A clinical case manager is responsible for providing high-quality care services for patients by researching treatment plans and developing efficient medications through various methodological approaches and data analysis. Clinical case managers review the medical histories and needs of patients to determine appropriate treatment programs and resources and prepare treatment reports upon actual applications. They also spend time observing laboratory examinations and procedures, strategizing on treatment processes within budget limitations and organizational requirements. A clinical case manager must have excellent knowledge of the medical industry, especially on responding to the patients' inquiries and concerns and present accurate health evaluations.

Clinical Case Manager Responsibilities

Here are examples of responsibilities from real clinical case manager resumes representing typical tasks they are likely to perform in their roles.

  • Manage and prioritize individual crisis accessing DMP, law enforcement, and psychiatric hospitalization while meeting daily, weekly/biweekly caseload requirements.
  • Provide problem solving and clinical guidance to RN case managers on both clinical and mental health teams.
  • Provide telephone triage for members, crisis intervention and directly to members and emergency authorizations.
  • Supervise LVN's and RN's providing home care of patients with multiple problems.
  • Work closely with clients diagnose with SPMI and assess the impact of the mental health symptoms on their overall functioning.
  • Provide mental health case management, medication management, supportive counseling, and skills training to SPMI and MR/DD clients.
  • Follow a strict adherence regarding HIPPA laws, following private policies and procedures; all while modeling ethical and professional behaviors.
  • Practice cognitive behavioral, DBT, motivational enhancement and structural family therapy.
  • Coordinate interdepartmental referrals with admitting office, emergency services and specialty clinics.
  • Perform admission and concurrent reviews utilizing InterQual criteria for multiple adult and pediatric inpatient units.
Clinical Case Manager Traits
Emotional skills involve being able to express feelings in an appropriate way while being emphatic of others.
Organizational skills are essential to working as efficiently as possible through being able to focus on projects at hand while also keeping a clean workspace.
Problem-solving skills is the way that one is able to effectively solve a problem in a timely manner.

Clinical Case Manager Job Description

Perhaps the hardest question to answer when deciding on a career as a clinical case manager is "should I become a clinical case manager?" You might find this info to be helpful. When compared to other jobs, clinical case manager careers are projected to have a growth rate described as "much faster than average" at 11% from 2018 through 2028. This is in accordance with the Bureau of Labor Statistics. What's more, is that the projected number of opportunities that are predicted to become available for a clinical case manager by 2028 is 81,200.

On average, the clinical case manager annual salary is $45,211 per year, which translates to $21.74 an hour. Generally speaking, clinical case managers earn anywhere from $33,000 to $61,000 a year, which means that the top-earning clinical case managers make $28,000 more than the ones at the lower end of the spectrum.

Once you've become a clinical case manager, you may be curious about what other opportunities are out there. Careers aren't one size fits all. For that reason, we discovered some other jobs that you may find appealing. Some jobs you might find interesting include a mental health clinician, case management specialist, case manager/program manager, and clinician.

Clinical Case Manager Jobs You Might Like

Clinical Case Manager Resume Examples

Clinical Case Manager Skills and Personality Traits

We calculated that 10% of Clinical Case Managers are proficient in Treatment Plans, Group Therapy, and Patient Care. They’re also known for soft skills such as Emotional skills, Organizational skills, and Problem-solving skills.

We break down the percentage of Clinical Case Managers that have these skills listed on their resume here:

  • Treatment Plans, 10%

    Co-facilitated groups, provided assessments, responsibly carried emergency pager for crisis coverage, designed and implemented treatment plans.

  • Group Therapy, 7%

    Provide group therapy on substance abuse prevention and recovery, victim and community awareness and problem solving utilizing evidence-based practice.

  • Patient Care, 7%

    Attended weekly Patient Care Committee meetings with contracted medical groups to clarify benefits and monitor for potential over and under-utilization.

  • Community Resources, 6%

    Maintained active working knowledge of community resources and referral processes; coordinated services with external providers to ensure continuity of services.

  • Communication, 6%

    Conducted family meetings focusing on communication, conflict resolution, psycho-education surrounding mental illness, and provides support.

  • Social Workers, 6%

    Communicated with local police department and social workers weekly

Some of the skills we found on clinical case manager resumes included "treatment plans," "group therapy," and "patient care." We have detailed the most important clinical case manager responsibilities below.

  • Emotional skills can be considered to be the most important personality trait for a clinical case manager to have. According to a clinical case manager resume, "social workers often work with people who are in stressful and difficult situations" clinical case managers are able to use emotional skills in the following example we gathered from a resume: "conducted individual and group therapy sessions for patients suffering from mental illness as well as emotional and substance abuse problems. "
  • While it may not be the most important skill, we found that many clinical case manager duties rely on organizational skills. This example from a clinical case manager explains why: "social workers must help and manage multiple clients, often assisting with their paperwork or documenting their treatment." This resume example is just one of many ways clinical case managers are able to utilize organizational skills: "liaised with organizational constituents and provided reports to help them determine appropriate levels of care"
  • Clinical case managers are also known for problem-solving skills, which can be critical when it comes to performing their duties. An example of why this skill is important is shown by this snippet that we found in a clinical case manager resume: "social workers need to develop practical and innovative solutions to their clients’ problems." We also found this resume example that details how this skill is put to the test: "provided individual, couples and group therapy, crisis management and conflict resolution in a milieu setting. "
  • A clinical case manager responsibilities sometimes require "communication skills." The responsibilities that rely on this skills are shown by this resume excerpt: "clients talk to social workers about challenges in their lives" This resume example shows how this skill is used by clinical case managers: "identify gaps in treatment plans and maintain communication with case managers, staff coordinator and director of home care services. "
  • As part of the clinical case manager description, you might find that one of the skills that might be helpful to the job is "interpersonal skills." A clinical case manager resume included this snippet: "social workers need to be able to work with different groups of people" This skill could be useful in this scenario: "facilitated parenting skills developmental programming focused on child and adolescent behavior modification, household organization, and interpersonal communication. "
  • See the full list of clinical case manager skills.

    We've found that 54.7% of clinical case managers have earned a bachelor's degree. Furthermore, 29.3% earned their master's degrees before becoming a clinical case manager. While it's true that most clinical case managers have a college degree, it's generally possible to become one with only a high school degree. In fact, one out of every nine clinical case managers did not spend the extra money to attend college.

    The clinical case managers who went onto college to earn a more in-depth education generally studied psychology and nursing, while a small population of clinical case managers studied social work and sociology.

    Once you've obtained the level of education you're comfortable with, you might start applying to companies to become a clinical case manager. We've found that most clinical case manager resumes include experience from Aetna, CVS Health, and Volunteers of America Los Angeles. Of recent, Aetna had 18 positions open for clinical case managers. Meanwhile, there are 13 job openings at CVS Health and 13 at Volunteers of America Los Angeles.

    Since salary is important to some clinical case managers, it's good to note that they are figured to earn the highest salaries at AmeriHealth Caritas Pennsylvania, Mayo Clinic, and Vanderbilt University Medical Center. If you were to take a closer look at AmeriHealth Caritas Pennsylvania, you'd find that the average clinical case manager salary is $70,735. Then at Mayo Clinic, clinical case managers receive an average salary of $70,516, while the salary at Vanderbilt University Medical Center is $68,557.

    View more details on clinical case manager salaries across the United States.

    If you earned a degree from the top 100 educational institutions in the United States, you might want to take a look at Catholic Charities Diocese of San Diego, Liberty Mutual, and Wabash Valley Transportation. These three companies have hired a significant number of clinical case managers from these institutions.

    The three companies that hire the most prestigious clinical case managers are:

      What Mental Health Clinicians Do

      A Mental Health Clinician provides psychotherapeutic and rehabilitation services for patients with mental health problems. They manage the treatment of clients and help them to obtain stable physical health.

      In this section, we compare the average clinical case manager annual salary with that of a mental health clinician. Typically, mental health clinicians earn a $7,568 lower salary than clinical case managers earn annually.

      While the salaries between these two careers can be different, they do share some of the same responsibilities. Employees in both clinical case managers and mental health clinicians positions are skilled in treatment plans, group therapy, and community resources.

      These skill sets are where the common ground ends though. A clinical case manager responsibility is more likely to require skills like "patient care," "communication," "rn," and "social security." Whereas a mental health clinician requires skills like "emergency," "dsm," "support services," and "risk assessments." Just by understanding these different skills you can see how different these careers are.

      On average, mental health clinicians reach higher levels of education than clinical case managers. Mental health clinicians are 21.1% more likely to earn a Master's Degree and 2.9% more likely to graduate with a Doctoral Degree.

      What Are The Duties Of a Case Management Specialist?

      In healthcare facilities, a case management specialist is in charge of ensuring that patients get quality service. Their responsibilities often include handling admission and discharge procedures, preparing and processing documents, gathering and organizing patient information, and developing strategies to optimize case management operations. There are also instances where they must address patient concerns and issues, resolving them promptly and efficiently. Furthermore, as a case management specialist, it is essential to function while adhering to the facility's policies and regulations.

      Next up, we have the case management specialist profession to look over. This career brings along a lower average salary when compared to a clinical case manager annual salary. In fact, case management specialists salary difference is $6,161 lower than the salary of clinical case managers per year.

      Not everything about these jobs is different. Take their skills, for example. Clinical case managers and case management specialists both include similar skills like "treatment plans," "group therapy," and "patient care" on their resumes.

      While some skills are similar in these professions, other skills aren't so similar. For example, several resumes showed us that clinical case manager responsibilities requires skills like "trauma," "clinical documentation," "clinical staff," and "dbt." But a case management specialist might use skills, such as, "health care," "emergency," "financial assistance," and "management services."

      On average, case management specialists earn a lower salary than clinical case managers. There are industries that support higher salaries in each profession respectively. Interestingly enough, case management specialists earn the most pay in the insurance industry with an average salary of $69,863. Whereas, clinical case managers have higher paychecks in the health care industry where they earn an average of $52,529.

      In general, case management specialists study at lower levels of education than clinical case managers. They're 26.5% less likely to obtain a Master's Degree while being 2.9% less likely to earn a Doctoral Degree.

      How a Case Manager/Program Manager Compares

      The case manager/program manager profession generally makes a lower amount of money when compared to the average salary of clinical case managers. The difference in salaries is case manager/program managers making $15,923 lower than clinical case managers.

      Using clinical case managers and case manager/program managers resumes, we found that both professions have similar skills such as "treatment plans," "group therapy," and "patient care," but the other skills required are very different.

      There are many key differences between these two careers as shown by resumes from each profession. Some of those differences include the skills required to complete responsibilities within each role. As an example of this, a clinical case manager is likely to be skilled in "communication," "rn," "trauma," and "clinical documentation," while a typical case manager/program manager is skilled in "management services," "financial assistance," "community outreach," and "program participants."

      Additionally, case manager/program managers earn a higher salary in the hospitality industry compared to other industries. In this industry, they receive an average salary of $36,686. Additionally, clinical case managers earn an average salary of $52,529 in the health care industry.

      Case manager/program managers are known to earn lower educational levels when compared to clinical case managers. Additionally, they're 15.7% less likely to graduate with a Master's Degree, and 0.2% less likely to earn a Doctoral Degree.

      Description Of a Clinician

      A clinician specializes in providing diagnosis, treatment, and direct care to patients with different illnesses. A clinician's duties mainly revolve around conducting extensive research and analysis, providing medical care through various therapies, and improving one's overall health condition. Furthermore, a clinician must obtain and analyze a patient's complete medical history, provide diagnostic tests, always monitor the effects of treatment on a patient, provide prognosis and consider the overall impact on a patient's health and well-being.

      Clinicians tend to earn a lower pay than clinical case managers by about $1,284 per year.

      According to resumes from both clinical case managers and clinicians, some of the skills necessary to complete the responsibilities of each role are similar. These skills include "treatment plans," "group therapy," and "patient care. "

      Each job requires different skills like "communication," "rn," "social security," and "conflict resolution," which might show up on a clinical case manager resume. Whereas clinician might include skills like "emergency," "safety plans," "community providers," and "risk assessments."

      The average resume of clinicians showed that they earn higher levels of education to clinical case managers. So much so that the likelihood of them earning a Master's Degree is 10.9% more. Additionally, they're more likely to earn a Doctoral Degree by 3.9%.