Managed care coordinator vs patient care manager

The differences between managed care coordinators and patient care 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 patient care manager. Additionally, a patient care manager has an average salary of $65,369, 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 patient care manager are home health, patients, and quality care.

Managed care coordinator vs patient care manager overview

	Managed Care Coordinator	Patient Care Manager
Yearly salary	$40,176	$65,369
Hourly rate	$19.32	$31.43
Growth rate	28%	28%
Number of jobs	84,786	123,652
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 45%
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 patient care manager do?

Patient care managers are executives who are in charge of supervising a clinical team. The managers take responsibility for directing patient care within an organization. Also called health care managers, they protect every patient's safety and health in a clinical setting. They interact with the healthcare team members to maintain open communication. It is also part of their duties to supervise the daily operations in the clinical care units. Managing clinical budgets and maintaining quality health services are also their responsibilities.

Managed care coordinator vs patient care manager salary

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

	Managed Care Coordinator	Patient Care Manager
Average salary	$40,176	$65,369
Salary range	Between $26,000 And $60,000	Between $36,000 And $117,000
Highest paying City	Boston, MA	Oakland, CA
Highest paying state	New Jersey	California
Best paying company	St. John's Episcopal Hospital	Accenture
Best paying industry	Health Care	Health Care

Differences between managed care coordinator and patient care manager education

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

	Managed Care Coordinator	Patient Care Manager
Most common degree	Bachelor's Degree, 52%	Bachelor's Degree, 45%
Most common major	Nursing	Nursing
Most common college	University of Pennsylvania	University of Pennsylvania

Managed care coordinator vs patient care manager demographics

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

	Managed Care Coordinator	Patient Care Manager
Average age	47	47
Gender ratio	Male, 15.8% Female, 84.2%	Male, 17.1% Female, 82.9%
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, 11.5% Unknown, 4.3% Hispanic or Latino, 15.0% Asian, 7.4% White, 61.1% American Indian and Alaska Native, 0.7%
LGBT Percentage	12%	12%

Differences between managed care coordinator and patient care 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.

Patient care manager example responsibilities.

Manage complicated cases involving serious injuries, medical evacuations, cruise ship disembarkation, and repatriation of remains with compassion.
Direct oversight of all case management and education relate to chronic disease and primary care management.
Utilize resources such as financial and pharmacy assistance for uninsure patients to receive professional medical care upon discharge.
Prevent unnecessary hospital admissions using keen assessment skills and redirecting to PCP's office when appropriate.
Ensure compliance both with HIPAA and CMS, to include all audits and enrollments via Medicare.
Plant and maintain flower beds such as mulching, fertilizing, watering, mowing, and pruning.

Managed care coordinator vs patient care 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 patient care manager skills

Home Health, 15%
Patients, 12%
Quality Care, 8%
Social Work, 7%
Community Resources, 4%
Substance Abuse, 4%

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Executive Management Industry
Managed Care Coordinator
Managed Care Coordinator vs Patient Care Manager

Updated January 8, 2025

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