PROVIDER NETWORK MANAGER jobs in Muskegon, 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)

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Adult Case Manager
  • Centra Wellness Network
  • Manistee, MI FULL_TIME
  • Job Summary:
    We are seeking a dedicated and compassionate Case Manager to join our team. As a Case Manager, you will be responsible for coordinating and providing comprehensive care to patients in need. Your role will involve assessing patient needs, developing care plans, and collaborating with healthcare professionals to ensure the best possible outcomes. If you have a passion for helping others and possess the necessary skills and qualifications, we would love to hear from you.

    Responsibilities:
    - Conduct patient assessments to determine their needs and develop individualized care plans
    - Collaborate with healthcare professionals, including physicians, nurses, and social workers, to coordinate patient care
    - Monitor patient progress and adjust care plans as needed
    - Provide education and support to patients and their families regarding treatment options and resources
    - Advocate for patients' rights and ensure they receive appropriate care
    - Maintain accurate and up-to-date documentation of patient interactions and progress
    - Stay current on relevant medical research, treatment options, and community resources

    Requirements:
    - Bachelor's degree in a related field (e.g., Social Work, Nursing)
    - Previous experience in case management or a related role preferred
    - Knowledge of ICU protocols and acute care settings
    - Familiarity with physiology and medical terminology
    - Strong communication and interpersonal skills
    - Ability to work effectively in a fast-paced environment
    - Knowledge of addiction counseling principles is a plus
    - Understanding of HIPAA regulations and patient confidentiality
    - Proficiency in using electronic medical records systems

    Benefits:
    - Competitive salary based on experience
    - Comprehensive health insurance coverage
    - Retirement savings plan options
    - Paid time off and holidays

    If you are passionate about making a difference in the lives of patients and possess the necessary skills and qualifications, we encourage you to apply for this rewarding position. Please submit your resume along with a cover letter detailing your relevant experience. We look forward to reviewing your application.

    Job Type: Full-time

    Pay: $49,169.00 - $63,920.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift

    Ability to Relocate:

    • Manistee, MI: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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ACT - Case Manager $49,169-$63,920
  • Centra Wellness Network
  • Mansitee, MI FULL_TIME
  • DescriptionJob SummaryAs a member of the Assertive Community Team (ACT) provides services and supports to adults who are diagnosed with serious and persistent mental illness, which may include co-occu...
  • 6 Days Ago

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Acces Intake Case Manager $49,169-$63,920
  • Centra Wellness Network
  • MANISTEE, MI FULL_TIME
  • DescriptionJoin the CWN team if you are interested about making a difference in individual’s lives within our communities here in beautiful Northwest Michigan. Where everyone’s life is valued, has mea...
  • 6 Days Ago

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Invasive Species Network Survey Crew
  • Northwest Michigan Invasive Species Network
  • Traverse, MI TEMPORARY,FULL_TIME
  • Full Job description can be found at https://www.habitatmatters.org/employment.html POSITION SUMMARY The Invasive Species Survey Technicians (2 positions) work together, along with the Director and Ha...
  • 20 Days Ago

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Network/Systems Administrator
  • Robert Half
  • Newaygo, MI PER_DIEM
  • Robert Half is searching for a Network Administrator with experience and outstanding organizational skills to join a prominent company. To be successful in this role, you should have a can-do attitude...
  • 8 Days Ago

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Check in
  • Prep Network
  • Shelby, MI FULL_TIME
  • Job Summary You will be working player check-in at our showcase on Sunday, December 10th at Premier Sports Center in Shelby Township, MI. As a check-in staff member, you will be the first person playe...
  • 23 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Muskegon, MI area

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Local Coordinator for High School foreign Exchange Student Program
  • Greenheart Exchange
  • Muskegon, MI
  • Job Description Job Description By becoming a Greenheart Exchange Local Coordinator, you have the opportunity to change ...
  • 4/26/2024 12:00:00 AM

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Sales Assistant Manager
  • RAC Brands
  • Muskegon, MI
  • Job Description Rent A Center Ready to do your best work? Interested in a starting hourly rate up to $19.00 to 20.00? Wh...
  • 4/26/2024 12:00:00 AM

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Operations Manager
  • The Buckle
  • Muskegon, MI
  • Summary The Operations Manager is responsible for fulfilling our mission statement, "to create the most enjoyable shoppi...
  • 4/25/2024 12:00:00 AM

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Senior Controller
  • CapstoneONE Search
  • Muskegon, MI
  • We are representing an industry leading Fortune 500 consumer products organization who is actively seeking a Senior Cont...
  • 4/24/2024 12:00:00 AM

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Management Trainee
  • Enterprise Holdings
  • Muskegon, MI
  • Overview: Start your career with Enterprise Mobility! Were hiring immediately for our respected Management Training Prog...
  • 4/24/2024 12:00:00 AM

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General Manager(01276) - 6022 S Harvey
  • Domino's Franchise
  • Muskegon, MI
  • Job Description Job Description Job DescriptionABOUT THE JOB You were born to be the boss. We know. You get up in the mo...
  • 4/23/2024 12:00:00 AM

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Part Time Key Holder
  • Jo-Ann Stores, LLC
  • Muskegon, MI
  • Summary The Key Holder's responsibility first and foremost is to deliver a premium customer experience by inspiring crea...
  • 4/22/2024 12:00:00 AM

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Senior Controller
  • Capstoneone Search
  • Muskegon, MI
  • We are representing an industry leading Fortune 500 consumer products organization who is actively seeking a Senior Cont...
  • 4/22/2024 12:00:00 AM

Muskegon (/mʌˈskiːɡən/) is a city in the U.S. state of Michigan, and is the largest populated city on the eastern shores of Lake Michigan. At the 2010 census the city population was 38,401. The city is the county seat of Muskegon County. It is at the southwest corner of Muskegon Township, but is administratively autonomous. The Muskegon Metro area had a population of 172,188 in 2010. It is also part of the larger Grand Rapids-Wyoming-Muskegon-Combined Statistical Area with a population of 1,321,557....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$100,676 to $126,141
Muskegon, 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.
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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.
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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