Health care coordinator vs managed care coordinator

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

Health care coordinator example responsibilities.

• Manage client accounts making sure they are up to date and within Medicare guidelines.
• Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
• Expand use of Medicare and Medicaid benefits for services not previously utilize including researching and contracting with outside vendors.
• Establish patient referral sources from business relationships and educate facility staff to identify patients that would benefit from home health services.
• Utilize CPR certification skills when need.
• Help assist residents with ADL's.
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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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