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Provider Manager Jobs in Ohio (NOW HIRING)

Harbor, Inc.

CPST/TBS Provider

Toledo, OH · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provides education on self-management of symptoms to clients, families and/or significant others. * Collaboration * Assists the client and family in increasing social support skills and networks.

Montgomery County

Habilitation Provider / Entry

Dayton, OH · On-site

$18.58 - $25.46/hr

... management of equipment needs and repairs. Completes minor household repairs; maintains accurate and up-to-date records of resident progress (e.g., menu planning, daily log reports, etc.) Operates ...

Montgomery County, OH

Habilitation Provider / Entry

Dayton, OH · On-site

$18.58 - $25.46/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Maintains a clean and orderly living area; assists with serving meals and notifies management of ... Habilitation Provider - High School diploma or equivalent and six (6) months experience in ...

Fisher-Titus Health

Director - Provider Practices

Norwalk, OH · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Director, Provider Practice will have responsibility for management of physician practices working in conjunction with Physician Director and the leadership of Fisher-Titus. The Director holds ...

Applewood Centers

Behavioral Health Respite Provider

Cleveland, OH · On-site

$18 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We provide competitive benefit and salary options to our employees and their families, including ... POSITION SUMMARY Under the supervision of the Mobile Response Stabilization Program Manager, the ...

Applewood Centers

Behavioral Health Respite Provider

Lorain, OH · On-site

$18 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We provide competitive benefit and salary options to our employees and their families, including ... POSITION SUMMARY Under the supervision of the Mobile Response Stabilization Program Manager, the ...

Applewood Centers

Behavioral Health Respite Provider

Lorain, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We provide competitive benefit and salary options to our employees and their families, including ... POSITION SUMMARY Under the supervision of the Mobile Response Stabilization Program Manager, the ...

Accenture

Health Provider Revenue Cycle Manager

Hartford, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working ...

Accenture

Health Provider Revenue Cycle Manager

Columbus, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working ...

Accenture

Health Provider Revenue Cycle Manager

Cleveland, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working ...

Accenture

Health Provider Revenue Cycle Manager

Cincinnati, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working ...

Harbor, Inc.

Case Manager (CPST/TBS Provider)

Toledo, OH · On-site

$16.89/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Harbor is currently looking to add a Case Manager (CPST/TBS Provider) to our Toledo team. Experience with youth preferred; must be willing to work one late day per week. Position is full-time (40 ...

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Provider Manager information

What is a provider manager?

A Provider Manager is a professional responsible for overseeing relationships with healthcare providers, such as physicians, clinics, or hospitals, within an organization like a health insurance company or healthcare network. Their duties often include recruiting new providers, negotiating contracts, ensuring quality standards are met, and serving as a liaison between providers and the organization. Provider Managers play a key role in maintaining a strong provider network, resolving issues, and supporting operational efficiency to ensure members receive high-quality care.

What are some common challenges provider managers face when coordinating between healthcare providers and insurance companies?

Provider Managers often navigate complex relationships between healthcare providers and insurance companies, which can involve resolving contract disputes, ensuring compliance with regulatory standards, and streamlining credentialing processes. They frequently manage competing priorities, such as maintaining strong provider networks while meeting organizational cost and quality goals. Effective communication, negotiation skills, and up-to-date knowledge of industry regulations are crucial for overcoming these challenges and maintaining productive partnerships.

What are the key skills and qualifications needed to thrive as a provider manager, and why are they important?

To thrive as a Provider Manager, you need expertise in healthcare administration, provider relations, and a solid understanding of regulatory compliance, typically supported by a bachelor’s degree in healthcare management or a related field. Familiarity with provider network management systems, credentialing software, and data analytics tools is highly valued. Strong interpersonal skills, negotiation abilities, and effective communication are essential for building relationships with providers and leading teams. These skills and qualities are crucial for ensuring high-quality provider networks, regulatory adherence, and efficient healthcare delivery.

How do I become a provider manager?

To become a provider manager, candidates typically need a bachelor's degree in healthcare administration, business, or a related field, along with relevant experience in healthcare or provider relations. Strong communication, organizational skills, and knowledge of healthcare regulations are essential, and some roles may require certification such as Certified Provider Relations Professional (CPRP). Gaining experience in provider networks or healthcare operations can also improve prospects for advancement into this role.

What are the most commonly searched types of Provider jobs in Ohio?

The most popular types of Provider jobs in Ohio are:

What cities in Ohio are hiring for Provider Manager jobs?

Cities in Ohio with the most Provider Manager job openings:

Provider Manager jobs near you

CPST/TBS Provider

Harbor, Inc.

Toledo, OH • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Harbor Wholesale rating

8.6

Company rating: 8.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

4th of 49 rated food wholesalers

Job description

Harbor is seeking a CPST/TBS Provider to join the Toledo team. This position provides professional care to children and youth experiencing serious emotional disturbances (SED), adults experiencing a severe and persistent mental illness (SPMI), individuals with co-occurring mental health and substance use disorders (COD), and their families.
Position is 1st shift and full-time.
Requirements:
  • Bachelor's degree in Counseling, Social Work, Psychology, or a closely related behavioral/mental health field required, or, in lieu of a degree, a minimum of a high school diploma and 3 years of relevant experience.
  • Must be proficient and accurate in computer use, including Microsoft Word.
  • Must successfully complete required training, before services are rendered, in basic competencies including, at a minimum, an understanding of mental illness or substance use disorder treatment and recovery, psychiatric and substance use disorder symptoms and their impact on functioning and behavior; how to therapeutically engage a person with mental illness or a person in substance use disorder treatment and recovery;; crisis response procedures; an understanding of the community behavioral health system, social service systems, criminal justice system and other healthcare systems; de-escalation techniques and understanding how your own behavior can impact the behavior of others.
  • Must successfully demonstrate the basic competencies listed above, as determined by your supervisor's review, within 90 days of hire.
  • Must have a valid driver's license, acceptable driving record, and show proof of personal auto insurance policy to be deemed insurable with Harbor's vehicle insurance carrier.
  • For specialized programs:

  • Developmental Pediatrics: Completion of a 40-hour Registered Behavior Technician course required or to be obtained within 120 day introductory period.
  • Substance Use Disorder Program: May require completion of a 40 hour State of Ohio Chemical Dependency Counselor Assistant certification.

  • When applicable, non-licensed staff will be required to complete 20 hours of CEUs every 24 months.
  • CPR/First Aid and NCI/CPI Certifications required within 90 days of employment.

Responsibilities:
Documentation
  1. Responsible for the quality and completeness of the clinical record.
  2. Develops and updates Individualized Service Plan (ISP) for each client.
  3. Responsible for accurate and timely documentation which may include but is not limited to activity/progress notes, ISPs, incident report forms, and any other forms necessary to document services.
  4. Completes clinical documentation in the format appropriate and acceptable to Harbor
  5. In providing billable services, meets or exceeds unit expectations established by Harbor.

Provides Community Psychiatric Supportive Treatment service activities:
  1. Evaluation
  2. Assesses client needs and formulates a strength-based ISP in conjunction with the client, family and/or significant others.
  3. Evaluates and revises the ISP according to the client's responses and needs.
  4. Crisis prevention / intervention
  5. Follows crisis prevention/intervention protocols.
  6. Ongoing interventions
  7. Provides support, education and consultation to clients, families, and/or significant others.
  8. Provides therapeutic interventions as noted in the ISP to maintain the client in the least-restrictive environment and to enhance client and family functioning.
  9. Monitors clients to identify and minimize effects of psychiatric symptoms.
  10. Provides education on self-management of symptoms to clients, families and/or significant others.
  11. Collaboration
    1. Assists the client and family in increasing social support skills and networks.
    2. Coordinates indicated evaluations and assessments by internal and/or external providers.
    3. Coordinates and monitors all services identified in the ISP.
    4. Provides assistance in gaining access to essential community resources.

Provides individual and group Therapeutic Behavioral services, including but not limited to:
  1. Treatment Planning.
  2. Identification of strategies or treatment options.
  3. Developing and providing solution focused interventions and emotional and behavioral management drawn from evidence-based psychotherapeutic treatments.
  4. Restoration of social skills.
  5. Restoration of daily functioning.
  6. Crisis prevention and amelioration.
  7. Group services.

Additional Mental Health Day Treatment expectations may include:
  1. Provides Therapeutic Behavioral Group services within a day treatment model that may include, but are not limited to, the following: Determination of needed mental health interventions; Skills development; Developing positive coping mechanisms; Managing mental health and behavioral symptoms to enhance vocational/school opportunities and/or independent living; Psycho-educational interventions including individualized instruction and training of persons served in order to increase their knowledge and understanding of their psychiatric diagnosis(es), prognosis(es), treatment, and rehabilitation.

Additional Developmental Pediatrics expectations may include:
  1. Collect data accurately and as prescribed by BCBA.
  2. Organize and graph data as required by BCBA.
  3. Carry out interventions, including ABA interventions, and teach caregivers to carry out intervention as prescribed in the behavior plan
  4. Able to understand and carry out behavior plans as written with BCBA.

Additional Outreach Position expectations may include:
  1. Provides CPST/TBS, day treatment, consultation, and other services as needed for individuals located at designated community location (e.g., Cherry Street Mission, schools). Works on-site at designated community location. Assists with program development and engagement in services at community location in coordination with supervisor. Works with supervisor to arrange coverage as needed.

Special Work Conditions
  1. Keeps current with trends and developments related to essential job competencies and demonstrates continued growth in the essential job competencies.
  2. May float to other locations to accommodate client or agency need.
  3. Demonstrates fundamental alcohol and other drug addiction, abuse, and recovery competencies, at a minimum, an understanding of alcohol and other drug treatment and recovery, how to engage a person in treatment and recovery and an understanding of other healthcare systems, social service systems and the criminal justice system.
  4. Carries and responds to cell phone calls as part of general duties.

Why Work for Harbor?
It is fast-paced and challenging, but you will have a lot of fun in the process. You will have the opportunity to meet other motivated individuals who are also making a positive impact at our company. Harbor is committed to investing our resources in you! Some benefits of working with Harbor include:
    • Medical, dental, and vision coverage
    • Retirement plan with company match
    • Generous paid time off, sick time, and paid holidays
    • Tuition and professional license reimbursement programs
    • Clinical supervision hours offered
    • Employee referral bonuses
    • Ability to make a difference in your community!

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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