Provider Network Specialist jobs in Wheeling, WV

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)

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(Hybrid) Parent Network Specialist - Center for Excellence in Disabilities in Co
  • West Virginia University Research Corporation
  • Morgantown, WV FULL_TIME
  • Description

    West Virginia University Research Corporation is seeking applications for a hybrid Parent Network Specialist for the Center for Excellence in Disabilities in Counties Wood, Logan and Monongalia.

    About the Opportunity

    The purpose of this position is to provide resources and support to improve the quality of life for families and children enrolled in the Children with Special Health Care Needs (CSHCN) program through the WV Department of Health and Human Resources (WVDHHR). Children who qualify include children with complex medical conditions and/or children in foster care. We will hire in 3 separate counties of Wood, Logan and Monongalia.

    The Parent Network Specialist works as a member of regional three person teams that include a CSHCN nurse and licensed social worker. The Parent Network Specialist will conduct activities to support the team in assisting families managing their child's health care services. Helps parents/caretakers understand their central role in managing their child's medical needs, making informed decisions about their child's care, and engaging them in healthy behaviors. The applicant would possess basic decision-making skills, good interpersonal skills, and resourceful problem-solving ability within available guides and precedents. Work effort impacts client services, program and project image, with nominal liabilities.

    At WVU Research Corporation, we strongly believe in work-life balance and keeping time for things we love outside our work. WVU Research Corporation offers a comprehensive benefits package with a variety of options to suit your needs:

    • 13 paid holidays ()
    • PTO
    • 403(b) retirement savings with a fully vested 3% employee contribution match, (Employees have the option of contributing an additional 1-3% of their earnings to the plan, which is also matched by the WVURC)
    • A range of
    • Dependent Education Scholarship
    • WVU Perks
    • And More!!

    What you'll do:

    • Receive and respond to referrals to assist families in self-managing their child's health care services.
    • Organize and/or participate in outreach activities including resource fairs and other community events, to inform target populations of the services available through the program.
    • Collaborate with other CED and state university programming.
    • Familiarize with community resources and services that might benefit target populations.
    • Share expertise with team.
    • Provide organizational tools and guidance to families who have a need for more intensive support.
    • Provide families with information about upcoming opportunities/local community events that are inclusive, accessible, and promote health and fitness, emotional competence, and socially engaging activities.
    • Coach families on self-advocacy skills.
    • Provide families with information about the IEP process.
    • Provide families with information about their child's educational rights.
    • Attend Circle of Parent support group model training and facilitates support groups.
    • Attend required trainings and keep current with required certifications.
    • Serve as parent-faculty In the WVU Family Experience/Project DOCC (Delivery of Chronic Care) simulation.
    • Participate in meetings with the CSHCN social worker or nurse on cases that the Parent Network Specialist has been involved in or may soon become involved in.
    • Regularly participate in local Family Resource Network meetings and other social service groups statewide.
    • Participate in the Medical Advisory Board meetings.
    • Conduct surveys, facilitate community meetings, and guide conversations in order to gather input from families about their experiences and needs.
    • Assist families with the completion of self-assessments.
    • Report activities to program manager and record data according to established program guidelines.
    • Participate in program development and improvement through periodic reviews of policies, procedures, promotional materials, and other components of program effectiveness.
    • Assist in the review of new policies and strategic planning including the Block Grant application as requested.
    • Keep accurate medical records within the Health Insurance Portability and Accountability Act (HIPPA) guidelines and within the guidelines established by WV DHHR and CSHCN for Parent Network Specialists.
    • Perform other CSHCN or CED duties related to the mission and purpose of a Parent Network Specialist as assigned by the Supervisor.
    Qualifications
    • High school diploma, or equivalent. Associate's degree in a related field preferred.
    • A minimum of six (6) months of related experience, or an equivalent combination of above education and directly related experience.
    • Life experience as a parent/guardian of a child with a special health care need who has functional limitations and service needs.
    • Good interpersonal skills and ability to work with diverse types of people.
    • Skilled to communicate complex information, and policies and procedures to others effectively, both orally and in writing, and to compose and write simple correspondence.
    • First-hand parental experience and working knowledge of the principles and practices of family-centered care and of services to children with special health care needs and their families.
    • Knowledge of technical assistive resources and referrals for children with disabilities.
    • Ability to problem solve and take initiative in carrying out job responsibilities.
    • Ability to apply judgment, discretion, and initiative in performing technical assistance and training for families of children with special needs.
    • Ability to review materials regarding disabilities for their appropriateness for parents.
    • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
    • Ability to travel to areas not accessible by public transportation.
    • Demonstrated ability to plan, organize and coordinate meetings, and program presentations.
    • Demonstrated ability to operate a personal computer utilizing various word processing and excel data base software packages.
    • Ability to rapidly acquire a working knowledge of the University's, Center's and State Children with Special Health Care Needs' policies and procedures.
    • Ability to rapidly learn all academic, administrative and organizational policies and procedures within the affected program, and to interpret and apply these policies to unique work situations.
    • Ability to independently identify appropriate applications of a wide variety of complex written policies and procedures in circumstances not clearly described by available guidelines.
    • Ability to coordinate many different program tasks, determine relative importance of each, set deadlines and complete projects in a timely manner.
    • Ability to maintain proper unit attendance and punctuality standards.
    Requirements
    • Valid US driver's license.
    About Research Corporation

    The WVURC was created as a not-for-profit corporation in 1985 to support research (R1) at West Virginia University. We provide evaluation, development, patenting, management, and marketing services for inventions of the faculty, staff and students of the University.

    The WVURC receives and administers funds awarded by external agencies for research and other activities and is responsible for helping protect intellectual property through patents, copyrights and licensing agreements for start-up companies based on University research.

    Creating an inclusive, engaged, and dynamic environment is core to WVURC's mission. We welcome candidates who can contribute a range of ideas, approaches and experiences.

    West Virginia University Research Corporation is proud to be an Equal Opportunity employer. We value diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.

    Job Posting: Aug 29, 2023
    Posting Classification: Research Corporation
    Exemption Status: Non-Exempt
    Benefits Eligible: Yes
    Schedule: Full-time

    West Virginia University Research Corporation is proud to be an Equal Opportunity employer. West Virginia University Research Corporation values diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.

     

  • 20 Days Ago

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Hearing Instrument Specialist/ Audiologist (2nd Provider) Granville, WV
  • Hearing Lab Technology, LLC
  • Granville, WV FULL_TIME
  • Job DescriptionHearing Instrument Specialist / Audiologist Sam’s Club Granville, WV, USAFull-time: Tuesday-Saturday Position: Specialist (HIS or AuD) Job DescriptionOur Mission: "Helping People Hear B...
  • 4 Days Ago

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Hearing Instrument Specialist/ Audiologist (2nd Provider) Granville, WV
  • Lucid Hearing
  • Granville, WV FULL_TIME
  • Job Description Hearing Instrument Specialist / Audiologist Sam’s Club Granville, WV, USA Full-time: Tuesday-Saturday Position: Specialist (HIS or AuD) Job Description Our Mission: "Helping People Hea...
  • 1 Month Ago

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Network Technician
  • Apogee
  • Morgantown, WV FULL_TIME
  • We’re Apogee. Nice to meet you. At our core, we’re a student services organization that happens to focus on IT. We touch the lives of binge-watching, music-loving, game-playing, finals-taking, seminar...
  • 23 Days Ago

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Administrator- Network
  • Mon Health
  • Grafton, WV FULL_TIME
  • JOB SUMMARY Will service Mon Health System and Grafton City Hospital With a patient centered culture, the Systems Administrator will provide a positive experience to CUSTOMERS/PATIENTS/COMMUNITY throu...
  • 13 Days Ago

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Network Liaison
  • Morgantown Healthcare Center
  • Morgantown, WV FULL_TIME
  • Network Liaison Why Join the Stonerise Family? Leave A Lasting Legacy of Serving Through Love. At Stonerise, we are Appalachians serving our local neighbors. Our team members are the heartbeat of ever...
  • 1 Month Ago

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0 Provider Network Specialist jobs found in Wheeling, WV area

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IT Solution Architect
  • Accede Solutions Inc
  • Canonsburg, PA
  • Responsibilities: Responsible for regulatory requirement analysis, design, execution, and deployment of Global IT Soluti...
  • 4/26/2024 12:00:00 AM

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Network Engineer (Local Candidates ONLY)
  • A.c.coy Company
  • Eighty Four, PA
  • No 3rd Parties/Sub Vendors Applicants MUST currently be Local to the Greater Pittsburgh, PA area, NO RELOCATION. Non-Loc...
  • 4/25/2024 12:00:00 AM

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Network Engineer
  • A.C.Coy Company
  • Canonsburg, PA
  • No 3rd Parties/Sub Vendors Applicants MUST currently be local to the Greater Pittsburgh, PA area to be considered. Anyon...
  • 4/24/2024 12:00:00 AM

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Sr. Network Engineer
  • eNGINE
  • Canonsburg, PA
  • eNGINE builds Technical Teams. We are a Solutions and Placement firm shaped by decades of interaction with Technical pro...
  • 4/24/2024 12:00:00 AM

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Information Professional
  • US Navy
  • Wheeling, WV
  • About In the Navy, information technology (IT) plays an important role in everything from electronic mail systems, to sh...
  • 4/23/2024 12:00:00 AM

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Desktop Engineer
  • Wash. Penn Plas-Corp
  • Washington, PA
  • Job Description Job Description Summary: Design and develop the architecture of client devices and software company wide...
  • 4/23/2024 12:00:00 AM

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Network Engineer
  • A.c.coy Company
  • Canonsburg, PA
  • No 3rd Parties/Sub Vendors Location 100% On-site in Canonsburg, PA OVERVIEW The A.C.Coy Company has an immediate opening...
  • 4/22/2024 12:00:00 AM

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Sr. Network Engineer
  • Engine
  • Canonsburg, PA
  • eNGINE builds Technical Teams. We are a Solutions and Placement firm shaped by decades of interaction with Technical pro...
  • 4/22/2024 12:00:00 AM

Wheeling is a city in Ohio and Marshall counties in the U.S. state of West Virginia. Located almost entirely in Ohio County, of which it is the county seat, it lies along the Ohio River in the foothills of the Appalachian Mountains. Wheeling was originally a settlement in the British colony of Virginia and later an important city in the Commonwealth of Virginia. Wheeling was the first state capital of West Virginia. Due to its location along major transportation routes, including the Ohio River, National Road, and the B&O Railroad, Wheeling became a manufacturing center in the late nineteenth...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$57,238 to $85,570
Wheeling, West Virginia area prices
were up 1.2% from a year ago

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