The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of Provider Partner Health Plan (PPHP) members at designated skilled nursing ...
The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of Provider Partner Health Plan (PPHP) members at designated skilled nursing ...
Beacon and Health Axis ticket analysis * Upload new agreements into Salesforce. * Consolidate ... Reach out to contract new providers. * Assist with plan growth and contracting. * Other duties as ...
Beacon and Health Axis ticket analysis * Upload new agreements into Salesforce. * Consolidate ... Reach out to contract new providers. * Assist with plan growth and contracting. * Other duties as ...
Health Plan Manager
Los Angeles, CA · On-site
$105K - $150K/yr
... provider organization, health plan, or managed care entity * Experience owning reporting obligations and performance management with health plan partners * Strong commercial instincts - you ...
Health Plan Manager
Los Angeles, CA · On-site
$105K - $150K/yr
... provider organization, health plan, or managed care entity * Experience owning reporting obligations and performance management with health plan partners * Strong commercial instincts - you ...
Health Plan Advisors
Mason, OH · On-site
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Partner with the Underwriting team to provide alternate plan options to facilitate enrollment when ...
Health Plan Advisors
Mason, OH · On-site
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Partner with the Underwriting team to provide alternate plan options to facilitate enrollment when ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the for non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the for non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the non-complex provider community that services Molina ...
Nurse Practitioner
Philadelphia, PA · On-site
$118K - $125K/yr
Nurse Practitioner The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health Plan (PPHP) members at ...
Nurse Practitioner
Philadelphia, PA · On-site
$118K - $125K/yr
Nurse Practitioner The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of its Provider Partner Health Plan (PPHP) members at ...
RN Care Coordinator -LTC/SNF
Plano, TX · On-site
$82K - $86K/yr
The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborative process of assessment, planning ...
RN Care Coordinator -LTC/SNF
Plano, TX · On-site
$82K - $86K/yr
The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborative process of assessment, planning ...
RN Care Coordinator -LTC/SNF Houston
Houston, TX · On-site
$82K - $86K/yr
The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborative process of assessment, planning ...
RN Care Coordinator -LTC/SNF Houston
Houston, TX · On-site
$82K - $86K/yr
The Nurse Care Coordinator will play a key role in the execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC) through the collaborative process of assessment, planning ...
Health Plan Provider Contracts Manager - Complex
Owensboro, KY · On-site
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Health Plan Provider Contracts Manager - Complex
Owensboro, KY · On-site
$73K - $171K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the for non-complex provider community that services Molina ...
... partnership between the health plan and contracted providers. Serves as the primary point of ... contact between Molina health plan and the for non-complex provider community that services Molina ...
Health Plan Provider Contracts Manager - Complex (MA State Health Plan)
Long Beach, CA · On-site
$97K - $129K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Health Plan Provider Contracts Manager - Complex (MA State Health Plan)
Long Beach, CA · On-site
$97K - $129K/yr
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Job Summary Provides subject matter expertise and leadership for health plan provider network complex contracting activities. Supports network strategy and development with respect to adequacy ...
Senior Specialist, Health Plan Provider Engagement (Remote in NM)
Long Beach, CA · Remote
$40K - $48K/yr
Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace ... Coordinates with Health Plan Community and Member Engagement resources to drive supporting effort ...
Senior Specialist, Health Plan Provider Engagement (Remote in NM)
Long Beach, CA · Remote
$40K - $48K/yr
Drives provider partner coaching and collaboration to improve Medicaid, Medicare and Marketplace ... Coordinates with Health Plan Community and Member Engagement resources to drive supporting effort ...
Health Plan and Provider Associate Principal What You'll Do: • Demonstrate deep health plan ... Provider Partnerships, Administrative Efficiency, and Innovation/Diversification • Lead client ...
Health Plan and Provider Associate Principal What You'll Do: • Demonstrate deep health plan ... Provider Partnerships, Administrative Efficiency, and Innovation/Diversification • Lead client ...
Manager, Hospital Health Plan Provider Contracts
Miami, FL · On-site
$85K - $113K/yr
Job Summary Leads and manages team responsible for Hospital Health Plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial ...
Manager, Hospital Health Plan Provider Contracts
Miami, FL · On-site
$85K - $113K/yr
Job Summary Leads and manages team responsible for Hospital Health Plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial ...
Manager, Hospital Health Plan Provider Contracts
Orlando, FL · On-site
$83K - $111K/yr
Job Summary Leads and manages team responsible for Hospital Health Plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial ...
Manager, Hospital Health Plan Provider Contracts
Orlando, FL · On-site
$83K - $111K/yr
Job Summary Leads and manages team responsible for Hospital Health Plan provider network contracting activities. Supports network strategy and development with respect to adequacy, financial ...
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... Provide accurate, timely, and empathetic information on Medicare Advantage benefits * Assist ...
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... Provide accurate, timely, and empathetic information on Medicare Advantage benefits * Assist ...
Provider Partners Health Plan information
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$13.69 is the 25th percentile. Wages below this are outliers.
$10.34 - $18.38
60% of jobs
$23.84 is the 75th percentile. Wages above this are outliers.
$18.38 - $26.42
22% of jobs
$26.42 - $34.46
1% of jobs
$34.46 - $42.50
0% of jobs
$42.50 - $50.55
1% of jobs
$50.55 - $58.59
1% of jobs
$58.59 - $66.63
1% of jobs
$66.63 - $74.67
6% of jobs
$74.67 - $82.71
1% of jobs
$82.71 - $90.76
0% of jobs
$90.76 - $98.80
6% of jobs
$10
$31
$98
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Nurse Practitioner- LTC Part Time/Weekends
Chicago Heights, IL • On-site
Part-time
Medical
Re-posted 23 days ago
Job description
The Institutional Special Needs Plan (ISNP) Nurse Practitioner is
responsible for coordinated and comprehensive care of Provider Partner Health Plan (PPHP)
members at designated skilled nursing facilities.
The Nurse Practitioner works in collaboration with the member’s primary care physician to
deliver exception health care. The nurse practitioner is the medical liaison to the
interdisciplinary staff and allied health providers and communicates effectively to assure
seamless delivery of services.
As a key member of the clinical team in the skilled nursing facility, the Nurse Practitioner
provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets
diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan
of care with short-term and long-term goals, and is a resource to members, families, and staff.
ESSENTIAL RESPONSIBILITIES
• Demonstrates both autonomy and proficiency in performance of comprehensive health
assessments.
• Collaborates with member’s primary care physician to create a care plan focused on
prevention, early detection and timely intervention.
• Adheres to Provider Partners Health Plan standards of documentation and
communication as directed by the PPHP Model of Care.
• Observes the scope of practice in the state in which he or she is licensed and working in.
• Communicates with physicians and family members during transitions of care.
• Effectively communicates with all members of the care team and facilitates a medically
appropriate and effective plan of care to avoid unnecessary duplication of testing, and
fragmentation of care.
.
REQUIRED PROFICIENCIES
• Clinical competence and understanding of evidenced-based practice.
• Proficient in computer skills- confidence in learning and using unfamiliar computer
programs and electronic devices. Ability to export data, create reports and relay results.
• Strong commitment to the care of the elderly and the needs of their families
• Solid interpersonal and communication skills
• Good organizational skills
• Admirable teaching skills
• Strong customer service orientation
• Minimum of 3 years clinical care experience.
• Skilled Nursing Facility/Long Term Care experience preferred.
• Case management experience preferred
• Knowledge of current standard medical practices and experience with
Medicare/Medicaid.
• Detailed knowledge of I-SNP MOC and I-SNP population.
• Proficiency in nursing/medical databases and Microsoft programs.
• Positive and enthusiastic attitude.
• This role requires independent thinking, autonomy and ability to problem solve and
make decisions.
LICENSURE, CREDENTIALING AND CERTIFICATION
• Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the
state of practice.
• Meets the Provider Partner Health Plan credentialing requirements.
• Holds or is eligible for DEA licensure and CDS licensure (if required in the state of
practice)
• Basic Cardiac Life Support certification.
• Current unrestricted RN license for the state in which the Nurse Practitioner is practicing.
• Valid driver’s license and car insurance with reliable transportation