PROVIDER NETWORK MANAGER jobs in Longview, 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
  • Rusk, 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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Business Office Manager - Larkspur
  • Cantex Continuing Care Network
  • Lufkin, TX OTHER
  • Job Details Job Location: Larkspur - Lufkin, TX Position Type: Full Time Salary Range: Undisclosed Job Shift: Day Job Category: Finance DescriptionDiversity, Equity, and Inclusion are at the heart of ...
  • 1 Month Ago

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Case Manager (Nacogdoches & Surrounding Counties)
  • Texas Family Care Network
  • Nacogdoches, TX FULL_TIME
  • **LOOKING FOR CASE MANAGERS WILLING TO PROVIDE SERVICES IN THE FOLLOWING COUNTIES - NACOGDOCHES, SHELBY, ST. AUGUSTINE, SABINE** Position Summary Case Managers are responsible for a child's welfare wh...
  • 1 Month Ago

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Childcare Provider
  • B.J.H. Learning Academy
  • Tyler, TX FULL_TIME,PART_TIME
  • Overview: We are seeking a dedicated Childcare Provider to join our team. The ideal candidate will have experience in childcare, possess strong interpersonal skills, and be passionate about working wi...
  • 9 Days Ago

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Computer/Network Support Technician
  • Paris ISD
  • Paris, TX FULL_TIME
  • JobID: 834 Position Type: Technology Date Posted: 12/13/2023 Location: Technology Department Date Available: ASAP Job Title: Computer\Network Support Technician Exemption Status/Test: Nonexempt Report...
  • 18 Days Ago

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Network Support Specialist III
  • Stephen F. Austin University
  • Nacogdoches, TX FULL_TIME
  • This is a professional position responsible for assisting in all aspects of network installation, administration, and support of LAN/WAN systems. Responsible for managing computer servers and wiring i...
  • 11 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Longview, TX area

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Treasury Management Support Specialist in Longview Oak Forest
  • Austin Bank
  • Longview, TX
  • ** Treasury Management Support Specialist in Longview Oak Forest** **Job Category****:** Austin Bank Job Family **Requis...
  • 4/26/2024 12:00:00 AM

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Manager, Third Party Oversight
  • Capital One
  • Longview, TX
  • West Creek 5 (12075), United States of America, Richmond, Virginia Manager, Third Party Oversight At Capital One, you wi...
  • 4/25/2024 12:00:00 AM

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Assistant Controller (02-23-2024)
  • Le Tourneau University
  • Longview, TX
  • We are seeking an accounting professional to assist the Controller in managing the university's financial operations whi...
  • 4/24/2024 12:00:00 AM

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Manager Trainee
  • Insta-Cash Pawn
  • Longview, TX
  • *Looking for management personnel to work in East Texas. We have management positions open in Longview, Marshall, Hender...
  • 4/24/2024 12:00:00 AM

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Hollister Co. - Key Holder (Part Time), Longview
  • Abercrombie and Fitch Co.
  • Longview, 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

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Supervisor Laboratory
  • Talentburst Inc.
  • Longview, TX
  • Supervisor Laboratory, Longview, TX Shift: Flexible 8hr Days/Nights - OT Opportunity Length: 13wks Weekends: Yes On-Call...
  • 4/23/2024 12:00:00 AM

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Sr. Manager, Technical Program Management - Auto Loans
  • Capital One
  • Longview, TX
  • Plano Town Center (31064), United States of America, Plano, Texas Sr. Manager, Technical Program Management - Auto Loans...
  • 4/22/2024 12:00:00 AM

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Senior Manager, Technical Program Management - Enterprise Platforms
  • Capital One
  • Longview, TX
  • Plano Town Center (31064), United States of America, Plano, Texas Senior Manager, Technical Program Management - Enterpr...
  • 4/22/2024 12:00:00 AM

Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$98,308 to $123,173
Longview, Texas area prices
were up 1.2% from a year ago

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