Managed Care Provider Relations Manager jobs in Lake Charles, LA

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations 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 Managed Care Provider Relations 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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Community Care Provider
  • Rehab Services of Louisiana
  • Jennings, LA FULL_TIME
  • PROGRAM: Mental Health Rehabilitation
    REPORTS TO: Clinical Manager (LMHP)
    SUPERVISED BY: Regional Manager; Regional and agency Clinical Manager (LMHP); Corporate Compliance Officer


    RESPONSIBILITIES:

     Provide Strength-based, solution-focused supportive therapeutic services in the community.
     Provide consumer driven and family oriented services, conducted within the context of the consumers’ natural environment.
     Provides client-centered, individual Psychosocial Skills Rehabilitation (PSR) services in the community.
     Be knowledgeable of your clients including their strengths, diagnosis, treatment goals and treatment plan.
     Assess each recipient for Strengths, Resources, and Goals within first 30 days of treatment; provide Strength-based planning and treatment on an ongoing basis.
     Assist with 90 Day reviews
     Participate in collaborative meetings with Rehabilitation Services staff, other agencies or community and natural supports as needed.
     Provide Crisis Intervention services to recipients as needed according to agency policies, procedures, and service definitions.
     Communicate client’s status on a regular basis, including, but not limited to changes in mood or functioning, medical issues
    and all crisis and health and safety issues.
     Be knowledgeable of and adept at producing effective, clinical documentation of every contact with recipient.
     Turning in notes on time according to policy. Document all “no shows,” and communicate all difficulties contacting clients with appropriate office staff.
     Be able, or willing to learn, to use computer interface to complete documentation for billing or other purposes as needed.
     Attend all office trainings as well as regular clinical supervision sessions with Clinical Manager and/or Team Manager.
     Document services provided regularly, concisely, and completely in accordance with clinical standards by office deadline.
     Return phone calls promptly
     Follow all safety rules
     Obtain 20 training hours as required for a full time MHP or 16 training hours as required for a part time MHP yearly
     Actively participate in all evaluations conducted by Rehabilitation Services


    MINIMUM QUALIFICATIONS:

     Has a Master’s Degree from an accredited university or college in the field of:
    o Counseling,
    o Social Work,
    o Psychology or
    o Sociology

  • 10 Days Ago

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Community Care Provider
  • Rehab Services of Louisiana
  • Charles, LA FULL_TIME
  • PROGRAM: Mental Health Rehabilitation REPORTS TO: Clinical Manager (LMHP) SUPERVISED BY: Regional Manager; Regional and agency Clinical Manager (LMHP); Corporate Compliance Officer RESPONSIBILITIES: ...
  • 12 Days Ago

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Start-Up Manager
  • Up Manager - Worley Careers
  • Cameron, LA FULL_TIME
  • Building on our past. Ready for the future Worley is a global professional services company of energy, chemicals and resources experts headquartered in Australia.? Right now, we’re bridging two worlds...
  • 29 Days Ago

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Business Office Manager
  • The Care Center of DeQuincy
  • Quincy, LA FULL_TIME
  • The Care Center of Dequincy has an opening for a Business Office Manager. The Business Office Manager organizes, maintains and completes all administrative reports required for efficient functioning o...
  • 7 Days Ago

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Business Office Manager
  • The Care Center of DeQuincy
  • Quincy, LA FULL_TIME
  • The Care Center of Dequincy has an opening for a Business Office Manager. The Business Office Manager organizes, maintains and completes all administrative reports required for efficient functioning o...
  • 7 Days Ago

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Patient Care Manager
  • Orthotic & Prosthetic Solutions
  • Charles, LA FULL_TIME
  • $500 Sign on Bonus! Are you interested in working for an Orthotic & Prosthetic company? Join our dynamic team! Description Orthotic & Prosthetic Solutions, LLC is looking for a highly motivated full-t...
  • 20 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Lake Charles, LA area

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Patient Account Specialist Senior - Tlra Insurance
  • Christus Health
  • Lake Charles, LA
  • Description Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collec...
  • 4/26/2024 12:00:00 AM

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Patient Account Specialist Senior - Tlra Insurance
  • Christus Health
  • Lake Charles, LA
  • Description Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collec...
  • 4/26/2024 12:00:00 AM

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Event Staff / Ticket Takers - Lake Charles Event Center
  • ASM Global
  • Lake Charles, LA
  • Event Staff The Lake Charles Events Center / ASM GLOBAL is currently searching for outstanding individuals to join our t...
  • 4/26/2024 12:00:00 AM

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Sales Representative - Remote
  • InsuraTec Services Group
  • Lake Charles, LA
  • Sales Representative - Remote Company: InsuraTec Services Group Location: Remote About Us: InsuraTec Services Group is a...
  • 4/26/2024 12:00:00 AM

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RN Case Manager (Hospice)
  • Hiring Now!
  • Lake Charles, LA
  • We are hiring for a Registered Nurse case Manager. At Heart of Hospice, a part of LHC Group, we embrace a culture of car...
  • 4/26/2024 12:00:00 AM

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Ship Checker
  • Gulf Stream Marine
  • Lake Charles, LA
  • Resumen: Position Overview: This position interfaces directly with the customer and is responsible for processing cargo ...
  • 4/26/2024 12:00:00 AM

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Customer Success Manager I
  • Talitrix, LLC
  • Lake Charles, LA
  • Job Description Job Description Company Overview Talitrix is a premier SaaS provider of electronic monitoring solutions ...
  • 4/24/2024 12:00:00 AM

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Intake Coordinator- CADC, TCADC
  • Summit Bhc
  • Iowa, LA
  • Intake Coordinator- CADC, TCADC page is loaded Intake Coordinator- CADC, TCADC Apply locations Ivory Plains Recovery Cen...
  • 4/24/2024 12:00:00 AM

Lake Charles (French: Lac Charles) is the fifth-largest incorporated city in the U.S. state of Louisiana, located on Lake Charles, Prien Lake, and the Calcasieu River. Founded in 1861 in Calcasieu Parish, it is a major industrial, cultural, and educational center in the southwest region of the state. As of the 2010 census, the population was 71,993. Lake Charles is the principal city of the Lake Charles Metropolitan Statistical Area, having a population of 202,040. It is the larger principal city of the Lake Charles-Jennings Combined Statistical Area, with a population of 225,235. The 2010 pop...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$93,431 to $134,776
Lake Charles, Louisiana area prices
were up 1.2% from a year ago

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No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
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Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
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