Provider Network Specialist jobs in Corpus Christi, TX

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Nurse Practitioner - TX
  • Provider Partners Health Plan
  • Corpus Christi, 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

     

  • 26 Days Ago

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Network Engineer
  • Nueces Electric Cooperative (NEC)
  • Corpus Christi, TX FULL_TIME
  • Network Engineer- -Robstown/Calallen, Texas At Nueces Electric Cooperative, we thrive on being the organization that people love to work at. Come join our team as our IT Department's Network Engineer ...
  • 1 Month Ago

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Childcare Provider
  • Odyssey Early Early Learning of Portland
  • Portland, TX FULL_TIME
  • About us Odyssey Early Early Learning of Calallen is an early learning center that is focus on the well being and early development of children. We service children 6 weeks to 5 years of age. Odyssey ...
  • 26 Days Ago

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Provider/Attendant
  • Legacy Home Health Agency, Inc.
  • Rockport, TX FULL_TIME,PART_TIME
  • Our Mission The mission of Legacy Home Health Agency is “Putting People First” by providing high quality compassionate care for the communities we serve. Legacy Home Health Agency is proud of our cont...
  • 29 Days Ago

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Provider/Attendant
  • Legacy Home Health Agency, Inc.
  • Three Rivers, TX FULL_TIME,PART_TIME
  • Our Mission The mission of Legacy Home Health Agency is “Putting People First” by providing high quality compassionate care for the communities we serve. Legacy Home Health Agency is proud of our cont...
  • 1 Month Ago

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Provider/Attendant
  • Legacy Home Health Agency, Inc.
  • Aransas Pass, TX PART_TIME,FULL_TIME
  • Our Mission The mission of Legacy Home Health Agency is “Putting People First” by providing high quality compassionate care for the communities we serve. Legacy Home Health Agency is proud of our cont...
  • 1 Month Ago

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0 Provider Network Specialist jobs found in Corpus Christi, TX area

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Clinical Laboratory Scientist II - Laboratory
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: This position performs all routine and complicated laboratory procedures including specimen process...
  • 4/19/2024 12:00:00 AM

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Clinical Laboratory Scientist II - Laboratory
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: This position performs all routine and complicated laboratory procedures including specimen process...
  • 4/19/2024 12:00:00 AM

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Clinical Documentation Medical Professional - Clinical Documentation - Onsite
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: The Clinical Documentation Medical Professional is responsible for facilitating improvement in the ...
  • 4/19/2024 12:00:00 AM

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Catheterization Laboratory Technologist - Cardiology Cath
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: Prepares and monitors patients throughout diagnostic and therapeutic procedures. May perform scrub ...
  • 4/19/2024 12:00:00 AM

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HIM Technician Senior - Health Information Mgmt
  • Christus Health
  • Corpus Christi, TX
  • Description Summary: Collect and image all medical records following dates of service, analyze medical records for docum...
  • 4/19/2024 12:00:00 AM

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Catheterization Laboratory Technologist - Cardiology Cath
  • Disability Solutions
  • Corpus Christi, TX
  • Description Summary: Prepares and monitors patients throughout diagnostic and therapeutic procedures. May perform scrub ...
  • 4/19/2024 12:00:00 AM

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Systems Engineer / System Administrator for Managed Service Provider
  • Straight Edge Technology, Inc.
  • Corpus Christi, TX
  • We need a team member that is excited about working at an MSP... More specifically, we need a System Administrator that ...
  • 4/18/2024 12:00:00 AM

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Maintenance Technician III - Corpus Christi, TX
  • DELAWARE RESOURCE GROUP OF OKLAHOMA
  • Corpus Christi, TX
  • Job Details Job Location METS GBTS CORPUS CHRISTI - Corpus Christi, TX Position Type Full Time Education Level High Scho...
  • 4/18/2024 12:00:00 AM

Corpus Christi (/ˌkɔːrpəs ˈkrɪsti/), colloquially Corpus (Latin: Body of Christ), is a coastal city in the South Texas region of the U.S. state of Texas. The county seat of Nueces County, it also extends into Aransas, Kleberg, and San Patricio Counties. It is 130 miles southeast of San Antonio. Its political boundaries encompass Nueces Bay and Corpus Christi Bay. Its zoned boundaries include small land parcels or water inlets of three neighboring counties. The city's population was estimated to be 320,434 in 2014, making it the eighth-most populous city in Texas. The Corpus Christi metropolita...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$54,899 to $82,074
Corpus Christi, Texas area prices
were up 1.2% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020