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 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:
Schedule:
Ability to Relocate:
Work Location: In person
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