to analyze complex data, monitor performance metrics, and identify opportunities for process improvement.
• Other major duties as assigned. 

REQUIRED EXPERIENCE AND QUALIFICATIONS:

• Masters degree in related field or currently enrolled with anticipated date of completion within 3 years of hire.
• Prior case management experience. 
• NY RN License. 
• Acute hospital experience and transitional experience. 
• Demonstrate knowledge of discharge planning and length of stay. 
• Courteous, professional, focus and good listening skills. 
• Computer literate. 
• PRI certified. 

PREFERRED EXPERIENCE AND QUALIFICATIONS:

• Certified in Case Management, UM, Quality, Risk or MCG.
• Experience with post-acute care coordination, including acute rehab/skilled nursing. 
• Home Care or telehealth experience. 

As part of employment at Southampton Hospital, there may be occasions when travel to other locations is needed to support operational needs.

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 may be 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. 

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 SBSH'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 Southampton Hospital'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 hiring department will be responsible for any fee incurred for examination.

Company Overview:

Stony Brook Southampton Hospital as part of Stony Brook Medicine provides direct access to the highest level of academic-based medical care. Located in the heart of the village of Southampton, two hours from New York City, the hospital provides healthcare services to a diverse community of year-round residents, second homeowners and vacationers. The population, about 75,000 in the winter months, increases sharply to more than 300,000 in the summer. Stony Brook Southampton Hospital has been recognized as a Long Island Top Workplace by Newsday among large employers (defined as having 500 employees). 

StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duty 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 Southampton employees and responsible for employment, including, 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 resource 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 Southampton 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.