At Memorial Sloan Kettering (MSK), we’re not only changing the way we treat cancer, but also the way the world thinks about it. By working together and pushing forward with innovation and discovery, we’re driving excellence and improving outcomes.
For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. We are proud to be on Becker’s Healthcare list as one of the 150 Great Places to Work in Healthcare in 2018, as well as one of Glassdoor’s Employees’ Choice Best Place to Work for 2018. We’re treating cancer, one patient at a time. Join us and make a difference every day.
Reporting directly to the Senior Vice-President, Hospital Administration, the Director, Case Management will plan, direct and lead all activities of our program, including supervision of staff, evaluation and maintenance of case management skills, and management of all policies and procedures.
Case Management is comprised of three subspecialty programs: Inpatient, Outpatient and Inpatient Denial and Appeals. We use an interdisciplinary collaborative approach to fulfill responsibilities that include utilization, concurrent review, discharge planning, coordination of care, patient education, referrals and leading the complexities of insurance coverage and non-coverage.
•A strategic thinker who takes a broad view and looks ahead to future possibilities
•Capable of building effective, collaborative teams
•Consistently able to achieve results
•A good decision-maker, with shown success in making timely decisions to keep the organization moving forward
•Someone who doesn’t shy away from difficult situations or people
•Able to make sense of complex information or situations to resolve challenges and plan for improvement
•Direct and implement the functions and activities of the Department, including staff management.
•Lead a team of 4 direct and 65 indirect reports
•Review workflow and policies to most effectively meet departmental and institutional goals.
•Demonstrate ability to influence organizational policy development.
•Build an environment focused on meeting the needs of patients and families in the safest and most cost-effective manner
•Cultivate a good sense of team within the case management staff, as well as the rest of the hospital
•Oversee the collection and analysis of data that serves as the basis for evaluation of MSK case management practices.
•Assure provision of timely payer contact reviews to insurers for payment authorization.
•Provide oversight of insurance appeal program
•Develop and manage departmental budget
•Bachelor’s degree required, Master’s degree is a plus
•Certification in Case Management (CCM) is strongly preferred
•5-10 years clinical experience with 3-5 years experience in staff supervision and program management.
•Previous home care, managed care, or UM/CM experience
MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.