Patient care coordinator vs managed care coordinator

The differences between patient care coordinators and managed care coordinators can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a patient care coordinator, becoming a managed care coordinator takes usually requires 4-6 years. Additionally, a managed care coordinator has an average salary of $40,176, which is higher than the $34,884 average annual salary of a patient care coordinator.

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

Patient care coordinator vs managed care coordinator overview

	Patient Care Coordinator	Managed Care Coordinator
Yearly salary	$34,884	$40,176
Hourly rate	$16.77	$19.32
Growth rate	-4%	28%
Number of jobs	139,431	84,786
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 52%
Average age	40	47
Years of experience	4	6

What does a patient care coordinator do?

A patient care coordinator or care coordinator is a trained health professional who manages patients' health care, such as the elderly or disabled. Patient care coordinators educate patients about their health conditions and develop a plan to address their personal health care needs. To comply with health care laws and regulations, care coordinators must attend training and courses so that they are updated with the new developments in health care. They are also required to take up licensure examination and should have experience in care coordination or clinical practices.

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.

Patient care coordinator vs managed care coordinator salary

Patient care coordinators and managed care coordinators have different pay scales, as shown below.

	Patient Care Coordinator	Managed Care Coordinator
Average salary	$34,884	$40,176
Salary range	Between $23,000 And $52,000	Between $26,000 And $60,000
Highest paying City	Seattle, WA	Boston, MA
Highest paying state	Washington	New Jersey
Best paying company	Homestead Hospice	St. John's Episcopal Hospital
Best paying industry	Health Care	Health Care

Differences between patient care coordinator and managed care coordinator education

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

	Patient Care Coordinator	Managed Care Coordinator
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 52%
Most common major	Nursing	Nursing
Most common college	University of Pennsylvania	University of Pennsylvania

Patient care coordinator vs managed care coordinator demographics

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

	Patient Care Coordinator	Managed Care Coordinator
Average age	40	47
Gender ratio	Male, 11.7% Female, 88.3%	Male, 15.8% Female, 84.2%
Race ratio	Black or African American, 10.8% Unknown, 5.2% Hispanic or Latino, 24.0% Asian, 6.3% White, 53.0% American Indian and Alaska Native, 0.7%	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%
LGBT Percentage	7%	12%

Differences between patient care coordinator and managed care coordinator duties and responsibilities

Patient care coordinator example responsibilities.

Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
Check in, check out patients, and do EKG's.
Gain knowledge relate to bundle payments for orthopedic patients and the rules and regulations set forth by CMS.
Respond to telephone inquiries, providing quality service to customers, PSR's and insurance representatives inquiring about patient accounts.
Prepare patients prior to MRI exam, obtain safety check lists and assist with the daily operations of the MRI department.

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 coordinator vs managed care coordinator skills

Common patient care coordinator skills

Patients, 32%
Customer Service, 13%
Home Health, 6%
Data Entry, 3%
Patient Appointments, 3%
Direct Patient Care, 3%

Common managed care coordinator skills

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

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Patient Care Coordinator
Patient Care Coordinator vs Managed Care Coordinator

Updated January 8, 2025

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