Managed care coordinator vs coordinator

Differences between managed care coordinator and coordinator 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.
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Coordinator example responsibilities.

• Conduct kaizen blitz in the machine shop that achieve higher productivity and efficiency gains.
• Manage documented records of meetings and contact with Pre-K teachers to discuss relevant information concerning children and families.
• Manage and coordinate the workload of the release team members and are responsible for organizing and hosting all production release windows.
• Manage IDT roster and participate in interdisciplinary team meetings.
• Provide leadership development opportunities for youth and lead community events and activities for the community.
• Facilitate development of veterans individual rehabilitation plans, which provide purpose, organization and empowerment to achieve life goals.
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