Medical Policy Manager jobs in Asheville, NC

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy 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 Policy 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)

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Nurse Manager Medical Surgical
  • Transylvania Regional Hospital
  • Brevard, NC FULL_TIME
  • Introduction

    Want to join a team of daring managers who care without reservations or limits? Our Transylvania Regional Hospital team is looking for an Nurse Manager Medical Surical. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

    Benefits

    Transylvania Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.


    HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Manager Acute Care and be a part of the innovation of ideas.

    Job Summary and Qualifications

    Responsible and accountable for daily operations of a designated clinical area - 30-bed Acute Care Unit: Med/Surge, ICU, SD. Advocates and allocates resources to promote efficient, effective, safe, quality and compassionate nursing care based on current standards of practice. Integrates clinical, human resource, and financial data to support decision making. Promotes research and integrates evidence-based practice into clinical, operational, and leadership processes. Ensures compliance with regulatory and professional standards.

    Essential Accountabilities:

    • Demonstrates leadership through supervision, facilitation, and coordination of clinical care.
    • Collaborates with nursing leadership in organizational planning, innovations, and evaluation of initiatives.
    • Contributes to professional development of staff, students, and colleagues in an environment of mutual respect and understanding.
    • Participates as a member of the team to achieve business goals.
    • Demonstrates standards of a Mission Health Professional Nurse who practices according to the Mission Health Guiding Principles.
    • Recruits, welcomes and encourages new employees to be successful, by creating a friendly and supportive environment that promotes growth and learning in order to retain and acclimate colleagues to the Mission Health culture.


    What qualifications you will need:

    Required Education: BSN or equivalent (ADN with MSN, BA with MSN)
    Preferred Education: Master’s Degree in Nursing.
    Required License/ Certifications:

    • Must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse Licensure Compact) license may apply, licensee should confirm with NCBON.
    • National Certification in area of specialty within one year of accepting the role. Certification may be in leadership or area of clinical practice. Those actively pursuing degree must obtain national certification within 1 year of graduation.
    • BLS Healthcare Provider
    Required Experience:

    A minimum of five years of recent nursing experience; 2 years in relevant clinical hospital experience with demonstrated leadership skills Preferred Experience: Previous leadership experience


    Transylvania Regional Hospital is a full-service community hospital serving Transylvania and the surrounding counties. Located in Brevard, North Carolina, the hospital offers 90 beds, including more than 25 inpatient rooms and 10 transitional care unit rooms. Transylvania Regional Hospital offers comprehensive services representing a full spectrum of specialties, and has been named one of the Top 20 Critical Access Hospitals in the United States. Transylvania Regional Hospital, a member of Mission Health, is an operating division of HCA Healthcare.

    HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


    "Good people beget good people."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a Manager Acute Care and help us improve more lives in more ways.

    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.

  • 20 Days Ago

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Medical Case Manager I
  • CorVel Brand
  • Asheville, NC FULL_TIME
  • CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Asheville, NC. Work from home, and on the road. Monday – Fr...
  • 1 Month Ago

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Nurse Manager - Urgent Care
  • Watertown Regional Medical Center
  • Sylva, NC FULL_TIME
  • Description The Nurse Manager of the Harris Urgent Care Center is responsible for the organization, management, and direction of the center, including nursing and ancillary personnel. The Nurse Manage...
  • 21 Days Ago

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Clinic Manager - Harris Surgical Associates
  • Watertown Regional Medical Center
  • Sylva, NC FULL_TIME
  • Western Carolina Phys - Harris FDescription The function of this position is to manage the daily operations of a clinic managed by the Western Carolina Physician Network. The Manager facilitates the e...
  • 27 Days Ago

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Nurse Manager - Pre-Op/PACU/Infusion Services
  • Watertown Regional Medical Center
  • Sylva, NC FULL_TIME
  • Description The Nurse Manager is responsible for managing nursing practice and clinical operations within Pre-Op, PACU and Infusion Services to include the flow of patients throughout the provision of...
  • 21 Days Ago

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Quality Manager - Western Carolina Physician Practices - FT - Days
  • Watertown Regional Medical Center
  • Clyde, NC FULL_TIME
  • Haywood - Western Carolina Phys PracDescription Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization....
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Asheville, NC area

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Remote Licensed Psychiatrist
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Asheville, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

Asheville is a city and the county seat of Buncombe County, North Carolina, United States. It is the largest city in Western North Carolina, and the 12th-most populous city in the U.S. state of North Carolina. The city's population was 89,121 according to 2016 estimates. It is the principal city in the four-county Asheville metropolitan area, with a population of 424,858 in 2010. Asheville is located in the Blue Ridge Mountains at the confluence of the Swannanoa River and the French Broad River. According to the United States Census Bureau, the city has a total area of 45.3 square miles (117....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$120,247 to $146,797
Asheville, North Carolina area prices
were up 1.5% from a year ago

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