PROVIDER NETWORK MANAGER jobs in Charlotte, NC

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)

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Community Network Provider
  • Unique Caring
  • Charlotte, NC FULL_TIME
  • SUMMARY: 
    Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not disabled.  This service is provided separate and apart from the participant’s private residence, other residential living arrangement, and /or the home of a service provider.  These services do not take place in licensed facilities and are intended to offer the participant the opportunity to develop meaningful community relationships with non-disabled individuals.  Services are designed to promote maximum participation in community life while developing natural supports within integrated settings.  Community Networking services will enable the participant to increase or maintain their capacity for independence and develop social roles valued by non-disabled members of the community.  
     
    Community Networking services consist of: 
    • Participation in adult education
    • Development of community-based time management skills
    • Community based classes for the development of hobbies, leisure/cultural interests
    • Volunteer work
    • Participation in community group or associations
    • Training and education in self-determination and self-advocacy 
    • Using public transportation
    • For children that need staffing supports to assist them to participate in day care/after school summer program
    • This service includes a combination of training, personal assistance and supports as needed by the participant during activities.  
    • Transportation to/from the participant’s residence and the training site is included.  
      
    Job Responsibilities:
    • Communicate relevant consumer information to Family Service’s Coordinator, care coordinator and or parents
    • Provide privacy and confidentiality of all consumer records
    • Assure consumers are free from abuse, mistreatment and or neglect and report any incidents of such to Family Service’s Coordinator, care coordinator and or parent
    • Treat each consumer with dignity and respect
    • Complete all documentation related to Individual Support Plans
    • Develop and demonstrate a thorough understanding of philosophy and purpose of caring for an MH/DD consumer
    • Develop familiarity with the treatment plan of each consumer served
    • Implement goals and recommendations for client served and follow appropriate documentation procedures
    • Provide a positive atmosphere which facilitates growth and learning
    • Make decisions based on training and policies when unsupervised
    • Perform duties and all other requested duties when requested by supervisor

    Staff Qualifications: 
    • Staff must meet the requirements for paraprofessionals in 10A NCAC 27G.0200
    • Staff must have a high school diploma or GED. 
    • Staff must meet client specific competencies as identified by the individual’s person-centered planning team and documented in the Individual Support Plans.
    • Staff must successfully complete First Aid, CPR and DMH/DD/SAS Core Competencies and required refresher training.
    • Paraprofessionals providing this service must be supervised by a Qualified Professional. Supervision must be provided according to supervision requirements specified in 10A NCAC 27G.0204 and according to licensure or certification requirements of the appropriate discipline.
    • Must have a criminal record check
    • A healthcare registry check as required in accordance with 10A NCAC 27G.0200
    • If providing transportation, have a North Carolina or other valid driver’s license, a safe driving record and an acceptable level of automobile liability insurance.
  • 12 Days Ago

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Provider Network Account Executive II
  • AmeriHealth Caritas Health Plan
  • Charlotte, NC FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities....
  • 8 Days Ago

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Provider Network Account Executive II
  • AmeriHealth Caritas Health Plan
  • Charlotte, NC FULL_TIME
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities....
  • 8 Days Ago

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Cleaner
  • Aware Manager
  • Charlotte, NC PART_TIME,FULL_TIME
  • CleanerWe are looking for a Cleaner to take care of our facilities and carry out cleaning and maintenance duties. The goal is to keep our building in a clean and orderly condition.ResponsibilitiesClea...
  • 24 Days Ago

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Network Architecture Project Manager
  • Brightspeed
  • Charlotte, NC FULL_TIME
  • Company DescriptionAt Brightspeed, we are reimagining how people live, work, play and connect by providing fast, reliable internet connections and an awesome customer experience in twenty states throu...
  • 7 Days Ago

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Network Operations Manager
  • The Cigna Group
  • Charlotte, NC OTHER,FULL_TIME
  • Provider Services Organization (PSO) main objective is to centralize and optimize provider operations, simplifying the provider experience and creating stronger value-based relationships.We are lookin...
  • 1 Month Ago

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0 PROVIDER NETWORK MANAGER jobs found in Charlotte, NC area

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Wealth Management Associate
  • Equitable Advisors
  • Charlotte, NC
  • Wealth Management Advisor - Equitable Advisors With Equitable founded in 1859, Equitable Advisors is a leading firm in t...
  • 4/26/2024 12:00:00 AM

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Senior Project Manager - Health Plan Operations ($125,000) - Remote
  • Confidential Jobs
  • Charlotte, NC
  • Healthcare and Health Plan operations | Unable to Sponsor We are looking for a Project Manager (Remote eligible) able to...
  • 4/26/2024 12:00:00 AM

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Manager
  • Free Fenix Salata Rea Farms LLC
  • Charlotte, NC
  • About the Role Manager is someone who thrives on challenge and continually looks for opportunities to learn. They are as...
  • 4/25/2024 12:00:00 AM

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Assistant General Manager
  • Salata
  • Charlotte, NC
  • Description DescriptionAbout the Role The Restaurant AGM is someone who thrives on challenge and continually looks for o...
  • 4/25/2024 12:00:00 AM

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Project Manager
  • Gray Construction
  • Charlotte, NC
  • Overview: Gray Construction is looking for a Project Manager to join their Charlotte, NC office. : Why Gray? Gray is a f...
  • 4/24/2024 12:00:00 AM

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Chief Financial Officer
  • Garden City Equity
  • Charlotte, NC
  • Garden City Equity is a people-first holding company investing in exceptional founder & family-owned businesses. We live...
  • 4/23/2024 12:00:00 AM

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AM Supervisor
  • Kimpton Hotels & Restaurants
  • Charlotte, NC
  • Job Snapshot Why We're Here We believe heartfelt, human connections make people's lives better. Especially the people wh...
  • 4/23/2024 12:00:00 AM

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Vice President of Advancement
  • Communities In Schools of Charlotte
  • Charlotte, NC
  • Job Type Full-time Description SUMMARY Reporting to the President and Chief Executive Officer (CEO), the Vice President ...
  • 4/22/2024 12:00:00 AM

Charlotte (/ˈʃɑːrlət/) is the most populous city in the U.S. state of North Carolina. Located in the Piedmont, it is the county seat of Mecklenburg County. In 2017, the U.S. Census Bureau estimated the population was 859,035, making it the 17th-most populous city in the United States. The Charlotte metropolitan area's population ranks 22nd in the U.S., and had a 2016 population of 2,474,314. The Charlotte metropolitan area is part of a sixteen-county market region or combined statistical area with a 2016 census-estimated population of 2,632,249. Between 2004 and 2014, Charlotte was ranked as...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$104,445 to $130,863
Charlotte, North Carolina area prices
were up 1.5% from a year ago

PROVIDER NETWORK MANAGER in Lafayette, LA
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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