Managed Care Coordinator in Minnesota Career Overview

As a Managed Care Coordinator, you play a significant role in the healthcare landscape. Your primary responsibility is to ensure that patients receive appropriate care while managing costs effectively. This role is critical in balancing the needs of patients with the operational goals of healthcare organizations.

Key aspects of your job include:

  • Patient Advocacy: You serve as a liaison between patients, healthcare providers, and insurance companies, helping patients navigate their care options and understand their benefits.
  • Care Management: You oversee the coordination of services for patients with complex healthcare needs, ensuring that they receive timely and effective treatments while avoiding unnecessary interventions.
  • Data Monitoring: You analyze data related to patient outcomes and healthcare costs, which informs care plans and helps identify areas for improvement in service delivery.
  • Collaboration: You work closely with multidisciplinary teams, including doctors, nurses, social workers, and administrative staff, to develop and implement care plans that promote patient well-being.
  • Quality Assurance: You monitor compliance with health policies and regulations, ensuring that care provided meets quality standards and improves overall patient satisfaction.

In this dynamic role, you contribute to the efficiency and effectiveness of the healthcare system, making a positive impact on patient care and outcomes. The importance of your work is reflected in the way it helps healthcare organizations deliver high-quality, patient-centered care while managing resources responsibly.

Managed Care Coordinator Salary in Minnesota

Annual Median: $113,460
Hourly Median: $54.55

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 Minnesota

To become a Managed Care Coordinator, you will need a relevant educational background to equip you with the necessary knowledge and skills in healthcare management. Consider pursuing one of the following college degree programs:

  • Health and Medical Administrative Services
    This program focuses on the business aspects of health care, including the management of healthcare facilities, insurance policies, and patient information systems.

  • Health Services Administration
    This degree teaches students about the administration and management of public health systems, hospitals, and other health-related organizations, preparing them for roles in healthcare delivery systems.

  • Health Care Administration and Management
    A program in this field emphasizes the strategic and operational elements of running healthcare organizations, addressing both clinical and administrative challenges.

  • Public Health
    A degree in public health covers a broad range of topics including epidemiology, biostatistics, health education, and health policy, providing a solid foundation for understanding the healthcare system and promoting health within the community.

  • Health Policy Analysis
    This area of study trains you to evaluate and develop policies affecting public health and healthcare delivery, focusing on the healthcare system's regulatory, economic, and ethical dimensions.

In addition to these degree programs, some employers may require or prefer candidates to have relevant internships or clinical experience within health services to enhance their practical understanding of the field. Consider pursuing opportunities that will provide you with exposure to managed care processes and healthcare administration settings.

Best Schools to become a Managed Care Coordinator in Minnesota 2024

#1Salt Lake County

Western Governors University

Salt Lake City, UT

In-State Tuition:$7,404
Out-of-State Tuition:$7,404
Admission Rate:N/A
Graduation Rate:49%
Total Enrollment:156,935
#2Merrimack County

Southern New Hampshire University

Manchester, NH

In-State Tuition:$15,000
Out-of-State Tuition:$15,000
Admission Rate:96%
Graduation Rate:41%
Total Enrollment:164,091
#3Tippecanoe County

Purdue University Global

West Lafayette, IN

In-State Tuition:$10,080
Out-of-State Tuition:$13,356
Admission Rate:N/A
Graduation Rate:20%
Total Enrollment:45,125
#4Hennepin County

Capella University

Minneapolis, MN

In-State Tuition:$14,328
Out-of-State Tuition:$14,328
Admission Rate:N/A
Graduation Rate:N/A
Total Enrollment:39,727
#5Baltimore City

Johns Hopkins University

Baltimore, MD

In-State Tuition:$60,480
Out-of-State Tuition:$60,480
Admission Rate:7%
Graduation Rate:94%
Total Enrollment:31,275
#6San Diego County

Ashford University

San Diego, CA

In-State Tuition:$12,240
Out-of-State Tuition:$12,240
Admission Rate:N/A
Graduation Rate:10%
Total Enrollment:34,190
Managed Care Coordinator Job Description:
  • 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 Minnesota

  • Communication Skills: You must effectively convey information to various stakeholders, including patients, healthcare providers, and insurance companies. This includes both verbal and written communication.

  • Interpersonal Skills: Building strong relationships with patients and team members is essential. Your ability to connect and empathize with others can greatly enhance patient care and satisfaction.

  • Organizational Skills: Managing multiple patient cases requires a high level of organization. You need to track various elements like patient file documentation, treatment plans, and appointment scheduling efficiently.

  • Problem-Solving Skills: You often encounter challenges that require quick thinking and innovative solutions. Your ability to assess situations and develop effective resolutions is vital.

  • Knowledge of Healthcare Regulations: A thorough understanding of local and federal healthcare laws, regulations, and policies is necessary to ensure compliance and best practices.

  • Analytical Skills: You should be able to analyze patient data and care plans to identify trends and make informed decisions that improve healthcare outcomes.

  • Attention to Detail: Precision is necessary when reviewing patient information and coordinating care. Small errors can have significant implications.

  • Technical Proficiency: Familiarity with electronic health records (EHR) and other healthcare software is important for efficient management and communication.

  • Time Management: You need to prioritize tasks effectively to meet deadlines and address urgent patient needs without compromising the quality of care.

  • Team Collaboration: Working closely with healthcare professionals, including doctors and nurses, is vital. Your ability to collaborate and contribute to a team-oriented environment enhances patient outcomes.

  • Advocacy Skills: Being able to advocate for patients' needs and rights is critical. You should work effectively to navigate the healthcare system on their behalf.

  • Cultural Competence: Understanding and respecting diverse backgrounds and beliefs will help you provide individualized care that meets the needs of all patients.

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.

Technologies and Skills Used by Managed Care Coordinators

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 Minnesota

The job market for Managed Care Coordinators in Minnesota is experiencing notable growth, driven by the increasing emphasis on efficient healthcare delivery and cost management. Several factors contribute to this positive outlook.

  • Demand for Managed Care Coordination: The ongoing shifts in healthcare systems towards value-based care models amplify the need for skilled Managed Care Coordinators. These professionals play a vital role in ensuring patient care aligns with the health plan's goals, which is pivotal in managing healthcare costs and improving patient outcomes.

  • Growth Potential: The sector is projected to grow significantly in the coming years. With the continued expansion of health insurance coverage and reforms to healthcare policies, organizations are likely to require more coordinators to handle the complexities of managed care. This growth is consistent across various healthcare settings, including hospitals, specialized clinics, and insurance companies.

  • Geographical Hotspots: In Minnesota, metropolitan areas, particularly the Twin Cities (Minneapolis and Saint Paul), represent the most significant opportunities for Managed Care Coordinators due to the dense concentration of healthcare facilities, insurance companies, and managed care organizations. Other areas with emerging opportunities include:

    • Rochester: Home to the renowned Mayo Clinic, this city sees demand for care coordination roles due to its extensive healthcare network.
    • Duluth: This city's growing healthcare system also provides avenues for Managed Care Coordinators, especially with initiatives aimed at improving care for rural populations.
    • St. Cloud: As a developing medical hub, St. Cloud offers job opportunities in managed care as local health organizations expand services.

  • Networking Opportunities: Engaging with professionals in the field through local healthcare conferences, workshops, and networking events can bolster your presence in the job market. Local associations related to healthcare management and planning often provide resources and connections critical for career advancement.

Familiarity with current trends in managed care and healthcare delivery will enhance your understanding of the evolving job landscape. Investing time in understanding the specific needs and opportunities within the Minnesota healthcare system will position you well as you seek to advance your career in this field.

Top Related Careers to Managed Care Coordinator 2024

Patient Services Director
Healthcare Facilities Manager
Clinical Operations Manager
Public Health Administrator

Additional Resources To Help You Become a Managed Care Coordinator in Minnesota

  • Minnesota Department of Human Services
    Access information about managed care programs, regulatory updates, and state-specific guidelines.
    Minnesota Department of Human Services

  • National Association of Healthcare Access Management (NAHAM)
    Offers resources, certifications, and professional development opportunities pertinent to healthcare access management, including managed care.
    NAHAM

  • American Managed Care Pharmacy (AMCP)
    Provides resources related to managed care pharmacy practice, including research, policy, and educational materials useful for managed care coordinators.
    AMCP

  • The National Committee for Quality Assurance (NCQA)
    Delve into standards and measures for managed care organizations, along with quality improvement programs.
    NCQA

  • Healthcare Financial Management Association (HFMA)
    A resource for financial management in healthcare, offering insights on cost management, reimbursement, and value-based care in managed settings.
    HFMA

  • Centers for Medicare & Medicaid Services (CMS)
    Stay updated on policies, regulations, and initiatives impacting managed care within Medicare and Medicaid programs.
    CMS

  • American College of Healthcare Executives (ACHE)
    Provides leadership resources, networking opportunities, and educational programs focused on healthcare management, valuable for managed care coordinators.
    ACHE

  • Association for Community Affiliated Plans (ACAP)
    Focuses on nonprofit health plans and includes resources related to managed care strategies and advocacy.
    ACAP

  • Institute for Healthcare Improvement (IHI)
    Offers tools and resources aimed at improving healthcare quality and efficiency that can benefit managed care coordinators.
    IHI

  • Health Affairs
    A leading journal on health policy, providing articles and research that can enhance your understanding of trends and issues in managed care.
    Health Affairs

These resources provide valuable insights, best practices, and updated information that can support you in your career as a Managed Care Coordinator in Minnesota.

Frequently Asked Questions (FAQs) About Managed Care Coordinator in Minnesota

  • What is a Managed Care Coordinator?
    A Managed Care Coordinator is a professional who manages the delivery of healthcare services for patients within a managed care system. They ensure that patients receive necessary medical care while also working to control costs and maintain compliance with healthcare regulations.

  • What qualifications do I need to become a Managed Care Coordinator in Minnesota?
    Typically, you will need a bachelor's degree in healthcare administration, nursing, social work, or a related field. Some positions may require specific certifications, such as Certified Managed Care Professional (CMCP) or accreditation in case management.

  • What are the primary responsibilities of a Managed Care Coordinator?
    Your main responsibilities include assessing patient needs, coordinating healthcare services, liaising between patients and providers, monitoring treatment plans, and ensuring that care plans align with insurance policies and regulations.

  • What skills are important for a Managed Care Coordinator?
    Key skills include strong communication and interpersonal abilities, organizational skills, analytical thinking, problem-solving, and a good understanding of healthcare policies, insurance procedures, and patient advocacy.

  • Where can I find job opportunities for Managed Care Coordinators in Minnesota?
    Job opportunities are often available in hospitals, insurance companies, rehabilitation facilities, and healthcare organizations. Check local job boards, healthcare company websites, or networking groups specific to the healthcare industry.

  • Is prior experience required for this position?
    While some positions may require prior experience in healthcare or case management, entry-level roles can be available for candidates with relevant degrees and a strong willingness to learn.

  • What is the average salary for Managed Care Coordinators in Minnesota?
    The average salary for Managed Care Coordinators in Minnesota varies based on experience and location but typically ranges from $50,000 to $70,000 per year. Additional benefits may include health insurance, retirement plans, and professional development opportunities.

  • What is the job outlook for Managed Care Coordinators in Minnesota?
    The job outlook for Managed Care Coordinators is positive, as the demand for efficient healthcare management continues to grow due to the expanding healthcare industry and the increasing complexity of insurance and healthcare services.

  • Do Managed Care Coordinators work full-time or part-time?
    Managed Care Coordinators commonly work full-time; however, employment may also include part-time or flexible scheduling options depending on the employer's needs and the specific role.

  • What are common challenges faced by Managed Care Coordinators?
    You may encounter challenges such as navigating complex patient needs, ensuring compliance with evolving healthcare regulations, managing costs while providing quality care, and communicating effectively with various stakeholders.