"Outpatient Care Manager"

Position Summary

At Stony Brook Medicine, a TH Staff Associate/Outpatient Care 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 an Outpatient Care Manager

may include the following but are not limited to:

• Documents in the EMR the initial patient functional and medical assessments and ongoing plan of care.
• Facilitates communication and coordination among members of the healthcare team in the care planning process.
• Engages with patients and their family, and members of the health care delivery team about goals of care and the care plan.
• Actively participates with insurance company and physician to provide authorizations for clinical and all potential medical interventions.
• Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for services.
• Active participation in performance improvement, department activities and data collection efforts.
• Provide proactive health care for geriatric patients with multiple chronic conditions and complicated health care needs.
• Work closely with patient's PCP to provide collaborative care for 50-60 chronically ill patients.
• Monitor and promote self-management.
• Facilitates transitions of care by contacting patient within two business days of discharge and completing a templated note that assures patient understanding of medications, care plan.
• Arranges for home telemonitoring, where applicable. Assures that patient has received necessary services and medical supplies and equipment.
• Serves as an office liaison to outside nurses for patients on home telemonitoring.
• Maintains active spreadsheet of patients enrolled in care management. Monitors patient panel for admissions/discharges.
• Tracks high risk COVID patients in the practice and assures timely follow up. Makes certain patients are aware of "red flags" of when to call the doctor or go to ER.
• Performs comprehensive home assessment. Creates patient/family centered plan of care covering important chronic medical and geriatric conditions per evidence based clinical practice and PCMH guidelines. Provides agreed upon individualized action plan.
• Monitors and assesses patient outcomes with phone encounters at a minimum of once monthly. Documents changes in plan of care in EMR and alerts primary care team members.
• Provides education on chronic clinical medical conditions and outpatient resources to support patients, patients' families and all caregivers.
• Recognizes level of care needs, community resources, and insurance benefits, so that appropriate referrals and resource linkages can be made to support ongoing self-care needs.
• Reviews labs and alerts medical providers with abnormal findings, assists with Coumadin management and medication reconciliation.
• Triage patient phone calls and troubleshoot medication management issues
• Adheres to all SBUH policies and procedures
• Always maintains a high level of customer service.
• Participates in special projects or other duties as assigned.

Qualifications

Required:

• RN Licensure in NY State
• Outpatient community service experience
• Experience working with geriatric patients in transitions of care
• Bachelor's Degree with at least three years' experience or Associate's Degree with five years' experience. Master's degree with three years' experience
• Knowledge of readmission prevention
• Computer proficient in Powerchart and other electronic applications
• High level of customer service skills

Preferred:

• Master's degree
• Outpatient geriatric/chronic medical illness office experience
• Guided Care Training
• Experience in Care Management
• Experience in Managed Care/Insurance Industry/MD Office.
• Certified in Case Management, UR, Quality or Risk
• PRI Certified
• Experience in tertiary care hospital. Knowledge of regulatory requirements i.e. CMS, EMTALA, Managed Care, etc.
• Bi-lingual

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.

Anticipated Pay Range:

The salary range (or hiring range) for this position is $89,760 - $127,975 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.