Ambulatory care coordinator vs case management specialist

Differences between ambulatory care coordinator and case management specialist duties and responsibilities

Ambulatory care coordinator example responsibilities.

• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Initiate supportive counseling and crisis intervention for groups and individuals in children's rehabilitation hospital setting.
• Conduct NCQA audits and quality surveys for physicians.
• Assist with increasing family unity, life skills and legal entities.
• Assist members with finding placement in the ALF or SNF setting.
• Generate appropriate letters of authorization and denial according to NCQA and CMS guidelines.
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Case management specialist example responsibilities.

• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Provide case management to give emergency financial assistance to veterans and their families during a financial crisis.
• Complete admission, stay and discharge reviews utilizing Interqual criteria to evaluate medical necessity as indicated by corporate standards.
• Fax documents to skil nursing homes and rehabilitation facilities.
• Perform psycho-social management, intervention, advocacy, and referral services for patients and significant others.
• Supervise in educating patients and direct care staff about self-management of chronic illness tailoring instructions to patient's individual circumstances.
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