PROVIDER NETWORK MANAGER jobs in Beaumont, TX
PROVIDER NETWORK MANAGER manages the operations of a healthcare provider network. Responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Being a PROVIDER NETWORK MANAGER recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. May be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Additionally, PROVIDER NETWORK MANAGER requires a bachelor's degree. Typically reports to top management. The PROVIDER NETWORK MANAGER typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a PROVIDER NETWORK MANAGER typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Recently Added PROVIDER NETWORK MANAGER jobs
Advanced Practice Provider (APP) II - Beaumont, TX
- The US Oncology Network
-
BEAUMONT, TX
OTHER
-
Overview:
Texas Oncology is looking for a Advanced Practice Provider II to join our team! This position will support the Beaumont, Texas location.
Texas Oncology is the largest community oncology provider in the country and has approximately 600 providers in 220 sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
Why work for us?
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas.
The Beaumont,Texas location will be the home base for this position. This is a fast-paced clinic with a very supportive group of fellow employees. We care for our patients and we care for one another. We work as a team to get the job the done!
Beaumont, Jasper and Port Arthur all have a hometown feel with historical venues and museums. We are close to the beach and the Neches River to enjoy outdoor fun on the water. Our patients and team members have access to a new state-of-the-art multi-disciplinary facility that provides medical oncology, hematology, radiation, surgical and diagnostic imaging services as well as access to clinical trials in a personalized, compassionate, community-based setting.
We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.
What does the Advanced Practice Provider do? (including but not limited to)
Under supervision or in collaboration with practice physicians, involved in the care of individuals, families and patient groups who are dealing with cancer or other related diagnosis. This care may be in clinic or virtually, via telemedicine. Responsibilities may include duties related to prevention, screening, patient care, management, and research. May serve as direct caregiver, health care consultant, patient educator, administrator, or researcher. Ensures compliance with OSHA and other regulatory standards and requirements. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities:
The essential duties and responsibilities (including but not limited to)- Assesses, plans, implements, and evaluates care for patients.
- Initiates and documents appropriate interventions; evaluates and records patient/family response and prescribes therapies as indicated.
- Performs procedures after appropriate training.
- Assesses patient/family needs and provides education.
- Promotes wellness and recommends community resources to meet patient and family needs.
- Incorporates the developing knowledge of evidence-based research into clinical practice.
- Developing knowledge of reimbursement procedures and documentation requirements.
- Completes patient charge capture and medical record documentation in a timely fashion.
- May provide case management for patients and their families, given limited knowledge of community resources.
- May promote/provide staff education
- Responsibilities may include rounding at affiliated hospitals and weekend or after-hour calls.
- Other duties as assigned.
The ideal candidate for the Advanced Practice Provider position will have the following background and experience:
Nurse Practitioner
Masters of Science in Nursing (MSN) from an accredited nursing school and successful completion of a Nurse Practitioner program.
Level 1 is entry-level and typically requires a minimum of 0-3 years of experience.
Level 2 requires a minimum of 3 years of experience.
Level Sr requires 6 years of experience.
RN state licensure and current registration with the State Board of Nursing in practicing state. Current state licensure as a Nurse Practitioner. Current basic life support (BLS)/CPR certification required.
OR
Physician Assistant
Successful completion of an accredited Physician Assistant program. Current NCCPA (National Commission on Certification of Physician Assistants) certification.
Level 1 is entry-level and typically requires 0-3 years of experience.
Level 2 requires 3 years of experience.
Level Sr requires 6 years of experience.
Current state license as a Physician Assistant in practicing state. Current basic life support (BLS)/CPR certification required.
OR
Clinical Nurse Specialist
Masters of Science in Nursing (MSN) from an accredited nursing school and successful completion of a Clinical Nurse Specialist program.
Level 1 is entry-level and typically requires a minimum of 0-3 years of experience.
Level 2 requires 3 years of experience.
Level Sr requires 6 years of experience.
RN state licensure and current registration with the State Board of Nursing in practicing state. Current state licensure as a Clinical Nurse Specialist. Current basic life support (BLS)/CPR certification required.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.
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*Hot Job* - 21 Days Ago
Case Manager
- Texas Family Care Network
-
Beaumont, TX
FULL_TIME
- Position Summary Case Managers are responsible for a child's welfare whenever they are removed from their home. They work closely with parents, extended family, and legal parties to help children find...
- 28 Days Ago
Heart Gallery Program Manager
- Texas Family Care Network
-
Beaumont, TX
FULL_TIME
- Position Summary The Heart Gallery Program Manager is responsible for leading the day-to-day operations and management of the Heart Gallery program, including the coordination of duties that focus on ...
- 1 Month Ago
Unit Manager - Registered Nurse (R.N.) - Mill Creek
- Cantex Continuing Care Network
-
Silsbee, TX
OTHER
- Job Details Job Location: Mill Creek - Silsbee, TX Salary Range: Undisclosed DescriptionDiversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our dif...
- 1 Day Ago
Case Manager (Beaumont, TX & Surrounding Counties)
- Texas Family Care Network
-
Beaumont, TX
FULL_TIME
- **LOOKING FOR CASE MANAGERS WILLING TO PROVIDE SERVICES IN THE FOLLOWING COUNTIES - ORANGE, JEFFERSON, HARDIN, JASPER, TYLER & NEWTON** Position Summary Case Managers are responsible for a child's wel...
- 1 Month Ago
FT RN/Case Manager (Lufkin area) - TheraCare Home Health Livingston
- Cantex Continuing Care Network
-
Livingston, TX
OTHER
- Job Details Job Location: TheraCare Home Health Livingston - Livingston, TX Position Type: Full Time Salary Range: Undisclosed Job Category: Nurse DescriptionDiversity, Equity, and Inclusion are at th...
- 16 Days Ago
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0 PROVIDER NETWORK MANAGER jobs found in Beaumont, TX area
Senior Project Manager
- Burrow Global, LLC
-
Beaumont, TX
- Position Summary Prime responsibility for the financial administration of a project and overall direction, coordination ...
- 4/24/2024 12:00:00 AM
Senior Project Manager
- Burrow Global
-
Beaumont, TX
- POSITION SUMMARY: Prime responsibility for the financial administration of a project and overall direction, coordination...
- 4/24/2024 12:00:00 AM
Hollister Co. - Key Holder (Part Time), Parkdale
- Abercrombie and Fitch Co.
-
Beaumont, TX
- Company Description Abercrombie & Fitch Co. (NYSE: ANF) is a leading, global specialty retailer of apparel and accessori...
- 4/24/2024 12:00:00 AM
Department Head, Technical Services
- Lamar University
-
Beaumont, TX
- General Description: The Department Head, Technical Services, reporting to the Dean of the Library, is responsible for m...
- 4/23/2024 12:00:00 AM
Store Manager
- Guitar Center
-
Beaumont, TX
- This position is eligible to participate in the Guitar Center Company bonus program based on Company performance. The jo...
- 4/23/2024 12:00:00 AM
Heart Gallery Program Manager
- Texas Family Care Network
-
Beaumont, TX
- Job Description Job Description Position Summary The Heart Gallery Program Manager is responsible for leading the day-to...
- 4/23/2024 12:00:00 AM
Senior Project Manager
- Burrow Global Llc
-
Beaumont, TX
- Position Summary Prime responsibility for the financial administration of a project and overall direction, coordination ...
- 4/22/2024 12:00:00 AM
Store Manager
- Express
-
Beaumont, TX
- Overview: About Express, Inc. Express, Inc. is a multi-brand fashion retailer whose portfolio includes Express, Bonobos ...
- 4/21/2024 12:00:00 AM
About Beaumont, Texas
Beaumont (/ˈboʊmɒnt/ BOH-mont) is a city in and the county seat of Jefferson County, Texas, in the United States, within the Beaumont–Port Arthur Metropolitan Statistical Area. Located in Southeast Texas on the Neches River about 85 miles (137 km) east of Houston (city center to city center), Beaumont had a population of 117,267 at the time of the 2010 census, making it the thirtieth-most populous city in the state of Texas.
Beaumont was founded as a town in 1835. The early European–American settlement had an economy based on the development of lumber, farming, and port industries. In 1892, Jo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$103,907 to $130,188
Beaumont, Texas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a PROVIDER NETWORK MANAGER do?
PROVIDER NETWORK MANAGER in Lafayette, LA
NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
December 25, 2019
PROVIDER NETWORK MANAGER in Saginaw, MI
A crucial part of this effort is educating our providers about our plans, particularly our insurance benefits and workers’ compensation plans, and how to navigate the claims process for each one.
February 21, 2020
PROVIDER NETWORK MANAGER in Elkhart, IN
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
January 03, 2020