The Access Manager is responsible for facilitating an effective, efficient and safe admission/intake process. The Access Manager oversees the day-to-day operations and functions of the Admissions Department inclusive of clinical liaisons and the admissions team. This relates to incoming referrals, insurance authorizations and patient assignments. This position is also responsible for providing support to outside clinical liaisons to ensure prompt responses to out of town and network referrals.
Essential Job Responsibilities:
Manages the effective, efficient and safe admission/intake process, quality improvement projects, compliance tracking and program evaluation.
Lead IRF denial management strategies through pro active insurance authorization model.
Partners with acute care system leaders for appropriate post acute care placement of patients.
Coordinate efforts within the admissions office, physicians and interdisciplinary team to ensure timely and efficient handling of the referral/admission process.
Screen patients for appropriateness of inpatient admission to Schwab IRF using facility admission criteria. Encourage Schwab Continuum of Care for outpatient programs when appropriate.
Review referrals with Schwab consulting physicians to determine appropriate level of post-acute care.
Use critical thinking skills to assist Schwab physicians and liaisons with trouble shooting complicated referrals/admissions.
Performs on-site visits with patients and families at local referral sources and assist with virtual visits as needed.
Facilitate admissions to Schwab, including required pre-admission documentation, setting appropriate expectations with patients/families and communication with staff at referring institution.
Processes information including financial and UR prior authorization, bringing unusual or sensitive information to key persons at Schwab prior to decisions about admission.
Provide support and assistance to Network/External liaisons to ensure smooth communication with referring facility's staff, Schwab Hospital inpatient staff and patient/families.
Work closely with Schwab consulting physicians and mid level providers to assign attending physicians appropriately.
Manage daily bed huddles with IRF admissions team.
Develop and maintain effective working relationships with Schwab inpatient staff including physicians, midlevel's, care management, nursing and therapy departments.
Collaborate with Schwab and Sinai leadership to discuss admissions process and address concerns/issues that arise before and after admission to improve outcomes/processes/communication. Serve as 1st level communication with physician and interdisciplinary team to promote efficient and effective messaging.
Engage with MFB Network Partners when appropriate with the goal of problem solving and facilitating referrals to the appropriate level of rehabilitation.
Facilitate high quality continuum of care with all referral sources, ensuring that these sources are comfortable with making referrals to Schwab Hospital. Develop protocols/processes with referral sources, partners and community resources to increase collaboration.
Lead staff including Schwab primary market liaisons and front office staff.
Annual performance reviews
Maintain staff accountability for clinical and customer service standards.
Address noncompliance with policy, procedure and standards of practice and behavior with staff in timely, respectful and professional manner as needed. Address performance concerns with staff as needed.
Audit Pre-Admission Screen documentation and preadmission communication to interdisciplinary inpatient teams to ensure consistent and accurate information is shared in timely manner
Hire and train new staff.
Staff scheduling for Access IRF (clinical liaisons and admitting teams) including PTO approval.
Present key information and lead discussions in staff meetings as needed.
Promote the development and implementation of department policies. Interprets and observes established policies.
Provides family tours as requested.
Leadership Must-Haves will be followed for patient and staff interactions
Rounding
Thank You Notes
Employee Selection/Peer Interviewing
Key Words at Key Times
AIDET + Promise
Standards of Behavior
Essential Job Qualifications (Knowledge, Education, and Training Requirements)
Bachelor of Science Nursing or degree in other rehabilitation discipline.
Certified, registered, or licensed in a clinical field
A minimum of 5 years of relevant clinical experience is required, significant rehabilitation experience is preferred.
Excellent knowledge of computer programs/EMR systems
Strong organizational and analytical skills
Outstanding customer service skills
Presents professionally and with conviction
Physical Demands:
Able to exert up to 10 pounds of force occasionally (up to 1/3 of the time)
Able to lift, carry, push, pull, up to 10 pounds occasionally
Able to sit for the majority of the time, but may involve brief periods of time involving walking or standing.
Able to use keyboard frequently (1/3 to 2/3 of the time)
Other Preferred Job Qualifications:
Able to respond to highly variable workload demands
Experience in a leadership role
Master's degree in health care related field preferred
Comfortable with marketing and outreach activities
Customer Service Responsibilities:
Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information
Commitment to Diversity, Equity and Inclusion
Embrace Diversity, Equity and Inclusion, by:
Treating everyone with dignity and respect
Opening more doors to opportunities for underrepresented cultures
Growing talent and people
Evaluating and eliminating disparities
Taking action against injustices, bias and racism
Honoring our differences and how to collaborate
Educating staff, patients and the communities we care for
