Manager, Post-Acute Access
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
- Require a Bachelor's degree in related field; Master's preferred.
- Require 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.
- Require the following certifications, which may be obtained within one (1) year of hire: Certified Healthcare Access Manager (CHAM) certification form the National Association of Healthcare Access Management (NAHAM).
- Require the following certifications, which may be obtained within one (1) year of hire: Certified Case Manager (CCM) or Accredited Case Manager (ACM), and Admissions Liaison (UDS).
Nice To Haves
- Prefer 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.
- Prefer knowledge of PPS payment/reimbursement systems.
- Prefer ability to collect, document, and analyze data.
- Prefer experience in computer skills including spreadsheets, database, word processing, and other common applications.
- Prefer demonstrated leadership skills and understanding of group processes, teamwork, and cost center-based management.
- Prefer demonstrated knowledge of International Classification of Diseases Ninth Revision (ICD-10) coding and Current Procedural Terminology (CPT) coding.
- Prefer 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.
Benefits
- Total Rewards Package
- Paid Time Off (start earning PTO on day one of employment)
- Tuition Reimbursement
- Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
- Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
- Life Insurance
- Disability Insurance
- Retirement Savings Plan: 403b
- Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
- Bereavement Leave
- Free Parking
- On Campus Dining w/ a 10% discount
- Credit Union w/ teller machines on campus
- Direct Deposit
- Free Wellness Screening
- Free confidential counseling services
- Employee Discount Programs
- Recognition Programs
- Referral Programs
- Tremendous growth opportunities for hard workers!
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What This Job Offers
Job Type
Full-time
Career Level
Manager
