Skills & Competencies for Managed Care Coordinator

Managed Care Coordinator job profile

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JOB 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

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Managed Care Coordinator skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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7 general skills or competencies (Job family competencies) for Managed Care Coordinator

1 Job Family Competencies – Healthcare Industry
Proficiency Level -2
Skill definition-Applying healthcare industry knowledge to manufacture drugs and equipment and offer clinical and other healthcare-related support services.
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)
Communicates healthcare policies and procedures to ensure compliance with professional practice standards.
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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
Skill definition-Utilizing and sharing knowledge of healthcare practices, processes, systems, and procedures to provide high-quality services to patients.
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)
Executes healthcare procedures and best practices to avoid medical malpractice.
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Level 4 Behaviors
(Extensive Experience)
Contributes to the planning and deployment of knowledge management solutions to raise healthcare awareness.
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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
Skill definition-Executing and completing a task with a high level of accuracy.
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)
Keeps full attention when listening to understand the message.
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Level 3 Behaviors
(Moderate Experience)
Balances between accuracy and efficiency for different tasks or programs.
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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
Skill definition-Managing and setting priorities, goals, and timetables to boost productivity and efficiency in completing tasks.
Level 1 Behaviors
(General Familiarity)
Discusses workplace barriers and issues that may affect time management.
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Level 2 Behaviors
(Light Experience)
Collects and compiles information in an organized manner to finish tasks efficiently.
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Level 3 Behaviors
(Moderate Experience)
Executes work plans to manage workflow and track milestones to completion.
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Level 4 Behaviors
(Extensive Experience)
Improves processes to organize workloads of teams efficiently.
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Level 5 Behaviors
(Mastery)
Establishes a time management matrix to reprioritize the importance of current and upcoming tasks.
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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.

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