Overview Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence-based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! JOB SUMMARY: The System Director of Care Management (SDCM) is responsible for the strategic oversight, standardization, and continuous improvement of care management operations across six hospitals in the CHS system. The SDCM collaborates with hospital-based Care Management Directors and senior leadership to ensure coordinated, compliant, and cost-effective delivery of care. The role supports key operational priorities across the continuum, including but not limited to, establishing best practices, leading capacity and quality initiatives, and serving as a system-wide resource for care progression, utilization review, discharge planning, and care transitions. Job Details Specific responsibilities include but not limited to: Establishes and maintains standardized workflows and policies across the system. Leads, supervises, and supports system hospital-based Care Management Directors. Collaborates with system wide capacity management leaders (finance, legal, nursing, and IT as needed) to support compliance, performance, and patient flow initiatives. Ensures timely care progression and concurrent utilization reviews and discharge plans across all facilities. Leads care management for quality improvement initiatives in alignment with organizational goals. Participates in interdisciplinary meetings at system and hospital levels to support complex care management needs. Manages relationships with Managed Care payors and regulatory bodies as needed. Supports system-wide efforts in denials management, root cause analysis, and appeals Analyzes trends in care management metrics such as LOS, readmissions, and avoidable days. Oversees onboarding, education, and professional development for care management staff. Implements and supports optimization of EMR documentation workflows for care coordination. Promotes consistency and efficiency in transitions of care processes, including community partnerships. Maintains knowledge of federal, state, and local regulatory requirements related to care management. Prepares and presents reports to executive leadership on care management performance and improvement plans. Ensures appropriate utilization of resources and alignment with evidence-based guidelines. Meets system-wide productivity and quality targets. Provides expert-level guidance, mentorship, and support to Care Management Directors. Serves as liaison between hospital teams and senior leadership regarding care management operations. Monitors regulatory updates and payer contract changes; ensures implementation across facilities. Fosters interdisciplinary collaboration between physicians, nurses, social workers, and post-acute providers. Maintains strict confidentiality and ensures compliance with privacy regulations and internal policies. POSITION REQUIREMENTS AND QUALIFICATIONS EDUCATION/EXPERIENCE Master’s Degree in Nursing, Health Administration, Social Work, or related field required. Licensed RN in New York State preferred. Minimum of 10 years’ experience in Care management. At least 5 years in a leadership position with multi-site or system-level oversight. Knowledge of hospital operations, population health, and managed care practices. SKILLS Strong leadership and communication skills across all levels of staff and leadership. Proficiency in Microsoft Office Suite, Epic EMR System, and care management tools (Midas). Ability to analyze complex data, identify trends, and drive process improvements. Demonstrated ability to lead interdisciplinary teams and implement change. Deep understanding of reimbursement, regulatory guidelines, and utilization management. Excellent organizational and time management skills. KNOWLEDGE Comprehensive knowledge of care management and utilization review best practices. Familiarity with CMS Conditions of Participation, Joint Commission standards, and state regulations. Understanding of managed care contracts, appeals processes, and denial management. Awareness of trends in population health, social determinants of health, and value-based care initiatives. Salary Range USD $183,000.00 - USD $240,000.00 /Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.