Clinical care manager vs managed care coordinator

The differences between clinical care managers and managed care coordinators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a clinical care manager and a managed care coordinator. Additionally, a clinical care manager has an average salary of $81,742, which is higher than the $40,176 average annual salary of a managed care coordinator.

The top three skills for a clinical care manager include patients, clinical care and social work. The most important skills for a managed care coordinator are patients, social work, and home health.

Clinical care manager vs managed care coordinator overview

	Clinical Care Manager	Managed Care Coordinator
Yearly salary	$81,742	$40,176
Hourly rate	$39.30	$19.32
Growth rate	28%	28%
Number of jobs	158,076	84,786
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 42%	Bachelor's Degree, 52%
Average age	47	47
Years of experience	6	6

What does a clinical care manager do?

For medical facilities to work smoothly and efficiently, a clinical care manager is hired to develop and execute strategies to optimize operations. Their responsibilities often include setting goals and objectives, managing the staff, overseeing schedules and budgets, performing research and analysis to identify areas needing improvement, implementing solutions, and coordinating teams. They are also responsible for performing a variety of clerical tasks such as preparing and processing documentation, responding to calls and correspondence, arranging meetings and appointments, and participating in employment processes, all while implementing the facility's policies and regulations.

What does a managed care coordinator do?

Managed care coordinators handle various operational and medical issues for a health care facility or insurance company. Their duties include ensuring effective communication between medical facilities, patients, and insurance companies, handling medical files and documentation requests, and communicating with physicians and other health care professionals to process referrals and authorize services. In addition, they are responsible for maintaining managed care contracts and preparing reports, and working closely with care management members to assess health needs and facilitate services.

Clinical care manager vs managed care coordinator salary

Clinical care managers and managed care coordinators have different pay scales, as shown below.

	Clinical Care Manager	Managed Care Coordinator
Average salary	$81,742	$40,176
Salary range	Between $51,000 And $129,000	Between $26,000 And $60,000
Highest paying City	San Francisco, CA	Boston, MA
Highest paying state	Connecticut	New Jersey
Best paying company	Accenture	St. John's Episcopal Hospital
Best paying industry	Government	Health Care

Differences between clinical care manager and managed care coordinator education

There are a few differences between a clinical care manager and a managed care coordinator in terms of educational background:

	Clinical Care Manager	Managed Care Coordinator
Most common degree	Bachelor's Degree, 42%	Bachelor's Degree, 52%
Most common major	Nursing	Nursing
Most common college	University of North Carolina at Chapel Hill	University of Pennsylvania

Clinical care manager vs managed care coordinator demographics

Here are the differences between clinical care managers' and managed care coordinators' demographics:

	Clinical Care Manager	Managed Care Coordinator
Average age	47	47
Gender ratio	Male, 20.5% Female, 79.5%	Male, 15.8% Female, 84.2%
Race ratio	Black or African American, 11.8% Unknown, 4.3% Hispanic or Latino, 14.1% Asian, 7.9% White, 61.2% American Indian and Alaska Native, 0.7%	Black or African American, 11.3% Unknown, 4.3% Hispanic or Latino, 14.5% Asian, 7.7% White, 61.5% American Indian and Alaska Native, 0.7%
LGBT Percentage	12%	12%

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

Clinical care manager example responsibilities.

Manage patient care expenditures including but not limit to labor, pharmacy, DME, medical supplies and mileage.
Provide quality discharge planning utilizing knowledge of community resources to ensure patients are link with appropriate after-care services.
Educate patients regarding their condition and make recommendations for actions and behaviors to alleviate symptoms and support disease management process.
Develop, monitor and maintain patient individualize treatment plans base on principles of ABA and in collaboration with a multidisciplinary team.
Authore IRB protocols, continuing reviews, RNIs, and modifications.
Document patient admittance utilizing InterQual, a yearly publish book that define inpatient requirements.

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.

Clinical care manager vs managed care coordinator skills

Common clinical care manager skills

Patients, 16%
Clinical Care, 11%
Social Work, 9%
Home Health, 9%
Care Coordination, 5%
Primary Care, 4%

Common managed care coordinator skills

Patients, 17%
Social Work, 15%
Home Health, 10%
Customer Service, 8%
Discharge Planning, 5%
Patient Care, 5%

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Clinical Care Manager
Clinical Care Manager vs Managed Care Coordinator

Updated January 8, 2025

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