Managed Care Coordinator in Vermont Career Overview

As a Managed Care Coordinator, you play an essential role in the healthcare system by ensuring that patients receive appropriate and efficient care. This position involves a variety of responsibilities that contribute to the overall effectiveness of managed care programs.

  • You will work closely with patients, healthcare providers, and insurance companies, facilitating communication and collaboration among all parties.
  • Your primary objective is to manage patient care plans, ensuring that they align with medical guidelines while also considering cost-effective options.
  • By coordinating services, you help patients navigate the complex healthcare landscape, making it easier for them to access necessary resources and support.
  • You serve as a vital link between the patients and their healthcare team, advocating for their needs and addressing potential barriers to care.
  • In this role, you may also be involved in data analysis and reporting to help improve care delivery and outcomes.
  • Your contributions directly impact patient satisfaction and the quality of care, making your position significant within the healthcare industry.

In Vermont, Managed Care Coordinators are essential in promoting efficient healthcare delivery systems, improving health outcomes, and enhancing the patient experience. Your expertise in navigating the managed care landscape enables you to make a meaningful difference in the lives of individuals seeking medical care.

Managed Care Coordinator Salary in Vermont

Annual Median: $111,670
Hourly Median: $53.69

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 Vermont

To become a Managed Care Coordinator in Vermont, you will need specific educational qualifications and training. Here are the recommended college degree programs:

  • Health and Medical Administrative Services

    • Focuses on the administrative aspects of health care delivery.
    • Prepares you for roles that involve managing health information, overseeing administrative functions, and ensuring compliance with health care regulations.

  • Health Services Administration

    • Emphasizes the management of health services organizations.
    • Provides knowledge on health care systems, policy development, and resource management within the health sector.

  • Health Care Administration and Management

    • Covers both the administrative and operational components of health care facilities.
    • Equips you with skills in strategic planning, human resources, and financial management in health care settings.

  • Public Health

    • Concentrates on population health and health promotion.
    • Involves studying epidemiology, health policy, and community health strategies, crucial for understanding broader health care challenges and interventions.

  • Health Policy Analysis

    • Focuses on the development and evaluation of health policies and programs.
    • Provides insights into health care legislation, economic factors, and the impact of policies on health care delivery and management.

Pursuing one of these degree programs will establish a strong foundation for your career as a Managed Care Coordinator, equipping you with the essential knowledge and understanding of health care systems and administration.

Best Schools to become a Managed Care Coordinator in Vermont 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 Vermont

  • Communication Skills: You must excel in both verbal and written communication, allowing you to effectively convey complex information to diverse audiences, including patients, healthcare providers, and administrative staff.

  • Organizational Skills: Strong organizational abilities are critical. You will need to manage multiple cases and maintain detailed records while adhering to deadlines and compliance requirements.

  • Analytical Skills: You should possess the ability to analyze and interpret healthcare data to identify trends, assess patient needs, and evaluate program effectiveness for improved care coordination.

  • Interpersonal Skills: Building and maintaining relationships with patients, families, and healthcare professionals is essential. You must be empathetic and approachable, fostering trust and collaboration.

  • Problem-Solving Skills: You will encounter various challenges that require you to think critically and develop effective solutions. Your ability to address issues swiftly will directly impact patient care.

  • Attention to Detail: Precision is important in your role. You need to ensure that all aspects of patient coordination are executed accurately, particularly when dealing with medical records and treatment plans.

  • Technical Proficiency: Familiarity with electronic health records (EHR) systems and healthcare software is essential for efficient documentation and data management.

  • Knowledge of Healthcare Regulations: Understanding relevant healthcare laws and regulations will help you navigate the complexities of managed care and ensure compliance in all your activities.

  • Teamwork: Your role will often involve collaboration with interdisciplinary teams. Being able to work well with others and contribute positively to group dynamics is key to enhancing patient outcomes.

  • Cultural Competency: You should be knowledgeable about various cultural backgrounds to effectively communicate and provide care that is respectful and responsive to the diverse needs of 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 Vermont

As a Managed Care Coordinator in Vermont, you will find a job market that is evolving in response to the increasing complexity of healthcare delivery and the growing emphasis on cost-effective patient care. The demand for professionals in this role has been rising, reflecting broader trends within the healthcare sector.

  • Demand and Growth Potential:

    • The healthcare industry continues to face challenges related to cost control, quality of care, and patient engagement, leading to a heightened need for Managed Care Coordinators.
    • As healthcare providers and plans continue to expand their services, especially with the integration of technology and telemedicine, the need for coordinators who can manage these systems effectively will increase.
    • Job growth in this field is expected to remain steady, spurred by a focus on preventive care and chronic disease management.

  • Geographical Hotspots:

    • Urban areas such as Burlington and South Burlington are leading the job market in Vermont due to the concentration of healthcare facilities and managed care organizations.
    • The presence of colleges and universities contributes to a variety of healthcare initiatives, creating opportunities for Managed Care Coordinators.
    • Rural areas are also showing potential demand as healthcare systems seek to improve access to services and enhance care coordination for underserved populations.

  • Employment Sectors:

    • Managed Care Coordinators can find opportunities in hospitals, health insurance companies, and private practices.
    • Community health clinics and nonprofit organizations are increasingly adopting managed care practices, contributing to the diversity of roles available in this sector.

  • Networking and Professional Growth:

    • Engaging with local healthcare associations and attending industry conferences can help you connect with key players in the Vermont healthcare system, opening doors for job opportunities.
    • Continuing education and specialized training in managed care can enhance your marketability and align you with emerging trends in this rapidly changing 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 Vermont

  • National Association of Managed Care Physicians (NAMCP)
    This organization provides resources and advocacy for physician-led managed care. Their website includes articles, studies, and resources that are beneficial for managed care professionals.
    NAMCP Website

  • American Academy of Managed Care Pharmacy (AMCP)
    AMCP focuses on advancing the role of pharmacists in managed care and enhancing patient outcomes. They offer a range of resources, including publications and educational materials relevant to managed care practices.
    AMCP Website

  • Centers for Medicare & Medicaid Services (CMS)
    CMS is an authoritative body that provides information on regulations, policies, and programs that are essential for managed care coordinators. The website offers extensive resources related to Medicare, Medicaid, and managed care guidelines.
    CMS Website

  • Vermont Department of Health
    This state department offers resources concerning healthcare policies, programs, and services specific to Vermont. Their website can assist you in understanding state-specific managed care regulations and initiatives.
    Vermont Department of Health

  • Healthcare Financial Management Association (HFMA)
    HFMA offers resources and education on financial management in healthcare organizations. Their publications cover various topics relevant to the financial aspects of managed care.
    HFMA Website

  • Society of General Internal Medicine (SGIM)
    SGIM focuses on advancing the practice of internal medicine, including aspects related to managed care. Their resources cover clinical care, health policy, and efficient system management.
    SGIM Website

  • American Medical Association (AMA)
    The AMA provides a range of resources in health policy, practice management, and healthcare transformation, all of which can be valuable for managed care coordinators.
    AMA Website

  • LinkedIn Learning
    LinkedIn Learning offers numerous courses on managed care, healthcare management, and related topics. Subscribing can provide access to valuable professional development resources.
    LinkedIn Learning

  • Health Affairs Journal
    This peer-reviewed journal provides insights on health policy and managed care practices. Subscribing or accessing articles can keep you updated on the latest research and trends in the field.
    Health Affairs

  • National Committee for Quality Assurance (NCQA)
    NCQA is dedicated to improving healthcare quality. They provide tools, resources, and guidance on quality assurance in managed care, including patient satisfaction surveys and performance measures.
    NCQA Website

Utilizing these resources will enhance your understanding of the managed care landscape and provide ongoing education and support in your career as a Managed Care Coordinator.

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

  • What qualifications do I need to become a Managed Care Coordinator in Vermont?
    To become a Managed Care Coordinator, you typically need at least an associate degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a bachelor's degree and relevant certifications, such as Certified Case Manager (CCM) or Accredited Case Manager (ACM).

  • What skills are essential for a Managed Care Coordinator?
    Key skills include strong communication, organizational abilities, problem-solving skills, and attention to detail. Familiarity with medical terminology and knowledge of insurance processes are also highly beneficial.

  • What is the typical salary for a Managed Care Coordinator in Vermont?
    Salaries can vary based on experience, location, and the specific healthcare facility. However, the average salary for a Managed Care Coordinator in Vermont ranges from $50,000 to $75,000 per year.

  • What are the primary responsibilities of a Managed Care Coordinator?
    Your main responsibilities include coordinating patient care, managing healthcare resources, ensuring compliance with insurance regulations, and serving as a liaison between patients, healthcare providers, and insurance companies.

  • Is it necessary to have prior healthcare experience to become a Managed Care Coordinator?
    While prior healthcare experience is not always required, it is highly advantageous. Experience in clinical settings or roles related to patient care can provide valuable insights and improve your effectiveness in the coordinator role.

  • What types of organizations employ Managed Care Coordinators?
    Managed Care Coordinators can work in various settings, including hospitals, insurance companies, healthcare systems, and community health organizations.

  • Are there opportunities for advancement in this career?
    Yes, there are several pathways for advancement. With experience, you may move into higher-level managerial or administrative roles, or specialize in areas such as case management, compliance, or healthcare operations.

  • What continuing education options are available for Managed Care Coordinators?
    You may pursue additional certifications, attend workshops, or enroll in specialized courses related to healthcare management, case management, and insurance. Many professional organizations also offer resources for continuing education.

  • How can I find job openings for Managed Care Coordinators in Vermont?
    You can search for job openings on healthcare job boards, company career pages, and professional networking sites like LinkedIn. Additionally, consider connecting with local healthcare associations and attending job fairs in your area.

  • What challenges might I face as a Managed Care Coordinator?
    Challenges can include handling complex cases, navigating insurance requirements, and managing conflicts between patients and providers. Staying organized and maintaining effective communication can help mitigate these issues.