Health care manager vs medical consultant

Differences between health care manager and medical consultant duties and responsibilities

Health care manager example responsibilities.

• Manage network participation, care with specialty networks, DME providers and transfers to appropriate levels of care.
• Manage patient care expenditures including but not limit to labor, pharmacy, DME, medical supplies and mileage.
• Provide oversight of the case management and utilization management staff for the Medicaid population
• Supervise and conduct employee seminars and training in employee health issues, infection control and CPR.
• Support sales team in designing population health solutions present in proposals and client facing PowerPoint presentations.
• Assist members with benefits, PCP referrals and inquires.
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Medical consultant example responsibilities.

• Manage CMS require oversight of in-home, at-risk Medicare member care management programs through chart audit and NCQA on-site visits.
• Lead the planning, organization, execution, and analysis of coding, billing, HIPAA, and OSHA audits.
• Provide SharePoint development and administration, budget and financial reporting; manage invoicing; and develop training manuals and user guides.
• Function as the primary office safety, health, OSHA, HIPPA representative.
• Experience in dental CPT and ICD-9, as well as medical CPT and ICD-9 coding.
• Demonstrate knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy, and physiology.
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