Per Diem Case Manager- Temporary

About the role

A TH Staff Associate/Case Manager at Stony Brook Medicine provides clinical services to the patient population. Key responsibilities include completing utilization reviews, ensuring patients are placed in appropriate levels of care, reviewing cases for potential readmissions, and coordinating discharge planning.

Responsibilities

• Completes Utilization review screen for inpatient and observation cases.
• Ensures guidelines are reviewed and the plan of care is discussed with the team.
• Works closely with Case Managers and Social Workers on the units and reviews findings with them.
• Follows cases for authorization for inpatient stays.
• Reviews short stay, long stay, and complex cases to develop safe discharge plans.
• Completes retrospective reviews and other projects as assigned.
• Identifies avoidable delays in the Care Management Program and documents them.
• Documents overutilization of resources and services for Medicare cases.
• Communicates with transferring hospitals, Patient Access, and payers for authorization prior to transfers.
• Consistently documents in the EMR regarding acuity, plan of care, and communication with the team.
• Coordinates transitional care planning for outpatient resources and prepares PRI for early referrals.
• Participates in performance improvement activities including program development, data collection, and analysis.
• Assists with coordination for discharge planning including patient and family education with the interdisciplinary team.
• Active involvement in performance improvement activities including program development, data collection, and analysis.

Requirements

• 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 good understanding of the admission/discharge process.
• Good interpersonal skills to work with all team members.
• The ability to document accurately and prioritize work.

Qualifications

• Preferred: CM, UM, Quality, Coding, Risk or MCG Certification.
• Working knowledge of MCG or Interqual PRI Certification.
• Knowledge of regulatory requirements.

Skills

• Bilingual.
• Recent experience in tertiary care.
• Experience in pediatrics, NICU, Mother/Baby, or ED.
• Leadership skills.
• Master’s prepared.

Benefits

Stony Brook Medicine offers a comprehensive benefits package including health plans, state pension, and generous leave.

Pay

The starting salary range for this position has been established as $76.50/hr. The specific salary offer will be based on the candidate’s validated years of comparable experience.

Schedule

This position is per diem.

Posting End Date

The posting end date is September 20, 2026, 11:59:00 PM.

Special Notes

Please note that the hiring department will be responsible for any fees incurred for examinations. Applicants are advised to provide a copy of any required New York State licenses/certificates upon request.