Explore Managed Care Coordinator Schools (2024)

Looking to start your journey as a Managed Care Coordinator? Finding the right education is key. Here's a curated list of schools offering quality Managed Care Coordinator programs:

  • We've identified top institutions known for excellent Managed Care Coordinator education.
  • Options include both local schools and nationally recognized programs.
  • Each listing highlights relevant degree programs for aspiring Managed Care Coordinator professionals.
  • You'll also find information on related career paths in the field.

Browse through these options to find a program that aligns with your career goals in the Managed Care Coordinator industry.

Top Managed Care Coordinator Schools (2024)

View our ranking methodology here
#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 Required Education (2024)

  • Minimum Education:

    • A high school diploma or equivalent is the baseline requirement for entering the field of managed care coordination.
    • Pursuing an associate degree in healthcare administration, health services management, or a related area can enhance your qualifications and make you more marketable to potential employers.

  • Advanced Education:

    • A bachelor's degree in health services administration, public health, nursing, or a closely related field is often preferred by employers and can provide a greater understanding of the healthcare system and management practices.
    • Some roles may require or prefer a master's degree in healthcare administration (MHA), public health (MPH), or business administration (MBA) with a focus on health management for advanced positions or leadership roles within managed care organizations.

By obtaining the relevant education, you can better position yourself for a successful career as a Managed Care Coordinator.

Managed Care Coordinator Professional Certifications & Licenses (2024)

To enhance your qualifications and advance your career as a Managed Care Coordinator, consider obtaining the following certifications and licenses, which are recognized in the industry:

  • Certified Managed Care Nurse (CMCN): Offered by the American Board of Managed Care Nurses, this certification requires a valid nursing license and experience in managed care settings.

  • Certified Case Manager (CCM): Administered by the Commission for Case Manager Certification, this certification is available to professionals with a background in case management, including but not limited to nurses and social workers.

  • Certified Professional in Healthcare Quality (CPHQ): This certification, provided by the National Association for Healthcare Quality, focuses on healthcare quality and risk management. It is suitable for those involved in managed care operations.

  • Certified Health Data Analyst (CHDA): Offered by the American Health Information Management Association, this certification is ideal for those who analyze health data to improve care management and operational efficiency.

  • Health Insurance Associate (HIA): Administered by the American Institute for CPCU and Insurance Educational Association, this credential can be useful for understanding the broader aspects of health insurance, including managed care.

  • Certified Risk Adjustment Coder (CRC): Provided by the American Academy of Professional Coders, this certification demonstrates your expertise in risk adjustment coding, which is essential in managed care settings.

  • Licensure: While specific licensure may not be required for all Managed Care Coordinators, having a background in nursing, social work, or healthcare administration may necessitate relevant state licensure or certification, depending on your primary role and responsibilities.

Pursuing these certifications can not only validate your expertise but also improve your job prospects and career growth in the managed care sector.

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

Managed Care Coordinator Internships, Apprenticeships & Practical Training

As a Managed Care Coordinator, gaining practical experience through internships and apprenticeships can significantly enhance your understanding of the healthcare system and improve your employability. Here are some opportunities to consider:

  • Healthcare Organizations: Interning at hospitals or clinics can provide you with a real-world understanding of patient care processes, insurance authorization, and care coordination workflows. Look for positions in:

    • Patient services
    • Admissions
    • Care management departments

  • Managed Care Organizations (MCOs): MCOs, such as health maintenance organizations (HMOs) or preferred provider organizations (PPOs), often offer internships that allow you to learn about insurance policies, benefit management, and provider networks. Seek roles that include:

    • Claims processing
    • Quality assurance
    • Case management assistance

  • Government Health Departments: State or county health departments may provide internship programs focusing on public health initiatives. Here, you can gain insights into healthcare regulations, data reporting, and community health programs. Internships may include:

    • Data analysis on healthcare access
    • Program evaluation
    • Support of outreach initiatives

  • Nonprofit Health Organizations: Nonprofits dedicated to healthcare services often seek interns to help with their outreach and administrative functions. Opportunities might involve:

    • Assisting with patient education programs
    • Supporting grant writing and funding proposals
    • Engaging in community healthcare initiatives

  • Research Institutions: Many universities and research organizations conduct studies related to healthcare delivery and management. Participating in these research projects can provide hands-on experience with:

    • Data collection and analysis
    • Survey design and implementation
    • Interpretation of healthcare outcome metrics

  • Insurance Companies: Companies providing health insurance may offer internships focused on claims, policy administration, and customer service. Responsibilities could include:

    • Analyzing claims data for accuracy
    • Supporting disputes and appeals processes
    • Collaborating with healthcare providers to resolve issues

  • Health Information Technology Firms: As the industry increasingly relies on technology, internships in health IT can be beneficial. Roles might include:

    • Assisting with the implementation of electronic health records (EHR) systems
    • Supporting user training and technical support
    • Contributing to the optimization of healthcare data management processes

When searching for internships, consider reaching out to your school's career services or networking through professional organizations related to managed care and healthcare administration. Engaging in these practical experiences will provide you with the foundational skills necessary for a successful career as a Managed Care Coordinator.

Managed Care Coordinator Continuing Education & Professional Development (2024)

To advance in your role as a Managed Care Coordinator, consider exploring a range of continuing education and professional development opportunities that can enhance your skills and knowledge. The following resources and paths may be useful for your growth in this field:

  • Certification Programs

    • Certified Managed Care Professional (CMCP): This certification demonstrates your proficiency in managed care concepts and practices. It can enhance your credibility and career prospects.
    • Certified Professional in Healthcare Quality (CPHQ): This credential is valuable for those looking to focus on healthcare quality and safety, integrating these elements into managed care.

  • Advanced Degrees

    • Master’s in Healthcare Administration (MHA): Pursuing an MHA can provide in-depth knowledge of healthcare systems, policies, and leadership strategies, preparing you for higher-level positions.
    • Master's in Business Administration (MBA) with a focus on Healthcare Management: An MBA can equip you with essential business skills required for managerial roles within the managed care sector.

  • Short Courses and Workshops

    • Online platforms (such as Coursera, edX, or LinkedIn Learning) often offer courses related to healthcare management, patient care, and data analytics that are relevant to managed care.
    • Attendance at workshops and seminars hosted by professional organizations like the National Association of Managed Care Physicians (NAMCP) can be beneficial.

  • Professional Associations

    • Joining associations such as the American Academy of Managed Care Pharmacy (AAMCP) or the National Association of Healthcare Access Management (NAHAM) provides networking opportunities and access to specialized training.
    • Membership often comes with resources like webinars, newsletters, and conferences that can keep you informed about industry trends and best practices.

  • Conferences and Networking Events

    • Attend industry conferences focusing on healthcare management and managed care to expand your professional network and learn from experienced peers in the field.
    • Engage in local chapters of national organizations to connect with other professionals and stay updated on local developments in managed care.

  • On-the-Job Training and Mentoring

    • Seek opportunities for cross-training within your organization to gain insights into other departments and how they interact with managed care.
    • Finding a mentor in the industry can provide guidance on career progression and help you navigate challenges within the field.

  • Webinars and Online Learning Opportunities

    • Many organizations offer free or low-cost webinars focusing on emerging trends and regulatory changes that affect managed care. Participating in these forums can expand your knowledge base and skill set.

  • Reading and Research

    • Stay current with industry literature, including journals like the Journal of Managed Care & Specialty Pharmacy, to understand the latest research and strategies applicable to managed care.

Incorporating these continuing education and professional development opportunities into your career plan will help you remain competitive and knowledgeable in the dynamic field of managed care. Make a commitment to lifelong learning to enhance your effectiveness and career potential.

What To Look For When Deciding On Campus vs Online Degree Programs for Managed Care Coordinators (2024)

When considering educational pathways for a career as a Managed Care Coordinator, both online and campus-based programs have distinct advantages that cater to varying needs and preferences.

Online Education Programs

  • Flexibility: Online programs allow you to balance your studies with personal and professional commitments. This is particularly beneficial if you are currently employed or have family responsibilities.

  • Accessibility: You can access coursework and materials from anywhere with an internet connection. This is ideal for those living in remote areas or those who cannot easily commute to a campus.

  • Self-Paced Learning: Many online programs offer self-paced options, enabling you to progress through the curriculum at a speed that works for you. This can enhance understanding and retention.

  • Wide Range of Programs: Online education often provides a broader selection of courses and programs, including those from institutions that might not be available in your geographic area.

  • Cost Efficiency: Online programs can be more affordable due to the lack of commuting costs and some programs may have lower tuition rates than traditional institutions.

Campus-Based Education Programs

  • Structured Environment: Campus-based learning provides a structured educational setting that may enhance focus and discipline, benefiting students who thrive in traditional classroom interactions.

  • Networking Opportunities: Attending classes on campus facilitates face-to-face interactions with instructors and peers, which can lead to valuable professional connections in the healthcare industry.

  • Access to Resources: Campus facilities may include dedicated libraries, laboratories, and technology resources that can enhance your learning experience.

  • Hands-On Training: Programs may offer hands-on clinical experience and simulations that are crucial for understanding managed care coordination in a real-world context.

  • Support Services: Many campuses provide personalized support services, including academic advising, tutoring, and career counseling, which can be particularly beneficial for students who prefer direct assistance.

Considerations for Your Choice

  • Learning Style: Reflect on whether you learn better in a structured environment or if you prefer the autonomy of online studies.

  • Career Goals: Consider the specific requirements for the career you want to pursue. Some positions may favor candidates with in-person experience or degrees from certain institutions.

  • Location and Commute: Evaluate your proximity to potential campuses and the impact of travel on your studies and personal life.

  • Institution Reputation: Research the reputation of online versus campus-based programs, as well as their accreditation, to ensure you choose a program that is respected in the industry.

By weighing these factors, you can make an informed decision that aligns with your educational and career aspirations in managed care coordination.

Managed Care Coordinator Typical Career Path (2024)

As you navigate your career as a Managed Care Coordinator, you will likely encounter various positions that correspond to different levels of experience and responsibility. Here is an overview of the typical career path within this field:

Entry-Level Positions:

  • Managed Care Assistant: In this role, you will support the coordination of care services, assist with administrative tasks, and help with data entry related to managed care programs.
  • Claims Processor: As a claims processor, you will be responsible for reviewing and processing insurance claims, ensuring they meet the criteria set by managed care organizations.
  • Healthcare Customer Service Representative: This position involves interacting with patients and providers to answer questions about benefits, coverage, and claims status.

Mid-Level Positions:

  • Managed Care Coordinator: In this role, you will oversee the integration of various healthcare services, manage patient care plans, and work with providers and insurance companies to facilitate access to care.
  • Utilization Review Specialist: You will assess the necessity and efficiency of healthcare services, ensuring that treatment plans and services provided are justified and meet medical guidelines.
  • Quality Assurance Specialist: This position focuses on monitoring compliance with the standards of care within managed care organizations and ensuring quality service delivery to patients.

Advanced Roles:

  • Managed Care Director: As a director, you will provide leadership and strategic direction for managed care operations, overseeing team performance and program effectiveness.
  • Health Services Manager: This role involves managing interdisciplinary teams, developing policies to enhance patient care, and implementing programs aligned with managed care objectives.
  • Chief Operating Officer (COO) of Managed Care: In an executive capacity, you will be responsible for the overall operations of managed care services within an organization, driving strategy and ensuring alignment with organizational goals.

Transition Opportunities:

  • As you advance, you may also consider opportunities in related areas such as healthcare administration, patient advocacy, and health informatics, which can further expand your expertise and career options.

Navigating these roles will depend on your interests, experience, and the specific demands within the managed care landscape. The path you choose can lead to diverse opportunities in this dynamic field.

Related Fields and Alternative Career Paths to Managed Care Coordinators (2024)

As a Managed Care Coordinator, you acquire a set of skills and knowledge that are applicable to various roles within the healthcare and administrative sectors. Below are related fields and alternative career paths that align well with your background.

  • Health Services Manager: Similar educational requirements, focusing on overseeing healthcare facilities or specific departments. Your organizational and communication skills will assist in managing teams.

  • Medical Billing and Coding Specialist: Involves the financial aspects of healthcare. Knowledge of regulations and coding will translate well, as will your attention to detail in data management.

  • Patient Advocate: This role involves supporting patients in navigating the healthcare system. Your understanding of insurance protocols and patient care makes you a strong candidate for this position.

  • Healthcare Compliance Specialist: Focuses on ensuring that healthcare practices adhere to regulations. Your familiarity with managed care policies can facilitate a smooth transition.

  • Case Manager: Works closely with patients to coordinate care and resources. Skill sets like communication, problem-solving, and patient interaction are transferable.

Alternative Career Paths

  • Health Educator: Leverage your healthcare knowledge to inform patients and communities about wellness and health issues. Experience in care coordination can enhance your effectiveness in this role.

  • Clinical Coordinator: Manages day-to-day operations in a healthcare setting. Your experience in managing care processes can equip you to oversee clinical teams.

  • Quality Improvement Coordinator: Focuses on enhancing healthcare services. Your analytical skills and familiarity with healthcare systems position you well for assessing and implementing quality initiatives.

  • Insurance Underwriter: Evaluates risk for insurance policies within the healthcare industry. Your understanding of managed care practices can give you valuable insight as you assess risk factors.

  • Health Policy Analyst: Analyzes policies impacting healthcare delivery. Your knowledge of managed care systems and patient needs can contribute to informed policy recommendations.

Educational Pathways

Education in the Managed Care Coordinator field, often focused on health administration or public health, can easily pivot to other roles with similar educational backgrounds:

  • Certificates or Specializations: Consider obtaining additional certifications relevant to your desired field, such as case management or healthcare compliance.

  • Further Education: Pursuing a master's degree in healthcare administration or public health can open doors to leadership positions in various sectors.

  • Networking: Engage with professionals in your fields of interest to gain insights and opportunities for transition.

Leveraging your current skill set and educational background can lead to diverse career opportunities in healthcare and management.

Managed Care Coordinator Frequently Asked Questions (FAQs) (2024)

  • What educational qualifications do I need to become a Managed Care Coordinator?
    You typically need at least an associate's degree in health administration, health information management, nursing, or a related field. Many employers prefer candidates with a bachelor's degree.

  • Are there specific certifications that enhance my employability?
    Yes, certifications such as Certified Managed Care Professional (CMCP) or Certified Healthcare Access Associate (CHAA) can boost your credentials and demonstrate your expertise in managed care.

  • Is a degree in nursing beneficial for a Managed Care Coordinator role?
    A nursing degree can be beneficial as it provides a strong foundation in patient care and healthcare systems, which are essential in managed care coordination.

  • Can I work as a Managed Care Coordinator with a diploma?
    While some entry-level positions may be available, most employers require at least an associate's degree. Pursuing further education is highly advisable for career advancement.

  • How long does it typically take to complete the necessary education?
    An associate's degree generally takes about two years, while a bachelor's degree can take four years. Certification programs can often be completed in a few months.

  • Are there online degree programs available for aspiring Managed Care Coordinators?
    Yes, many accredited institutions offer online degree programs in health administration or related fields that allow for flexibility with your schedule.

  • What subjects should I focus on during my studies?
    Key subjects include healthcare management, health policy, billing and coding, data analysis, health information systems, and ethical issues in healthcare.

  • Do I need to complete any internships or practical experience?
    While not always mandatory, having practical experience through internships or volunteer opportunities in healthcare settings can significantly enhance your job prospects.

  • Is continuing education required in this field?
    Many employers encourage or require ongoing education to keep up with changes in healthcare regulations and practices. You should stay informed about advancements in managed care.

  • What skills will I develop during my education that are relevant to this career?
    You will develop skills in healthcare management, effective communication, problem-solving, patient advocacy, and data management, which are essential for managing care effectively.

Additional Resources for Managed Care Coordinators (2024)

  • National Managed Care Congress (NMCC)
    Website: nmcc.org
    Description: This organization provides education, resources, and networking opportunities for professionals in the managed care field.

  • American Association of Managed Care Nurses (AAMCN)
    Website: aamcn.org
    Description: The AAMCN offers resources, professional development, and certification for nurses involved in managed care, enhancing skills and knowledge in the area.

  • Centers for Medicare & Medicaid Services (CMS)
    Website: cms.gov
    Description: Access comprehensive information on regulations, eligibility, and services related to Medicare and Medicaid, essential for managed care coordinators.

  • National Committee for Quality Assurance (NCQA)
    Website: ncqa.org
    Description: This organization sets standards for healthcare quality and offers various resources, including accreditation, certification, and quality improvement tools.

  • Healthcare Cost and Utilization Project (HCUP)
    Website: hcup-us.ahrq.gov
    Description: HCUP provides a wealth of data on healthcare utilization and outcomes in the U.S., useful for informed decision-making and policy development in managed care.

  • American Health Information Management Association (AHIMA)
    Website: ahima.org
    Description: AHIMA offers a range of resources for health information management, including educational materials important for managed care coordination.

  • Bureau of Labor Statistics (BLS)
    Website: bls.gov
    Description: The BLS provides data on the job outlook, salary information, and employment statistics for roles related to managed care.

  • National Association of Insurance Commissioners (NAIC)
    Website: naic.org
    Description: NAIC offers resources regarding insurance regulations which can be pertinent for managed care coordinators overseeing insurance-related processes.

  • Continuing Education Providers
    Websites such as Medscape, Coursera, and edX provide courses in healthcare management, compliance, and patient care relevant to managed care coordination.

  • LinkedIn Learning
    Website: linkedin.com/learning
    Description: A platform offering courses and tutorials focused on healthcare management, communication skills, and career development in managed care.

  • State-Specific Health Departments
    Visit your state’s health department website for local regulations, new initiatives, and resources specifically designed for health care coordination and managed care practices.

Utilizing these resources will enhance your understanding and effectiveness as a Managed Care Coordinator, supporting your educational and professional growth in the field.