Geriatric care manager vs managed care coordinator

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

Geriatric care manager 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 administrative and nutritional support and health care management for elderly patients.
• Develop and implement a special volunteer-education program to train volunteers in the care of an interaction with Alzheimer's patient.
• Interface with members' primary care physician, specialists and other health care providers to meet patients' health care needs.
• Assume a leadership role in meetings and training regarding staff education on state and institutional educational standards relate to child development.
• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.

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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