Case worker vs managed care coordinator

Differences between case worker and managed care coordinator duties and responsibilities

Case worker example responsibilities.

• Establish collaborative relationships with patients within a supportive atmosphere to assist in confronting drug relate behavior and achieving sobriety.
• Review and research leads regarding personal injury cases by obtaining information from the Medicaid recipient's attorney and insurance adjuster
• File, close and maintain records in either physical case file or on ETO.
• Train new employees and assign tasks in driving and all responsibilities in DCS documentations.
• Provide weekly face to face updates to youth and telephonic updates to family members/sponsor with documentation find in ETO.
• Facilitate DCS court order supervised visitation during the reunification process.
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Managed care coordinator example responsibilities.

• Manage ICD-9 coding and DRG validation for high volume of claims.
• Ensure all clinical operations comply with Medicare and Medicaid guidelines and other manage care policies.
• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Adhere to all state, accreditation standards and regulatory guidelines which include HIPAA guidelines and NCQA accreditation.
• Enter and approve authorizations for patients being discharge from hospitals to a sub- acute rehabilitation facility or a skil nursing facility.
• Review ICD-9 and HCPCS codes to insure proper coding used on claims.
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