Medical case manager vs medical consultant

Differences between medical case manager and medical consultant duties and responsibilities

Medical case manager example responsibilities.

• Provide clients support with basic ADL's (shopping, payee services, budgets, managing and attending appointments).
• Facilitate rehabilitation plans with TPA/Provider/Treatment team to provide professional case management services to catastrophically injure patients after auto injury.
• Collaborate with inpatient medical team and case management department to promote effective discharge planning and utilization management of hospitalize patients.
• Coordinate medical management and vocational rehabilitation.
• Attend weekly DHS case conferences to ensure client compliance and progress with obtaining and securing permanent housing.
• Report, maintain, and update case data, goal attainment, and outcomes into the HMIS system.
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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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