Provider Contracting Manager jobs in Toledo, OH

Provider Contracting Manager manages the activities of the contracting staff that prepare and maintain contracts and the contracts database system for a health plan network. Responsible for negotiating with facilities joining the health network and setting rates. Being a Provider Contracting Manager oversees network reporting requirements to ensure compliance with regulatory agencies, and to produce accurate and relevant reporting of data. Trains and develops staff. Additionally, Provider Contracting Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Provider Contracting Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Contracting Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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CPST/TBS Provider (Case Manager)
  • Harbor Brand
  • Toledo, OH FULL_TIME
  • Harbor is currently looking to add a CPST/TBS Provider (Case Manager) to our mental health team in Toledo.

    Position is full-time

    Requirements:

    • Minimum of a High School Diploma and 3 years of experience required. Bachelor’s degree in Counseling, Social Work, Psychology, Nursing or closely related behavioral/mental health field preferred.
    • 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.
    • For specialized programs:
      • Developmental Pediatrics: Completion of a 40-hour Registered Behavior Technician course required or to be obtained within 120 day introductory period. 
    • When applicable, non-licensed staff will be required to complete 20 hours of CEUs every 24 months.
    • Must have reliable transportation, valid driver’s license, acceptable driving record and be deemed insurable through Harbor’s vehicle insurance carrier.
    • CPR/First Aid and NCI/CPI Certifications required within 90 days of employment.

    Responsibilities:

    • Responsible for accurate and timely documentation which may include, but is not limited to: activity/progress notes, ISPs, DPS logs, incident report forms and any other forms necessary to document services.
    • Assesses client needs and formulates a strength-based ISP in conjunction with the client, family and/or significant others. 
    • Crisis prevention & intervention
    • Provides support, education and consultation to clients, families, and/or significant others.
    • Monitors clients to identify and minimize effects of psychiatric symptoms.
    • Assists the client and family in increasing social support skills and networks.
    • Coordinates indicated evaluations and assessments by internal and/or external providers.
    • Coordinates and monitors all services identified in the ISP.
    • Provides assistance in gaining access to essential community resources.

      About Harbor:

      • A leading provider of mental health and substance use treatment for over 100 years
      • 350 clinical staff serve over 24,000 clients across multiple locations and in the community each year
      • Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!

      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!
    • 8 Days Ago

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    CPST/TBS Provider (Case Manager)
    • Harbor, Inc.
    • Toledo, OH FULL_TIME
    • Harbor is currently looking to add a CPST/TBS Provider (Case Manager) to our mental health team in Toledo. Position is full-time Requirements: Minimum of a High School Diploma and 3 years of experienc...
    • 13 Days Ago

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    Anesthesia
    • KPG Provider Services
    • Bowling Green, OH FULL_TIME
    • Anesthesia physician employment in Ohio : Inpatient Facility: Looking for an experienced Anesthesiologist in the Bowling Green, Ohio area. Below you will find the Position Overview with all the detail...
    • 2 Days Ago

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    Childcare Provider
    • Little ducklings learning center llc
    • Toledo, OH FULL_TIME
    • Little Ducklings Learning Center is a Childcare center in Toledo, OH. We have passionate staff working with our students each and every day to build their love of learning! But we'd love to add a few ...
    • 12 Days Ago

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    Childcare Provider
    • The Learning Den 24-Hour Childcare
    • Millbury, OH FULL_TIME,PART_TIME
    • About us The Learning Den 24-Hour Childcare is a Newly Opened Childcare Center in Millbury, OH. We have passionate staff working with our students each and every day to build their love of learning! B...
    • 20 Days Ago

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    Student Service Provider
    • Monroe Public Schools
    • Monroe, MI FULL_TIME
    • JobID: 1075 Position Type: Contracted Date Posted: 1/3/2024 Location: Custer Elementary Campus Closing Date: 01/10/2024 TITLE: Student Service Providers (Edustaff Contracted Service) REPORTS TO: Build...
    • 4 Days Ago

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    0 Provider Contracting Manager jobs found in Toledo, OH area

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    Transit Planning Project Manager
    • Toledo Area Regional Transit Authority
    • Toledo, OH
    • Job Description Job Description Under the leadership of the Chief Customer Experience & Mobility Officer, the Transit Pl...
    • 5/30/2024 12:00:00 AM

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    Director, Revenue Cycle Management - CBO Customer Service
    • ProMedica
    • Toledo, OH
    • **Job Details** **Director, Revenue Cycle Management - CBO Customer Service - (63385)** This details all the information...
    • 5/30/2024 12:00:00 AM

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    Construction Project Manager
    • MDE Staffing Solutions, LLC
    • Toledo, OH
    • Job Description Job Description We are seeking a construction project manager who has experience in managing all aspects...
    • 5/29/2024 12:00:00 AM

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    Senior Project Manager- Industrial Hygiene
    • UX Hires
    • Toledo, OH
    • Senior Project Manager- Industrial Hygiene Location: TOLEDO, OH Our client is an innovative, growing, and trusted engine...
    • 5/28/2024 12:00:00 AM

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    Accountant
    • Boys & Girls Clubs of Toledo
    • Toledo, OH
    • TITLE: Accountant REPORTS TO: CFO FLSA STATUS: Exempt Summary:Reporting to the Chief Financial Officer, the Accountant i...
    • 5/28/2024 12:00:00 AM

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    Administrative Assistant
    • William Vaughan Company
    • Holland, OH
    • William Vaughan Company is helping in the search for an Administrative Assistant for a General Contractor based in Holla...
    • 5/28/2024 12:00:00 AM

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    Project Manager, Nodal Transmission Modeling Job Details | Black & Veatch Family of Companies
    • Black & Veatch
    • Toledo, OH
    • **Project Manager, Nodal Transmission Modeling** Date: May 15, 2024 Location: US Company: Black & Veatch Family of Compa...
    • 5/28/2024 12:00:00 AM

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    Electric Utility Project Manager
    • PFES
    • Toledo, OH
    • PFES is currently looking for Project Managers to support large scale electric utility transmission line construction pr...
    • 5/26/2024 12:00:00 AM

    Toledo (/təˈliːdoʊ/) is a city in and the county seat of Lucas County, Ohio, United States. Toledo is in northwest Ohio, at the western end of Lake Erie bordering the state of Michigan. The city was founded in 1833 on the west bank of the Maumee River, and originally incorporated as part of Monroe County, Michigan Territory. It was re-founded in 1837, after conclusion of the Toledo War, when it was incorporated in Ohio. After the 1845 completion of the Miami and Erie Canal, Toledo grew quickly; it also benefited from its position on the railway line between New York City and Chicago. The first...
    Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
    Income Estimation for Provider Contracting Manager jobs
    $105,710 to $140,383
    Toledo, Ohio area prices
    were up 1.3% from a year ago

    Provider Contracting Manager in Scranton, PA
    In order to properly oversee provider contracts, insurance companies must ensure all the medical professionals they are contracting with are properly credentialed; maintain detailed price sheets to standardize how much they are paying for services; and keep historical records of each account.
    December 11, 2019
    Provider Contracting Manager in Allentown, PA
    The complete report provides the full listing of all companies nominated, as well as benchmark ratings for a listing of 40+ companies in account support and contracting.
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    Provider Contracting Manager in Savannah, GA
    The Senior Provider Contract Manager is responsible for developing, negotiating, managing and leading complex contractual, legal and financial arrangements with providers that ensure CCA members have superior access to the highest quality, cost-effective providers of healthcare services.
    January 03, 2020