About this opportunity
Stony Brook University lists this Case Manager opportunity in stony brook, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Case Manager
nPosition Summary
nAt 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.
nDuties of a TH Staff Associate/Case Manager in the Care Management Department may include the following but are not limited to:
nnnCompletes 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.
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nnStaff 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.
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nnAll 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.
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nnActive participation with the physician and payer to prevent denials. Reviews cases for potential change in level of care with the CM and physician.
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nnCommunicates with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals.
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nnConsistent documentation in the EMR regarding acuity, plan of care and communication with the team. Charting includes data for authorization and data management.
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nnReviews cases daily from admission through discharge to prevent denials.This includes patient and family contacts, insurance authorizations, tests, procedures, community resources etc.
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nnAssistants 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.
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nnActively involved in performance improvement activities including program development, data collection and analysis.
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nnMaintain high level customer service.
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nnAll unit coverage as needed and other duties as required.
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n nQualifications
nRequired : 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.
nPreferred: CM, UM, Quality, Coding, Risk or MCG Certification Working knowledge of MCG or Interqual PRI Certified Knowledge of regulatory requirements Bilingual Recent experience in tertiary care Experience in pediatrics, NICU, Mother/Baby or ED Leadership skills Master's prepared.
nPlease 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.
nSpecial Notes : Resume/CV should be included with the online application.
nPosting 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).
nIf 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.
n nnnStony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
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nnAll Hospital positions maybe subject to changes in pass days and shifts as necessary.
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nnThis position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
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nnThis 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.
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n nPrior to start date, the selected candidate must meet the following requirements:
nnSuccessfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services
n nnnnComplete electronic reference check with a minimum of three (3) professional references.
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n nnSuccessfully complete a 4 panel drug screen
n nnnnMeet Regulatory Requirements for pre employment screenings.
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n nnProvide a copy of any required New York State license(s)/certificate(s).
n nFailure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
n*The hiring department will be responsible for any fee incurred for examination .
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nStony Brook University 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.
nIf you need a disability-related accommodation, please call the University Office of Equity and Access at .
nIn accordance with the Title II Crime Awareness and Security Act a copy of our crime statistics can be viewed here .
nVisit our WHY WORK HERE page to learn about the total rewards we offer.
nStony 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.
nAnticipated Pay Range:
nThe salary range (or hiring range) for this position is $92,902 - $132,454 Base
nThe 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.
nSome positions offer annual supplemental pay such as:
nnLocation pay for UUP, CSEA & PEF full-time positions ($4000)
n nYour 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.
nJob Number:
nOfficial Job Title: : TH Staff Associate
nJob Field : Other
nPrimary Location : US-NY-Stony Brook
nDepartment/Hiring Area: : Care Management
nSchedule : Full-time
nShift : Day Shift Shift Hours: : 8:00am - 4:30pm Pass Days: : Sat, Sun
nPosting Start Date : Sep 16, 2026
nPosting End Date : Dec 15, 2026, 11:59:00 PM
nSalary: : $92,902 - $132,454 Base
nSalary Grade: : SL4
nSBU Area: : Stony Brook University Hospital
nReq ID:
Worksite address
stony brook, NY, 11790, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.