Demo

Patient Access Manager

Casa Esperanza
Boston, MA Full Time
POSTED ON 2/24/2025
AVAILABLE BEFORE 5/22/2025

About Casa Esperanza

Casa Esperanza, Inc. is a bilingual / bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.

About the role

The Patient Access Manager is an essential member of the organization that manages the intake and admissions process for all programs in Casa’s integrated behavioral health treatment model. This role is responsible for conducting critical processes that support an accessible and streamlined pathway for patients through the intake and admissions process. The Patient Access Manager reports to the Director of Patient Access and will collaborate with external providers and Program and Department leaders across Casa’s continuum of care to ensure incoming patients are directed to the right level of care and meet eligibility criteria. The Patient Access Manager will provide supervision to the Patient Access Coordinators and ensure a seamless and cohesive workflow with the Patient Support Specialists. Key areas of responsibility include quality assurance tasks such as ensuring intake and admissions processes across programs are followed, verifying waitlists are updated, intakes are completed, beds are filled, eliminating barriers to accessing care, and maintaining a safe environment for all of Casa patients and staff. They will work with the Patient Access Director to ensure that benchmarks, timelines, goals and objectives are met and reported as required. Following Casa Esperanza’s integrated care model, the Patient Access Manager will communicate admissions information and complete referrals to other Casa Esperanza services for which the patients may qualify.

What you'll do

Intake & Admissions

  • Manage the intake and admissions workflow ensuring access to care and fostering a no wrong door approach
  • Ensure timely access to clinic services and work with clinical team to remove barriers to care
  • Build and maintain relationships with internal and external referral sources
  • Oversee patient’s initial assessment, including the Preliminary Triage, Integrated Biopsychosocial, Eligibility and Enrollment forms for grants, CSP, SOAP, and other assessments as part of the intake process
  • Ability to recognize an individual’s level of acuity and when a crisis is identified, carry out Casa’s policies and procedures for crisis response
  • Maintain and update any admission documentation required by Casa or other licensing agencies in a complete and accurate manner
  • Maintain awareness of current census and caseload targets and expectations and working with the Director of Patient Access to meet these
  • Adhere to all HIPAA and 42CRF laws following all confidentiality and protected health information regulations
  • Ensure data entry and scanning of all referrals, intake and other pertinent documentation into Casa’s electronic health record platform, Evolv
  • Review patient records for completeness of patient insurance information and proper signature
  • Coordinate with the Practice Management team to ensure patients are successfully enrolled into the appropriate program, insurance is verified, and benefit assignments are completed

Clinic Operations

  • Work closely with the Patient Support Specialists to ensure an exceptional level of service is delivered to all Casa Esperanza patients
  • Collaborate with Program Directors across the organization to ensure all licensing, regulatory, accreditation, and funder standards and requirements are met throughout the intake process
  • Monitor room utilization systems to ensure they are used correctly to ensure patients and staff have access to appropriate spaces
  • Partner with the Director of Recovery Support Services to ensure adequate staff coverage for the delivery of both scheduled appointments and walk-in services
  • Respond to internal and external data collection and reporting requests in a timely manner
  • Work closely with Patient Support Services and the Operations Department to ensure that all outpatient clinical facilities are safe, secure, clean and support an effective therapeutic and working environment. Managing supply ordering and operations work orders
  • Flexing duties and responsibilities in team-based care involves sharing patient-care responsibilities among members of a team, leading to improved efficiency, access, quality of care, and satisfaction for all involved.
  • Staff Supervision

  • Demonstrate strong leadership and people management skills, with the ability to manage conflict and interpersonal relationships with empathy and professionalism
  • Provide weekly or biweekly individual and team supervision to Patient Access Coordinators to ensure effective communication among all Familias Unidas Outpatient Program team members, manage productivity, and quality assurance
  • Provide coverage to support the daily operation of the clinic
  • Perform and monitor all personnel functions of the department, subject to established departmental personnel policies and in consultation with the Director of Patient Access and Chief People and Culture Officer
  • Critical Leadership Responsibilities :

  • Is responsible for attaining and maintaining an up-to-date knowledge of all relevant regulations, accreditation standards, contract and grant requirements, and Casa Esperanza, Inc. clinical and administrative policies and procedures, programmatic goals, and required staff credentialing and competencies
  • Reads, learns, and ensures adherence to all program treatment philosophies and protocols
  • Reports timely, and actively seeks to consult with senior leaders regarding, critical incidents and safety concerns
  • Takes initiative to engage in ongoing self-education regarding all standard operating procedures and actively engages with senior leaders to expand and enhance SOPs as needed to meet evolving programmatic needs
  • Demonstrates a comprehensive knowledge of and ability to apply regulatory, accreditation, policy, and procedural standards within the first three months in a leadership role
  • Maintains patient and program records in accordance with agency, regulatory, and payer requirements and timelines
  • Assists the Director of Patient Access with all Quality Improvement data collection, reporting, and change projects to ensure the delivery of high-quality services, positive patient outcomes, and excellent experience of care; including the implementation of quarterly Satisfaction Surveys.
  • Assists with utilization management to include assessing for appropriateness, effectiveness, and medical need for services
  • Qualifications

  • Bachelor’s or associate degree in social work, psychology, counseling, or related field required. Degree may be substituted for LADAC / CADAC
  • English / Spanish Bilingual required
  • Knowledge in Eligibility Verification and Authorizations based on payer requirements
  • Experience working with marginalized communities
  • Strong verbal / written communication
  • Ability to work as both an effective team member and independently
  • Ability to meet the physical requirements and training requirements of the position
  • MassHealth Certified Application Counselor or willing to obtain certification on the job
  • Supervisory experience and ability to manage employee relationships
  • Demonstrates high levels of critical thinking, empathy, and professionalism
  • Working Conditions / Environment

  • Physical Space : Home Base : Familias Unidas Outpatient Program in Roxbury, Massachusetts.
  • Company Culture : The values, beliefs, and behaviors that shape workplace culture is critical. This includes the company's mission, diversity and inclusion practices, and the overall atmosphere, whether it is formal or casual.
  • Team Dynamics : the team is made up of a Patient Access Director, a Patient Access Manager, two (2) Patient Access Coordinators, (2) Patient Access Clinicians, Patient Support Specialists, and Outreach and Referral Liaison
  • Working Conditions : in an office building, as well as other organization locations.
  • Work Type : onsite , in-person, full time.
  • Work Schedule : Monday : Monday – Friday with flexible hours.
  • What we offer :

    Casa Esperanza Benefits Package :

  • Compensation :  $63,000 - 65,000 per year
  • Holiday Pay (12 days per year 1 floating holiday)
  • Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
  • Sick Pay - 10 paid days per year
  • Long / Short Term Disability
  • Paid by Company Life Insurance
  • Health Insurance (Medical Dental, Vison)
  • Health Reimbursement Arrangement (HRA)
  • FSA / DCA (Flexible Spending Account & Dependent Care)
  • ComPsych Guidance Resources - EAP
  • Educational Opportunities
  • Tuition Remission
  • Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
  • Career Advancement Opportunities
  • Increased Salary for Credentials
  • and more....
  • Physical & Mental Requirements

    While performing the duties of this job the employee is regularly required to walk, stoop, kneel, crouch or crawl and talk or hear. The employee must occasionally lift and / or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.

    At Casa Esperanza, Inc., the health and safety of our people is our number one priority. That’s why all offers of employment are contingent on the candidate showing proof of being fully vaccinated against COVID 19 (currently one dose of the Johnson & Johnson vaccine or two doses of the Pfizer or Moderna vaccine and boosted, when eligible) to pass the pre-employment requirements. Individuals with medical issues or religious beliefs that prevent them from getting the vaccine may request an exemption from the vaccine requirement.

    Casa Esperanza’s EEO Statement

    Casa Esperanza, Inc. values its diverse workplace and encourages women, people of color, LGBTQIA individuals, people with disabilities, members of ethnic minorities, foreign-born residents, older members of society, and others from minority groups and diverse backgrounds to apply.

    We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. Casa Esperanza, Inc also has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law.  All employees, interns, volunteers and contractors of Casa Esperanza, Inc. are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.

    Casa Esperanza, Inc. also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email  hr@casaesperanza.org .

    The pay range for this role is :

    63,000 - 65,000 USD per year(Familias Unidas Outpatient Program)

    PI263739253

    Salary : $63,000 - $65,000

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