Provider Network Director jobs in Lubbock, TX

Provider Network Director directs and develops a healthcare provider network. Designs and administers policies and services that comply with all contractual and regulatory requirements. Being a Provider Network Director requires a bachelor's degree. Typically reports to top management. The Provider Network Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Provider Network Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

P
Nurse Practitioner - TX
  • Provider Partners Health Plan
  • Odessa, TX FULL_TIME
  • Nurse Practitioner

    Job Description
    POSITION SUMMARY


    The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health Plan (PPHP) members at designated skilled nursing facilities.

    The nurse practitioner works in collaboration with the member’s primary care physician to deliver exception health care. The nurse practitioner is the medical liaison to the interdisciplinary staff and allied health providers and communicates effectively to assure seamless delivery of services.

    As a key member of the clinical team in the skilled nursing facility, the nurse practitioner provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan of care with short-term and long-term goals, and is a resource to members, families, and staff.

    ESSENTIAL RESPONSIBILITIES
    • Demonstrates both autonomy and proficiency in performance of comprehensive health assessments.
    • Collaborates with member’s primary care physician to create a care plan focused on prevention, early detection and timely intervention.
    • Adheres to Provider Partners Health Plan standards of documentation and communication as directed by the PPHP Model of Care.
    • Observes the scope of practice in the state in which he or she is licensed and working in.
    • Communicates with physicians and family members during transitions of care.
    • Effectively communicates with all members of the care team and facilitates a medically appropriate and effective plan of care to avoid unnecessary duplication of testing, and fragmentation of care.
    • Participates in case rounds to review skilled and hospitalized members.
    • Performs duties as assigned.
    • work experience/EDUCATION requirements
    REQUIRED PROFICIENCIES
    • Minimum of 3 years clinical care experience.
    • Clinical competence and understanding of evidenced-based practice.
    • Proficient in basic computer skills- confidence in learning and using unfamiliar computer programs and electronic devices.
    • Strong commitment to the care of the elderly and the needs of their families
    • Solid interpersonal and communication skills
    • Good organizational skills
    • Admirable teaching skills
    • Strong customer service orientation
    • Skilled Nursing Facility/Long Term Care experience preferred.
    • Case management experience preferred
    • Knowledge of current standard medical practices and experience with Medicare/Medicaid.
    • Detailed knowledge of I-SNP MOC and I-SNP population.
    • Proficiency in nursing/medical databases and Microsoft programs.
    • Positive and enthusiastic attitude.
    LICENSURE, CREDENTIALING AND CERTIFICATION
    • Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the state of practice.
    • Meets the Provider Partner Health Plan credentialing requirements.
    • Holds or is eligible for DEA licensure and CDS licensure (if required in the state of practice)
    • Basic Cardiac Life Support certification.
    • Current unrestricted RN license for the state in which the Nurse Care Coordinator is practicing.
    OTHER REQUIREMENTS

    We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.

    Receipt and Acknowledgement

    I acknowledge and understand that:

    *Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind, and that my employment is at-will.

    *The job description provides a general summary of the position in which I am employed, that the contents f this job description are job requirements and at this time I know of no limitations which would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these functions.

    *Job duties, tasks, work hours and work requirements may be changed at any time.

    Job Type: Full-time

    Pay: $118,000.00 - $120,000.00 per year

    Benefits:
    • 401(k)
    • Dental insurance
    • Health insurance
    • Malpractice insurance
    • Paid time off
    • Vision insurance
    Medical specialties:
    • Geriatrics
    Supplemental schedule:
    • On call
    Weekly schedule:
    • Monday to Friday
    Work setting:
    • Nursing home
    • Skilled nursing facility
    Education:
    • Master's (Preferred)
    Experience:
    • LTC/SNF: 1 year (Required)
    License/Certification:
    • Certified Nurse Practitioner (Required)
    Willingness to travel:
    • 25% (Required)
    Work Location: On the road

     

  • 1 Month Ago

P
Family Medicine Physician
  • Provider Solutions & Development
  • Hobbs, NM FULL_TIME
  • Covenant Health is seeking a full-time Family Medicine physician to join the Covenant Lea Regional Medical Center in Hobbs, New Mexico. This is a brand-new hospital that opened in October of 2022 wher...
  • 28 Days Ago

P
Pediatric Hospitalist
  • Provider Solutions & Development
  • Midland, TX FULL_TIME
  • Midland Memorial Hospital is seeking a full-time Hospitalist Pediatrician to join their dedicated and skilled team in Midland, Texas. Work in a state-of-the-art facility while collaborating with Coven...
  • 29 Days Ago

S
Provider
  • St. Joseph's Home Health, Inc.
  • Midland, TX FULL_TIME,PART_TIME
  • Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeries, injuries or accidents by atte...
  • 8 Days Ago

S
Provider
  • St. Joseph's Home Health, Inc.
  • Fort Stockton, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 23 Days Ago

S
Provider
  • St. Joseph's Home Health, Inc.
  • Monahans, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 29 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Provider Network Director jobs found in Lubbock, TX area

C
Radiology Technologist - Radiology Diagnostic
  • Covenant Health
  • Lubbock, TX
  • **Description** Under the direct supervision of the Diagnostic Supervisor and the general supervision of the Director of...
  • 4/24/2024 12:00:00 AM

V
OSP Project Manager
  • Vero Networks
  • Lubbock, TX
  • POSITION SUMMARY This position is responsible for overall project management (schedule and budget) for multiple fiber ne...
  • 4/24/2024 12:00:00 AM

C
Associate Childcare Teacher - Childcare Services *Full Time - Days*
  • Covenant Health
  • Lubbock, TX
  • ** Associate Childcare Teacher - Childcare Services *Full Time - Days*** **** **Covenant Health is seeking a full time, ...
  • 4/24/2024 12:00:00 AM

T
Radio Host/ Digital Content Writer- (KFMX)
  • Townsquare Media Inc.
  • Lubbock, TX
  • **Radio Host/ Digital Content Writer- (KFMX)** at Townsquare Media Lubbock, TX ***Radio Host/ Digital Content Writer - L...
  • 4/23/2024 12:00:00 AM

T
Production Manager/ Radio Host/ Digital Content Writer- (KFMX)
  • Townsquare Media Inc.
  • Lubbock, TX
  • **Production Manager/ Radio Host/ Digital Content Writer- (KFMX)** at Townsquare Media Lubbock, TX ***Production Manager...
  • 4/23/2024 12:00:00 AM

P
Supervisor Clinic Operations
  • Providence Health & Services
  • Lubbock, TX
  • Job Description Under the supervision of the Director, directs the day-to-day operations of the assigned physician pract...
  • 4/22/2024 12:00:00 AM

P
Transplant Administrator
  • Providence Health & Services
  • Lubbock, TX
  • Job Description The Manager Clinical Operations will act as the Transplant Administrator and oversees clinic operational...
  • 4/21/2024 12:00:00 AM

X
Outside Sales Account Executive, Direct Sales Electronic Payments, West
  • Xplor
  • Lubbock, TX
  • Company Description At Clearent by Xplor, we believe that helping people make the most of each day is the most rewarding...
  • 4/21/2024 12:00:00 AM

Lubbock (/ˈlʌbək/ LUB-ək) is the 11th-most populous city in the U.S. state of Texas and the county seat of Lubbock County. With a population of 256,042 in 2015, the city is also the 83rd-most populous in the United States. The city is located in northwestern part of the state, a region known historically and geographically as the Llano Estacado, and ecologically is part of the southern end of the High Plains, lying at the economic center of the Lubbock metropolitan area, which has a projected 2020 population of 327,424. Lubbock's nickname, "Hub City", derives from it being the economic, educat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Director jobs
$154,934 to $200,163
Lubbock, Texas area prices
were up 1.2% from a year ago

Provider Network Director in Moline, IL
You can keep costs low when using your plan by staying “in network,” or using the doctors and other health care providers that are in your plan’s network.
December 27, 2019
Provider Network Director in Sacramento, CA
A healthcare provider network is a compilation of all doctors, physicians, hospitals, clinics, pharmacies, etc.
February 22, 2020
Provider Network Director in Springfield, OR
If the plan name includes any of the following things, your plan does NOT use the standard network.
February 12, 2020