Lead care manager vs managed care coordinator

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

Lead care manager example responsibilities.

• Manage marketing programs for online and direct mail; including virtual tours, Facebook, Craigslist and managing realtor website.
• Manage listings, websites and MLS data.
• Manage complicated cases involving serious injuries, medical evacuations, cruise ship disembarkation, and repatriation of remains with compassion.
• Utilize SalesForce (CRM) to manage/maintain client accounts.
• Comply with Medicaid billing and timelines.
• Qualify in CPR, fire safety and have obtained all states regulations requirement.
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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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