Provider Programs Manager jobs in Jackson, MS

Provider Programs Manager oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. Being a Provider Programs Manager reviews existing and future reimbursement policies, regulations and guidelines. Ensure competitiveness of provider network by the deployment of cost effective programs and systems that deliver results that meet cost control and quality goals of the organization. Additionally, Provider Programs Manager requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Provider Programs Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Programs Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

C
QIDP- Case Manager
  • Case Manager
  • Brookhaven, MS FULL_TIME,PART_TIME


  • POSITION PURPOSE: 

    Responsible for the day-to-day delivery of individual support program services to assigned case load in accordance with Federal, State, and facility codes, regulations, guidelines and expectations. 

    ESSENTIAL FUNCTIONS OF POSITION: 

    1. Develop and implement Individual Support Plans [ISPs] for each person in assigned case load based on accurate, reliable assessments and other information.
    2. Ensures the ISP addresses specific needs, etc., as identified from CFAs [Comprehensive Functional Assessments].
    3. Ensures programs are written to meet visions and goals identified on the resident’s ISP.
    4. Ensures written programs meet regulatory and facility requirements prior to implementation.
    5. Recommends and develops programs for unaddressed priority needs.
    6. Ensures that data collection forms and collection methodology reflects specific progress to stated program objective completion criteria and/or other outcomes for which the data is being collected, i.e., sleep data, participation data.
    7. Directs and ensures the delivery of ISP services.
    8. Systematically analyzes data to determine status related to criteria in the objective.
    9. Recommends and implements timely modifications of unsuccessful training programs
    10. Actively participate in facility Interdisciplinary Teams [IDT].
    11. Design and implement staff development programs [in-services] related to program services for all staff in all departments to maintain and improve their competencies.
    12. Ensure residents’ personal hygiene, dress and grooming is acceptable by local expectations.
    13. Spends most of the workday in the program areas training and directing, supporting the trainers.
    14. Ensures continuous active treatment regimen for those individuals assigned in the caseload.
    15. Any other responsibilities assigned by supervisor and/or administrator.

    EDUCATION / REQUIREMENTS: 

    Is one of the following: A doctor of medicine osteopathy, a registered nurse, an individual who holds at least a bachelor’s degree in a professional category specified in the Federal regulation 483.430 paragraph (b)(5) or designated as a human services professional that has at least a bachelor’s degree in a human services field (including, but not limited to: sociology, special education, rehabilitation counseling, and psychology). 

    At least one year’s experience working with intellectual disabilities or other developmental disabilities. 

    When State licensure and/or certification is required for the professional degree held by the QIDP, the license must be current and unencumbered. 


  • 2 Days Ago

A
Director of Mississippi Programs
  • Ampact
  • Jackson, MS FULL_TIME
  • Overview THIS IS A REMOTE POSITION BUT THE CANDIDATE SHOULD LIVE IN CENTRAL MS OR JACKSON MS TO VISIT PARTNER SCHOOL SITES, PARTICIPATE IN COMMUNITY PROGRAMS AND LEGISLATIVE COMMISSIONS. The Director ...
  • 10 Days Ago

S
Director of Programs & Communication
  • State of Mississippi
  • Jackson, MS FULL_TIME
  • See MSPB Careers for information regarding this classifications
  • Just Posted

W
Direct Service Provider
  • Willowood Developmental Center
  • Jackson, MS FULL_TIME
  • Willowood Developmental Center is currently accepting resumes and interviewing for the following position:( Jackson, MS)The candidate MUST be able to work all of the following:Community Living Shared ...
  • 2 Days Ago

M
Advanced Practice Provider (APP)
  • Monogram Health Professional Services
  • Laurel, MS FULL_TIME
  • Advanced Practice Provider Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitio...
  • 28 Days Ago

B
BlueAdvantage Network Provider Consultant
  • Blue Cross & Blue Shield of Mississippi
  • Flowood, MS FULL_TIME
  • Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellnes...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Provider Programs Manager jobs found in Jackson, MS area

A
Meetings and Events Sourcing/Meeting Manager
  • American Express Global Business Travel
  • Jackson, MS
  • Amex GBT is a place where colleagues find inspiration in travel as a force for good and through their work can make an i...
  • 4/18/2024 12:00:00 AM

C
Head of Accessibility
  • Cornerstone onDemand
  • Jackson, MS
  • Cornerstone is an AI-powered knowledge cloud for unified discovery, knowledge management, and personalized learning. Our...
  • 4/18/2024 12:00:00 AM

E
Project Manager- Hyperscale
  • Eaton Corporation
  • Jackson, MS
  • Eaton's North American Sales division is currently seeking a Project Manager- Hyperscale. This role is remote within the...
  • 4/18/2024 12:00:00 AM

S
Deputy Director of Government Accountability Division
  • State of Mississippi
  • Jackson, MS
  • Characteristics of Work See MSPB Careers for information regarding this classifications Minimum Qualifications Typically...
  • 4/18/2024 12:00:00 AM

A
Client Managing Partner - Healthcare & Pharma
  • Acxiom LLC
  • Jackson, MS
  • The Client Managing Partner owns the relationships with multiple of Acxioms accounts and clients. Oversees and maintains...
  • 4/16/2024 12:00:00 AM

C
Director of Innovation & Growth - Jackson, MS
  • Canopy
  • Jackson, MS
  • Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provide...
  • 4/15/2024 12:00:00 AM

A
Capture Manager - Remote
  • Amentum
  • Jackson, MS
  • Job Description **Purpose and Scope:** The Capture Manager Logistics and Supply Chain is accountable for growth and resp...
  • 4/15/2024 12:00:00 AM

C
Director of Quality & Accreditation - Jackson, MS
  • Canopy
  • Jackson, MS
  • Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provide...
  • 4/14/2024 12:00:00 AM

Jackson is located primarily in northeastern Hinds County, with small portions in Madison and Rankin counties. The Pearl River forms most of the eastern border of the city. A small portion of the city containing Tougaloo College lies in Madison County, bounded on the west by Interstate 220 and on the east by U.S. Route 51 and Interstate 55. An unconnected section of the city surrounds Jackson–Evers International Airport in Rankin County. In the 2010 census, only 622 of the city's residents lived in Madison County, and only 1 lived within the city limits in Rankin County. The city is bordered t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Programs Manager jobs
$94,653 to $122,265
Jackson, Mississippi area prices
were up 1.2% from a year ago

Provider Programs Manager in Saint Louis, MO
A provider's patients may be eligible for a case manager if they.
December 30, 2019
Provider Programs Manager in Rapid City, SD
Survey respondents named 36 different start-ups and established companies, among them companies that operate solely in the space, such as 2U, but also Cengage Learning, known primarily as a publisher, and Jenzabar, an administrative software provider.
December 21, 2019
Provider Programs Manager in Toledo, OH
When evaluating certificate programs, the following checklist is useful.
February 08, 2020