What does a Case Management Coordinator do?

The duties of a case management coordinator depend on one's place or industry of employment. Their responsibilities primarily revolve around maintaining and organizing records of cases and transactions, processing documentation, organizing data, and reviewing cases using a particular software to identify any errors or inconsistencies. There are also instances when they must reach out to clients and assist them with their needs. Furthermore, as a management coordinator, it is essential to maintain an active and transparent communication line across different departments and areas, all while adhering to the company's policies and standards.
Case management coordinator responsibilities
Here are examples of responsibilities from real case management coordinator resumes:
- Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
- Discharge planning including but not limit to rehabilitation, durable medical equipment and home healthcare.
- Provide counseling support to clients with mental illness, HIV/AIDS, autism, and handicaps.
- Act as medical resource for appeals function.
- Input client's information into HMIS portal database.
- Design custom reports within AVAYA CMS used to assist with forecast and staff implementation.
- Collect and analyze data to ensure the agency remains in compliance with DCF scorecard measures.
- Identify and assess family needs of children who are placed under the supervision and care of DCF.
- Review caseloads with case managers; provide guidance and oversight to case managers on specific cases as needed.
- Have ability to work independently with diverse teams and confidentiality by following all HIPAA principles and practices of case management.
- Develop and facilitate training relate to accreditation standards; state, federal and local regulations, HIPAA and corporate compliance.
- Provide oversight in the areas of budgeting, contracts, general services, and resource development for children and adults.
- Conduct continuous practice billing (IDX) and documentation audits to optimize reimbursement while complying with CMS (HCFA) regulations.
- Verify continuing eligibility for Medicaid monthly.
- Researched/File appeals for resolution of deny claims.
Case management coordinator skills and personality traits
We calculated that 16% of Case Management Coordinators are proficient in Social Work, Patients, and Customer Service. They’re also known for soft skills such as Interpersonal skills, Problem-solving skills, and Time-management skills.
We break down the percentage of Case Management Coordinators that have these skills listed on their resume here:
- Social Work, 16%
Meet regularly with Case Managers/Social Workers to discuss patients/family needs related to individual cases of nursing home placements.
- Patients, 14%
Maintained up-to-date registry of patients with diabetes, hypertension and other chronic disease as determined by Director of Quality Management.
- Customer Service, 10%
Utilize bilingual English/Spanish abilities to provide professional, courteous customer service ensuring a positive experience for each member pending discharge call.
- Patient Care, 6%
Supervised Patient Navigators via chart review, routine face-to-face case discussions and performance reviews to ensure adequate implementation of patient care.
- Care Coordination, 6%
Performed catastrophic on-site case management and transitional care coordination to achieve case-specific outcomes and optimal functionality.
- Discharge Planning, 4%
Monitor activities necessary to ensure timely discharge planning with nursing home returns and new placements and coordination on transportation.
Most case management coordinators use their skills in "social work," "patients," and "customer service" to do their jobs. You can find more detail on essential case management coordinator responsibilities here:
Interpersonal skills. To carry out their duties, the most important skill for a case management coordinator to have is interpersonal skills. Their role and responsibilities require that "social and human service assistants must make their clients feel comfortable discussing sensitive issues." Case management coordinators often use interpersonal skills in their day-to-day job, as shown by this real resume: "required excellent interpersonal skills due to high level of communication among new personnel. "
Problem-solving skills. Many case management coordinator duties rely on problem-solving skills. "social and human service assistants help clients find solutions to their problems," so a case management coordinator will need this skill often in their role. This resume example is just one of many ways case management coordinator responsibilities rely on problem-solving skills: "created and implemented innovative hr solutions and programs improving labor relations. "
Time-management skills. Another skill that relates to the job responsibilities of case management coordinators is time-management skills. This skill is critical to many everyday case management coordinator duties, as "social and human service assistants often work with many clients." This example from a resume shows how this skill is used: "gathered information related to discovery responses, subpoenas, and other legal correspondence with accuracy and within deadlines. "
Communication skills. For certain case management coordinator responsibilities to be completed, the job requires competence in "communication skills." The day-to-day duties of a case management coordinator rely on this skill, as "social and human service assistants talk with clients about the challenges in their lives and assist them in getting help." For example, this snippet was taken directly from a resume about how this skill applies to what case management coordinators do: "develop a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care. "
Compassion. Another crucial skill for a case management coordinator to carry out their responsibilities is "compassion." A big part of what case management coordinators relies on this skill, since "social and human service assistants often work with people who are in stressful and difficult situations." How this skill relates to case management coordinator duties can be seen in an example from a case management coordinator resume snippet: "assisted case management staff in the provision of advocacy, addressing patient care matters with compassion and resolute spirit. "
Organizational skills. While "organizational skills" is last on this skills list, don't underestimate its importance to case management coordinator responsibilities. Much of what a case management coordinator does relies on this skill, seeing as "social and human service assistants must often complete lots of paperwork and work with many different clients." Here is a resume example of how this skill is used in the everyday duties of case management coordinators: "demonstrated strong organizational, planning, problem-solving skills and excellent customer service skills. "
The three companies that hire the most case management coordinators are:
- CVS Health68 case management coordinators jobs
- Aetna
26 case management coordinators jobs
- Pediatric Partners, now a member of the Sevita family12 case management coordinators jobs
Choose from 10+ customizable case management coordinator resume templates
Build a professional case management coordinator resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your case management coordinator resume.Compare different case management coordinators
Case management coordinator vs. Volunteer program coordinator
A volunteer program coordinator usually works for non-profit organizations where they are primarily in charge of managing and coordinating all volunteer related aspects of events and programs. It is their responsibility to oversee recruitment and training processes from planning to execution, supervise all volunteers, set schedules and objectives, and ensure operations adhere to guidelines and policies. Moreover, as a volunteer program coordinator, it is essential to lead and encourage staff to reach goals, resolving issues should any arise.
While similarities exist, there are also some differences between case management coordinators and volunteer program coordinator. For instance, case management coordinator responsibilities require skills such as "social work," "patients," "customer service," and "care coordination." Whereas a volunteer program coordinator is skilled in "public speaking," "community outreach," "child care," and "community services." This is part of what separates the two careers.
Volunteer program coordinators tend to reach similar levels of education than case management coordinators. In fact, volunteer program coordinators are 2.7% less likely to graduate with a Master's Degree and 1.3% more likely to have a Doctoral Degree.Case management coordinator vs. Community service coordinator
The community service coordinator is someone who works with a community for its betterment. The community service coordinator brings all welfare services to the community and connects people who need welfare to receive benefits. The community service coordinator is also tasked to collect records of people in need of welfare and other services. It is also important for this person to have interpersonal skills to talk with people and educate them of all the benefits and services they can receive.
While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that case management coordinator responsibilities requires skills like "patients," "customer service," "patient care," and "care coordination." But a community service coordinator might use other skills in their typical duties, such as, "community outreach," "support services," "developmental disabilities," and "technical assistance."
Community service coordinators earn a lower average salary than case management coordinators. But community service coordinators earn the highest pay in the education industry, with an average salary of $42,855. Additionally, case management coordinators earn the highest salaries in the government with average pay of $48,125 annually.community service coordinators earn similar levels of education than case management coordinators in general. They're 0.2% more likely to graduate with a Master's Degree and 1.3% less likely to earn a Doctoral Degree.Case management coordinator vs. Outreach coordinator
An outreach coordinator is responsible for assisting community and fundraising programs, ensuring the smooth flow of events and participants' engagement. Outreach coordinators often work with humanitarian organizations or other nonprofit institutions to promote and develop citizens' welfare. They handle press releases, create marketing materials, negotiate with third-party vendors, book venues, finalize event schedules, and recruit volunteers as needed. An outreach coordinator also plans activities, monitors expenses, and requests financial support from sponsorships and donation programs.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a case management coordinator is likely to be skilled in "patient care," "care coordination," "discharge planning," and "risk management," while a typical outreach coordinator is skilled in "public speaking," "veterans," "team work," and "outreach efforts."
Outreach coordinators earn the best pay in the government industry, where they command an average salary of $51,407. Case management coordinators earn the highest pay from the government industry, with an average salary of $48,125.When it comes to education, outreach coordinators tend to earn similar degree levels compared to case management coordinators. In fact, they're 0.7% less likely to earn a Master's Degree, and 0.0% less likely to graduate with a Doctoral Degree.Case management coordinator vs. Support coordinator
A support coordinator assists disabled participants in developing knowledge, experience, and connections with the community. Support coordinators connect the participants to the National Disability Insurance Scheme (NDIS) and consider appropriate options for them. They are expected to help participants resolve crisis points while assisting them in developing a capable and resilient support network. They also provide coaching assistance to participants who have faced challenges and create reports about the participant's achieved outcomes.
Types of case management coordinator
Updated January 8, 2025