PROVIDER NETWORK MANAGER jobs in North Carolina
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)
Recently Added PROVIDER NETWORK MANAGER jobs
Community Network Provider
- Unique Caring Foundation
-
Shelby, NC
CONTRACTOR
-
*********THESE POSITION ARE LOCATED IN SHELBY*********
SUMMARY:Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not disabled. This service is provided separate and apart from the participant’s private residence, other residential living arrangement, and /or the home of a service provider. These services do not take place in licensed facilities and are intended to offer the participant the opportunity to develop meaningful community relationships with non-disabled individuals. Services are designed to promote maximum participation in community life while developing natural supports within integrated settings. Community Networking services will enable the participant to increase or maintain their capacity for independence and develop social roles valued by non-disabled members of the community.Community Networking services consist of:- Participation in adult education
- Development of community-based time management skills
- Community based classes for the development of hobbies, leisure/cultural interests
- Volunteer work
- Participation in community group or associations
- Training and education in self-determination and self-advocacy
- Using public transportation
- For children that need staffing supports to assist them to participate in day care/after school summer program
- This service includes a combination of training, personal assistance and supports as needed by the participant during activities.
- Transportation to/from the participant’s residence and the training site is included.
Job Responsibilities:- Communicate relevant consumer information to Family Service’s Coordinator, care coordinator and or parents
- Provide privacy and confidentiality of all consumer records
- Assure consumers are free from abuse, mistreatment and or neglect and report any incidents of such to Family Service’s Coordinator, care coordinator and or parent
- Treat each consumer with dignity and respect
- Complete all documentation related to Individual Support Plans
- Develop and demonstrate a thorough understanding of philosophy and purpose of caring for an MH/DD consumer
- Develop familiarity with the treatment plan of each consumer served
- Implement goals and recommendations for client served and follow appropriate documentation procedures
- Provide a positive atmosphere which facilitates growth and learning
- Make decisions based on training and policies when unsupervised
- Perform duties and all other requested duties when requested by supervisor
Staff Qualifications:- Staff must meet the requirements for paraprofessionals in 10A NCAC 27G.0200
- Staff must have a high school diploma or GED.
- Staff must meet client specific competencies as identified by the individual’s person-centered planning team and documented in the Individual Support Plans.
- Staff must successfully complete First Aid, CPR and DMH/DD/SAS Core Competencies and required refresher training.
- Paraprofessionals providing this service must be supervised by a Qualified Professional. Supervision must be provided according to supervision requirements specified in 10A NCAC 27G.0204 and according to licensure or certification requirements of the appropriate discipline.
- Must have a criminal record check
- A healthcare registry check as required in accordance with 10A NCAC 27G.0200
- If providing transportation, have a North Carolina or other valid driver’s license, a safe driving record and an acceptable level of automobile liability insurance.
- 15 Days Ago
Community Network Provider
- Unique Caring
-
Charlotte, NC
FULL_TIME
- SUMMARY: Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not ...
- 9 Days Ago
Provider Network Specialist
- CCHN
-
Remote, NC
FULL_TIME
- Provider Network Specialist Location: Raleigh-Durham, Wilmington or Charlotte, NC / Homebased position Position Purpose: Reporting to the Director, Provider Network, the Provider Network Specialist is...
- 10 Days Ago
Community Network Provider
- Unique Caring Foundation
-
Charlotte, NC
FULL_TIME
- SUMMARY: Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an integrated community setting, with persons who are not ...
- 27 Days Ago
Provider Network Specialist
- Lowe's
-
UNKNOWN, NC
FULL_TIME
- Lowe’s is able to offer remote employment of this position in the following states: AL, AR, AZ, CA(salaried roles only), CT, CO, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, MA, ME, MI, MN, MO, MS, MT,...
- 30 Days Ago
Community Network Provider
- Unique Caring
-
Shelby, NC
CONTRACTOR
- *********THESE POSITION ARE LOCATED IN SHELBY*********SUMMARY:Community Networking services provide individualized day activities that support the participant’s definition of a meaningful day in an in...
- 1 Month Ago
PROVIDER NETWORK MANAGER jobs at Popular Companies
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
Provider Network Manager
- Elevance Health
-
Costa Mesa, CA
- Location: we are targeting any of our California offices for this role, preferably Costa Mesa, CA but also open to Woodl...
- 4/22/2024 12:00:00 AM
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
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
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
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
Operations Manager - Provider Management
- CorVel
-
Fort Worth, TX
- The CERIS Operations Manager is responsible for overseeing all aspects of the department including Personnel Hiring, Qua...
- 4/20/2024 12:00:00 AM
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 ...
- 4/19/2024 12:00:00 AM
About North Carolina
North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$103,368 to $129,514
Most Popular Cities in North Carolina for PROVIDER NETWORK MANAGER Jobs
What does a PROVIDER NETWORK MANAGER do?
PROVIDER NETWORK MANAGER in Tucson, AZ
There are different Location Providers, which one is the most accurate? The GPS Provider or the Network Provider.
January 08, 2020
PROVIDER NETWORK MANAGER in Saint Louis, MO
Healthcare providers are continually struggling with the increasing pressure to cut down on patient costing, providing higher quality service, increased accessibility, etc.
January 10, 2020
PROVIDER NETWORK MANAGER in Norfolk, VA
5+ years of experience in a network management-related role, such as contracting or provider services.
February 05, 2020