Manager, Post-Acute Access

Sarasota Memorial Health Care System • Sarasota, FL

12h

About The Position

This leader has accountability and oversight, and supervises the daily activities supporting the post-acute admissions team by establishing a collaborative rapport with key stakeholders. This leader is responsible for managing referrals to SMH post-acute services to ensure a smooth transition of care for patients discharging from a care setting to SMH post-acute services. This role is responsible for all elements of access including compliance with all registration, scheduling, regulatory requirements. The Post-Acute Access Manager supports the strategic goals of the post-acute division through timely reporting and analysis of key performance indicators.

Requirements

• A Bachelor's degree in a related field.
• A minimum of seven (7) years of clinical practice in a hospital or post-acute setting or relevant work experience in lieu of clinical practice (e.g., registration, billing, insurance processing, auditing) with at least two (2) years within a lead or supervisory role.
• Certified Healthcare Access Manager (CHAM) certification from the National Association of Healthcare Access Management (NAHAM) (may be obtained within one year of hire).
• Certified Case Manager (CCM) or Accredited Case Manager (ACM) (may be obtained within one year of hire).
• Admissions Liaison (UDS) (may be obtained within one year of hire).

Nice To Haves

• A minimum of five (5) years of experience with Medicare, Medicaid, insurance, managed care, post-acute guidelines, and patient placement in a post-acute setting.
• Knowledge of PPS payment/reimbursement systems.
• Ability to collect, document, and analyze data.
• Experience in computer skills including spreadsheets, database, word processing, and other common applications.
• Demonstrated leadership skills and understanding of group processes, teamwork, and cost center-based management.
• Demonstrated knowledge of International Classification of Diseases Ninth Revision (ICD-10) coding and Current Procedural Terminology (CPT) coding.
• Demonstrated thorough knowledge of Medicare National Coverage Determination (NCD) and Local Coverage Determination (LCD) protocols for medical necessity/ Advanced Beneficiary Notice.

Responsibilities

• Supervises the daily activities supporting the post-acute admissions team.
• Establishes a collaborative rapport with key stakeholders.
• Manages referrals to SMH post-acute services to ensure a smooth transition of care for patients discharging from a care setting to SMH post-acute services.
• Responsible for all elements of access including compliance with all registration, scheduling, regulatory requirements.
• Supports the strategic goals of the post-acute division through timely reporting and analysis of key performance indicators.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager