Provider Relations Representative jobs in Lubbock, 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
  • Odessa, 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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Provider
  • St. Joseph's Home Health, Inc.
  • Midland, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • Just Posted

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Provider
  • St. Joseph's Home Health, Inc.
  • Fort Stockton, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 26 Days Ago

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Provider
  • St. Joseph's Home Health, Inc.
  • Monahans, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 1 Month Ago

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Provider
  • St. Joseph's Home Health, Inc.
  • Big Spring, TX FULL_TIME
  • St. Joseph's Home Health, Inc. - Benefits Competitive Pay Team Environment Flexible Schedules Responsibilities Provide personal hygiene assistance for elderly patients or those recovering from surgeri...
  • 1 Month Ago

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Customer Relations Representative - State Farm Agent Team Member
  • Deanna Dempsey - State Farm Agent
  • Midland, TX FULL_TIME
  • ROLE DESCRIPTION: As a Customer Relations Representative - State Farm Agent Team Member with Deanna Dempsey - State Farm Agent, you will generate the kind of exceptional client experiences that reinfo...
  • 9 Days Ago

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0 Provider Relations Representative jobs found in Lubbock, TX area

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Driver Class A
  • Dairy Farmers of America
  • Lubbock, TX
  • GENERAL PURPOSE Operate a straight truck, tractor-trailer, or double trailer. Deliver products or assets in a safe and t...
  • 4/26/2024 12:00:00 AM

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Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
  • Department Of The Treasury
  • Lubbock, TX
  • Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
  • 4/26/2024 12:00:00 AM

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House Attendant-Lobby
  • Dinjob
  • Lubbock, TX
  • **Job Summary** Versin en espaol disponible a pedido. The House Attendant-Lobby responsibilities include cleaning and ma...
  • 4/24/2024 12:00:00 AM

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Janitor
  • Lubbock County, TX
  • Lubbock, TX
  • Salary : $24,856.00 Annually Location : Lubbock, TX Job Type: Full Time Job Number: 202400071 Department: Maintenance Op...
  • 4/24/2024 12:00:00 AM

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Remote Sales Consultant
  • Symmetry Financial Group
  • Lubbock, TX
  • Job Description Overview: We are seeking a highly motivated and results-driven Life Insurance Sales Representative, who ...
  • 4/24/2024 12:00:00 AM

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Administrative Assistant-Sales
  • Doubletree Lubbock
  • Lubbock, TX
  • Job Summary: The Administrative Assistant is responsible for ensuring that the administrative functions for all Sales an...
  • 4/24/2024 12:00:00 AM

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Patient Access Representative - Endoscopy
  • UMC Health System
  • Lubbock, TX
  • We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Com...
  • 4/23/2024 12:00:00 AM

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Home-Based Remote Sales Representative Work From Home
  • Symmetry Financial Group
  • Lubbock, TX
  • Job Description Overview: We are seeking a highly motivated and results-driven Life Insurance Sales Representative, who ...
  • 4/23/2024 12:00:00 AM

Lubbock (/ˈlʌbək/ LUB-ək) is the 11th-most populous city in the U.S. state of Texas and the county seat of Lubbock County. With a population of 256,042 in 2015, the city is also the 83rd-most populous in the United States. The city is located in northwestern part of the state, a region known historically and geographically as the Llano Estacado, and ecologically is part of the southern end of the High Plains, lying at the economic center of the Lubbock metropolitan area, which has a projected 2020 population of 327,424. Lubbock's nickname, "Hub City", derives from it being the economic, educat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative jobs
$47,829 to $61,190
Lubbock, Texas area prices
were up 1.2% from a year ago