Healthcare managers are sometimes referred to as healthcare administrators and healthcare executives. At the most basic level, the healthcare manager job description is to manage all or part of a healthcare facility (Healthcare Manager Job Description, 2010). A health care manager’s role will vary depending on type and size of the facility they work in. A health care manager in a large hospital may oversee one department but work with several health care managers to ensure that the hospital runs smoothly and evidently. But at a smaller facility a health care manager may oversee the entire facility. The role of health care managers can vary depending on the position. Examples are: Clinical managers, Health information managers, and Group medical practice managers. Clinical managers create and implement policies for a specific department, evaluate the performance of personnel and develop the yearly budgets. Clinical managers have medical experience in the field in which they work in. Example they may oversee the department of respiratory therapy they would have some experience or training for this field. Health information manager maintain health records and makes sure medical records are stored properly. They also must be up to date with government regulations and rules as well as software technology. Group medical practice managers work with a group of medical doctors and handle the budgets, billing, personnel, and patients (Role of a Healthcare Manager, 2010). Healthcare manager are also on 24 hour call and may need to travel to attend meetings. Healthcare environment is constantly changing and staffing a department appropriately can be a challenge. It is not uncommon for the budget projections to be different from the actual volume. Hospital managers must be able to present a budget to justify the need to fill full-time equivalent (FTE) positions.