PROVIDER NETWORK MANAGER jobs in Benton Harbor, MI

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)

I
Care Manager - RN Required
  • InterCare Community Health Network
  • Benton, MI FULL_TIME
  • Description

    InterCare is a Federally Qualified Health Center which MAY qualify employees for National Student Loan Forgiveness program.


    Become part of a Migrant and Community Health Center, where you will:

    • Have a passionate purpose.
    • Do worthwhile work.
    • Make a difference in people’s lives.

    InterCare is searching for a full-time Care Manager to join our team in Benton Harbor! At InterCare, you’ll find a rewarding and challenging work environment and a competitive compensation with pay starting at $70,000/year and benefits package which includes: vacation/personal paid time off, sick time, 10 paid holidays, tuition reimbursement program, medical, prescription, dental, vision, life insurance, and short term and long term disability insurance.


    At InterCare Community Health Network, we believe all people have the right to equal access to quality health care.


    InterCare NO LONGER requires employees to have the COVID vaccine, however, you may receive a vaccine at no cost at any of our clinic locations.


    Work Schedule:


    Hours are Monday through Thursday from 7:30 a.m. to 5:30 p.m. with occasional late patient activity. Days and work schedule may vary due to business need. NO WEEKENDS! NO MAJOR HOLIDAYS!


    Primary Accountability


    Serves as a member of the care team providing high quality, holistic healthcare to patients with multiple chronic conditions [high risk patients] through a client-centered approach. Responsible for providing care management to complex patients, population health management and for assisting the healthcare provider in an ambulatory care setting.


    Description of Primary Duties & Responsibilities

    • Provides ongoing Population Health Management
    • Monitors evidence-based clinical indicators to assess progress toward better health and shares these with the patient/families to initiate disease management protocols in collaboration with provider, develops/revises/evaluates process standards and clinical guidelines
    • Provides patient education and identifies patient teaching needs related to disease management including: diet, exercise, and medications
    • Utilizes patient registries and lists to identify at-risk patients who would benefit from care management, particularly patients with identified risk stratification level of 7 and 9
    • Performs or assures completion / documentation of a comprehensive patient assessment: medical, functional, cognitive, affective, psychosocial, nutritional and environmental
    • Monitors the patient, assessing progress on self-management goals, and if current goals met, guides the patient to set new goals. Identifies barriers to care and works to help the patient problem-solve to overcome them
    • Provides medication management and adherence education within the scope of care management
    • Manages care of patients through collaboration with members of the health care team and other health professionals in order to make decisions about treatment and assist the patient in attaining health goals.

    Requirements

    Professional and Technical Knowledge

    • Minimum of two years of ambulatory and/or hospital nursing experience preferred, care management experience preferred
    • Current RN license in the State of Michigan
    • BLS Certification, to be completed within 90 days
    • Displays compassionate, ethical and professional demeanor
    • Communicates effectively with patients and family members involved in their care
    • Able to use computers and Microsoft Office efficiently


    Communication Skills

    • Possesses a communication style to convey complex concepts in a clear effective manner
    • Possesses excellent cross cultural communication skills and the ability to communicate to staff members at all levels


    Physical Demands


    Job duties are performed in the typical office environment of the organization, which requires ordinary ambulatory skills sufficient to visit other locations. The environmental factors and/or physical requirements of this position include the following:

    • Ability to stand, walk, stoop, kneel, crouch, frequently sit, and lift up to 25 lbs
    • Requires good hand-eye coordination, reach with arms & hands, and finger dexterity, including ability to grasp, and manipulate (using keyboard, office equipment)
    • Visual acuity to use keyboard, operate office equipment, and read printed material and regularly required to talk and hear
    • Able to hear and communicate clearly with clients and staff on telephone and in person
  • 14 Days Ago

I
IT Network Administrator - Partial Remote Option
  • InterCare Community Health Network
  • Bangor, MI FULL_TIME
  • Description InterCare is a Federally Qualified Health Center which MAY qualify employees for National Student Loan Forgiveness program. This is a partially remote eligible position (3 days off-site an...
  • 18 Days Ago

L
Network Administrator
  • LECO Corporation
  • Joseph, MI FULL_TIME
  • Network AdministratorFor over 80 years, LECO has been a leader in the development and production of world-class laboratory instruments delivering state-of-the-art products nationwide and across the gl...
  • 2 Months Ago

I
Cisco / Network Administrator
  • Impact Solutions Inc
  • Saint Joseph, MI FULL_TIME
  • Join an Industry Leader as a Network Administrator! Are you ready to make a significant impact in the electronic manufacturing industry? Our client, a global leader with over 75 years of innovation, i...
  • 2 Months Ago

A
Lead Network Engineer
  • Avance Consulting Services
  • Benton, MI FULL_TIME
  • Company DescriptionWarm Greetings!My name is Srinath and I am a Sr. Technical Recruiter with Avance Consulting. We are a leading consulting company and have been in consulting business for last 10 yea...
  • 2 Months Ago

M
CHILD CARE PROVIDER ASSISTANT
  • Michigan Association of School Boards
  • Saint Joseph, MI FULL_TIME
  • Deadline: July 30, 2024 District/Organization: St. Joseph County ISD Position/Type: Other, full time Salary: $13.12 – $14.48 Position Details QUALIFICATIONS: Associate’s degree (AA) in Early Childhood...
  • 3 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 PROVIDER NETWORK MANAGER jobs found in Benton Harbor, MI area

D
Team Manager
  • Dunham's Sports
  • Benton Harbor, MI
  • LOVE TO TALK SPORTS? Dunham's Sports, one of the largest full-line sporting goods chains in the U.S., was founded in 193...
  • 5/9/2024 12:00:00 AM

D
OPERATIONS ASSISTANT MANAGER
  • Dollar Tree
  • Saint Joseph, MI
  • Job Description Work where you love to shop! Dollar Tree is hiring in your neighborhood. Avoid long commutes and set you...
  • 5/9/2024 12:00:00 AM

C
Eagle Technologies - Project Manager
  • Convergix Automation
  • Bridgman, MI
  • What would a typical day look like? Lead and deliver a variety of projects to customer satisfaction, on time delivery wi...
  • 5/9/2024 12:00:00 AM

T
Apparel Manager
  • The Stray Dog Bar & Grill
  • New Buffalo, MI
  • Job Summary The Stray Dog Gear Store is seeking an experienced and talented Store Manager. A Stray Dog Gear Store Manage...
  • 5/9/2024 12:00:00 AM

D
OPERATIONS ASSISTANT MANAGER
  • Dollar Tree
  • Benton Harbor, MI
  • Job Description Work where you love to shop! Dollar Tree is hiring in your neighborhood. Avoid long commutes and set you...
  • 5/8/2024 12:00:00 AM

M
Home Health Occupational Therapist $10,000 Bonus
  • Mary Free Bed at Home
  • Benton Harbor, MI
  • At Mary Free Bed at Home, were looking to add to our extraordinary care team. Grounded by our belief that outstanding ca...
  • 5/8/2024 12:00:00 AM

D
Team Manager
  • Dunhams Sports
  • South Haven, MI
  • LOVE TO TALK SPORTS? Dunham’s Sports, one of the largest full-line sporting goods chains in the U.S., was founded in 193...
  • 5/8/2024 12:00:00 AM

S
Starbucks Lead
  • SpartanNash Company
  • Dowagiac, MI
  • At SpartanNash, we deliver the ingredients for a better life through customer-focused innovation. We do this for our sup...
  • 5/7/2024 12:00:00 AM

Benton Harbor is a city in Berrien County in the U.S. state of Michigan which is located southwest of Kalamazoo, and northwest of South Bend, Indiana. In 2010, the population was 10,038 according to the census. It is the smaller, by population, of the two principal cities in the Niles–Benton Harbor Metropolitan Statistical Area, an area with 156,813 people. Benton Harbor and the city of St. Joseph are separated by the St. Joseph River and are known locally as the "Twin Cities".[not in citation given] Fairplain and Benton Heights are unincorporated areas adjacent to Benton Harbor. According to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,363 to $130,760
Benton Harbor, Michigan area prices
were up 1.3% from a year ago

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