Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Arcadia, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Arcadia, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Galesville, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Galesville, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Osseo, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Arcadia, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Arcadia, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Galesville, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Galesville, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
Manager, Care Coaching
Blair, WI · On-site
Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner ...
... manager during each interview process. * A customized and comprehensive compensation package, that's tailored to you! * The potential for a sign-on bonus, relocation assistance, and student loan ...
... manager during each interview process. * A customized and comprehensive compensation package, that's tailored to you! * The potential for a sign-on bonus, relocation assistance, and student loan ...
Independent Patient Care Contractor About AOTI Advanced Oxygen Therapy, Inc. (AOTI) is transforming ... Ability to manage service activities within your assigned territory * Field-based work supporting ...
Independent Patient Care Contractor About AOTI Advanced Oxygen Therapy, Inc. (AOTI) is transforming ... Ability to manage service activities within your assigned territory * Field-based work supporting ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Per Diem Associate Patient Care Coordinator $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Explore ... Strong organizational and time management skills * Ability to multi-task and prioritize tasks to ...
Independent Patient Care Contractor About AOTI Advanced Oxygen Therapy, Inc. (AOTI) is transforming ... Ability to manage service activities within your assigned territory * Field-based work supporting ...
Independent Patient Care Contractor About AOTI Advanced Oxygen Therapy, Inc. (AOTI) is transforming ... Ability to manage service activities within your assigned territory * Field-based work supporting ...
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?
| Aspect | Managed Care Associate | Insurance Coordinator |
|---|---|---|
| Credentials | Typically requires a healthcare-related certification or associate degree | Often requires insurance or administrative certifications |
| Work Environment | Healthcare facilities, insurance companies, managed care organizations | Medical offices, hospitals, insurance companies |
| Job Focus | Managing patient care plans, insurance authorizations, and benefits | Processing 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 Wisconsin?
The most popular types of Managed Care jobs in Wisconsin are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 days ago
Humana rating
8.0
Based on 267 frontline employees who took The Breakroom Quiz
172nd of 315 rated insurance
Job description
Become a part of our caring community
Enhance your Family Care career in this Manager, Care Coaching role. Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner that expresses Humana values and the Family Care program values of access, choice, quality, and cost effectiveness. This position supports IDT staff that cover Jackson and Trempealeau Counties.
Use your skills to make an impact
About us
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Enhance your Family Care career in this Manager, Care Coaching role. Reporting to the Associate Director, Care Coaching, you will support the work of Care Management staff. You will provide daily leadership and mentoring to staff. You will deliver services in a manner that expresses Humana values and the Family Care program values of access, choice, quality, and cost effectiveness. This position supports IDT staff that cover Jackson and Trempealeau Counties.
Main Responsibilities:
- Mentor and support the work of Field Nurses and Care Coaches (or IDT) to ensure the Family Care benefit is delivered in compliance with the DHS contract.
- Identify learning needs; arrange for mentorship, provide clear expectations, facilitate orientation and ongoing learning to build capacity of IDT staff.
- Assess and coach staff on the IDT primary competencies and performance standards.
- Review reports, assess process and review documentation.
- Assess utilization and the quality of care management for each member served.
- Participate in cross departmental collaboration to ensure the quality and effectiveness of provider services.
- Educate community partners.
- Participate in the hiring process by selecting, orienting, and training associates.
- Facilitate in person unit meetings and attend quality visits as needed.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in human services or a related field or associate degree in nursing.
- 1 year of leadership experience in the human services field.
- 3 years of experience working in the Family Care program.
- Reside within 1 hour of either Black River Falls or Blair, WI
Preferred Qualifications
- 5 years of experience working with individuals with intellectual/developmental disabilities, physical disabilities or frail elders.
Additional Information
- Workstyle: Work remote from home
- Travel: at least 1 time per month with potential for more
- Typical Work Days/Hours: Monday - Friday, 8:00 am - 4:30 pm CST
- Direct Reports: approximately 11-15
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About us
About Inclusa: Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved. In 2022, Inclusa was acquired by Humana. This partnership will allow us to create a model of care that provides industry-leading support for members across the health care continuum.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961