Case reviewer vs service coordinator

Differences between case reviewer and service 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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Service coordinator example responsibilities.

• Manage social media communication including Facebook, Pinterest, and blog.
• Manage a pilot program providing diversion services to clients refer by DCF.
• Manage the MSW staff and coordinate all social service and select patient service activities.
• Manage caseload of 30 DD citizens, coordinate eligibility benefits.
• Manage SharePoint inventory repository and assign access levels to new hires as needed.
• Supervise and train direct care workers in CPR, care of clients, policy and procedures.
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