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Managed Care Associate Jobs in Michigan (NOW HIRING)

PT Guest Care Associate

Grayling, MI · On-site

$14 - $17/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

PT Guest Care Associate

Grayling, MI · On-site

$14 - $17/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

PT Guest Care Associate

Saint Joseph, MI

$14.25 - $15.50/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

PT Guest Care Associate

Saint Joseph, MI · On-site

$14.25 - $15.50/hr

Our braggingly happy team members - ranging from bakery managers to order selectors; from IT ... The associate is required to stand and walk for extended periods of time and may bend, stoop, twist ...

Showing results 41-60

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 Michigan?

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

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

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

Floor Care Worker

RIVERVIEW HEALTH GROUP

Grosse Pointe Woods, MI • On-site

Full-time

Re-posted 13 days ago


Job description

Floor Care Associate

The Floor Care Associate performs the day-to-day activities of the Housekeeping Department in accordance with company standards and current federal, state, and local standards, guidelines, and regulations to ensure that the community is maintained in a clean, safe, and comfortable manner.

Qualifications

• Freedom from illegal use of drugs.
• Freedom from use of and effects of use of drugs and alcohol in the workplace.
• Persons who have been found guilty by a court of law for abusing, mistreating, or neglecting individuals in a health care related setting are ineligible for employment in the position.
• Utilizes effective time management skills.

Education and/or Experience

• Sufficient education to demonstrate functional literacy. Prior floor care associate experience in an institutional setting is preferred.

Language Skills

• Must demonstrate functional literacy

Mathematical Skills

• Must demonstrate functional literacy

Reasoning Ability

• Must demonstrate functional literacy.

Essential Functions and Responsibilities

• Thoroughly cleans designated floor areas by sweeping, dusting, vacuuming, disinfecting, waxing, buffing, etc.
• Ensures that an adequate supply of floor care supplies is maintained
• Dusts furniture, tables, window ledges, lights, beds, high pipes, and other areas as assigned
• Cleans, washes, and disinfects bathroom sinks, toilets, tubs, showers, and floors
• Spot cleans all walls, doors, table tops, windows, floors, and registers
• Cleans vacant rooms as assigned
• Ensures that work/assignment areas are clean and that equipment, tools, supplies, etc. are in proper working order
• Reports any damage or repairs needed to facilities, supplies, or equipment

Requirements

• High school diploma or equivalent required
• One (1) year experience in housekeeping is preferred
• Basic knowledge of general cleaning, some knowledge or use of floor machines, burnishers, and carpet cleaners is preferred
• Knowledge of care to various types of floors/surfaces and the appropriate cleaning materials and equipment to use is preferred
• Excellent communication and interpersonal skills.

Leadership

Supports organization values, fosters high performance, recognizes need for and provides adequate resources.

Process Improvement

Applies Pl principals, tools and techniques, assists in data collections, identifies processes for improvement in dail work; educates new staff in team process.

Information Management

Enters or records data timely and accurately, protects confidentiality of sensitive information; protects data against loss or destruction; logs onto the system using own password; logs off the system when leaving work station; reports suspected violation of security/confidentiality issues; reviews data and identifies trends.

Interpersonal Skills

Demonstrates active listening techniques, gains support through effective relationships, treats others with dignity and respect; seeks feedback; sets clear standards for performance; evaluates job performance and provides effective feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms.

Continuing Education

Attends In-Service and education programs, attends any continuing education required for maintenance of professional certification or licensure.

Physical Demands

While performing the duties of this job, the employee is frequently required to stand and walk. Stooping, bending, lifting, carrying, and other physical demands may be required. The employee is occasionally required to lift and/or move up to 50 pounds. The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. While performing the duties of the job, the employee may be exposed to blood or other bodily fluids, fumes or airborne particles and toxic or caustic chemicals. The noise level in the work environment is usually moderate.