PROVIDER NETWORK MANAGER jobs in Killeen, 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)

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Nurse Practitioner - TX
  • Provider Partners Health Plan
  • Hamilton, 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

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Childcare Provider
  • TEXAS TYKES ACADEMY, INC
  • Harker Heights, TX FULL_TIME
  • We are looking for a childcare provider to encourage the healthy intellectual and psychological growth of the children in our facilities. You will teach, care for, and supervise them while also motiva...
  • 27 Days Ago

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IT Network Administrator
  • Staccato
  • Florence, TX FULL_TIME
  • DescriptionTHE COMPANYAmericans who protect loved ones, communities, our Country, and our way of life choose Staccato. These heroes perform their best with our 2011® pistols and know we have their bac...
  • 19 Days Ago

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Computer Network Technologist II
  • PULAU Careers
  • Fort Cavazos, TX FULL_TIME
  • Job Title Computer Network Technologist II Job Type Full-Time Location Fort Cavazos, TX 76544 US (Primary) Career Level Experienced (Non-Manager) Salary Range Contract ATMP Travel Up to 50% Job Descri...
  • 20 Days Ago

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Tactical Network Engineer
  • CACI
  • Fort Cavazos, TX FULL_TIME
  • Tactical Network EngineerJob Category: Information TechnologyTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel...
  • 1 Day Ago

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Sr. Network Engineer
  • CACI
  • Fort Cavazos, TX FULL_TIME
  • Sr. Network EngineerJob Category: Information TechnologyTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Con...
  • 2 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Killeen, TX area

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HUB Manager - Warfighter TRS
  • Amentum
  • Killeen, TX
  • **We are pipelining candidates for a future role. ***Contingent upon Contract Award***** Location(s) may include: Fort B...
  • 4/23/2024 12:00:00 AM

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Electric T&D Projects Manager II (Ft Cavazos, TX)
  • Dominion Energy
  • Killeen, TX
  • At Dominion Energy we love our jobs. That's right. Love. Every day we go to work filled with passion to be excellent, to...
  • 4/23/2024 12:00:00 AM

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Health Program Coordinator
  • Bell County
  • Killeen, TX
  • Job Description Job Description Group: 209 Step: 1 Job Code: 419General DescriptionThe purpose of this position is to as...
  • 4/22/2024 12:00:00 AM

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Crew Leader (Drainage)
  • City of Killeen, TX
  • Killeen, TX
  • Salary: $18.96 Hourly Location : Mowing and Drainage - Killeen, TX Job Type: Full-time Department: Public Works Division...
  • 4/21/2024 12:00:00 AM

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MANAGER TRAINEE
  • AutoZone Inc.
  • Killeen, TX
  • AutoZone is committed to being an equal opportunity employer. We offer opportunities to all job seekers including those ...
  • 4/21/2024 12:00:00 AM

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Operations Manager
  • The Buckle
  • Killeen, TX
  • Summary The Operations Manager is responsible for fulfilling our mission statement, "to create the most enjoyable shoppi...
  • 4/20/2024 12:00:00 AM

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Shop Manager Trainee - Shop#733 - 3600 West Stan Schlueter Loop
  • Driven Brands
  • Killeen, TX
  • Company:Take 5 Oil Change We invite you to join us at Take 5! Take 5 Oil Change is your neighborhood go-to oil change sp...
  • 4/20/2024 12:00:00 AM

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Crew Chief
  • Team Car Care dba Jiffy Lube
  • Killeen, TX
  • Overview: Start Your New Career Today! Pay: $15 an hour plus bonus pay and full benefits! GREAT working hours Monday thr...
  • 4/19/2024 12:00:00 AM

Killeen is a city in Bell County, Texas, United States. According to the 2010 census, its population was 127,921, making it the 21st-most populous city in Texas. It is the principal city of the Killeen–Temple–Fort Hood Metropolitan Statistical Area. Killeen is directly adjacent to the main cantonment of Fort Hood. Its economy depends on the activities of the post, and the soldiers and their families stationed there. It is known as a military "boom town" because of its rapid growth and high influx of soldiers. Killeen is located in western Bell County at 31°6′20″N 97°43′36″W / 31.10556°N 97.7...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$97,877 to $122,633
Killeen, Texas area prices
were up 1.2% from a year ago

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