What does a clinical care manager do?
For medical facilities to work smoothly and efficiently, a clinical care manager is hired to develop and execute strategies to optimize operations. Their responsibilities often include setting goals and objectives, managing the staff, overseeing schedules and budgets, performing research and analysis to identify areas needing improvement, implementing solutions, and coordinating teams. They are also responsible for performing a variety of clerical tasks such as preparing and processing documentation, responding to calls and correspondence, arranging meetings and appointments, and participating in employment processes, all while implementing the facility's policies and regulations.
Clinical care manager responsibilities
Here are examples of responsibilities from real clinical care manager resumes:
- Manage patient care expenditures including but not limit to labor, pharmacy, DME, medical supplies and mileage.
- Provide quality discharge planning utilizing knowledge of community resources to ensure patients are link with appropriate after-care services.
- Educate patients regarding their condition and make recommendations for actions and behaviors to alleviate symptoms and support disease management process.
- Develop, monitor and maintain patient individualize treatment plans base on principles of ABA and in collaboration with a multidisciplinary team.
- Authore IRB protocols, continuing reviews, RNIs, and modifications.
- Document patient admittance utilizing InterQual, a yearly publish book that define inpatient requirements.
- Evaluate clinical information receive from hospitals to determine if a patient's clinical findings meet Interqual guidelines.
- Assist and supervise resident ADL's, resident self-administration of medications.
Clinical care manager skills and personality traits
We calculated that 16% of Clinical Care Managers are proficient in Patients, Clinical Care, and Social Work. They’re also known for soft skills such as Analytical skills, Leadership skills, and Technical skills.
We break down the percentage of Clinical Care Managers that have these skills listed on their resume here:
- Patients, 16%
Educated patients regarding their condition and made recommendations for actions and behaviors to alleviate symptoms and support disease management process.
- Clinical Care, 11%
Led a centralized quality improvement process for all agencies, including development of evidence-based clinical care guidelines.
- Social Work, 9%
Assist unit Social worker with discharge planning, communication with community entities, SNF, HHC, VA Hospital, LTAC.
- Home Health, 9%
Recruited for this highly visible position within one of the largest home health care organizations in Houston.
- Care Coordination, 5%
Collaborate with an interdisciplinary team to enhance care coordination.
- Primary Care, 4%
Supported efforts to increase awareness and inclusion of primary care providers other than physicians among faculty and attendees.
Common skills that a clinical care manager uses to do their job include "patients," "clinical care," and "social work." You can find details on the most important clinical care manager responsibilities below.
Analytical skills. To carry out their duties, the most important skill for a clinical care manager to have is analytical skills. Their role and responsibilities require that "medical and health services managers review and evaluate healthcare metrics for ways to improve efficiency and meet goals." Clinical care managers often use analytical skills in their day-to-day job, as shown by this real resume: "analyzed data for medical necessity and outpatient follow-up for prevention of high recidivism of mental health hospital stays. "
Leadership skills. Another essential skill to perform clinical care manager duties is leadership skills. Clinical care managers responsibilities require that "medical and health services managers hire, train, and direct staff." Clinical care managers also use leadership skills in their role according to a real resume snippet: "team builder leadership budget payroll advocate of patient care talent development project management customer service finances"
Technical skills. Another skill that relates to the job responsibilities of clinical care managers is technical skills. This skill is critical to many everyday clinical care manager duties, as "medical and health services managers must stay up to date with advances in healthcare technology, such as the coding and electronic health record (ehr) systems their facility adopts." This example from a resume shows how this skill is used: "provided technical clinical supervision and training to staff, made necessary referrals for the growth and development of staff. "
Detail oriented. clinical care manager responsibilities often require "detail oriented." The duties that rely on this skill are shown by the fact that "medical and health services managers must pay attention to detail." This resume example shows what clinical care managers do with detail oriented on a typical day: "provided detailed information to members and providers regarding mental health and substance abuse treatment insurance benefits. "
Communication skills. Another skill commonly found on clinical care manager job descriptions is "communication skills." It can come up quite often in clinical care manager duties, since "medical and health services managers must convey information to their staff, other healthcare workers, and, sometimes, patients and insurance agents." Here's an example from a resume of how this skill fits into day-to-day clinical care manager responsibilities: "maintain open communication and provide outstanding customer service to resident's and their families. "
The three companies that hire the most clinical care managers are:
- Sanford Health20 clinical care managers jobs
- Memorial Healthcare System16 clinical care managers jobs
- Centene15 clinical care managers jobs
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Compare different clinical care managers
Clinical care manager vs. Nursing director
A nursing director's role is to oversee and evaluate all nurse staff in a hospital or organization, ensuring their efficiency at providing care towards patients. A nursing director's responsibilities mainly revolve around administrative tasks such as coordinating with physicians and other consultants, producing reports, conducting assessments, managing the budget and expenditures, and resolving issues. Furthermore, a nursing director must keep and maintain accurate records, ensuring all procedures adhere to the highest health standards and aligns with the hospital's policies and regulations.
These skill sets are where the common ground ends though. The responsibilities of a clinical care manager are more likely to require skills like "clinical care," "social work," "care coordination," and "primary care." On the other hand, a job as a nursing director requires skills like "term care," "resident care," "cpr," and "federal regulations." As you can see, what employees do in each career varies considerably.
Nursing directors tend to make the most money working in the health care industry, where they earn an average salary of $83,602. In contrast, clinical care managers make the biggest average salary, $80,883, in the government industry.The education levels that nursing directors earn slightly differ from clinical care managers. In particular, nursing directors are 20.0% less likely to graduate with a Master's Degree than a clinical care manager. Additionally, they're 0.6% less likely to earn a Doctoral Degree.Clinical care manager vs. Health director
A Health Director is responsible for developing health programs for disease prevention and the promotion of good health practices. They must keep health records and ensure excellent health facility maintenance.
While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that clinical care manager responsibilities requires skills like "clinical care," "care coordination," "discharge planning," and "quality care." But a health director might use other skills in their typical duties, such as, "oversight," "patient care," "cpr," and "public health."
Health directors earn lower levels of education than clinical care managers in general. They're 7.3% less likely to graduate with a Master's Degree and 0.6% more likely to earn a Doctoral Degree.Clinical care manager vs. Medical consultant
A medical consultant assists doctors and other medical staff in running a healthcare facility. They give advice on matters such as salaries, staffing, advertising, safety, patient confidentiality and insurance plan compliance. They are also responsible for gathering and analyzing data, coming up with conclusions, providing recommendations to the employer, helping the institution ensure they are compliant with insurance and safety standards, and offering advice that will help optimize the performance of the health facility.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a clinical care manager is likely to be skilled in "clinical care," "social work," "home health," and "care coordination," while a typical medical consultant is skilled in "patient care," "surgery," "medical care," and "oncology."
Medical consultants earn the highest salary when working in the pharmaceutical industry, where they receive an average salary of $187,043. Comparatively, clinical care managers have the highest earning potential in the government industry, with an average salary of $80,883.Most medical consultants achieve a lower degree level compared to clinical care managers. For example, they're 15.1% less likely to graduate with a Master's Degree, and 13.6% less likely to earn a Doctoral Degree.Clinical care manager vs. Managed care director
A managed care director is responsible for providing quality care services for the patients by supervising clinical operations and managing medical staff. Managed care directors review all the medical activities in the institution and disseminate communications across the organization. They coordinate with health care providers, negotiate contracts with suppliers and medical organizations, verify insurance details, analyze financial transactions, and implement policies for strict compliance. A managed care director must have excellent communication and organizational skills, especially in handling the department's performance and strategizing to improve services.
Types of clinical care manager
Updated January 8, 2025
