Managed Care Coordinator in Nevada Career Overview

As a Managed Care Coordinator, you play a significant role in the healthcare industry, focusing on the integration of health services and ensuring that patients receive the most effective and efficient care. Your position revolves around managing patient care plans and liaising between healthcare providers, insurance companies, and patients to facilitate access to necessary services.

Key aspects of the Managed Care Coordinator role include:

  • Care Coordination: You help streamline patient care by coordinating with various healthcare providers to ensure that patients receive timely treatments, follow-up appointments, and referrals.

  • Cost Management: By reviewing treatment plans and outcomes, you work to ensure that both the provider and the patient benefit from cost-effective solutions in the delivery of healthcare services.

  • Regulatory Compliance: You ensure that all managed care operations adhere to healthcare regulations and standards, thereby safeguarding patient rights and maintaining institutional integrity.

  • Patient Education: You play an educational role, helping patients understand their health conditions, treatment options, and the managed care processes that affect their care.

  • Data Analysis: As part of your responsibilities, you analyze patient data to identify trends, improve care quality, and support decision-making processes for better patient outcomes.

  • Interdisciplinary Collaboration: You collaborate with a range of healthcare professionals to create a holistic care approach that focuses on the patient's overall well-being.

Managed Care Coordinators facilitate a smoother healthcare experience, contributing to better patient outcomes and more efficient healthcare delivery systems. The work you do is vital in navigating the complexities of healthcare access, ultimately ensuring that patients receive the care they need in an effective manner.

Managed Care Coordinator Salary in Nevada

Annual Median: $104,200
Hourly Median: $50.1

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 Nevada

To pursue a career as a Managed Care Coordinator in Nevada, you typically need to obtain specific educational qualifications and training. Here are the recommended college degree programs that align well with this profession:

  • Health and Medical Administrative Services
    This program covers essential administrative functions within healthcare settings, including medical billing, compliance, and health information management.

  • Health Services Administration
    This degree focuses on the management and administration of health services organizations, equipping you with the skills to oversee healthcare operations and improve service delivery.

  • Health Care Administration and Management
    Aimed at developing skills in managing healthcare facilities, this program provides insights into budgeting, staffing, and regulatory issues within the healthcare system.

  • Public Health
    This degree emphasizes the health of populations and communities, offering training in health education, epidemiology, and health policy, which are valuable in managed care settings.

  • Health Policy Analysis
    This program centers on understanding and analyzing health policies, preparing you to assess and influence policies that affect healthcare delivery and management.

In addition to completing one of these degree programs, it may be beneficial to seek internships or practical experiences during your studies to further develop your understanding of managed care systems and healthcare administration.

Best Schools to become a Managed Care Coordinator in Nevada 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 Nevada

  • Communication Skills: You must effectively communicate with patients, healthcare providers, and insurance representatives. Active listening and clear, concise information delivery are essential.

  • Organizational Skills: You will often manage multiple cases, so having strong organizational abilities will help you track patient information, appointments, and treatment plans without oversight.

  • Analytical Skills: Your role requires the ability to analyze healthcare data, identify trends, and make informed decisions based on that analysis. You should be comfortable using software tools for data interpretation.

  • Problem-Solving Skills: Challenges will arise in managing patient care and coordinating with different stakeholders. Your ability to evaluate situations quickly and generate effective solutions is vital.

  • Attention to Detail: Accuracy in maintaining patient records and understanding insurance policies is critical. Small errors can lead to significant complications in patient care and reimbursements.

  • Interpersonal Skills: You will work closely with a diverse group of individuals, including patients and healthcare professionals. Building strong working relationships is essential for effective collaboration.

  • Time Management: You must prioritize tasks efficiently, as managing multiple responsibilities is common in the role. Deadlines and patient needs often require you to balance various duties effectively.

  • Knowledge of Healthcare Regulations: Familiarity with laws and regulations governing healthcare practices and managed care in Nevada is important. This knowledge will help you navigate compliance issues and advocate for patients effectively.

  • Technical Proficiency: Proficiency with electronic health records (EHR) and other healthcare management software is necessary. Being comfortable with technology will enhance your efficiency and effectiveness in the role.

  • Empathy and Compassion: You will engage with patients who may be experiencing health challenges. Demonstrating genuine care and understanding can significantly enhance the patient experience and support their needs.

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 Nevada

The job market for Managed Care Coordinators in Nevada is currently dynamic, marked by increasing demand and a variety of opportunities across the state. Here are key points regarding the job landscape:

  • Demand: As healthcare systems evolve to focus on cost-effective and coordinated patient care, the role of Managed Care Coordinators has become increasingly vital. There is a significant need for professionals who can navigate the complexities of managed care, ensuring that patients receive appropriate services while fostering collaboration among healthcare providers.

  • Growth Potential: The growth potential for Managed Care Coordinators in Nevada remains promising. The healthcare industry is expected to continue expanding, and with the rising emphasis on integrated care models, more organizations are likely to seek skilled Coordinators. Positions are frequently available not just in traditional healthcare settings, but also within insurance companies and community health organizations.

  • Geographical Hotspots:

    • Las Vegas: As the largest city in Nevada, Las Vegas is a central hub for healthcare services and offers a wealth of opportunities for Managed Care Coordinators, from hospitals to managed care organizations.
    • Reno: The healthcare sector in Reno is also growing, with the continued development of new medical facilities and increasing demand for managed care services.
    • Carson City: As the state capital, Carson City houses numerous state and regional healthcare programs, presenting further opportunities for Managed Care Coordinators to work in public health initiatives and government-sponsored care programs.
    • Elko and Smaller Communities: While metropolitan areas offer the most opportunities, there is also a growing need for Managed Care Coordinators in rural areas to support healthcare delivery in smaller communities, reflecting the statewide emphasis on expanding access to care.

By monitoring industry trends and understanding the regional variations in demand, you can better position yourself to explore job opportunities in this field throughout Nevada.

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 Nevada

  • National Association of Managed Care Physicians (NAMCP)
    The NAMCP provides valuable resources and education for managed care professionals including conferences, webinars, and publications.
    Visit NAMCP

  • American Academy of Managed Care Nursing (AAMCN)
    This organization offers certification programs, continuing education opportunities, and a wealth of resources for those pursuing a career in managed care nursing and coordination.
    Explore AAMCN

  • Centers for Medicare & Medicaid Services (CMS)
    CMS offers comprehensive information about Medicare and Medicaid services, which is vital for managed care coordinators working with these programs.
    Access CMS Resources

  • The National Association of Insurance Commissioners (NAIC)
    This organization provides information on state-based healthcare regulations and policies which are critical for managed care operations.
    Learn More at NAIC

  • Nevada Department of Health and Human Services
    Access local resources, including state-specific regulations and guidelines that impact managed care coordinators in Nevada.
    Visit Nevada DHHS

  • Healthcare Leadership Council (HLC)
    The HLC provides insights and research on innovative care delivery models, including managed care practices and policies.
    Visit HLC

  • American Health Information Management Association (AHIMA)
    AHIMA offers resources for health information management and education on best practices relevant to managed care coordination.
    Explore AHIMA

  • Society of Actuaries (SOA)
    The SOA provides resources relating to healthcare actuarial science, which can be beneficial for understanding the financial aspects of managed care.
    Learn More at SOA

  • National Institute for Health Care Management (NIHCM)
    NIHCM offers research and policy analysis relevant to managed care, serving as a great resource for staying updated with industry trends.
    Visit NIHCM

  • LinkedIn Learning
    Explore courses related to healthcare management, patient advocacy, and regulatory compliance to enhance your professional skills as a managed care coordinator.
    Access LinkedIn Learning

These resources will support your development and knowledge as a Managed Care Coordinator in Nevada.

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

  • What is the primary role of a Managed Care Coordinator?
    A Managed Care Coordinator is responsible for ensuring that patients receive appropriate care under managed care plans. This involves coordinating services, managing referrals, and facilitating communication between healthcare providers and patients.

  • What qualifications are necessary to become a Managed Care Coordinator in Nevada?
    Generally, a bachelor's degree in healthcare administration, nursing, social work, or a related field is required. Additional certifications in managed care or case management may enhance your qualifications.

  • Is prior experience needed to become a Managed Care Coordinator?
    While some entry-level positions may not require extensive experience, having a background in healthcare, administrative roles, or case management can be beneficial. Employers often prefer candidates with experience in healthcare settings.

  • What skills are essential for a Managed Care Coordinator?
    Key skills include strong communication, problem-solving, organizational abilities, and proficiency in healthcare software systems. A thorough understanding of insurance policies and managed care processes is also important.

  • What does a typical day look like for a Managed Care Coordinator?
    Your day may involve reviewing patient cases, coordinating with healthcare providers, communicating with patients about their care plans, and ensuring compliance with healthcare regulations. Tasks can vary based on the specific healthcare setting.

  • What types of healthcare settings employ Managed Care Coordinators?
    Managed Care Coordinators can work in various environments, including hospitals, outpatient clinics, insurance companies, and health maintenance organizations (HMOs).

  • How does one advance in the Managed Care Coordinator career path?
    Advancement opportunities may include roles like Senior Managed Care Coordinator, Healthcare Manager, or Care Management Director. Continuing education and obtaining relevant certifications can facilitate career growth.

  • What are the salary expectations for Managed Care Coordinators in Nevada?
    Salaries can vary by experience and location, but the average compensation for Managed Care Coordinators in Nevada typically ranges from $50,000 to $75,000 annually. Specialized roles or leadership positions can command higher salaries.

  • Are there professional organizations for Managed Care Coordinators?
    Yes, organizations such as the American Association of Managed Care Nurses and the National Association of Health Care Assistants offer resources, networking opportunities, and continuing education specifically for managed care professionals.

  • What impact does technology have on the role of a Managed Care Coordinator?
    Technology plays a significant role in streamlining processes, managing patient information, and facilitating communication among care teams. Familiarity with electronic health records (EHR) and data management systems is increasingly important.

  • How can I find job opportunities as a Managed Care Coordinator in Nevada?
    Job opportunities can be found through various channels, including healthcare job boards, company websites, networking events, and professional organizations dedicated to healthcare and managed care.