Skills & Competencies for Managed Care Coordinator
Managed Care Coordinator job profile
Book a Demo and Receive a Sample Job ProfileJOB SUMMARY for Managed Care Coordinator
Coordinates utilization reviews of managed care contracts using established guidelines and processes.
JOB RESPONSIBILITIES for Managed Care Coordinator
Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports.
Managed Care Coordinator SALARY RANGE
BASE 50%
$72,728
TOTAL 50%
$72,728
Job Level
A04
Job Code
HC07000323
Education/Degree
Associate's Degree
Reports To
Supervisor or Manager
Managed Care Coordinator Skills and Competencies List
7 general skills or competencies (Job family competencies) for Managed Care Coordinator
1
Job Family Competencies –
Healthcare Industry
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the clinical benefits of integrating innovations and technological advances into healthcare services.
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Level 2 Behaviors
(Light Experience)
Supports the development of innovative healthcare practices to reduce healthcare costs.
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Level 3 Behaviors
(Moderate Experience)
Researches technical developments in the healthcare industry and assesses their implications for our organization.
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Level 4 Behaviors
(Extensive Experience)
Integrates advanced processes into clinical workflows to diagnose and treat diseases more precisely.
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Level 5 Behaviors
(Mastery)
Leads the development of services and solutions to address complex healthcare industry challenges.
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2
Job Family Competencies –
Healthcare Knowledge
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Explains the importance of healthcare services in disease prevention and control.
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Level 2 Behaviors
(Light Experience)
Records healthcare information using different mediums for transmission.
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Level 3 Behaviors
(Moderate Experience)
Utilizes specialized healthcare equipment to ensure seamless monitoring of patients' status.
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Level 4 Behaviors
(Extensive Experience)
Monitors emerging healthcare trends and assesses their implications for the organization's performance.
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Level 5 Behaviors
(Mastery)
Establishes a "knowledge-sharing" environment to contribute to breakthroughs in the healthcare service industry.
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3
Managed Care Coordinator
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Managed Care Coordinator
Proficiency Level - 4
5
Competency for -
Managed Care Coordinator
Proficiency Level - 5
5 soft skills or competencies (core competencies) for Managed Care Coordinator
1
Core Competencies –
Attention to Detail
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Lists best practices and tools to maintain high accuracy and thoroughness in the workplace.
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Level 2 Behaviors
(Light Experience)
Uses checklists to ensure that information goes out error-free.
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Level 3 Behaviors
(Moderate Experience)
Sets up processes to ensure delivery of high-quality work.
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Level 4 Behaviors
(Extensive Experience)
Employs techniques for motivating personnel to meet or exceed accuracy goals.
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Level 5 Behaviors
(Mastery)
Leads the creation of tools for enhancing and assuring accuracy.
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2
Core Competencies –
Time Management
Proficiency Level -3
Level 1 Behaviors
(General Familiarity)
Cites examples of prioritization methods used to manage and save time in the workplace.
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Level 2 Behaviors
(Light Experience)
Adheres to schedules to allocate time for specific tasks efficiently.
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Level 3 Behaviors
(Moderate Experience)
Assesses relevance of tasks to prioritize and produce better quality work.
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Level 4 Behaviors
(Extensive Experience)
Creates programs to develop our employees' understanding of time demand and management.
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Level 5 Behaviors
(Mastery)
Builds a system to manage our business's workload and eliminate time-wasting activities.
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3
Managed Care Coordinator
- Skill and Competency
Proficiency Level - 3
4
Skill and Competency -
Managed Care Coordinator
Proficiency Level - 4
5
Competency for -
Managed Care Coordinator
Proficiency Level - 5
Summary of Managed Care Coordinator skills and competencies
There are 0 hard skills for Managed Care Coordinator.
7 general skills for Managed Care Coordinator, Healthcare Industry, Healthcare Knowledge, Case Management, etc.
5 soft skills for Managed Care Coordinator, Attention to Detail, Time Management, Initiative, etc.
While the list totals 12 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Managed Care Coordinator, he or she needs to be skilled in Attention to Detail, be skilled in Time Management, and be skilled in Initiative.
7 general skills for Managed Care Coordinator, Healthcare Industry, Healthcare Knowledge, Case Management, etc.
5 soft skills for Managed Care Coordinator, Attention to Detail, Time Management, Initiative, etc.
While the list totals 12 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Managed Care Coordinator, he or she needs to be skilled in Attention to Detail, be skilled in Time Management, and be skilled in Initiative.
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