Provider Relations Representative jobs in Killeen, TX

Provider Relations Representative supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. Typically requires a bachelor's degree. Being a Provider Relations Representative typically reports to a supervisor or manager. The Provider Relations Representative works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Provider Relations Representative typically requires 0-2 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

     

  • 26 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Joaquin Carrasquillo - State Farm Agent
  • Killeen, TX FULL_TIME
  • Position Overview Looking for a part-time job that provides meaningful work and competitive compensation? Consider a position in a State Farm Agent's office. Responsibilities Establish customer relati...
  • 11 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Kalynn Tindall - State Farm Agent
  • Killeen, TX FULL_TIME
  • Position Overview: Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the...
  • 4 Days Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Alan Cox - State Farm Agent
  • Killeen, TX FULL_TIME
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the ...
  • 14 Days 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...
  • 19 Days Ago

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Childcare Provider
  • Trinity Child Care Center
  • Copperas Cove, TX FULL_TIME,PART_TIME
  • Trinity Child Care would like to add to our team. We are looking for experienced child care providers who are passionate about childcare. We provide care for children aged 6 weeks to 12 years. Previou...
  • 1 Month Ago

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0 Provider Relations Representative jobs found in Killeen, TX area

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Client Service Representative
  • Charles Schwab
  • Florence, TX
  • Position Type: Regular Your Opportunity At Schwab, youre empowered to make an impact on your career. Here, innovative th...
  • 4/15/2024 12:00:00 AM

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Client Services Representative
  • Charles Schwab
  • Florence, TX
  • Position Type: Regular Your Opportunity At Schwab, youre empowered to make an impact on your career. Here, innovative th...
  • 4/15/2024 12:00:00 AM

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Client Service Representative
  • Charles Schwab
  • Bartlett, TX
  • Position Type: Regular Your Opportunity At Schwab, youre empowered to make an impact on your career. Here, innovative th...
  • 4/15/2024 12:00:00 AM

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Client Services Representative
  • Charles Schwab
  • Bartlett, TX
  • Position Type: Regular Your Opportunity At Schwab, youre empowered to make an impact on your career. Here, innovative th...
  • 4/15/2024 12:00:00 AM

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Client Service Representative
  • Charles Schwab
  • Georgetown, TX
  • Position Type: Regular Your Opportunity At Schwab, youre empowered to make an impact on your career. Here, innovative th...
  • 4/15/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Harker Heights, TX
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/14/2024 12:00:00 AM

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Customer Service Representative
  • Walmart
  • Killeen, TX
  • **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
  • 4/14/2024 12:00:00 AM

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Customer Relations Representative
  • Zenith ATX, Inc
  • Cedar Park, TX
  • Are you a dedicated, self-driven individual with a passion for providing outstanding customer support? Do you have a rep...
  • 4/13/2024 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 Relations Representative jobs
$48,686 to $62,286
Killeen, Texas area prices
were up 1.2% from a year ago