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