Provider Relations Representative, Sr. jobs in Dothan, AL

Provider Relations Representative, Sr. supports, develops and maintains service relationships with all participants (physicians, providers and administrators) of a provider network. Responds to electronic and direct inquiries from clients about policies, rates, changes, referrals, eligibility, credentialing, etc. May provide guidance or expertise to less experienced representatives. Being a Provider Relations Representative, Sr. typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Provider Relations Representative, Sr. gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Relations Representative, Sr. typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Advanced Practice Provider (APP)
  • Monogram Health
  • Dothan, AL FULL_TIME
  • Position: Advanced Practice Provider   

    🌟🌟🌟🌟🌟 

    “Working at Monogram Health has reignited my passion as a Nurse Practitioner. Finally, I can spend the right amount of time with a patient to develop an individualized care plan, without the pressure to maximize volume. I’m developing deeper relationships with patients and breaking down barriers to care.” - Dylan Lempp, DNP, APRN, FNP-C 

    As an Advanced Practice Provider, you are a Nurse Practitioner or Physician Assistant who provides compassionate care to a small panel of patients. The panel size and our value-based model allows you to build trusting relationships and care plans that improve the quality of life for our patients. 

    Monogram Health is a rapidly growing company that employs hundreds of clinicians across the country. Our mission is to transform the way health care is delivered for those with kidney disease so they can lead healthier, happier, and more fulfilling lives. 

    This transformation is urgently needed. In our healthcare system, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. 

    The Advanced Practice Provider is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes. 

     

    Roles and Responsibilities   

    • Conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment  
    • Counsels and educates patients and families about benefits and programs available to help them live healthier lives  
    • Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan  
    • Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services  
    • Completes all documentation and paperwork in a timely manner  
    • Maintains quality of care standards as defined by the practice  
    • This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state  
    • Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first   
    • Prescribe medications, order tests, and collaborate with patient’s Monogram physician  
    • Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily  
    • Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing  
    • Assists patients with enrolling to access educational videos  
    • Participates in the integrated care team meetings  
    • Knowledge of disease diagnosis and prevention  
    • Make assessment of patient's health status  
    • Develop treatment plan  
    • Implement a plan consistent with appropriate plan of care  
    • Follow-up and evaluate patient's status  
    • Other duties as assigned   

    Position Requirements     

    • Bilingual (English/Spanish) highly preferred 
    • Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license  
    • Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)  
    • Current and unrestricted DEA certificate  
    • Ability to work without direct supervision and practice autonomously  
    • Access to transportation, a valid driver's license, and car insurance  
    • Must be proficient with medical instruments and equipment required by the work  
    • Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology  
    • Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians and representatives of the community  
    • Sound understanding of all federal and state regulations including HIPAA and OSHA    
    • 2 or more years of direct patient care required  
    • Bilingual in Spanish is preferred  
    • Managed Care/IPA/Health Plan experience  
    • Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home  

      

    Benefits   

    • Comprehensive medical, dental, vision and life insurance  
    • Paid vacation and holiday time 
    • 401(k) plan with matching contributions (employer match vested 100% from day 1) 
    • Pet Insurance 
    • Company paid life insurance 
    • FSA & HSA 

     

    About Monogram Health   

    Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to transform the way nephrology, primary care and chronic condition treatment is delivered. Monogram’s in-home approach utilizes a national nephrology practice supported by case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs. By increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease. 

    At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences. 

    NP  

    PA  

    Physician Assistant  

  • 19 Days Ago

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(Physician) Otolaryngology (ENT) - ENT Provider Needed in Dothan, AL
  • Arlington HealthCare
  • Dothan, AL FULL_TIME
  • Job ID: 10438 Practice Details Seeking a BE/BC Otolaryngologist (ENT) to join an established private practice with 3 physicians. Ear, Nose, & Throat Shared call coverage Dedicated block time in OR Acc...
  • 1 Month Ago

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Representative state
  • Amanda Filipowski - State Farm Agent
  • Ozark, AL FULL_TIME
  • Position Overview Do you want to work with a terrific team doing great things and having fun together? Are you outgoing and customer-focused? A problem solver? Do you enjoy working with the public? If...
  • 20 Days Ago

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Field representative
  • RetailData
  • Dothan, AL FULL_TIME
  • Are you looking for a part-time job that allows you the flexibility to set a schedule that works with your busy life and has unlimited earnings potential? Then join RetailData's growing and diverse Fi...
  • 3 Days Ago

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Vitas Representative
  • VITAS Healthcare
  • Dothan, AL FULL_TIME
  • Responsible to become a subject matter expert on Medicare Hospice Benefit, VITAS service offerings, disease specific clinical criteria and evidence based medicine. Accountable for set goals and result...
  • 23 Days Ago

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Field representative
  • Careerbuilder-US
  • Enterprise, AL FULL_TIME
  • The U.S. Census Bureau, Atlanta Regional Office is hiring Field Representatives (FRs) throughout Coffee County. Field Representatives work out of their homes and are reimbursed for mileage. They DO NO...
  • 24 Days Ago

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0 Provider Relations Representative, Sr. jobs found in Dothan, AL area

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Fire Service Technician V
  • Johnson Controls International
  • Dothan, AL
  • What you will do: Receive service calls from Service Resource Center, including a brief description of equipment/system ...
  • 4/23/2024 12:00:00 AM

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DIRECTOR OF DAY PROGRAMS
  • Vaughn-Blumberg Services
  • Dothan, AL
  • Job Description Job Description Director of Day Programs JOB SUMMARY This position plans, organizes, administers and sup...
  • 4/23/2024 12:00:00 AM

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Fuel Compliance Officer - 12 Month Register
  • Department Of The Treasury
  • Dothan, AL
  • DutiesWHAT IS THE SMALL BUSINESS SELF EMPLOYEDDIVISION?A description of the business units can be found at: https://www....
  • 4/23/2024 12:00:00 AM

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Police Officer (Certified)
  • City of Dothan, AL
  • Dothan, AL
  • Salary: $50,232.00 - $80,371.20 Annually Location : Dothan, AL Job Type: FULL TIME Job Number: 281-24-01 Department: POL...
  • 4/22/2024 12:00:00 AM

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Customer Service Representative
  • Guru Electronic
  • Bonifay, FL
  • Job Description Job Description We are seeking a Customer Service Representative to join our team! You will be responsib...
  • 4/22/2024 12:00:00 AM

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Licensed Insurance Agent
  • WoodmenLife
  • Dothan, AL
  • Job Description Job Description We are seeking a Sales Representative to join our team! As a WoodmenLife Representative,...
  • 4/22/2024 12:00:00 AM

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Financial Analyst
  • Cae Usa
  • Dothan, AL
  • Who We Are: CAE Vision: Our vision is to be the worldwide partner of choice in defense and security, civil aviation, and...
  • 4/21/2024 12:00:00 AM

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Wastewater Treatment Plant Operator Trainee
  • City of Dothan, AL
  • Dothan, AL
  • Salary: $17.87 - $28.59 Hourly Location : Dothan, AL Job Type: FULL TIME Job Number: 472-24-03 Department: DOTHAN UTILIT...
  • 4/21/2024 12:00:00 AM

Dothan /ˈdoʊθən/ is a city in Dale, Henry, and Houston counties in the U.S. state of Alabama. It is the county seat of Houston County and the seventh largest city in Alabama, with a population of 65,496 at the 2010 census. It is near the state's southeastern corner, approximately 20 miles (32 km) west of the Georgia state line and 16 miles (26 km) north of Florida. It is named after the biblical city, the place where Joseph's brothers threw him into a cistern and sold him into slavery in Egypt. Dothan is the principal city of the Dothan, Alabama metropolitan area, which encompasses all of Gene...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Relations Representative, Sr. jobs
$61,509 to $76,280
Dothan, Alabama area prices
were up 1.3% from a year ago

Provider Relations Representative, Sr. in Kingsport, TN
A job as a Provider Relations Representative falls under the broader career category of Business Operations Specialists, All Other.
February 18, 2020
Provider Relations Representative, Sr. in Sioux City, IA
The PR Rep serves as a liaison between contracted payers, providers and ancillary providers to promote superior customer service and seamless programs.
February 16, 2020
Provides telephonic provider education to new providers.
February 14, 2020
Provider Relations Representative, Sr. in Buffalo, NY
This position provides on-going communication, in-service, orientation, and direction to these contracted provider offices.
February 03, 2020