Medical Policy Manager jobs in Rock Hill, SC

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 OR
  • Piedmont Medical Center
  • Edgemoor, SC FULL_TIME
  • Nurse Manager OR Full Time Days Position Summary

    The Nurse Manager is responsible for the continuous safe operation of the assigned department(s) including all aspects of patient care, budgeting oversight, staffing and quality assurance. The Nurse Manager provides/supports the framework for the strategic goals of the department.

    Essential Duties and Responsibilities:

    1. Manages the department under the guidance of the Unit Director

    2. Coordinates and directs patient care to ensure patients' needs are meet and hospital policy is followed

    3. Provides leadership and direction in accordance with organizational and department goals and objectives

    4. Interviews job candidates and makes hiring recommendations

    5. Develops a staffing schedule, making appropriate changes as needed to manage productivity

    6. Initiates written/verbal disciplinary action

    7. Responsible for completion of regular performance evaluations, conducts evaluations for new staff prior to completion of probationary period

    8. Leads unit specific performance improvement and quality measures

    9. Accurately records all time worked with appropriate payroll system. Controls overtime.

    10. Maintains attendance records. Informs director of associates that need to be counseled.

    11. Checks accuracy of unit charges

    12. Works with director to revise/develop policies and procedures as needed

    13. Serves as a role model for professional conduct in the following areas, but not limited to: attitude, customer service, confidentiality, communication skills and attendance

    14. Promotes physician interaction to ensure quality patient care and physician satisfaction

    15. Demonstrates excellent clinical knowledge and expert skills

    16. Orders supplies for unit as needed

    17. Performs /assists with patient care as necessary

    18. Serves in the capacity of the director as requested

    THE NURSE MANAGER OR FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.

    Minimum Education: Bachelor degree required, willing to pursue Masters (MSN preferred).

    Minimum Experience: 3 to 5 years' experience in an acute care facility including at least 1 year of experience in the specialty area is required. Management experience is required.

    Required Certifications/Registrations/Licenses: A valid Permanent Multi-State RN License from the state in which you reside is required. Should you hold a RN license from another Compact state, you are required to apply for and obtain a Multi-State RN License from the state in which you reside within 30 days. American Heart Association BLS CPR required. Mandatory certifications for relevant department(s) are required within orientation period.

    Supervisory Responsibilities: Yes


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  • 29 Days Ago

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Nurse Manager OR FT Days
  • Piedmont Medical Center
  • Rock Hill, SC OTHER
  • Nurse Manager OR Full Time Days Position Summary The Nurse Manager is responsible for the continuous safe operation of the assigned department(s) including all aspects of patient care, budgeting overs...
  • 15 Days Ago

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Nurse Manager
  • North Central Family Medical Center
  • Chester, SC FULL_TIME
  • NO EVENING HOURS | NO SUNDAY HOURS | PAID HOLIDAYS OFF Summary: North Central Family Medical Center is a non-profit Federally Qualified Health Center (FQHC) providing affordable, accessible healthcare...
  • 11 Days Ago

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Central Supply Manager FT Days
  • Piedmont Medical Center
  • Rock Hill, SC OTHER
  • Central Supply Manager Full Time Days Position Summary The Manager of Central Supply provides leadership for the Central Supply Department and all facets of central supply and perioperative supply cha...
  • 2 Days Ago

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Nurse Manager Clinical Obs FT Days
  • Piedmont Medical Center
  • Rock Hill, SC OTHER
  • Nurse Manager Clinical Obs Full Time Days Position Summary This role provides leadership and support to the senior executive position (CNO) responsible for all nursing and other designated patient car...
  • 12 Days Ago

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Nurse Manager Med Surg FT Days
  • Piedmont Medical Center
  • Rock Hill, SC OTHER
  • Nurse Manager Med Surg Full Time Days Position Summary This role provides leadership and support to the senior executive position (CNO) responsible for all nursing and other designated patient care fu...
  • 13 Days Ago

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0 Medical Policy Manager jobs found in Rock Hill, SC area

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Psychologist (PhD, PsyD) - Clinical Therapy - Outpatient
  • LifeStance Health
  • Rock Hill, SC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Waxhaw, 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
  • Waxhaw, 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
  • Waxhaw, 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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Psychiatric Nurse Practitioner (PMHNP) - Outpatient - Hybrid schedule
  • LifeStance Health
  • Rock Hill, SC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/24/2024 12:00:00 AM

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Adult and Child Psychiatrist - Outpatient - Hybrid Schedule
  • LifeStance Health
  • Pineville, NC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/24/2024 12:00:00 AM

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Caregiver/CNA - Rock Hill/Fort Mill
  • BlueDot Cares
  • Rock Hill, SC
  • We are seeking a compassionate and dedicated Home Caregiver to provide essential in-home care and support to individuals...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Waxhaw, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

Rock Hill is the largest city in York County, South Carolina, United States and the fifth-largest city in the state. It is also the fourth-largest city of the Charlotte metropolitan area, behind Charlotte, Concord, and Gastonia (all located in North Carolina, unlike Rock Hill). As of the 2010 Census, the population was 66,154. In 2016, the population had increased to 72,937. The total population of Rock Hill inside the city limits and outside the city limits as of 2017 was estimated at 117,375 people. The city is located approximately 25 miles (40 km) south of Charlotte and approximately 70 mi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$126,658 to $154,624
Rock Hill, South Carolina area prices
were up 1.5% from a year ago

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