Managed Care Coordinator in Montana Career Overview

As a Managed Care Coordinator, you play a vital role in the healthcare system, ensuring that patients receive the appropriate care while managing costs and resources effectively. Your responsibilities typically include:

  • Coordinating patient care across various healthcare services and providers.
  • Evaluating patient needs to develop or adjust care plans that align with health policies and insurance criteria.
  • Navigating the complexities of managed care contracts, helping patients understand their benefits and coverage options.
  • Collaborating with healthcare professionals, insurance companies, and community resources to facilitate access to necessary services.
  • Monitoring patient progress and outcomes to ensure adherence to care plans and making adjustments as needed.

Your work significantly impacts healthcare delivery by facilitating communication among stakeholders, improving patient experiences, and enhancing the efficiency of healthcare services. By effectively managing care processes and advocating for patients' needs, you help bridge gaps within the healthcare system, thereby fostering better health outcomes in the communities you serve.

Managed Care Coordinator Salary in Montana

Annual Median: $102,910
Hourly Median: $49.48

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 Montana

To become a Managed Care Coordinator, you typically need a combination of relevant educational qualifications and training. The following degree programs are valuable for this career path:

  • Health and Medical Administrative Services

    • This program covers the management of healthcare facilities and the administrative processes necessary for effective healthcare delivery.

  • Health Services Administration

    • This degree focuses on the organization, management, and delivery of health services, equipping you with knowledge of both the public and private sectors.

  • Health Care Administration and Management

    • Through this program, you will gain insights into the operational aspects of healthcare organizations, including policy formulation and implementation.

  • Public Health

    • A degree in public health will provide a broader understanding of community health issues, disease prevention, and the health care system’s role in promoting public well-being.

  • Health Policy Analysis

    • This program emphasizes the analysis of health policies, preparing you to assess and develop policies that improve healthcare delivery and management.

In addition to these degree programs, practical experience through internships or entry-level positions in healthcare settings is often beneficial in preparing for a role as a Managed Care Coordinator.

Best Schools to become a Managed Care Coordinator in Montana 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 Montana

  • Communication Skills: You will need to convey information clearly and concisely to various stakeholders, including patients, healthcare providers, and insurance companies. Active listening will also be essential to understand the needs and concerns of others.

  • Organizational Skills: Managing multiple cases and coordinating various healthcare services requires strong organizational abilities. You should be adept at prioritizing tasks and managing time efficiently to meet deadlines.

  • Analytical Skills: The ability to analyze healthcare data and assess the effectiveness of care plans is vital. This involves evaluating patient outcomes and making data-driven decisions to enhance service delivery.

  • Problem-Solving Skills: You will encounter complex healthcare situations that require innovative solutions. Think critically and develop actionable strategies to address challenges that arise in patient care management.

  • Knowledge of Healthcare Regulations: Familiarity with regulations such as HIPAA and other compliance standards is important. This knowledge will ensure that you adhere to legal requirements while coordinating care.

  • Interpersonal Skills: Building relationships with patients and healthcare teams is key. Demonstrating empathy and understanding can enhance patient satisfaction and foster collaboration among professionals.

  • Attention to Detail: Precision is crucial when handling patient information, processing claims, and coordinating services. A keen eye for detail can help prevent errors that could impact patient care and reimbursement.

  • Technical Proficiency: Being comfortable with various healthcare software and electronic health records (EHR) systems is essential for effective data management and communication.

  • Negotiation Skills: You may need to negotiate care services and costs between patients, providers, and insurance companies. Strong negotiation abilities can help secure favorable outcomes for all parties involved.

  • Adaptability: The healthcare landscape is constantly evolving. Being open to change and willing to learn new processes or technologies will help you thrive in this dynamic environment.

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 Montana

  • The demand for Managed Care Coordinators in Montana is experiencing steady growth, driven by an increasing focus on coordinated healthcare delivery and cost-effective care solutions. As healthcare systems evolve to prioritize patient-centered approaches, this role becomes essential in ensuring that patients receive the necessary care while navigating complex healthcare plans.

  • Growth potential remains strong within the state, influenced by the expanding population and the rising complexity of healthcare needs. Rural and underserved areas present unique opportunities for Managed Care Coordinators, as local healthcare providers seek skilled professionals to enhance care coordination and improve patient outcomes.

  • Geographical hotspots for Managed Care Coordinators in Montana include larger urban centers such as Billings, Missoula, and Great Falls. These cities not only offer a higher volume of healthcare facilities but also a diverse range of healthcare programs that require effective managed care strategies.

  • Additionally, local government initiatives and partnerships with healthcare organizations are likely to contribute to the availability of positions in various regions. As healthcare reforms continue to unfold, Managed Care Coordinators will be vital in aligning patient care with evolving regulatory requirements.

  • The emergence of telehealth services and remote patient monitoring technologies is also altering the landscape. Positions that involve coordinating care in virtual settings are becoming more prevalent, providing new avenues for employment across the state.

  • Keep an eye on healthcare networks and insurance providers that are expanding their footprint in Montana, as their growth often leads to a rise in demand for managed care professionals. Networking within local health associations and attending industry events can enhance your prospects 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 Montana

  • National Association of Managed Care Physicians (NAMCP)

    • Website: namcp.com
    • Offers resources, networking opportunities, and continuing education specific to managed care.

  • American Association of Managed Care Nurses (AAMCN)

    • Website: aamcn.org
    • Provides educational resources, certification programs, and networking for nurses in managed care.

  • Healthcare Financial Management Association (HFMA)

    • Website: hfma.org
    • Supplies information on healthcare finance, including articles and guides relevant to managed care coordination.

  • Centers for Medicare & Medicaid Services (CMS)

    • Website: cms.gov
    • A key resource for regulations, guidelines, and updates on managed care programs and policies.

  • American Health Insurance Plans (AHIP)

    • Website: ahip.org
    • Offers information on health insurance, policy advocacy, and industry trends affecting managed care.

  • Montana Department of Public Health and Human Services (DPHHS)

    • Website: dphhs.mt.gov
    • Provides state-specific information on healthcare programs, including Medicaid and Managed Care resources.

  • National Committee for Quality Assurance (NCQA)

    • Website: ncqa.org
    • Focuses on healthcare quality assurance, offering valuable resources on performance measures and accreditation in managed care.

  • Society for Human Resource Management (SHRM)

    • Website: shrm.org
    • Contains HR resources that may be helpful for understanding workplace dynamics in managed care environments.

  • American College of Healthcare Executives (ACHE)

    • Website: ache.org
    • Offers professional development resources, training, and leadership opportunities for those interested in managed care and healthcare administration.

  • Journal of Managed Care & Specialty Pharmacy (JMCP)

    • Website: jmcps.org
    • A peer-reviewed journal providing research articles, case studies, and updates related to managed care practices.

These resources can provide you with valuable insights and tools as you further your career as a Managed Care Coordinator in Montana.

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

  • What is a Managed Care Coordinator?
    A Managed Care Coordinator is a healthcare professional responsible for overseeing and managing patient care services within a healthcare system. This includes coordinating patient care, ensuring adherence to treatment plans, and facilitating communication among healthcare providers.

  • What qualifications do I need to become a Managed Care Coordinator in Montana?
    Typically, a bachelor's degree in health administration, nursing, public health, or a related field is required. Additionally, relevant experience in healthcare management or patient care coordination is beneficial. Some positions may also require certification, such as Certified Managed Care Coordinator (CMCC).

  • What are the main responsibilities of a Managed Care Coordinator?
    Your primary responsibilities may include:

    • Developing and implementing care plans.
    • Coordinating with healthcare providers to ensure quality care.
    • Monitoring patient progress and outcomes.
    • Managing patient referrals and authorizations.
    • Conducting patient education and support.

  • Where can I find employment as a Managed Care Coordinator in Montana?
    You can find opportunities in various settings, including hospitals, clinics, insurance companies, and health maintenance organizations. Job listings can be found on healthcare job boards, company websites, or local employment agencies.

  • What skills are essential for this role?
    Key skills include:

    • Excellent communication and interpersonal skills.
    • Strong organizational and time management abilities.
    • Knowledge of healthcare laws and regulations.
    • Proficiency in using healthcare management software.
    • Problem-solving and critical-thinking skills.

  • What is the salary range for a Managed Care Coordinator in Montana?
    Salary can vary based on experience, education, and location. As of 2023, the average salary for a Managed Care Coordinator in Montana typically ranges from $50,000 to $75,000 per year, with potential increases based on performance and tenure.

  • What is the job outlook for Managed Care Coordinators in Montana?
    The demand for Managed Care Coordinators is expected to grow, driven by the increasing complexity of healthcare and the need for effective care management as the population ages. This growth presents opportunities for stable employment and career advancement.

  • Are there opportunities for advancement within this career?
    Yes, you can advance to higher-level roles such as Health Services Manager or Director of Managed Care, typically by gaining experience, furthering your education, or obtaining advanced certifications.

  • Can I work remotely as a Managed Care Coordinator?
    Some positions may offer remote work options, particularly those related to telehealth or administrative functions. However, on-site roles are more common due to the need for coordination with healthcare providers and patients.

  • What continuing education options are available for Managed Care Coordinators?
    Continuing education is essential for staying updated on changes in healthcare regulations and practices. Options include workshops, online courses, and certifications in managed care, case management, and healthcare administration. Many professional organizations also offer resources for ongoing education.