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)
Job Purpose:
To provide patient-driven care, the Registered Nurse, in collaboration with the interdisciplinary team, will deliver treatment with an emphasis on optimization of clinical flow, maintenance of equipment and inventory, recruitment and training of medical support staff. Care coordination with front office, Providers and support staff to help ensure schedules are optimized and appointment vacancies are minimal.
Essential Functions:
● Responsible for overseeing and directing all activities of the medical assistant and phlebotomy staff.
● Reviews, analyzes and maintains appropriate staffing.
● Assist Center and Market Leaders in developing, implementing and maintaining standards of operation.
● Identifies patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements.
● Establishes a compassionate environment by providing education and psychological support to medical assistants, patients and all co-workers. Resolves patient problems and needs by utilizing multidisciplinary team strategies.
● Maintains safe and clean working environment by complying with policies, procedures, rules, and regulations; calling for assistance from health care support personnel when necessary.
● Protects patients and employees by adhering to infection-control policies and protocols, safe medication administration, mixing, and storage procedures, and controlled substance regulations.
● Documents patient care services by charting in patient and department records.
● Maintains continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs.
● Maintains patient confidence and protects operations by keeping information confidential.
● Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
● Maintains nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results.
● Manages clinical flow for provider efficiency to optimize business objectives.
● Contributes to performance measures and monitors MIPS performance, to include education to MA and provider guidance.
● Maintains a respectful cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
● Regular attendance and punctuality.
● Responsible for recruitment of support staff, onboarding and performance evaluations.
● Contributes to team effort by accomplishing related results as needed.
● Ensures that all processing and reporting deadlines are consistently achieved.
● Perform any other functions as required by management.
Qualifications and Education Requirements
● Ability to work a flexible schedule as necessary.
● Graduated from an accredited school of nursing with a diploma, Associate or Bachelor’s degree in Nursing..
● Licensed by the state.
Preferred Skills
● Two or more years as a supervisory registered nurse.
● Bachelor of Science in related field
Required Competencies
Strong leadership and teambuilding skills. Excellent judgment, dependability, conscientious performance. Detail oriented. Exceptional interpersonal and communication skills. Caring and empathic. High ethical standards. Mechanical ability and manual dexterity for operating complicated equipment.
Physical Demands and Work Environment
The physical demands and work environment characteristics 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.
Physical demands: While performing the duties of this job, employee is required to walk; sit; use hands to handle, or feel objects, tools, or controls; reach hands and arms; talk and hear. Employee must lift and/or move 50 pounds. Specific vision abilities required by the job include close vision, distant vision, color vision, peripheral vision, depth perception, speech clarity, climb, balance, and stoop, kneel, and bend.
Work environment: While performing the duties of this job, the employee is exposed to environmental risk of radiation exposure, and biohazard exposure.
ION123
Job Type: Full-time
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Work Location: In person
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