Shepherd Center · 3 days ago
Clinical Access Manager -Admissions
Shelby County, TN
Full-time
Onsite
Mid, Senior Level
3+ years expShepherd Center provides world-class clinical care, research, and family support for complex conditions. The Clinical Access Manager ensures appropriate and efficient patient admissions, collaborating with various teams to optimize workflows and enhance patient experiences.
AssociationHealth CareNewsNon Profit
Responsibilities
Oversee the full admissions continuum, including clinical review, insurance authorization, financial evaluation, scheduling, and bed placement
Partner with medical staff and program leadership to determine clinical appropriateness for admission and program placement
Refine and support high-risk screening criteria and clinical review processes
Support ACMs with complex or high-acuity cases by providing clinical and operational guidance
Monitor census and prioritize admissions based on clinical characteristics, acuity, payer mix, and bed availability
Provide daily leadership and operational support to Access Case Managers and Triage nurses
Ensure consistent workflows, decision-making processes, and documentation standards across Clinical Access
Facilitate real-time problem-solving related to urgent admissions, workflow inefficiencies, or unexpected barriers
Assist with onboarding and training of new staff related to admissions processes, Epic workflows, and clinical expectations
Participate in case reviews, interdepartmental meetings, and huddles to maintain alignment across teams
Monitor referral flow, admissions activity, conversion rates, and access performance metrics
Evaluate cases reviewed by the Utilization Management (UM) Committee and analyze performance indicators such as Clinical Evaluator Productivity, referral-to-admission trends, non-admit reasons, and payer patterns
Identify opportunities to improve efficiency, develop new levels of care, or enhance programs based on data and referral trends
Maintain accountability for assigned objectives related to referrals, admissions, census, payer mix, and referral source satisfaction
Ensure accurate documentation and compliance with regulatory requirements, organizational standards, and payer criteria
Maintain up-to-date knowledge of payer requirements, admission guidelines, and rehabilitation-specific clinical indicators
Identify potential risk areas within Clinical Access operations and support corrective action and problem resolution
Practice and promote proper safety techniques in accordance with Center and departmental policies
Report employee, patient, or visitor injuries, accidents, or safety concerns through appropriate reporting systems
Qualification
Required
Bachelor's degree in Nursing or a related healthcare field
Current, appropriate professional license in the state of residence
Certification in Case Management through CMSA, ACMA, ANCC, or equivalent
Minimum of 3–5 years of clinical experience in acute care, rehabilitation, or a related healthcare setting
Experience with patient flow, admissions, care coordination, case management, discharge planning, and utilization review preferred
Leadership experience (formal or informal) strongly preferred
Strong clinical assessment and decision-making skills
Demonstrated ability to collaborate effectively with physicians, executives, and interdisciplinary teams
Ability to manage competing priorities in a fast-paced, high-pressure environment
Excellent verbal and written communication skills, including navigating complex or sensitive conversations
Proficiency with Epic or similar electronic medical record systems
Strong critical thinking, problem-solving, and real-time decision-making abilities
High level of organization, accountability, and follow-through
Working knowledge of third-party payer requirements, reimbursement structures, and financial considerations
Moderate to advanced computer skills
Evidence of strong physician and executive collaborative initiatives required
Preferred
Bachelor of Science in Nursing (BSN)
CRRN and/or CCM certification, or eligibility and willingness to obtain certification
Two or more years of experience at Shepherd Center, with familiarity in programs, culture, and referral processes
Company
Shepherd Center
Shepherd Center is a private, non-profit hospital that specializes in medical treatment, research, and rehabilitation.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$50MKey Investors
The Arthur M. Blank Family Foundation
2022-04-27Grant· $50M
Leadership Team
Alana Shepherd
Co-founder
Recent News
2025-09-17
Atlanta Business Chronicle
2025-01-06
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