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)
Compiles a list of risks and regulatory challenges for healthcare industries.
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Level 2 Behaviors
(Light Experience)
Assists in implementing industry best practices to secure and protect confidential healthcare information.
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Level 3 Behaviors
(Moderate Experience)
Identifies cost-effective solutions to address regulatory compliance challenges in healthcare services.
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Level 4 Behaviors
(Extensive Experience)
Delivers healthcare education and training programs to bridge skill gaps in our organization.
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Level 5 Behaviors
(Mastery)
Designs and implements cost-effective strategies to optimize resource utilization within healthcare settings.
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2
Job Family Competencies –
Healthcare Knowledge
Proficiency Level -2
Level 1 Behaviors
(General Familiarity)
Clarifies the differences between healthcare and medical care.
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Level 2 Behaviors
(Light Experience)
Assists in identifying and gathering necessary resources for the implementation of healthcare projects.
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Level 3 Behaviors
(Moderate Experience)
Implements knowledge management strategies to provide excellent healthcare services.
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Level 4 Behaviors
(Extensive Experience)
Coordinates with a group of medical professionals to improve the quality of healthcare services.
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Level 5 Behaviors
(Mastery)
Champions the adoption of emerging trends and technologies to provide excellent healthcare services to patients.
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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)
Cites steps and tips to improve attention to detail in the workplace.
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Level 2 Behaviors
(Light Experience)
Performs assigned responsibilities according to standard procedures and standards.
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Level 3 Behaviors
(Moderate Experience)
Implements a variety of cross-checking approaches and mechanisms.
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Level 4 Behaviors
(Extensive Experience)
Creates and implements quality management processes for our business.
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Level 5 Behaviors
(Mastery)
Defines possible hurdles to projects and creates strategies to deal with them.
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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)
Applies principles, habits, and skills in organizing schedules to manage time productively.
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Level 3 Behaviors
(Moderate Experience)
Demonstrates a willingness to abandon tasks or projects that prove to be of little value to the business.
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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)
Designs tools to efficiently organize and keep track of tasks in progress to boost productivity.
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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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