PROVIDER NETWORK MANAGER jobs in Montana

PROVIDER NETWORK MANAGER manages the operations of a healthcare provider network. Responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Being a PROVIDER NETWORK MANAGER recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. May be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Additionally, PROVIDER NETWORK MANAGER requires a bachelor's degree. Typically reports to top management. The PROVIDER NETWORK MANAGER typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a PROVIDER NETWORK MANAGER typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Advanced Practice Provider (PMHNP/ FNP)
  • Turnwell Mental Health Network, Inc.
  • Missoula, MT FULL_TIME
  • Montana Psychiatry & Brain Health Center ("Montana Psychiatry"), a leading provider of psychiatric services, is seeking an Advanced Practice Provider (Nurse Practitioner ) who will be responsible for providing general outpatient psychiatric services for a new practice. Montana Psychiatry provides high-quality and affordable outpatient care through cutting-edge treatments and interventions including pharmacotherapy, transcranial magnetic stimulation (TMS), IV Ketamine, Spravato, and psychotherapy.

    Montana Psychiatry is a physician-led practice that was co-founded in 2009 by Dr. Erin Amato in Billings, MT. Dr. Amato and her team are committed to serving patients in the community and region and giving back to underserved communities that lack high-quality mental health services. Montana Psychiatry joined the Turnwell Mental Health Network in November 2022 with the intent to expand local access to transformative treatment to more communities in Montana, and this new location and APP will further that mission.

    Supervisory Responsibilities:

    None

    Duties and Responsibilities:

    • Conduct outpatient psychiatric evaluations, including intake assessments & follow-up assessments, diagnosis, treatment, and ongoing support for individuals with mental health conditions.
    • Provide outpatient interventional psychiatric services to include TMS, Esketamine/Spravato, and IV ketamine treatment as appropriate (training available).
    • Create, communicate, and carry out treatment plans with the patient.
    • Complete full and appropriate documentation to support professional billing for services.
    • Interpret test results to diagnose any health issues and provide feedback to patients.
    • Educate and counsel patients regarding medication compliance.
    • Prescribe medications when clinically necessary.
    • Communicate with patients regarding diagnosis and treatment plan.
    • Communicate with and make referrals to PCPs /or specialists as appropriate.
    • Provide services at community partnership locations.
    • Maintain required licensure, certifications, and CME credits.
    • Other duties as assigned.


    Requirements

    Minimum Qualifications:

    Must possess an active & unrestricted license to practice in Montana.
    • Must possess an unrestricted DEA license in the state(s) of practice.
    • Preferred to possess a current board certification by a national certifying body as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
    • Eligible for credentialing with all major insurance plans and to participate in Medicare.
    • Excellent communication, patient relations, time management skills, and safety awareness are required.
    • Experience with interventions such as TMS, Esketamine/Spravato, and IV ketamine would be favorably considered, but not required, as on-site training is available.
    • Computer literate and experienced with Electronic Medical Records.


    Benefits:
    • 401(k) matching
    • Continuing education credits
    • Dental Insurance
    • Disability insurance
    • Flexible schedule
    • Health insurance
    • Life insurance
    • Malpractice insurance
    • Paid time off
    • Relocation assistance
    • Retirement plan
    • Tuition reimbursement
    • Vision insurance

    Medical specialties:

    Addiction Medicine

    Psychiatry

    Weekly schedule:
    • Monday to Friday
    • No weekends

    Work setting:
    • Clinic
    • Outpatient

    Ability to commute/relocate:
    • Missoula, MT:

    License/Certification:
    • Certified Nurse Practitioner (Preferred)

    Work Location: In person
  • 14 Days Ago

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Advanced Practice Provider (PMHNP/ FNP)
  • Turnwell Mental Health Network Inc
  • Billings, MT FULL_TIME
  • Description:Montana Psychiatry & Brain Health Center (“Montana Psychiatry”), a leading provider of psychiatric services, is seeking an Advanced Practice Provider (Nurse Practitioner ) who will be resp...
  • 14 Days Ago

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Nurse Practitioner Heart Failure Cardiology
  • Provider Solutions & Development
  • Missoula, MT OTHER
  • Providence Heart Institute of Montana is seeking a full-time nurse practitioner or physician assistant to join their newly established heart failure team. At Providence Heart Institute, our cardiovasc...
  • 19 Days Ago

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Cardiothoracic Surgeon
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Join the Providence Heart Institute of Montana as a full time board-certified Cardiothoracic Surgeon and Medical Director of Cardiothoracic Surgery. This is a globally recognized joint Surgical/Cardio...
  • Just Posted

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Internal Medicine Physician
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group Internal Medicine clinic is seeking a full-time, board-certified/board-eligible Internal Medicine physician to join its team in Missoula, Montana. This is an outpatient only r...
  • Just Posted

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Endocrinologist
  • Provider Solutions & Development
  • Missoula, MT FULL_TIME
  • Providence Medical Group - Western Montana is seeking a full-time board-certified or board-eligible Endocrinologist to join a dedicated team providing care to the community of Missoula. In this role, ...
  • 1 Day Ago

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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid
  • Cigna
  • Glendale, CA
  • LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will ...
  • 4/24/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • West Des Moines, IA
  • Location: Des Moines, IowaHours: Standard M FTravel: Hybrid role (1-2 days per week in office)Position Overview:Develops...
  • 4/23/2024 12:00:00 AM

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Provider Network Manager Sr
  • Elevance Health
  • Indianapolis, IN
  • Location: Must live within 50 miles of a PulsePoint office.Develops the provider network through contract negotiations, ...
  • 4/23/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Costa Mesa, CA
  • Anticipated End Date: 2024-05-01 Position Title: Provider Network Manager Job Description: Location: we are targeting an...
  • 4/22/2024 12:00:00 AM

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Dublin, OH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/22/2024 12:00:00 AM

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Director, Provider Network Management - Seattle, WA
  • Cigna
  • Seattle, WA
  • LOCATION: This position supports the Seattle, WA market. The Director, Provider Network Management serves as an integral...
  • 4/22/2024 12:00:00 AM

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Manager Provider Network Management
  • AmeriHealth Caritas
  • Dublin, OH
  • Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are pa...
  • 4/20/2024 12:00:00 AM

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Provider Network Manager
  • Elevance Health
  • Walnut Creek, CA
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/20/2024 12:00:00 AM

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$100,569 to $126,006

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PROVIDER NETWORK MANAGER in Norfolk, VA
5+ years of experience in a network management-related role, such as contracting or provider services.
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