Patient Access Department Manager

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November 6

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EMS

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Pharmaceuticals • Healthcare Insurance • Wellness

EMS is the largest pharmaceutical laboratory in Brazil, recognized for its commitment to providing effective and affordable health solutions. With over 55 years in the industry, EMS operates in more than 40 countries and offers a diverse portfolio of products, including innovative treatments for chronic conditions such as obesity and diabetes. The company also emphasizes social responsibility and quality, investing in research and development to ensure high standards in the medications it produces.

1001 - 5000 employees

Founded 1964

💊 Pharmaceuticals

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• Oversee daily operations of the Patient Access Department, including supervision of intake coordinators, admissions specialists, and records clerks • Develop, maintain, and continuously improve policies and workflows for new admissions, program transfers, and discharges • Ensure consistent tracking and reporting of referral sources, eligibility screenings, authorization verifications, and enrollment decisions • Coordinate directly with Program Directors and Clinical Managers to ensure appropriate placement of clients into contracted service lines • Monitor referral intake queues and assign staff to screen and process referrals in a timely manner • Ensure intake documents, authorizations, and clinical eligibility screenings are completed and filed prior to admission • Maintain tracking logs and electronic health record updates for all incoming, pending, and processed admissions • Provide oversight for call center operations or centralized referral response teams (if applicable) • Coordinate intra-agency transfers between service lines (e.g., PRP to OMHC, Health Home to SUD, etc.) • Develop transfer protocols with scheduling, billing, and records departments to prevent service disruptions • Oversee discharge planning workflows and ensure timely notification to stakeholders (including MCOs, legal representatives, and family) • Ensure workflows align with payer guidelines, COMAR requirements, HIPAA standards, and accreditation (e.g., CARF, OHCQ) • Monitor timelines for intakes and transitions to ensure care coordination standards are met • Run weekly and monthly reports related to admissions, capacity, referrals, and turnaround time • Identify and implement process improvements to reduce access delays and administrative errors • Train new staff and provide ongoing education on access protocols, documentation systems (e.g., ICANotes), and eligibility criteria • Coordinate closely with clinical teams, medical records, billing, and executive leadership to ensure cross-functional alignment • Attend provider coordination meetings with funders, referral partners, and contracting agencies as needed • Respond to escalated concerns regarding access, eligibility, or transfer issues • Assist the COO with operational planning and process mapping • Serve as interim coverage for intake or admissions staff during absences • Participate in surveys, audits, or inspections related to admissions or clinical transitions

🎯 Requirements

• Bachelor’s degree in Healthcare Administration, Social Work, Psychology, Public Health, or a related field (required) • Minimum 3 years of experience in admissions, access management, or intake coordination in a behavioral health or healthcare setting • Minimum 1 year of supervisory or management experience • Working knowledge of COMAR, Medicaid, HIPAA, and behavioral health program eligibility criteria • Proficiency in electronic health record systems (e.g., ICANotes, Credible, or similar) • Strong leadership, time management, and communication skills • Bachelor's degree in Healthcare Administration, Social Work, Nursing, or related field (preferred) • Familiarity with MCO and Medicaid eligibility systems • Experience working across multiple behavioral health service lines

🏖️ Benefits

• Ineligible