Provider Network Specialist jobs in Killeen, 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
  • Hamilton, 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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Medical Assistant
  • Pain Specialist of America LLC
  • Killeen, TX FULL_TIME
  • DescriptionPain Specialists of AmericaPain Specialists of America ("PSA" or "Company") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. PSA is growing...
  • 1 Month Ago

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Childcare Provider
  • TEXAS TYKES ACADEMY, INC
  • Harker Heights, TX FULL_TIME
  • We are looking for a childcare provider to encourage the healthy intellectual and psychological growth of the children in our facilities. You will teach, care for, and supervise them while also motiva...
  • 27 Days Ago

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IT Network Administrator
  • Staccato
  • Florence, TX FULL_TIME
  • DescriptionTHE COMPANYAmericans who protect loved ones, communities, our Country, and our way of life choose Staccato. These heroes perform their best with our 2011® pistols and know we have their bac...
  • 19 Days Ago

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Computer Network Technologist II
  • PULAU Careers
  • Fort Cavazos, TX FULL_TIME
  • Job Title Computer Network Technologist II Job Type Full-Time Location Fort Cavazos, TX 76544 US (Primary) Career Level Experienced (Non-Manager) Salary Range Contract ATMP Travel Up to 50% Job Descri...
  • 20 Days Ago

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Tactical Network Engineer
  • CACI
  • Fort Cavazos, TX FULL_TIME
  • Tactical Network EngineerJob Category: Information TechnologyTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel...
  • 1 Day Ago

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0 Provider Network Specialist jobs found in Killeen, TX area

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Travel CT Technologist - $2,005 per week
  • Hiring Now!
  • Killeen, TX
  • Travel Nurses, Inc. is seeking a travel CT Technologist for a travel job in Killeen, Texas. Job Description & Requiremen...
  • 4/24/2024 12:00:00 AM

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Information Security Specialist III (IA Policy Admin Services)
  • Kaihonua
  • Killeen, TX
  • Position: Information Security Specialist III (IA Policy Administrative Services) Location: Fort Cavazos, Texas (Killeen...
  • 4/24/2024 12:00:00 AM

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Security Programmer (Genetec)
  • HireSparks AV Recruiting
  • Belton, TX
  • HIRING IMMEDIATELY!! FULL-TIME, OVER-TIME & TOP NOTCH BENEFITS! We are currently looking for a skilled Security Programm...
  • 4/23/2024 12:00:00 AM

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Submission for the position: Patient Services Specialist 2 - (Job Number: 24005823)
  • Baylor Scott & White Healthcare
  • Killeen, TX
  • JOB SUMMARY The Patient Services Specialist 2 provides administrative support in a physician office, clinic or other ope...
  • 4/23/2024 12:00:00 AM

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CDL-A Truck Driver - Home Weekly - Earn $1.6k/Week + No-Touch Freight
  • Hogan Transports
  • Kempner, TX
  • Hogan Transports is now hiring Dedicated CDL-A Drivers in Texas Earn $1,600+ Weekly - No-Touch Freight - Earn Your Poten...
  • 4/23/2024 12:00:00 AM

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CDL-A Truck Driver - Home Weekly - Earn $1.6k/Week + No-Touch Freight
  • Hogan Transports
  • Lampasas, TX
  • Hogan Transports is now hiring Dedicated CDL-A Drivers in Texas Earn $1,600+ Weekly - No-Touch Freight - Earn Your Poten...
  • 4/23/2024 12:00:00 AM

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Security Programmer (Genetec)
  • Hiresparks Av Recruiting
  • Belton, TX
  • HIRING IMMEDIATELY!! FULL-TIME, OVER-TIME & TOP NOTCH BENEFITS! We are currently looking for a skilled Security Programm...
  • 4/21/2024 12:00:00 AM

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Ophthalmology Clinical Software Support Specialist
  • Carl Zeiss Meditec, Inc.
  • Temple, TX
  • Job Description Job Description About Us: How many companies can say they’ve been in business for over 177 years?! Here ...
  • 4/21/2024 12:00:00 AM

Killeen is a city in Bell County, Texas, United States. According to the 2010 census, its population was 127,921, making it the 21st-most populous city in Texas. It is the principal city of the Killeen–Temple–Fort Hood Metropolitan Statistical Area. Killeen is directly adjacent to the main cantonment of Fort Hood. Its economy depends on the activities of the post, and the soldiers and their families stationed there. It is known as a military "boom town" because of its rapid growth and high influx of soldiers. Killeen is located in western Bell County at 31°6′20″N 97°43′36″W / 31.10556°N 97.7...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$53,145 to $79,452
Killeen, 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