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 ...
Nurse Practitioner- SNF- LTC
$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- SNF- LTC
$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
$120K - $123K/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
$120K - $123K/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
Philadelphia, PA · On-site
$84K - $88K/hr
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
Philadelphia, PA · On-site
$84K - $88K/hr
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 Advisors
Cincinnati, 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
Cincinnati, 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 ...
Representative, Health Plan Provider Relations
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
... and 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 ...
Representative, Health Plan Provider Relations
Long Beach, CA · On-site +1
$19.84 - $38.69/hr
... and 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 ...
... 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 ...
... partnerships. Collaborates with health plan network management and operations teams and functional business unit stakeholders to lead and/or support various provider services functions and strategic ...
... partnerships. Collaborates with health plan network management and operations teams and functional business unit stakeholders to lead and/or support various provider services functions and strategic ...
... providers in healthcare and can assure healthcare professionals they will receive fast access to ... Looking for licensed Life and Health Insurance Agents to work as Health Plan Advisors during the ...
... providers in healthcare and can assure healthcare professionals they will receive fast access to ... Looking for licensed Life and Health Insurance Agents to work as Health Plan Advisors during the ...
Health Plan Partnership Specialist
Queens, NY · On-site
$50K - $60K/yr
Provide orientation and guidance on CBWCHC health services to health plan representatives * Plan and execute collaborative marketing campaigns with health plan partners to increase awareness ...
Health Plan Partnership Specialist
Queens, NY · On-site
$50K - $60K/yr
Provide orientation and guidance on CBWCHC health services to health plan representatives * Plan and execute collaborative marketing campaigns with health plan partners to increase awareness ...
Specialist, Health Plan Provider Engagement (Remote)
Long Beach, CA · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Long Beach, CA · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Tyler, TX · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Tyler, TX · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Texarkana, TX · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Texarkana, TX · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Long Beach, CA · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
Specialist, Health Plan Provider Engagement (Remote)
Long Beach, CA · Remote
$45K - $80K/yr
Drives provider partner coaching and collaboration to improve quality performance and risk ... Works collaboratively with health plan and shared service partners to ensure alignment to business ...
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 ...
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 ...
New
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 ...
New
Health Plan Provider Contracts Manager - Complex
Covington, 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
Covington, 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
Boise, ID · 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
Boise, ID · 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 ...
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