Case reviewer vs coordinator

Differences between case reviewer and coordinator duties and responsibilities

Case reviewer example responsibilities.

• Manage afive person team responsible for covering scope, assigning, analysis and then final review ofInvestigation ROI.
• Require a broad and comprehensive knowledge of Medicaid policies, code references, and compliance.
• Provide education to physicians/office staff on aspects of HEDIS medical record documentation, compliance, and regulatory criteria.
• Participate in meetings with inter agencies and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.
• Communicate regularly with client and travele frequently to arbitration site.
• Assist in preparation of witnesses and exhibits for depositions and arbitration hearings.
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Coordinator example responsibilities.

• Conduct kaizen blitz in the machine shop that achieve higher productivity and efficiency gains.
• Manage documented records of meetings and contact with Pre-K teachers to discuss relevant information concerning children and families.
• Manage and coordinate the workload of the release team members and are responsible for organizing and hosting all production release windows.
• Manage IDT roster and participate in interdisciplinary team meetings.
• Provide leadership development opportunities for youth and lead community events and activities for the community.
• Facilitate development of veterans individual rehabilitation plans, which provide purpose, organization and empowerment to achieve life goals.
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