Provider Relations Representative, Sr. jobs in Longview, TX
Provider Relations Representative, Sr. 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. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Relations Representative, Sr. jobs
Nurse Practitioner - TX
- Provider Partners Health Plan
-
Rusk, 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
Customer Relations Representative - State Farm Agent Team Member
- JJ Walnofer - State Farm Agent
-
Longview, 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...
- 5 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- JJ Walnofer - State Farm Agent
-
Longview, 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...
- 5 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- Aaron Hickman - State Farm Agent
-
Tyler, 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 ...
- 6 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- Taylor Berumen - State Farm Agent
-
Bullard, 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 ...
- 11 Days Ago
Customer Relations Representative - State Farm Agent Team Member
- Charlene Ingram - State Farm Agent
-
Longview, TX
FULL_TIME
- Position Overview State Farm Insurance Agent located in Longview, TX is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Charlene Ingram - State Fa...
- 13 Days Ago
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0 Provider Relations Representative, Sr. jobs found in Longview, TX area
$20/hr. Friendly Customer Service Representatives Needed! Tyler, TX
- RemX The Workforce Experts
-
Tyler, TX
- Job Description Job Description Are you looking for a company that believes in the act of excellent customer service jus...
- 4/23/2024 12:00:00 AM
Application System Analyst Senior - Community Connect Ambulatory
- Christus Health
-
Longview, TX
- Description Summary: The Application System Analyst Senior serves as a liaison between system end-users (customers), ope...
- 4/23/2024 12:00:00 AM
Automotive Technician
- Bridgestone Americas
-
Longview, TX
- **Company Overview** Bridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teamma...
- 4/23/2024 12:00:00 AM
Account Representative
- Mariner Finance Llc
-
Tyler, TX
- Are you a goal-oriented individual? Are you looking to start your career at an industry-leading consumer finance organiz...
- 4/22/2024 12:00:00 AM
Customer Service Representative
- Texas Paint
-
Tyler, TX
- Job Description Job Description We are seeking a Customer Service Representative to join our team! You will be responsib...
- 4/22/2024 12:00:00 AM
FT Customer Service Representative - Work From Home>
- ARIVE
-
Longview, TX
- [Call Center / Remote] Anywhere in U.S. / Up to $50K per year / Medical, Dental and Vision / 401k match / PTO - As a Cus...
- 4/20/2024 12:00:00 AM
FT Customer Service Representative - Work From Home>
- ARIVE
-
Tyler, TX
- [Call Center / Remote] Anywhere in U.S. / Up to $50K per year / Medical, Dental and Vision / 401k match / PTO - As a Cus...
- 4/20/2024 12:00:00 AM
Customer Service Representative
- Walmart
-
Tyler, TX
- **Job Title: Customer Service Representative (Walmart)** **Job Summary:** As a Customer Service Representative at Walmar...
- 4/19/2024 12:00:00 AM
About Longview, Texas
Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$65,300 to $80,981
Longview, Texas area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Provider Relations Representative, Sr. do?
Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020