Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations 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 Managed Care Provider Relations 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)
Title: Chronic Care Coordinator (LPN or CMA)
Department: Chronic Care Management
Reports To: Care Coordination Manager
Supervises: N/A
Status: Part-Time: 5-10 hours per week, additional hours as primary coverage for the team is needed.
Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise.
When you join our Care Coordination team as a Chronic Care Coordinator (Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA)) you are not just responsible for providing outreach communication to patients and families enrolled in our Chronic Care Management Program, you get to play a vital role in supporting rural healthcare, the communities they serve, and making a difference for the betterment of patient’s quality of life.
Having multiple chronic health conditions can be debilitating for patients since they are hard to navigate and manage. Maybe you have or had a grandparent, mother, or father who has or is currently struggling with managing their chronic illnesses. Or, as a nurse, you have seen this happen to countless patients. This position is an amazing opportunity to support countless patients, help them stay on track, and empower them to manage their chronic conditions and illnesses.
As a Chronic Care Coordinator, you will play the coordination and communication role between patients with chronic health conditions and their physician(s) and care teams. You will review and update care plans under the direction of the patient’s physician and support your patients on their journey of managing their health and finding a higher quality of life.
Hours for this position are flexible when not providing primary coverage for the team!
This position is remote and available to candidates who reside within the state of Nebraska or Kansas.
Position Summary:
The Chronic Care Management Licensed Practical Nurse or Medical Assistant provides outreach communication with patients and families enrolled in our Chronic Care Management Program by assessing chronic conditions, reconciling medications as well as reviewing and updating care plans under the direction of the physician and coordination with the care teams to help the patient meet their goals. Compliance with rules and regulations of all applicable federal, state and local laws as well as ruralMED policies is a condition of employment.
Education and/or Experience:
- High school diploma or equivalent.
- Licensed Practical Nurse: Degree or diploma from an accredited school of Practical Nursing.
- Medical Assistant: Must have successfully completed and graduated from a medical assistant program.
Licenses/Certifications Required:
Licensed Practical Nurse: Currently Licensed as a Practical Nurse (LPN) in the state of Nebraska
Current BLS / CPR certification
General Requirements/Job Duties:
Incumbent must have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation:
Security/Access:
N/A
Equipment Used:
Computer, Printer, eFax, Phone, Softphone, and other equipment needed.
Patient Age Groups Served:
All ages.