Managed Care Provider Relations Manager jobs in New Britain, CT

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)

H
ADVANCED PRACTICE PROVIDER
  • Hospital for Special Care
  • New Britain, CT FULL_TIME
    • QUALIFICATIONS
      • Required: Masters Degree in Nursing with a defined clinical specialty.
         
      • Required: Minimum of five years experience in related clinical practice with demonstrated leadership and teaching skills.
         
      • Required: Current licensure as an Advanced Practice Registered Nurse in the State of Connecticut and current certification in a specialty from the American Nursing Association.
         
      • Required: Passed the State of Connecticut approved Pharmacology course required in Masters Degree Program.
         
      • Required: DEA licensure required for narcotic prescription.
         
      • Required: Basic and life support certification and advanced cardiac life support (ACLS training).
    • JOB SUMMARY
      • The Advanced Practice Provider provides patient centered, culturally sensitive, quality care using evidence -based medicine in accordance with hospital policies and protocols.  Works in collaboration with the clinical team to provide patient and family education and support.  Adheres to granted clinical privileges and collaborative agreement with the collaborating physicians, care protocols, HFSC policy on APPs, and medical staff bylaws, rules and regulations.

    • PHYSICAL DEMANDS
      • Job requires sitting/working at a desk and those functions associated with clinical tasks (reaching, bending and stretching to access drawers, records, shelves). Job involves carrying of documents, medical records, books, occasionally small equipment and medical procedures based on clinical specialties of the APRN, i.e. endoscopic care, intravenous and medication delivery systems, specialty authorizations, wound ostomy and fistula management. Fine manipulation is required for writing as well as some type of patient care techniques.
         
      • Job requires visual/perceptive skills to perform above tasks. Job requires functional use of both upper/lower extremeties.
         
      • Job requires movement related to walking and standing, fine and gross manipulation related to these activities. May occasionally require pushing and pulling of up to 50 pounds, frequent bending, occasional squatting, kneeling, reaching forward and above shoulders, and twisting.
    • COGNITIVE DEMANDS
      • Job requires independent problem identification, abstract reasoning, adaptability to work environments and quick decision making. A high degree of selective attention, discernment, perception and concentration are necessary.
         
      • Job requires the ability to interpret physical findings, laboratory results and subjective complaints in determination of an accurate and complete differential diagnosis, assessment strategy, and treatment plan in collaboration with the appropriate physician.
         
      • Job requires the ability to set appropriate priorities and accurately triage clinical problems.
         
      • Tasks require legibility, spelling accuracy, logical sentence and paragraph organization. A working knowledge of, and familiarity with, professional (medical) terms and definitions is required.
         
      • Job requires a high level of communication skills including the expression of abstract/complex ideas, use of negotiation and active listening, and the ability to dialogue with multiple parties is necessary.
         
      • Job requires the ability to comprehend lengthy and complex messages, or paragraphs, and to follow multi-stage and three step commands.
         
      • Job requires the ability to add, subtract, multiply and divide with all units of measure including decimal fractions, compute ratio, rate and percent, draw bar graphs, perform basic arithmetic operations involving American monetary units.
    • WORK DEMANDS
      • Job requires high level of independent judgement and ability to function effectively during periods which may be stressful. Job requires working primarily indoors and interdependently with others . Conditions are often noisy with frequent exposure to odors and/or body fluids/blood borne pathogens. Job requires occasionally being on-call and/or responding to emergency situations.
    • ESSENTIAL FUNCTIONS
      • Performs complete history and physical examinations upon admission, annually including pre-operative assessment.
      • Provides assessment, triage and therapeutic management of patients’ needs.  Requests appropriate consults as needed.
      • Orders and/or obtains all appropriate laboratory, radiological, and specialized tests to evaluate patients.
      • Implements care plans in collaboration with clinical team.
      • Consults with patient, family and, as needed, appropriately qualified physician on care plans. Provides patient/family counseling and education.
      • Assists during procedures as privledged.
      • Provides accurate and timely documentation of all clinical interventions in a clear and objective manner.
      • Participates and identifies opportunities for improvement in patient care and outcome during daily practice, special projects and per review activities
      • Performs other duties as assigned as related to the APP role
  • 22 Days Ago

D
Urgent Care Provider
  • DOCS MEDICAL GROUP
  • Waterbury, CT OTHER
  • Job Details Job Location: Waterbury - Chase, CT - Waterbury, CT Salary Range: $130.00 - $220.00 Base Commission/year As a leader in urgent care and occupational health, Docs Urgent Care is committed t...
  • 13 Days Ago

D
Primary Care Provider
  • DOCS MEDICAL GROUP
  • Waterbury, CT OTHER
  • Job Details Job Location: Waterbury - Chase, CT - Waterbury, CT Position Type: Full-Time/Part-Time Education Level: Graduate Degree Salary Range: Undisclosed Travel Percentage: None Job Shift: Any Job...
  • 13 Days Ago

S
CHILDCARE PROVIDER CARE PROFESSIONAL
  • Synergy HomeCare 1
  • Farmington, CT FULL_TIME,PART_TIME
  • Experience the SYNERGY HomeCare of Wethersfield difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in th...
  • 1 Day Ago

C
Provider urgent care
  • Community Health Center
  • Waterbury, CT FULL_TIME
  • Job Description Summary : Job Description : Job Description : Job Description : Urgent Care Provider (APRN or PA) - CHC of Waterbury If you are ready for a satisfying and rewarding career, join our te...
  • 1 Month Ago

C
Care Manager
  • CONNECTICUT COMMUNITY CARE INC
  • Bristol, CT FULL_TIME
  • DescriptionReporting Office: North Central (Bristol) Covering Region/Community: East Hartford/Hartford SUMMARYAssists individuals in maintaining an interactive process of informed decision-making abou...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Managed Care Provider Relations Manager jobs found in New Britain, CT area

M
Inside Sales Manager
  • Mirion Technologies (Canberra), Inc.
  • Meriden, CT
  • Job Description Job Description The Inside Sales Manager position is focused on generating orders/revenue and meeting sa...
  • 4/15/2024 12:00:00 AM

S
Jr. Relationship Manager
  • Symmetry Partners
  • Glastonbury, CT
  • Job Description Job Description Junior Relationship Manager Job Summary Symmetry Partners is looking for a self-starting...
  • 4/13/2024 12:00:00 AM

C
Client Relationship Manager - $75K
  • Confidential
  • Madison, CT
  • Local candidates - occasional onsite support in the office (3-5 days per month) required. Great opportunity with a small...
  • 4/12/2024 12:00:00 AM

K
Client Relationship Manager
  • Kforce Inc
  • Rocky Hill, CT
  • Kforce is one of the premier leaders in the staffing industry, where Great People = Great ResultsSM. For over 50 years w...
  • 4/12/2024 12:00:00 AM

G
Client Relationship Manager
  • Genesis Global Group
  • Branford, CT
  • Job Description Job Description Job Summary: Genesis Drug Discovery and Development (GD3), a member of the Genesis Biote...
  • 4/12/2024 12:00:00 AM

T
Senior Client Relationship Manager
  • Transcend Practice Management
  • Wallingford, CT
  • Job Description Job Description Senior Client Relationship Manager - Financial Services Location: Wallingford, CT (in-of...
  • 4/12/2024 12:00:00 AM

Y
Human Resources -Employee Relations Manager
  • Yukon-Kuskokwim Health Corporation
  • Bethel, CT
  • Position Summary: Position works with employees at all levels of the Corporation to resolve Human Resources issues regar...
  • 4/12/2024 12:00:00 AM

B
Client Relationship Specialist
  • Bradley, Foster & Sargent, Inc.
  • Hartford, CT
  • Client Relationship Specialist At Bradley, Foster & Sargent Hartford, CT Bradley, Foster & Sargent is an independently o...
  • 4/12/2024 12:00:00 AM

New Britain is a city in Hartford County, Connecticut, United States. It is located approximately 9 miles (14 km) southwest of Hartford. According to 2010 Census, the population of the city is 73,206. Among the southernmost of the communities encompassed within the Hartford-Springfield Knowledge Corridor metropolitan region, New Britain is home to Central Connecticut State University and Charter Oak State College. The city's official nickname is the "Hardware City" because of its history as a manufacturing center and as the headquarters of Stanley Black & Decker. Because of its large Polish p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$107,961 to $155,735
New Britain, Connecticut area prices
were up 1.7% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019