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Mmis Jobs in Baton Rouge, LA (NOW HIRING)

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Mmis information

See Baton Rouge, LA salary details

$11

$25

$57

How much do mmis jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for mmis in Baton Rouge, LA is $25.46, according to ZipRecruiter salary data. Most workers in this role earn between $19.38 and $29.33 per hour, depending on experience, location, and employer.

What is an MMIS?

MMIS stands for Medicaid Management Information System, which is an automated system used by state Medicaid agencies to manage and process information related to Medicaid programs. It supports functions such as claims processing, provider enrollment, eligibility verification, and reporting. MMIS helps ensure that Medicaid services are delivered efficiently, accurately, and in compliance with federal and state regulations. States often upgrade or customize their MMIS to meet specific needs and to integrate with other health information systems.

What skills and qualifications are needed to thrive as an MMIS specialist?

To thrive as an MMIS Specialist, you need a solid understanding of Medicaid policies, healthcare data management, and IT systems, often supported by a degree in information technology, healthcare administration, or related fields. Familiarity with MMIS platforms, data integration tools, and knowledge of HIPAA compliance are typically required, and certifications in project management or health informatics can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills set standout professionals apart in this role. These skills are crucial for ensuring accurate Medicaid claims processing, regulatory compliance, and successful system implementation or upgrades.

What are the typical collaboration dynamics for someone working in an MMIS role?

Professionals in MMIS roles frequently collaborate with cross-functional teams, including IT developers, business analysts, healthcare providers, and state agency stakeholders. Daily responsibilities often involve gathering requirements, troubleshooting system issues, and ensuring compliance with federal and state regulations. Effective communication and teamwork are essential, as MMIS staff must translate policy changes into technical specifications and coordinate with both technical and non-technical colleagues. This collaborative environment helps ensure that the MMIS runs smoothly and supports the delivery of Medicaid services.

What is the difference between Mmis vs Medical Coder?

AspectMmisMedical Coder
CredentialsTypically requires an associate degree or certification in medical information managementUsually requires certification such as CPC or CCS
Work EnvironmentHospitals, clinics, healthcare organizationsHealthcare facilities, insurance companies, billing services
Industry UsageHealth information management, medical recordsMedical billing, coding, reimbursement

While both Mmis and Medical Coders work within healthcare data management, Mmis professionals focus on managing and organizing medical records and health information systems, often requiring broader knowledge of health information technology. Medical Coders specialize in translating medical diagnoses and procedures into standardized codes for billing and reimbursement. Understanding these differences helps healthcare organizations assign roles effectively and choose the right professionals for their needs.

What are popular job titles related to Mmis jobs in Baton Rouge, LA?

For Mmis jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Mmis jobs in Baton Rouge, LA look for?

The top searched job categories for Mmis jobs in Baton Rouge, LA are:

Mmis jobs near you
Infographic showing various Mmis job openings in Baton Rouge, LA as of August 2026, with employment types broken down into 83% Full Time, 8% Part Time, and 9% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $52,958 per year, or $25.5 per hour.

Care Coordinator RN remote work: Baton Rouge or New Orleans

eQHealth Solutions

Baton Rouge, LA • Remote

Full-time

Re-posted 24 days ago

Job description

  • Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements).
  • Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review.
  • Completes prior authorizations as appropriate in a timely manner.
  • Conducts an initial survey to recommend appropriate (home health assessment) for the recipient, unless this has already been done during the current fiscal year
  • Conducts a home and/or PPEC visit as needed or if contract requirement
  • Schedules and convenes initial face-to-face meeting in the recipient’s home and/or PPEC comprised of the recipient (if able) and the parent or legal guardian.
  • Assesses, plans, implements, monitors and evaluates the options and services required to meet the recipient’s health care needs.
  • Documents recipient’s assessment findings, actions, and outcomes.
  • Documents all communication, interventions and follow up tasks in the Care Coordination System within one (1) business day of each intervention and/or encounter.
  • Identifies patient care issues and makes recommendations on patient care issues.
  • Collaborates with the parent or legal guardian and healthcare team to arrange for identified home care needs.
  • Responsible for maintaining regular monthly contact (telephonically or face-to-face) with the recipient and the recipient’s parent or legal guardian.for purpose of updating Plan of Care (POC), resolving issues and identifying additional issues
  • As part of the multidisciplinary team, regularly meets with the team and contributes to the development of a comprehensive plan of care based on the needs of the recipient and recipient’s parent or legal guardian.
  • Evaluates and modifies recipient’s the plan of care as needed.  Regularly communicates changes to the recipient’s parent or legal guardian, healthcare team, and other agencies involved in the recipient’s care.
  • Monitors assigned caseload eligibility status on a monthly basis, based on their status in MMIS.
  • Completes a Staffing Tool (Freedom of Choice) any time a parent or legal guardian expresses the desire to reconsider a recipient’s placement into a Skilled Nursing Facility
  • Follow guidelines for additional required calls and visits for Skilled Nursing Facility (SNF) transitions to community settings for six (6) months.
  • Functions as a resource to the community.
  • Manages daily workload associated with quality review process, including facilitation of case assignments and follows up to ensure that all cases requiring additional assistance or care coordination are completed within timelines required by contract.
  •  Prioritizes and addresses requests and assignments in a professional manner to develop cooperative relationships to ensure that customer confidentiality is assured.
  • Provides courteous and prompt service to all internal and external customers at all times.
  • Attends staff meetings and continuing education sessions and will assist with learning opportunities as needed.
  • Participates in special projects, as needed.
  • Assists with the implementation of quality improvement initiatives.
  • Performs other duties as assigned.

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