Medical Policy Manager jobs in Oxnard, CA

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
  • St Johns Regional Medical Center
  • OXNARD, CA FULL_TIME
  • Overview

    St. John’s Regional Medical Center located in Oxnard California is a recognized as a Top 250 Hospital in the Nation and as one of America’s 100 Best Hospitals for Cardiac Care by Healthgrades. St. John’s Regional is a part of Dignity Health’s Southern California Division and is a member of CommonSpirit Health the largest not-for-profit health care system in the nation boasting an integrated network of top quality hospitals with physicians from the most prestigious medical schools and comprehensive outpatient services - all recognized for quality safety and service. Each hospital is supported by an active philanthropic Foundation to help meet the growing health care needs of our communities. Learn more at www.dignityhealth.org/StJohnsRegional.

     

    If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.

     

    We offer the following benefits to support you and your family:

    • Annual Incentive (Bonus) Program.
    • Matching Retirement Program.
    • Pension fully funded by the Hospital.
    • Tuition Assistance for career growth and development.
    • Health/Dental/Vision Insurance.
    • Free Membership to our Care@Work program supporting child care, pet care, and adult dependent needs.
    • Employee Assistance Program (EAP) for you and your family.
    • Flexible spending accounts.
    • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft.
    • Wellness Program.
    • Paid Time Off (PTO).

    Responsibilities
    Position Summary:
     

    As our Nurse Manager Med/Surg Services at St. John's Regional Medical Center, you’ll oversee a department of frontline nurses and act as the conduit between these caregivers and leadership teams. You will communicate the organization’s goals to the nursing staff as we constantly seek to improve patient experiences, reach out to our community, and deliver quality care. At the same time, you will advocate for your team by bringing any issues, requests, or new ideas from them to leadership.

     

    To thrive in this role, you must be competent and confident. Utilizing your excellent communication skills one-on-one and in front of groups, you will tackle tough conversations and, above all, be an educator at heart. Every interaction is an opportunity to share your knowledge with others and improve their understanding of a patient’s needs, the needs of the nursing staff, or the needs of the organization.

     

    Principal Duties and Accountabilities:

     

    • Oversee a department of nurses, ensuring everyone has what they need to deliver the best care possible to our patients.
    • Engage with the floor. Talk to the nurses, the patients, and families. Keep your finger on the pulse of your department so you can keep things running smoothly.
    • Attend meetings with leadership to learn about new initiatives, budgetary status, areas for improvement, etc., and bring this information back to your team of nurses.
    • Monitor attendance among nursing staff, watching for any patterns of missed shifts which may need addressing.
    • Monitor productivity and efficiency of your department, including budgets. We want to achieve the best throughput while never compromising on care.
    • Mentor people on your team. Share your knowledge and confidence with assistant nurse managers, charge nurses, and others. Build them into potential nurse managers like yourself.

    Qualifications
    Education and Experience: 
    • Bachelor's Degree in Nursing or equivalent education and experience. Magnet Hospital: BSN required.
    • Minimum of three (3) years of nursing experience and one (1) year of leadership experience.
    Licensure: 
    • Registered Nursing License (RN) in state of practice, Basic Life Support (BLS), other credentials or credential modules may be required.

     

     

    #LI-DH

  • 1 Day Ago

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Sr. Marketing Manager Communications
  • Caldera Medical
  • Westlake, CA FULL_TIME
  • Sr. Manager Marketing CommunicationsWestlake Village, CA | On-Site Only – No remote optionCaldera Medical’s Mission - To Improve the Quality of Life for Women!Caldera Medical is a growth stage medical...
  • 11 Days Ago

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Engineering Manager
  • Neurovision Medical Products, Inc.
  • Ventura, CA FULL_TIME
  • About Neurovision Founded in 1973 on the principles of surgery and electrical engineering, we continue to pioneer intraoperative nerve monitoring technologies. Neurovision Medical Products develops an...
  • Just Posted

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Medical Communications Manager
  • Advanced Bio-Logic Solutions Corp
  • Thousand Oaks, CA FULL_TIME
  • Description: Note: This position will be fully remote. No preference on time zone. Engagement worker will be working standard business hours. Hiring Managers preference with the type of academic backg...
  • 6 Days Ago

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Medical Office Manager
  • Community Behavioral Health
  • Oxnard, CA FULL_TIME
  • Job Summary:Are you an inclusive, compassionate Office Manager looking for a rewarding role to put your exceptional skills to good? Our business is built on skilled, caring medical professionals dedic...
  • 9 Days Ago

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Medical Writing Manager
  • Amgen
  • Thousand Oaks, CA FULL_TIME
  • HOW MIGHT YOU DEFY IMAGINATION?You’ve worked hard to become the professional you are today and are now ready to take the next step in your career. How will you put your skills, experience and passion ...
  • 1 Month Ago

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0 Medical Policy Manager jobs found in Oxnard, CA area

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Physician Assistant (PA-C) or Nurse Practitioner (NP), per diem
  • Ageless Mens Health
  • Oxnard, CA
  • Job Description Job Description Foster real relationships. Advance the cause of men’s health. Improve lives. With over 7...
  • 4/23/2024 12:00:00 AM

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Registered Nurse (RN), per diem
  • Ageless Mens Health
  • Oxnard, CA
  • Job Description Job Description Foster real relationships. Advance the cause of men’s health. Improve lives. With over 7...
  • 4/23/2024 12:00:00 AM

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Group Therapist
  • SBT
  • Camarillo, CA
  • Job Description Job Description Group Therapist- Mental Health and SUD Starting Pay: $60-100/hr Employment Type: Part-ti...
  • 4/23/2024 12:00:00 AM

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Psychiatric Nurse Practitioner - Ventura, CA
  • LifeStance Health
  • Ventura, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/21/2024 12:00:00 AM

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Physician Assistant (PA-C) or Nurse Practitioner (NP), per diem
  • Ageless Mens Health
  • Oxnard, CA
  • Foster real relationships. Advance the cause of men's health. Improve lives. With over 70 clinics nationwide and a growi...
  • 4/21/2024 12:00:00 AM

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Outpatient Psychiatrist - Ventura, CA
  • LifeStance Health
  • Ventura, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/19/2024 12:00:00 AM

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Hospice LVN Per Diem (1 year experience)
  • Cardinal Care Hospice Inc
  • Ventura, CA
  • Job Description Job Description Responsibilities of Per Diem LVN include but not limited to: Must have 1 year Hospice Ex...
  • 4/19/2024 12:00:00 AM

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Nurse Practitioner or Physician Assistant
  • ConcertoCare
  • Ventura, CA
  • Apply Job Type Full-time Description The ConcertoCare Advanced Practice Provider (Nurse Practitioner and Physician Assis...
  • 4/19/2024 12:00:00 AM

Oxnard (/ˈɒksnɑːrd/) is a city in Ventura County, California, United States. Located along the coast of Southern California, it is the most populous city in Ventura County and the 19th most populous city in California. Incorporated in 1903, the city lies approximately 60 miles (97 km) west of downtown Los Angeles and is part of the larger Greater Los Angeles area. It is located at the western edge of the fertile Oxnard Plain, sitting adjacent to an agricultural center of strawberries and lima beans. Oxnard is also a major transportation hub in Southern California, with Amtrak, Union Pacific, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$140,266 to $171,237
Oxnard, California area prices
were up 2.5% from a year ago

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