Hot Springs Health Program
Meeting the needs of our community for over fifty years

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Employment & Volunteering

Opportunities are listed as soon as they become available. Please check back periodically for the latest information. HSHP is an Equal Opportunity Employer.

To Apply

  1. Please fill out our application here:
  2. If you have other documents such as your resume that you’d like to include, please email them to

Employment Opportunities

Providers - Physicians, Nurse Practitioners, & Physician Assistants

Hot Springs Health Program always encourages Providers to submit their Resume’s (CV’s) for possible job opening opportunities. Please email your resume to or Fax to 828-649-3786 or by mail to PO Box 69, Marshall, NC 28753. HSHP is EOE About Hot Springs Health Program Madison County, North Carolina The Hot Springs Health Program is a uniquely successful program established about 40 years ago to provide medical services to a rural area of NC.   Our four facilities are located across Madison County about 20 miles north of Asheville, NC.   The area offers not only spectacular scenery including views of the highest peak east of the Mississippi, but also provides a variety of recreational and cultural activities. Trout fishing, big river rafting, snow skiing, and hiking are perfect for individuals who appreciate the great outdoors. The Appalachian Trail traverses the entire county including the trek through downtown Hot Springs. We offer a sense of community with values reminiscent of eras of the past. Outstanding music venues attract people from all over the world; especially significant are the old time balladeers as well as award winning bluegrass musicians….and often these music “jams” are free! If opportunities for higher education are among your interests, Mars Hill University is located in Mars Hill, one of the three primary towns in the county. Additionally, AB Tech has a satellite campus in Marshall which is the county seat. And the University of North Carolina at Asheville is a short commute from most areas of the county. While we live in a beautiful and somewhat pastoral area, larger towns including Asheville as well as Johnson City, Tennessee are readily accessible on I-26, a major interstate highway passing through our county. The Hot Springs Health Program is the 4th largest employer in the county with 135 staff members including 12 physicians, 3 physician assistants, 4 nurse practitioners, a nursing staff of 35, 3 Pharm D’s, 1 pharmacist, and 12 pharmacy technicians with the balance of the staff providing support services to the medical staff. The program is a multi specialty with primary and outpatient care provided.  In addition to the medical program, home health care and hospice services are offered to the community.   A significant building program has occurred in the last 10 years with major new facilities in Marshall and Mars Hill. Outstanding community support adds to the success of the program. One group of citizens residing in the Wolf Laurel has an annual fundraiser for Hospice which enjoys much local support and admiration. The Wolf Laurel community raised over $70,000.00 this year for Hospice through its golf tournament, dinners, silent auctions, bake and garden sales, and other community activities.

Clinical Assistant

A successful candidate for the clinical assistant role at Hot Springs Health Program would include the following abilities:

Courteous and respectful attitude to patients, visitors, business partner’s, patients’ families, and staff.

Demonstrate proficiency in taking vital signs, and administer injections.

The ability to monitor patient check-in and work patients up in a timely manner, consistent with the flow of front desk and the provider.

Proficient in administering injections for adult and pediatric patients.

Ability to perform tasks that may involve physical activity that requires the ability to lift a minimum of 50 lbs.

Medical Assisting experience strongly preferred.

Phlebotomy Experience

Current CPR Certification

Some medical terminology preferred but not required.

Current CNA, CMA, or RMA preferred but not required.

Current N.C. driver’s license and dependable transportation

Education and Experience

  1.     Education:                High School Diploma or GED
  2. Experience: CNA, CMA, or RMA experience preferred but not required.
  3. Other: Valid NC Driver’s License, and dependable transportation.

Excellent benefits including, health, dental, vision, PTO, life insurance, employee discount program, and a quarterly bonus program.

Please send your resume and completed application to Hot Springs Health Program, Attn. HR Director, PO Box 69, Marshall, NC 28753, Fax –828- 649-3786, E-mail –, or bring resume in person to 590 Medical Park Drive, Marshall, NC.

Pharmacy Technician (CPhT preferred)

Full-time: 40+ hours

The Hot Springs Health Program, Inc. has served the community for over 45 years, as a non-profit organization. The Hot Springs Health Program provides medical care for the community and surrounding area with four locations throughout Madison County, NC: Mars Hill, Marshall, Laurel, and Hot Spring communities. Each of the four medical centers has its own operating pharmacy. For people in Madison County and surrounding areas, medicine with the personal touch is close at hand through the Hot Springs Health Program. To meet the needs of all of our patients, our Mars Hill and Mashburn (Marshall) Medical Centers are open for extended hours, and the Mars Hill Center is open seven days a week.

HSHP’s services include:

  • Pediatricians
  • Family Medicine
  • Out-Patient Physical Therapy
  • Pharmacies at all 4 Medical Centers
  • Home Health & Hospice Services
  • Mental Health Service

Our main Mars Hill and Mashburn (Marshall) Medical Centers are located 25 min from Asheville, NC.

Hot Springs Health Program offers excellent benefits, that include, paid-time-off, reduced pricing for in-house doctor visits for employees, employer contribution to a 403(b) retirement plan, health, dental, disability, and life insurance for all full-time employees.

We have an immediate opening for a Pharmacy Technician. The ideal candidate is required to have a minimum of one year experience as a Pharmacy Technician with exceptional people and communication skills. The Pharmacy Technician position may require some travel between medical centers, as needed.

The Pharmacy Technician Certification (CPhT) is preferred, but not required; however, 1 year of experience as a pharmacy technician is a requirement.

Pharmacies are located inside physicians’ offices at Mars Hill, Marshall, Hot Springs, & Laurel Medical Centers. Some overtime and some weekend work availability are required.

The job requires the following responsibilities:

  • Accurately fills and refills prescriptions per physician orders.
  • Balances daily pharmacy transactions.
  • Make pharmacy calls and fax outside pharmacies.
  • Responsible for maintaining pharmaceutical inventory
  • must be able to lift 50 lbs.
  • Communicate with patients by telephone as needed.
  • Assist with prior authorizations.
  • Exceptional customer service.
  • Valid driver’s license.

High School Diploma or GED.

Certified Pharmacy Technician strongly preferred.

Please send your completed application and/or resume to

E-mail –,

Mail – Hot Springs Health Program,
Attn. Human Resources Director,
PO Box 69, Marshall, NC 28753 or
Fax – 649-3786,

In person – Hot Springs Health Program/Mashburn Medical Center, 590 Medical Park Dr, Marshall, NC.

The Hot Springs Health Program, Inc. is an Equal Employment Opportunity.

Full-time RN Clinical Documentation Specialist

The RN Clinical Documentation Specialist will review clinical notes and work with the Home Health and Hospice Director, clinical staff, and office staff to support workflow functions that affect chart review, OASIS/485 accuracy, and timeliness of billing. They provide services that reflect the mission, standards and philosophy of the Hot Springs Health Program.

Essential job duties:

  1. Timely review and processing of all home health OASIS time point documents and Plans of Care for accuracy, consistency, and supporting documentation.
  2. Review clinical charting for conformance/compliance to Medicare and agency guidelines.
  3. Ensure timely processing of OASIS to meet CMS guidelines and CMS billing requirements.
  4. Discuss any noted documentation discrepancies with the home health director and clinical staff as appropriate
  5. Participate in quality assurance and improvement activities for the agency.
  6. Provide appropriate documentation and OASIS education to clinical staff.
  7. Educate and provide feedback to clinical staff in regards to correct completion of all OASIS time point documents.
  8. Identify clinical problem areas and inform the home health director of any deficiencies.
  9. Adhere to the practice of confidentiality regarding patients, staff, and the organization.
  10. Monitor agency outcomes on specific process measures, as reported by CMS, and provide education to clinical staff on areas with deficiencies.
  11. Participate in on-call rotation.
  12. Participate in visiting patients in the event of a staffing/scheduling issue.
  13. Other duties as assigned.




Education and Experience

  1. Education:                   Associate’s degree in nursing from an accredited college.

Current N.C. Registered Nurse License required and Basic Cardiac Life Support (BCLS).

  1. Experience: Two years’ experience in home health and OASIS required.
  2. Other: Valid N.C. Driver’s License, and dependable transportation.




Excellent benefits including, health, dental, vision, PTO, employee discount program, retirement plan, and retirement plan matching, and life insurance.

Please send your resume and completed application to Hot Springs Health Program, Attn. HR Director, PO Box 69, Marshall, NC 28753, Fax –828- 649-3786, E-mail –, or bring resume in person to 590 Medical Park Drive, Marshall, NC.

Weekend Part-time Home Health RN

The home health/hospice RN will case manage and provide skilled nursing services for patient visits. This will include coordination of home care services to patients, supervision of CNAs and PRN nurses in the home, and coordination of care between home care disciplines (PT, OT, ST, CNA, MSW).

Essential job duties:

  • Nursing skills, knowledge, and education
  • Timely & accurate documentation
  • Accountability, professionalism, and confidentiality
  • Communication/interpersonal skills
  • Team responsibility and leadership


Education and Experience

  1.     Education:                Must have graduated from an accredited school of nursing and have a current RN license to practice in NC
  2. Experience: Must have a least one year of experience as an RN in a hospital/home care/hospice/public health setting.
  3. Other: Valid NC Driver’s License, and dependable transportation.


Excellent benefits including, health, dental, vision, PTO, employee discount program, and a quarterly bonus program.

Please send your resume and completed application to Hot Springs Health Program, Attn. HR Director, PO Box 69, Marshall, NC 28753, Fax –828- 649-3786, E-mail –, or bring resume in person to 590 Medical Park Drive, Marshall, NC.

Volunteer Opportunities

Hospice Volunteers Needed

Hospice of Madison is searching for community members who would like to volunteer and visit with hospice patients and their families. Volunteers duties include:

  • Providing relief for caregivers
  • Transporting patients to the doctor
  • Running errands
  • Be a companion to the patient and family

No clinical background or experience necessary – you only need a giving and caring heart. Volunteers can give as little or as much time as they wish. Training is provided for visiting volunteers. For more information, contact Ronnie Fox with Hospice of Madison – (828) 649-2705.

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