Clinical care coordinator vs managed care coordinator

Differences between clinical care coordinator and managed care coordinator duties and responsibilities

Clinical 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.
• Provide long-term case management, problem resolution, and cognitive-behavioral psychotherapy to out-patient cancer patients.
• Rehabilitate patients with cardiopulmonary diagnoses, and experience physical therapy interventions on trauma, orthopedics, & NICU floors
• Demonstrate clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies.
• Perform regular telephone contact with providers to discuss accurate CPT and ICD-9 coding to ensure account resolution.
• Monitor and assess patient response to anesthesia and surgical procedures; provide resuscitation measures as necessary.
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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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