Managed care coordinator vs clinical manager

The differences between managed care coordinators and clinical managers can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a managed care coordinator and a clinical manager. Additionally, a clinical manager has an average salary of $84,066, which is higher than the $40,176 average annual salary of a managed care coordinator.

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

Managed care coordinator vs clinical manager overview

	Managed Care Coordinator	Clinical Manager
Yearly salary	$40,176	$84,066
Hourly rate	$19.32	$40.42
Growth rate	28%	28%
Number of jobs	84,786	81,863
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 48%
Average age	47	47
Years of experience	6	6

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.

What does a clinical manager do?

A clinical manager is responsible for monitoring medical procedures and administrative duties to ensure the smooth flow of operations in a healthcare facility. Clinical managers manage the facility's staffing needs, evaluate budget reports, assist healthcare professionals on administering medical duties, and develop strategic procedures to optimize treatments and maximize productivity. A clinical manager enforces strict sanitary and safety regulations for everyone's strict compliance. They also need to have excellent knowledge of the medical industry to promote medical processes and provide the highest quality care.

Managed care coordinator vs clinical manager salary

Managed care coordinators and clinical managers have different pay scales, as shown below.

	Managed Care Coordinator	Clinical Manager
Average salary	$40,176	$84,066
Salary range	Between $26,000 And $60,000	Between $55,000 And $128,000
Highest paying City	Boston, MA	San Francisco, CA
Highest paying state	New Jersey	Rhode Island
Best paying company	St. John's Episcopal Hospital	Genentech
Best paying industry	Health Care	Health Care

Differences between managed care coordinator and clinical manager education

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

	Managed Care Coordinator	Clinical Manager
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 48%
Most common major	Nursing	Nursing
Most common college	University of Pennsylvania	University of Pennsylvania

Managed care coordinator vs clinical manager demographics

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

	Managed Care Coordinator	Clinical Manager
Average age	47	47
Gender ratio	Male, 15.8% Female, 84.2%	Male, 22.6% Female, 77.4%
Race ratio	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%	Black or African American, 11.4% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 8.0% White, 61.2% American Indian and Alaska Native, 0.7%
LGBT Percentage	12%	12%

Differences between managed care coordinator and clinical manager duties and responsibilities

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 manager example responsibilities.

Track and manage IRB approvals.
Lead a team of 25 patient service coordinators and receptionists.
Manage and lead teams consisting of multiple internal departments as well as CRO and other vendors.
Manage data for research project billing and accountability for drug study product in accordance with FDA regulations.
Manage studies in association with the lead CRA to ensure all project expectations and milestones are meet.
Manage all facets of daily operations relating to imaging services, radiation therapy, and medical oncology services.

Managed care coordinator vs clinical manager skills

Common managed care coordinator skills

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

Common clinical manager skills

Patients, 19%
Customer Service, 8%
Home Health, 6%
Direct Patient Care, 5%
Quality Patient Care, 5%
Patient Education, 3%

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Managed Care Coordinator
Managed Care Coordinator vs Clinical Manager

Updated January 8, 2025

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