Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an EVS Manager with TriStar Horizon Medical Center you can be a part of an organization that is devoted to giving back! This is an evening shift 3:00-11:30pm.
Benefits
TriStar Horizon Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the TriStar Horizon Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic EVS Manager to help us reach our goals. Unlock your potential!
The Manager Environmental Services leads, manages the operations and activities of the Environmental Services Department within assigned hospital and hospital department/campus locations. Manager provides consistent, high quality service in a sanitary environment while ensuring State, Local, Federal and Joint Commission regulations, established policies and procedures and department standards of performance are met.
Evaluates existing systems and processes, initiates change and improvements, and makes suggestions to Director
Demonstrates knowledge and ensures compliance with all current policies, procedures and regulatory standards (TJC, OSHA, EEOC and others) within all Environmental Services areas.
Consistently demonstrates the organization's commitment for and adherence to sound ethical business practices in accordance with the Corporate Integrity and Compliance Program, annual work plan and established policies and procedures
Manages the effective operation of all Environmental Services activities in the organization to provide for an aseptic and aesthetically pleasing environment through coordinating and supervising all functions of the department.
Prepares or directs the preparation of department records as well as recurring and special reports and analyses indicating bed management turnaround times and so forth as required/requested.
Manages the effective operation of all Environmental Services activities in the organization to provide for an aseptic and aesthetically pleasing environment through coordinating and supervising assigned functions of the department
What qualifications you will need:
College Degree Preferred
High School Diploma Required
Minimum of three years’ experience in managing environmental services Required
Knowledge of hospital and health care operations Preferred
Knowledge of hospital and health care financial metrics Preferred
HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our EVS Manager opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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