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 ...
60 Provider Partners Health Plan Jobs Hiring Near You
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 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 ...
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 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 ...
ISNP Coordinator
Indianapolis, IN · On-site
Complete and return consent to contact forms (lead cards) to Provider Partners Health Plan. * Maintains documentation on calls, feedback, and outcomes. * Monitors census monthly to identify newly ...
ISNP Coordinator
Indianapolis, IN · On-site
Complete and return consent to contact forms (lead cards) to Provider Partners Health Plan. * Maintains documentation on calls, feedback, and outcomes. * Monitors census monthly to identify newly ...
Nurse Practitioner- SNF- LTC
Chicago, IL · On-site
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
Chicago, IL · On-site
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 ...
FT Nurse Practitioner- LTC/SNF
Springfield, MO · On-site
$120K - $125K/yr
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 ...
FT Nurse Practitioner- LTC/SNF
Springfield, MO · On-site
$120K - $125K/yr
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 ...
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 ...
... 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 ...
FT Nurse Practitioner
Graham, TX · On-site
$118K - $122K/yr
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 ...
FT Nurse Practitioner
Graham, TX · On-site
$118K - $122K/yr
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 Pharmacy Business Analyst for our Medicare Advantage Plan will play a critical role in ... Support the negotiation and management of pharmacy network contracts with providers and pharmacy ...
The Pharmacy Business Analyst for our Medicare Advantage Plan will play a critical role in ... Support the negotiation and management of pharmacy network contracts with providers and pharmacy ...
... 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 ...
Job Summary Leads and directs team responsible for health plan provider network contracting ... Manages the contracting relationships with area agencies and community partners to support and ...
Job Summary Leads and directs team responsible for health plan provider network contracting ... Manages the contracting relationships with area agencies and community partners to support and ...
... partners to support and advance plan initiatives. • Develops and implements contracting ... provider contract negotiations in a managed health care setting ideally negotiating complex ...
... partners to support and advance plan initiatives. • Develops and implements contracting ... provider contract negotiations in a managed health care setting ideally negotiating complex ...
Health Plan Pharmacist
Cheyenne, WY · Hybrid
$55.25 - $66.25/hr
Our Mission: provide our members with access to local health insurance solutions that prioritize ... As a Health Plan Pharmacist with the BCBSWY Pharmacy Team, you will play an essential role in ...
Health Plan Pharmacist
Cheyenne, WY · Hybrid
$55.25 - $66.25/hr
Our Mission: provide our members with access to local health insurance solutions that prioritize ... As a Health Plan Pharmacist with the BCBSWY Pharmacy Team, you will play an essential role in ...
Health Plan Provider Contracts Manager - Complex
Spokane, WA · Remote
$83K - $163K/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
Spokane, WA · Remote
$83K - $163K/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 ...
Health Plan Member Services Analyst
Evansville, IN · On-site +1
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 ...
Health Plan Member Services Analyst
Evansville, IN · On-site +1
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 ...
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 ...
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 Marketing Coordinator
$40K - $55K/yr
POSITION SUMMARY This position provides consistency and quality to all marketing collateral used by the Health Plan (HP), both in-line with the marketing criteria set by the Health Plan and the ...
New
Health Plan Marketing Coordinator
$40K - $55K/yr
POSITION SUMMARY This position provides consistency and quality to all marketing collateral used by the Health Plan (HP), both in-line with the marketing criteria set by the Health Plan and the ...
New
Provider Partners Health Plan Jobs Information

Nurse Practitioner- LTC Part Time/Weekends
Chicago Heights, IL • On-site
Part-time
Medical
Re-posted 3 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