PROVIDER NETWORK MANAGER jobs in Portsmouth, NH

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)

N
Case Manager
  • Northeast Rehabilitation Health Network
  • Portsmouth, NH PER_DIEM
  • At Northeast Rehabilitation Hospital Network (NRHN) services and programs are guided by a commitment to our Service Pledge and our core values. Honesty, Integrity, Responsibility, Trust and Respect. Through partnerships with patients, families and each other, we promote a healthy, healing environment. Patient-family centered care and evidence-based practice makes Northeast Rehabilitation Hospital Network the best place for patients and families.

    We maintain an atmosphere conducive to healing, recovery, and wellness that is grounded in the core concepts of patient and family centered care:

    • Dignity & respect
    • Information sharing
    • Participation
    • Collaboration

    Case Manager Responsibilities...

    • The case manager is responsible for the internal process of managing and coordinating all the major aspects of the patient's care, and communicating the relevant aspects of the rehabilitation process to all necessary parties. 
    • This process involves assisting in the pre-admission determinations, coordination of necessary and appropriate services, assuring financial reimbursement for services, promoting adequate documentation, and effectively communicating with the involving all parties affected by the rehabilitation process. 
    • The case manager will be responsible for assessing the psychosocial, medical, and fiscal needs of all pediatric, young adults, adult and geriatric patients and families, discharge planning and referrals.

     

     

           To qualify you must...

    • Masters degree, Bachelor's degree or (RN) in nursing, social work and allied health services.
    • Experience in rehabilitation and/or healthcare preferred.
    • Excellent oral and written communication skills.
    • Strong organizational and interpersonal skills.
    • Negotiation skills.
    • Ability to work autonomously.
    • Good hearing and sight to adequately communicate with patients, family, staff and third party payors and their representatives.
    • When the position is held by a nurse, availability to offer clinical case consultation on nursing issues.

     

     

    Northeast Rehabilitation Hospital Network offers competitive compensation and unmatched benefits for qualified employees. This would include affordable health, vision and dental insurance, generous levels of time off, matching 401k plan, Healthcare Reimbursement Arrangement (HRA), Tuition Reimbursement, Verizon cell phone plan discounts (22%), along with many other local and national discounts to take advantage of.

    Northeast Rehabilitation Hospital Network is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability. 

     

     

     

  • 9 Days Ago

C
Assistant Manager and Medical Aesthetics Provider
  • Confident Med Spa
  • Rochester, NH FULL_TIME
  • Job Title: Assistant Manager and Medical Aesthetics Provider (RN or LE) Location: Rochester, NH Position Overview:Confident Med Spa, a premier medical aesthetics practice and spa, opened in October of...
  • 27 Days Ago

O
General Dermatologist - York, ME
  • Optima Dermatology - Physician and Provider Openings
  • York, ME FULL_TIME
  • Multi-site Dermatology and Medical Aesthetics Group Seeks General Dermatologist in York, ME Optima Dermatology is recruiting a Board Certified / Board Eligible Dermatologist for our York, ME. This pos...
  • 8 Days Ago

O
General Dermatologist - Stratham, NH
  • Optima Dermatology - Physician and Provider Openings
  • Stratham, NH FULL_TIME
  • Multi-site Dermatology and Medical Aesthetics Group Seeks General Dermatologist in Stratham, NH Optima Dermatology is recruiting a Board Certified / Board Eligible Dermatologist to join a thriving Der...
  • 8 Days Ago

O
General Dermatologist - Portsmouth, NH
  • Optima Dermatology - Physician and Provider Openings
  • Portsmouth, NH FULL_TIME
  • Multi-site Dermatology and Medical Aesthetics Group Seeks General Dermatologist in Portsmouth, NH Optima Dermatology is recruiting a Board Certified / Board Eligible Dermatologist to join a thriving D...
  • 10 Days Ago

O
Board-Certified Dermatologist with Dermatopathology Fellowship
  • Optima Dermatology - Physician and Provider Openings
  • Portsmouth, NH FULL_TIME
  • Multi-site Dermatology Group Seeks Per Diem Board-Certified Dermatologist with Dermatopathology Fellowship in Portsmouth, New Hampshire Optima Dermatology is recruiting an AP board-certified Dermatolo...
  • 11 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 PROVIDER NETWORK MANAGER jobs found in Portsmouth, NH area

Portsmouth is a city in Rockingham County, New Hampshire, United States. As of the 2010 census it had a population of 21,233, and in 2017 the estimated population was 21,796. A historic seaport and popular summer tourist destination on the Piscataqua River bordering the state of Maine, Portsmouth was formerly the home of the Strategic Air Command's Pease Air Force Base, since converted to Portsmouth International Airport at Pease. According to the United States Census Bureau, the city has a total area of 16.8 square miles (43.6 km2), of which 15.6 square miles (40.5 km2) is land and 1.2 square...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$111,982 to $140,307
Portsmouth, New Hampshire area prices
were up 1.4% 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.
December 25, 2019
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.
February 21, 2020
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