Managed Care Coordinator in Hawaii Career Overview
As a Managed Care Coordinator, you will play a vital role in the healthcare system, focusing on the organization and supervision of care services for patients. Your primary responsibilities will revolve around ensuring that individuals receive the appropriate healthcare while balancing cost efficiency and quality.
Key aspects of your role include:
Patient Advocacy: You will serve as a liaison between patients, healthcare providers, and insurance companies. Your efforts will be aimed at helping patients navigate the complexities of care options and benefit utilization.
Care Coordination: You will evaluate patient needs and coordinate necessary services, ensuring seamless transitions between different levels of care, such as from hospital to home or from specialists to primary care providers.
Resource Management: You will analyze healthcare resources, manage patient referrals, and monitor the utilization of services to optimize the delivery of care while adhering to predetermined budgets and guidelines.
Compliance Oversight: It will be your responsibility to ensure that all managed care activities comply with relevant laws, regulations, and organizational policies, which is vital for maintaining the integrity of the healthcare system.
Quality Improvement: You will participate in initiatives aimed at improving patient outcomes and enhancing the effectiveness of managed care programs, relying on data analysis and performance metrics to inform decisions.
Your impact in this role will be significant, contributing to improved patient experiences and outcomes while supporting the broader goals of the healthcare industry in Hawaii.
Managed Care Coordinator Salary in Hawaii
Data sourced from Career One Stop, provided by the BLS Occupational Employment and Wage Statistics wage estimates.
Required Education To Become a Managed Care Coordinator in Hawaii
To become a Managed Care Coordinator, you need specific educational qualifications and training. Below are the degree programs that can provide you with a solid foundation for this career:
Health and Medical Administrative Services
This program typically covers various aspects of healthcare administration, including management principles, healthcare law, and financial management.Health Services Administration
A degree in this field emphasizes the organization, management, and delivery of health services. You'll explore health policy, economics, and the operational aspects of healthcare systems.Health Care Administration and Management
This program focuses on the skills necessary to manage healthcare facilities effectively. You'll learn about healthcare operations, strategic planning, and quality improvement.Public Health
A public health degree offers knowledge about population health, disease prevention, and health promotion strategies. It prepares you to understand the broader context of healthcare systems.Health Policy Analysis
This program focuses on evaluating and analyzing health policies. You'll learn about policy development, implementation, and the impact of regulations on healthcare delivery.
In addition to obtaining a degree, you may consider internships or practicum experiences to gain practical exposure in healthcare settings.
Best Schools to become a Managed Care Coordinator in Hawaii 2024
Western Governors University
Southern New Hampshire University
Purdue University Global
Capella University
Johns Hopkins University
Ashford University
- Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
Managed Care Coordinator Required Skills and Competencies in Hawaii
Communication Skills: You must be able to convey information clearly and effectively, both verbally and in writing, to healthcare professionals, patients, and insurance representatives.
Organizational Skills: The ability to manage various tasks and deadlines simultaneously is essential. You will need to coordinate multiple aspects of patient care and ensure that all documentation is accurate and up to date.
Analytical Thinking: You should be capable of analyzing healthcare data and patient information to assess needs and identify solutions that improve care efficiency and cost-effectiveness.
Interpersonal Skills: Building relationships with patients, families, and healthcare providers is key. You will need to develop trust and rapport to facilitate effective care coordination.
Problem-Solving Skills: You must be able to identify issues that arise in patient care and find effective solutions quickly. This may involve navigating complex systems and addressing conflicts among stakeholders.
Knowledge of Healthcare Regulations: Familiarity with healthcare policies, insurance procedures, and compliance requirements is necessary. You should stay updated with the ever-evolving landscape of healthcare regulations.
Technical Proficiency: A strong understanding of electronic health records (EHR) systems and other healthcare technologies is important for maintaining accurate patient data and accessing relevant information efficiently.
Attention to Detail: Precision is critical in managed care coordination. You need to ensure that all patient information, referrals, and authorizations are correctly processed to avoid errors that could affect patient care.
Time Management: Effectively prioritizing tasks and managing your time will help you meet the demands of a busy healthcare environment and ensure timely patient care.
Cultural Competency: Given Hawaii's diverse population, understanding and respecting different cultural backgrounds and traditions will enhance your ability to provide empathetic and effective care.
Job Duties for Managed Care Coordinators
Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports.
Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.
Plan, implement, and administer programs and services in a health care or medical facility, including personnel administration, training, and coordination of medical, nursing and physical plant staff.
Analytical or scientific software
- IBM SPSS Statistics
- SAS
Data base user interface and query software
- Blackboard software
- Yardi software
Medical software
- Epic Systems
- eClinicalWorks EHR software
Basic Skills
- Talking to others
- Thinking about the pros and cons of different ways to solve a problem
Problem Solving
- Noticing a problem and figuring out the best way to solve it
Social
- Bringing people together to solve differences
- Understanding people's reactions
Job Market and Opportunities for Managed Care Coordinator in Hawaii
The job market for Managed Care Coordinators in Hawaii presents a dynamic landscape characterized by a growing demand driven by several factors.
Rising Demand: The increasing complexity of healthcare delivery, coupled with a shift towards managed care models, has spurred the need for more Managed Care Coordinators. As healthcare organizations look to streamline operations, ensure quality care, and manage costs effectively, your role becomes increasingly vital.
Growth Potential: The healthcare sector in Hawaii is expanding, with continued investments in facilities and services. The movement towards value-based care, emphasizing quality over quantity, necessitates professionals who can coordinate patient care across various settings. This trend indicates strong growth potential for managed care positions in both urban and rural areas of the state.
Geographical Hotspots: Key areas in Hawaii where opportunities for Managed Care Coordinators are particularly strong include:
- Honolulu County: As the most populous county, Honolulu hosts a range of hospitals, clinics, and insurance companies, creating numerous job openings.
- Maui County: With growing healthcare facilities on Maui, there is an increasing need for managed care professionals to support the healthcare network.
- Hawaii County: The Big Island is seeing expansion in healthcare services, which translates to more opportunities for roles in managed care coordination.
- Kauai County: Offers a unique setting for Managed Care Coordinators, particularly within community health organizations aimed at improving accessibility and quality of care.
Health System Collaboration: The collaboration between public and private health systems in Hawaii enhances job prospects. Initiatives focusing on maternal and child health, chronic disease management, and mental health services depict a need for skilled coordinators to facilitate these programs.
Impact of Telehealth: The rise of telehealth services in response to the COVID-19 pandemic has further broadened the scope of Managed Care Coordinators, allowing for a greater variety of role opportunities in remote care management and patient outreach.
As you explore career options, the managed care field in Hawaii stands out as a promising domain with a strong emphasis on improving healthcare accessibility and quality.
Top Related Careers to Managed Care Coordinator 2024
Additional Resources To Help You Become a Managed Care Coordinator in Hawaii
National Association of Managed Care Physicians (NAMCP)
- Website: Namcp.org
- This organization offers resources, educational materials, and networking opportunities relevant to managed care professionals.
American Academy of Managed Care Pharmacy (AMCP)
- Website: Amcp.org
- AMCP provides various resources including publications, educational events, and a platform for discussing best practices in managed care pharmacy.
Centers for Medicare & Medicaid Services (CMS)
- Website: Cms.gov
- The CMS website contains essential information on policies, regulations, and programs affecting managed care services.
Hawaii State Department of Health
- Website: Health.Hawaii.gov
- Provides updates and resources on health care policies, programs, and managed care specific to Hawaii.
American Health Insurance Plans (AHIP)
- Website: Ahip.org
- Offers resources, webinars, and policy information relevant to individuals working within the managed care sector.
Healthcare Financial Management Association (HFMA)
- Website: Hfma.org
- HFMA provides education and tools specific to financial management in healthcare, which is vital for managed care coordinators.
The National Managed Care Industry Directory
- Website: ManagedCareDirectory.com
- This directory helps you find key organizations, practitioners, and resources in the managed care industry.
Health Affairs Journal
- Website: HealthAffairs.org
- A leading journal in health policy, it offers peer-reviewed articles that can enhance your understanding of the managed care landscape.
Hawai'i Health Information Exchange (Hawai'i HIE)
- Website: hihie.org
- This platform facilitates the secure exchange of health information in Hawaii, essential for managed care coordination.
Professional Associations and Networking Groups
Frequently Asked Questions (FAQs) About Managed Care Coordinator in Hawaii
What is a Managed Care Coordinator?
A Managed Care Coordinator oversees the administrative and operational aspects of healthcare services in a managed care environment. They ensure efficient communication between patients, healthcare providers, and insurance companies while assisting in care management and resource allocation.What qualifications do I need to become a Managed Care Coordinator in Hawaii?
Typically, you will need a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Managed Care Professional (CMCP) or Certified Case Manager (CCM), can enhance your qualifications. Experience in healthcare settings is also advantageous.What skills are essential for a Managed Care Coordinator?
Key skills include strong communication and interpersonal skills, organizational abilities, attention to detail, problem-solving skills, and proficiency in healthcare software. Knowledge of healthcare regulations and insurance policies is also important.What does a typical day look like for a Managed Care Coordinator?
A typical day may involve coordinating patient care plans, communicating with healthcare providers, managing patient records, ensuring compliance with policies, and addressing patient inquiries. You may also participate in multidisciplinary team meetings.What are the job prospects for Managed Care Coordinators in Hawaii?
Job prospects are generally positive, as the demand for healthcare services continues to grow. With an aging population and an increasing focus on managed care, opportunities in this field are likely to expand.How much does a Managed Care Coordinator earn in Hawaii?
Salaries can vary based on experience and the specific employer, but the average annual salary for a Managed Care Coordinator in Hawaii ranges from approximately $65,000 to $85,000. Benefits packages often add significant value.Can I work remotely as a Managed Care Coordinator?
Yes, many organizations offer remote positions for Managed Care Coordinators, especially for those who focus on administrative tasks or patient communications. However, some roles may require on-site presence due to specific responsibilities.What types of employers hire Managed Care Coordinators?
Managed Care Coordinators are commonly employed by health insurance companies, hospitals, clinics, and health management organizations. Government agencies and consulting firms may also seek professionals in this role.Are there opportunities for advancement in this career?
Yes, there are opportunities for career advancement. With experience, you may move into supervisory roles, management positions, or specialized fields such as healthcare compliance or quality assurance.What continuing education is recommended for Managed Care Coordinators?
Continuing education is crucial to stay updated with healthcare regulations, policies, and technology. Consider pursuing certifications, attending workshops, and participating in professional organizations relevant to managed care and healthcare administration.