Medical Policy Manager jobs in Brownsville, TX

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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Manager Women's Services
  • Valley Regional Medical Center
  • Brownsville, TX FULL_TIME
  • Introduction

    Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Manager Women's Services with Valley Regional Medical Center, you can be a manager in an organization that is devoted to giving!

    Benefits

    Valley Regional Medical Center, 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.


    Come join our team as a(an) Manager Women's Services. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

    Job Summary and Qualifications

    The Clinical Manager assists the Director with all department activity to assure a coordinated effort in fulfilling department responsibilities with the long-range plan, mission, vision, and values of the hospital. Assists in coordinating the department’s participation in performance improvement activities to assure continuous Quality Improvement. Ensures that nursing care is based on the nursing process and evaluates the effectiveness on an ongoing basis. The Clinical manager is responsible for safe, effective patient care in the department, providing leadership and promotion of staff development.

    POSITION QUALIFICATIONS:

    • Graduate of an Accredited School of Nursing
    • Current TX RN licensure
    • BCLS required
    • NRP required for Women’s Services
    • AWHONN fetal monitoring course required for L&D nurses without experience
    • AWHONN fetal monitoring course required for L&D nurses with experience
    • Previous clinical experience and expertise in specialty area.

    • STABLE required for nursery nurses

    Founded as Valley Community Hospital in 1975, Valley Regional Medical Center proudly serves Brownsville, TX and the surrounding communities in the Rio Grande Valley. Valley Regional Medical Center is a licensed 215 bed facility with over 200 physicians representing 25 specialties. From emergency medicine, to diagnostic imaging services, and caring for newborn babies, Valley Regional Medical Center is the hospital that families count on when they are looking for quality healthcare close to home. We are a designated Advanced Level III Trauma Center and an Advanced Primary Stroke Center. Our Heart and Vascular services include a full-range of cardiac services including minimally invasive and open-heart surgery, cardiac cath lab, heart imaging services and more. Our women’s department includes labor, delivery and recovery in a home-like setting. We also have a C-section operating room on standby 24 hours a day and a Level III Neonatal Intensive Care Unit equipped with specially trained staff. Innovation and an unwavering commitment to patient care are the cornerstones of our hospital. Come experience our family centered culture at Valley Regional.

    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.



    "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Manager Women's Services opening. Help HCA Healthcare create healthier tomorrows for patients and communities.

    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.

  • 3 Days Ago

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Territory Manager-South Texas
  • Inspire Medical Systems I
  • Brownsville, TX FULL_TIME
  • ABOUT INSPIRE MEDICAL SYSTEMS Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the ...
  • 1 Month Ago

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Manager RN Operating Room
  • Valley Regional Medical Center
  • Brownsville, TX FULL_TIME
  • Introduction Do you have the career opportunities as a(an) Manager RN Operating Room you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every s...
  • 30 Days Ago

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Medical Biller
  • West Alton Gloor Medical
  • Brownsville, TX FULL_TIME
  • We are looking for a full-time medical biller/front desk receptionist. Your duties will be: - Code medical services, treatments and diagnosis - Submit claims - Work on claims rejections and denials - ...
  • 23 Days Ago

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Medical Records Specialist
  • Valley Regional Medical Center
  • Brownsville, TX FULL_TIME
  • Introduction Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Me...
  • 10 Days Ago

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Medical Records Spec PRN
  • Valley Regional Medical Center
  • Brownsville, TX FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a Medical Records Spec PRN? At Valley Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million i...
  • 2 Months Ago

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0 Medical Policy Manager jobs found in Brownsville, TX area

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Brownsville, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

Brownsville is one of the southernmost cities in the contiguous United States; only a handful of municipalities in Florida's Miami-Dade and Monroe counties (plus Everglades City in Collier County) are located farther south than Brownsville. The city has a total area of 84.867 square miles (219.805 km2), of which 81.528 square miles (211.157 km2) of it is land and 3.339 square miles (8.648 km2) is water, according to the United States Census Bureau of 2017. The city is situated at the intersection of different climates (subtropical, Chihuahuan Desert, Gulf Coast plain, and Great Plains); this p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$112,789 to $137,692
Brownsville, Texas area prices
were up 1.2% from a year ago

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