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Managed Care Associate Jobs in Arkansas (NOW HIRING)

Parkland Health

The primary focus of this AGC position is legal support of Parkland Health's managed care ... associate agreements, professional services, research affiliation, and other documents related to ...

Parkland Health

Analyzes and reviews contracts, including agreements for clinical services, managed care and ... associate agreements, professional services, research affiliation, and other documents related to ...

Parkland Health

... litigation, managed care, advice to affiliated organizations including health plan and/or ... associate agreements, construction services, professional services, research affiliation, and other ...

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

Act as liaison between managed care organizations and the facility professional clinical staff ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

Act as liaison between managed care organizations and the facility professional clinical staff ... Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing ...

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Managed Care Associate information

What is a managed care associate?

A Managed Care Associate is a professional who supports the administration and coordination of managed healthcare plans. They typically assist with processing claims, verifying patient eligibility, and ensuring compliance with healthcare regulations and insurance policies. Managed Care Associates often serve as a liaison between healthcare providers, insurance companies, and patients to resolve issues and provide information about coverage and benefits. This role is essential for maintaining efficient operations within managed care organizations and ensuring patient access to necessary healthcare services.

What are the key skills and qualifications needed to thrive as a managed care associate, and why are they important?

To thrive as a Managed Care Associate, you need a solid understanding of healthcare insurance, claims processing, and familiarity with managed care principles, often supported by a bachelor's degree in healthcare administration or a related field. Proficiency with claims management systems, Microsoft Office Suite, and knowledge of HIPAA regulations are typically required. Strong attention to detail, effective communication, and problem-solving skills help you excel in coordinating benefits and resolving issues with providers and members. These skills ensure efficient claims processing, regulatory compliance, and positive stakeholder relationships essential to managed care operations.

What are some common challenges managed care associates face when coordinating between healthcare providers and insurance companies?

Managed Care Associates often encounter challenges such as navigating complex insurance policies, ensuring accurate and timely authorization of services, and resolving discrepancies between providers and payers. They must balance the interests of both parties while maintaining compliance with regulations and ensuring patient care is not delayed. Effective communication and attention to detail are crucial, as associates frequently collaborate with clinical staff, billing departments, and insurance representatives to address issues and streamline processes.

What is the difference between Managed Care Associate vs Insurance Coordinator?

AspectManaged Care AssociateInsurance Coordinator
CredentialsTypically requires a healthcare-related certification or associate degreeOften requires insurance or administrative certifications
Work EnvironmentHealthcare facilities, insurance companies, managed care organizationsMedical offices, hospitals, insurance companies
Job FocusManaging patient care plans, insurance authorizations, and benefitsProcessing insurance claims, verifying coverage, and billing

Managed Care Associates focus on coordinating patient care and insurance authorizations within healthcare settings, while Insurance Coordinators primarily handle insurance claims and billing processes. Both roles require knowledge of insurance policies but differ in daily responsibilities and work environments.

What are the most commonly searched types of Managed Care jobs in Arkansas?

The most popular types of Managed Care jobs in Arkansas are:

What cities in Arkansas are hiring for Managed Care Associate jobs?

Cities in Arkansas with the most Managed Care Associate job openings:

Managed Care Associate jobs near you

Patient Care Associate - Surgical (4500) Days

Mercy

Fort Smith, AR • On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Mercy rating

6.5

Company rating: 6.5 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

613th of 898 rated healthcare providers

Job description

Find your calling at Mercy! Under the direction of the RN or LPN, assists in the individualized care of the patient to achieve the patient's highest level of wellness. Works cooperatively with others as part of a team; recognizes the importance of group goals. Performs designated clinical procedures and nonclinical support tasks essential to providing care to the patient. Position Details:

Position: Patient Care Associate-PCA

Department: General Surgical

Shift: Part Time, 24 hours per week

Unit Details:

Bed Numbers: 26

Nurse to Patient Ratio: 6:1                                                                                               

Patient Population:

Adult orthopedic and post-surgical patients recovering from procedures such as joint replacements, fracture repairs, abdominal surgeries, and other surgical treatments. Nurses provide wound care, pain management, mobility support, fall prevention, and discharge planning while managing equipment such as wound vacs, drains, PCA pumps, and orthopedic devices. This unit offers a unique opportunity to build expertise in post-operative recovery, rehabilitation, patient education, and helping patients regain independence after injury or surgery.

Job Duties:

  • Opportunity for advancement through career ladder to Patient Care Technician (PCT) and/or beyond.

  • Responsibilities for Patient Care Associate (PCA):

    • Obtain vital signs and document into the electronic medical records system

    • Assist with patient care needs including, meals, bathing, toileting, ambulation, patient mobility, and transport.

    • Clerical support duties, as needed.

  • Responsibilities for Patient Care Technician (PCT):

    • Patient Care Associate job duties.

    • Phlebotomy/blood cultures

    • Enteral Feeding

    • Wound care

    • IV/Foley removal

    • Trach care/suctioning

Training:

  • Our Patient Care Associate training program is an accredited Department of Labor Apprenticeship Program, providing a comprehensive, hands-on experience. Join Mercy to gain valuable skills and credentials through this program in a supportive healthcare environment!

  • If no previous experience, Mercy will provide a required 175-hour training program that meets the Department of Health and Senior Services requirements. The program will be completed as part of the new hire orientation process and must be completed within 90 days of hire to remain in the PCA position per state guidelines.

  • BLS Required within one month of hire, completion of PCA competencies within 3 months of hire

Qualifications:

  • Education: High school diploma, G.E.D, CNA/CPTC. or enrolled in a healthcare career program through their high school curriculum, and/or a current co-worker of Mercy.

  • Experience: None required

  • Minimum Physical Requirements:

    • Position requires individuals to push, pull, and/or lift 50 pounds on a regular basis

    • Position requires prolonged standing and walking each shift

    • Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties

  • Preferred Certifications: Certified Nursing Assistant (CNA).

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

What Mercy employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Mercy

Sourced by ZipRecruiter

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Chesterfield, MO, US

Year founded

1827

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