Social work case manager vs certification specialist

Differences between social work case manager and certification specialist duties and responsibilities

Social work case manager example responsibilities.

• Collaborate with partners including public and private agencies to achieve permanency for children.
• Facilitate resource management by making appropriate referrals to community agencies that help patients remain safe and independent in their home environment.
• Review inpatient hospital medical records using InterQual criteria to determine that patient admission meet quality and utilization standards.
• Adhere to rules and regulations pertinent to inpatient rehabilitation as defined by Medicare/Medicaid and other licensing and accrediting organizations.
• Coordinate and schedule in home physician visits and transportation arrangements for patients to receive medical services in hospitals and clinics.
• Respond to high volume telephone and walk-in inquiries regarding long-term placement, government entitlements, rehabilitation, and services provide.
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Certification specialist example responsibilities.

• Support ISO audits for process documentation and software/ literature distribution, managing follow-up corrective action plans as needed.
• Pre-Certify and scheduling of MRI's and bone scans.
• Order supplies, apply cast, splints and other orthopedic equipment.
• Prepare, apply, remove and adjusts casts and splints as advised by physician.
• Review medical records to determine ICD-9 diagnosis and procedure codes according to establish guidelines and submit claims for processing.
• Assign ICD-9 codes for various clinic types such as physical, occupational and speech therapies, diagnostics and labs.
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