Provider Network Specialist jobs in Canton, OH

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Provider Network Specialist jobs

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Prevention Specialist School Based - CPST Provider
  • Impact Solutions Inc
  • Canton, OH FULL_TIME
  • ON POSITION TITLE: CPST Provider / Prevention Specialist, School Based
    DIRECT SUPERVISOR: SBMH Coordinator, CPST and Prevention
    DEGREE OF SUPERVISION: Meets with supervisor on an ongoing basis
    POSITIONS SUPERVISED: None
     
    I. Overview of Position
    The Community Psychiatric Supportive Treatment (CPST) Provider provides services that focus
    on recovery and resiliency principles as they empower individuals experiencing mental illness to
    integrate, function, and succeed in their communities (homes, schools, work, and neighborhood).
    Services include mental health interventions, individualized life skills development, symptom
    monitoring, crisis management, ongoing assessment of needs, advocacy, and connections to
    natural and community supports.
     
    The Prevention Specialist provides services that focus on prevention theories as they empower
    individuals to integrate, function, and succeed in their communities (homes, schools, work, and
    neighborhood). Services include implement of evidence-based curriculum programs in groups,
    service learning and alternate learning activities, coordination with school and community,
    presentations to groups on relevant topics, and involvement in community initiatives.
     
    The CPST Provider / Prevention Specialist is expected to have the ability to build working
    relationships with a diverse group of people in a variety of settings and situations and also
    expected to have strong knowledge of community resources and excellent documentation skills.
    In addition, the SBMH CPST provider will serve in school-based assignments, and participate in
    coordination and supervision meetings, as needed, with the SBMH supervisor. Slight fluctuation
    in allocation of hours across duties may occur, as the case load and job responsibilities require.
     
    II. Essential Job Functions / Responsibilities
    A. Adhere to agency policies and procedures.
    B. Report to the supervisor on an ongoing basis.
    C. Attend department and staff meetings and other agency functions as required.
    D. School Based Mental Health CPST Providers / Prevention Specialists will be assigned to
    multiple K-12 schools and are expected to work a 40-hour work-week (if full-time).
    E. Works prior to the beginning of the school year, and after the completion of the school
    year until agreement hours and required productivity targets have been met.
    F. Schedules and completes all training, professional development, and continued
    education required to obtain/maintain license or certification during scheduled school
    breaks to maintain service days at school.
    G. Extension of work schedule to obtain the required productivity goal will not result in
    additional reimbursement.
    H. Performs a once monthly session for entire caseload during summer break. If higher level
    of care is deemed appropriate for a client, the CPST Provider / Prevention Specialist
    must provide services one day per week or they must transfer the client to another SBMH
    Provider who is able and available to deliver care.
    I. Coordinates with school administrators and school staff members to be available for new
    and continuing consultation and treatment student needs while in school building or if
    working remotely.
    J. Provides services to students and clients in their school, home, community, or office
    setting in order to best serve the client’s needs
    i. If the student is willing and wanting to meet for services but unable to find
    transportation, the CPST Provider / Prevention Specialist will be expected to
    either meet the student in a public meeting place close to the student or transport
    the client to a public meeting place, using their own vehicle.
    K. If the school buildings close due to a pandemic, providers are expected to continue
    seeing clients in the office, client homes, or community settings, or by Telehealth (if
    available and effective) while taking agency recommended safety precautions to protect
    themselves and their students and clients from exposure and infection.
    L. Completes and maintains accurate documentation and charting, in a timely manner, in
    accordance with agency policy.
     
    M. Community Psychiatric Supportive Treatment (CPST):
    i. Focuses on recovery and resiliency principles as they empower individuals
    experiencing mental illness and/or addiction to integrate, function, and succeed
    in communities (homes, schools, work, and neighborhood).
    ii. Provides services including mental health/AoD interventions, individualized life
    skills development, symptom monitoring, crisis management, ongoing
    assessment of needs, and client advocacy.
    iii. Builds strong relationships and relationship building skills with diverse
    populations, especially children and adolescents.
    iv. Assesses and serves the needs of individuals with severe mental illness
    and/or addiction. Utilizing empowerment and promotion of recovery and
    resiliency principles.
    v. Facilitation and development of daily living skills.
    vi. Promotes positive parenting and family engagement.
    vii. Develops and coordinates Individualized Service Plans (ISP).
    viii. Practices advocacy and outreach on behalf of clients. Linkage with
    appropriate resources and natural supports.
    ix. Works effectively in schools, homes, and community. Coordinating with
    various service systems, as needed.
    x. Effectively manages crisis situations, in a responsible and safe way. Completing
    safety and risk assessments.
     
    N. Prevention Specialist:
    i. Demonstrates the ability to gather relevant demographic, risk and protective data
    in order to define/describe target population as well as recruit new students for
    involvement.
    ii. Coordinates and provides prevention services consistent with program objectives
    and outcomes to ensure program productivity is met.
    iii. Attend training and remains proficient in all curricula offered by the
    Prevention Program.
    iv. Demonstrates the ability to utilize age appropriate research-based
    prevention theory and best practice to develop, implement, and evaluate
    programming in support of program objectives and outcomes.
    v. Identify, organize, and execute individual and group activities with students and
    collaborators consistent with program objectives and outcomes.
    vi. Demonstrates understanding of adolescent growth/development, family
    systems and risk and protective factors in order to provide appropriate
    consultation to students, parents, collaborators and school personnel in
    addressing relevant program identification and referral issues consistent with
    prevention scope of practice.
    vii. Accurately complete reporting of prevention programming objectives and
    outcomes on a quarterly basis, and/or as required.
    viii. Contribute to the process of program development and to develop goals
    and strategies consistent with prevention principles and agency objectives.
    ix. Provides input on program effectiveness and make
    suggestions/corrections as warranted.
    x. Accounts for program funds and resources, as needed.
    xi. Maintain proficiency in prevention research and best practices to provide
    information presentations as assigned, provide consultation, and support funding
    sources, targeted audiences and service populations.
     
    O. All other duties as assigned.
    III. Interpersonal Competencies
    A. Seeks resources for direction when necessary.
    B. Demonstrates honest and respectful communication with both co-workers and clients in
    order to optimize a trauma informed care environment which includes emotional,
    psychological, and physical safety.
    C. Practices within legal and ethical guidelines established by OMHAS, CARF, COA,
    CommQuest Services, and other applicable licensing/credentialing bodies.
    D. Works collaboratively with other professions, departments, agencies, client collaterals,
    and community entities to ensure the client and agency’s needs are met.
    E. Utilizes supervision, peer input, and ongoing training/education to improve competencies,
    and provides CommQuest with documentation to substantiate ongoing training/education.
    F. Promptly reports and documents any critical or unusual incidents.
    G. Performs actions that demonstrate accountability and good judgment in emergency
    situations.
    H. Demonstrates through behaviors a core belief/value in the fundamental equality of all
    human beings.
     
    IV. Global Competency Areas
    A. Maintains current certification in CPR/First Aid.
    B. Must be trained and certified in Non-Violent Crisis Intervention training.
    C. Demonstrates knowledge of HIPAA, AoD and Federal Confidentiality Law.
    D. Demonstrates commitment to professional growth as evidenced by attendance at staff
    meetings and in-services.
    E. Demonstrates ability to recognize possible signs of abuse and neglect of
    minors/elders/handicapped as evidenced by reports to supervisors.
    F. Demonstrates knowledge of basic infection control procedures as evidenced in post test
    score.
    G. Demonstrates competency in responding during agency fire drills, as evidenced in the
    written reports of actual fire drills or actual fires.
    H. Demonstrates understanding of agency disaster protocols.
     
    V. Minimum Qualifications
    This position requires a minimum of a High School Diploma or GED. Bachelor’s degree in Social
    Work, Psychology, Education, or related field is preferred. Minimum of one or more years of
    experience in the provision of CPST services is required. Previous experience in working with
    students in a school setting (Pre-K through 12 th ) is preferred.
    Qualified staff will be expected to have or obtain the Qualified Mental Health Specialist (QMHS)
    credential and Chemical Dependency Counseling Assistant (CDCA) certification, if assigned to a
    high school setting. Qualified staff will be expected to become a registered applicant (RA) for the
    Ohio Certified Prevention Specialist (OCPS I,II) credential within 3 months of employment and
    obtain OCPS credentialing within 3 years of hire.
    Position requires routine evening hours and a willingness to allow some flexibility in scheduling a
    caseload. Position requires the ability to manage time well, complete a variety of paperwork in a
    timely and efficient manner, and maintain case files in accordance with (IAW) the requirements of
    various auditing authorities such as Medicaid, COA, third-party payment plans, agency reviews,
    etc.
     
    Must possess the ability to utilize supervision and teamwork toward best practice service delivery.
    Must have effective organizational, facilitation, collaboration, and communication skills. Must be
    fluent in written and spoken English. Possesses a valid driver’s license, vehicle insurance, and a
    driving record that is in compliance with agency insurance requirements.
  • 22 Days Ago
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D
Network Engineer
  • Diverse Lynx
  • Minerva, OH FULL_TIME
  • Role: Network Engineer Location: Columbus, OH (Onsite) Duration: Fulltime Must Have Technical/Functional Skills " Network L2/L3 skills in Routing, Switching, Wireless LAN, Firewall, Cisco Client, Sola...
  • 10 Days Ago
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L
Childcare Provider
  • Little Learners CDC
  • Canton, OH FULL_TIME
  • Responsibilities: - Provide a safe and nurturing environment for children in your care - Plan and implement age-appropriate activities and educational programs - Supervise children during playtime, me...
  • 2 Months Ago
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P
Network Systems Analyst-Remote
  • Proteam Solutions
  • Minerva, OH FULL_TIME
  • Job Summary With general direction, analyses of LAN/WAN systems, including planning, designing, evaluation, and selection of operating systems / protocol suites. Resolves complex inter-operability pro...
  • 12 Days Ago
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A
NETWORK LIAISON 1 - CREDENTIALING
  • Aultman Health Foundation
  • CANTON, OH FULL_TIME
  • PURPOSE OF POSITION: The purpose of your position is to assist the department supervisor and with day to day operations within Networks, Credentialing and Contracting Departments. It is expected of th...
  • 15 Days Ago
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S
Hospice Network Liaison
  • Stonerise Hospice St. Clairsville
  • Saint Clairsville, OH FULL_TIME
  • Hospice Network Liaison This position has room for growth in the area and upward movement as our Hospice division grows. Why Join the Stonerise Family? Leave A Lasting Legacy of Serving Through Love. ...
  • Just Posted
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0 Provider Network Specialist jobs found in Canton, OH area

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Telecommunications Engineering Manager
  • BigRio
  • Akron, OH
  • Job Title- Telecommunications Engineering Manager Location- Akron, Ohio ( Onsite- Minimum 3 days ) Duration- Full-time A...
  • 4/18/2024 12:00:00 AM
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I
Desktop Support Technician
  • iFuse Solutions
  • Akron, OH
  • The Technical Support Specialist Technician provides technical assistance and support to clients. The Technical Support ...
  • 4/18/2024 12:00:00 AM
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WebEx Contact Center Senior Voice Engineer
  • BigRio
  • Akron, OH
  • Job Title- WebEx Contact Center Senior Voice Engineer Location- Hybrid -Akron, Ohio (Onsite- twice in a week) Duration- ...
  • 4/18/2024 12:00:00 AM
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IT Support Engineer
  • Rise Technical
  • Massillon, OH
  • IT Support Engineer $48,000 - $62,000 + 401(K) + Healthcare + Work life balance + Career Growth + Training Massillon, OH...
  • 4/17/2024 12:00:00 AM
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C
IT Help Desk Analyst
  • Critical Project Services
  • Akron, OH
  • We are seeking a qualified IT Help Desk Technician to assist our customers in resolving questions and problems concernin...
  • 4/17/2024 12:00:00 AM
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IT Support Engineer
  • Rise Technical
  • Massillon, OH
  • IT Support Engineer $48,000 - $62,000 + 401(K) + Healthcare + Work life balance + Career Growth + Training Massillon, OH...
  • 4/16/2024 12:00:00 AM
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IT Support Specialist - Family Owned Manufacturing Company 75+ years!
  • Merryweather Foam
  • Barberton, OH
  • Job Description Job Description 1. Do you have so much computer repair skill that it's falling out of your pockets?! 2. ...
  • 4/16/2024 12:00:00 AM
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I
Desktop Support Technician
  • Ifuse Solutions
  • Akron, OH
  • The Technical Support Specialist Technician provides technical assistance and support to clients. The Technical Support ...
  • 4/15/2024 12:00:00 AM
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About Canton, Ohio

Canton (/ˈkæntən/) is a city in and the county seat of Stark County, Ohio, United States. Canton is located approximately 60 miles (97 km) south of Cleveland and 20 miles (32 km) south of Akron in Northeast Ohio. The city lies on the edge of Ohio's extensive Amish country, particularly in Holmes and Wayne counties to the city's west and southwest. Canton is the largest municipality in the Canton-Massillon, OH Metropolitan Statistical Area, which includes all of Stark and Carroll counties. As of the 2010 Census, the population was 73,007, making Canton eighth among Ohio cities in population. F...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$54,958 to $82,162
Canton, Ohio area prices
were up 1.3% from a year ago
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What does a Provider Network Specialist do?

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020