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Managed care director skills for your resume and career

Updated January 8, 2025

5 min read

Quoted experts

Linda Galocy,

Linda Galocy

Below we've compiled a list of the most critical managed care director skills. We ranked the top skills for managed care directors based on the percentage of resumes they appeared on. For example, 12.3% of managed care director resumes contained patients as a skill. Continue reading to find out what skills a managed care director needs to be successful in the workplace.

15 managed care director skills for your resume and career

1. Patients

Here's how managed care directors use patients:

Work with insurance companies to ensure compliance with numerous contractual obligations around utilization and case management for all patients admitted.
Provide particularized care to patients with specific needs, supplement medical interventions with spiritual care; assess age-related needs.

2. Patient Care

Patient care entails the diagnosis, recovery, and control of sickness as well as the maintenance of physical and emotional well-being through the use of healthcare providers' services. Patient care is described as services provided to patients by health practitioners or non-professionals under guidance.

Here's how managed care directors use patient care:

Established systematic protocols and processes for agency compliance in documentation, facilitation of patient care, and proper administrative practices.
Coached and mentored Patient Care Services Management in the development of and implementation of effective performance improvement plans.

4. Quality Care

Here's how managed care directors use quality care:

Provide a positive influence on staff regarding personal and professional development and promote an interdisciplinary team approach for high quality care.
Maintained twenty-four hour accountability for the delivery of cost-effective quality care for one hundred bed assisted living.

5. Oversight

Having oversight of someone means to monitor a process or a situation. If someone has oversight of something, they are responsible for the completion of the project. Oversight is usually given to experts as they monitor their juniors or newbies as they go through a project.

Here's how managed care directors use oversight:

Chaired Critical Care Committee directing oversight of medical center-wide clinical research activities and hospital-wide clinical emergency response team.
Contributed to the development and Oversight of the Quality Management Program including internal auditing of clinical staff.

6. Care Management

Here's how managed care directors use care management:

Care management included medication adjustment, ECT referrals, scheduling family conferences, and participation in interdisciplinary rounds.
Coordinated and developed care management programs that incorporate preventive care treatment protocols and assess outcome and functionality.

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7. Resident Care

Here's how managed care directors use resident care:

Worked with Resident Care Director and/or Executive Director in development and implementation of residents.
Assist with assessment of potential residents for admission in collaboration with Administrator/Resident Care Coordinator.

8. Home Health

Here's how managed care directors use home health:

Developed, implemented, directed and supervised licensed home health agency and private duty agency.
Direct operational activities of a hospital based Medicare home health agency.

9. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how managed care directors use customer service:

Managed all daily operations, which included eligibility, claims operations, financial operations, customer service, and quality improvement.
Provided quality customer service to clients on Minnesota Medical Assistance Programs for Medical Transportation needs.

10. State Regulations

State regulations are the rules made by the state authorities under a specific Act. When a government intervenes in the private market to implements policies, they are known as state regulations. These policies help in achieving the economic, political, and social targets which might not be able to achieve otherwise.

Here's how managed care directors use state regulations:

Supervised implementation of policy and procedures in order to maintain compliance with staff development and state regulations.
Assured services provided met or exceeded state regulations for assisted living communities.

11. Acute Care

The branch of secondary healthcare which is responsible for giving short-term care to patients recovering from severe injuries or urgent medical problems is known as acute care. Acute care comprises multiple domains like; emergency care, urgent care, short-term stabilization, pre-hospital care, critical care, and trauma care.

Here's how managed care directors use acute care:

Developed, provided direction, and coordinated implementation of community hospitals managed care strategies for a 407-bed acute care hospital.
Identified opportunities to complement acute care hospitals overall managed care contracting strategy.

12. Health System

A health system or a health care system consists of the different health institutions, organizations, and other resources that promote health as a whole. One of the objectives of this is ensuring that all residents in a particular community or industry are protected and secured through an organized health system. Also, it is to protect people against financial crises because of illnesses or illnesses.

Here's how managed care directors use health system:

Co-facilitated the development of a Joint Venture between two competing health systems resulting in the largest system in the Omaha market
Started Spiritual Care Services in an osteopathic community hospital, which affiliated with Sisters of St. Joseph Health System.

13. Program Development

Program development refers to a road for developers to guide them on creating and developing viable community programs. Since it provides an action plan for the project, it is a continuous process that only ends with the program's full implementation.

Here's how managed care directors use program development:

Program development, implementation, and monitoring of case record system in adherence to state regulatory requirements.
Spearheaded program development of social and cognitive activities that addressed various levels of functioning.

14. Medicaid

Here's how managed care directors use medicaid:

Worked closely with NY Medicaid Choice to educate community on Mandatory Medicaid Managed Care and implement process.
Assessed potential and established clients for in home aide assistance eligibility based on Medicaid guidelines.

15. Performance Improvement

Performance improvement means an overall improvement of a business process to accomplish and achieve enhancement of the efficiency of the function/process, and to make it more profitable and economical, while the stated goals or objectives are accurately achieved and in a cost and time-efficient manner. Performance improvements can occur at several levels, including the employee level, the team level, the department or unit level, and the organization as a whole.

Here's how managed care directors use performance improvement:

Contributed to the creation of HEDIS-based quality reports for Quality Assurance/Performance Improvement Committee to substantiate quality of care provided at centers.
Communicated authorization information to Executive Administration and Unit Clinical Directors daily, and identified/developed targeted financial and strategic performance improvement/initiatives.

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What skills help Managed Care Directors find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on managed care director resumes?

Linda Galocy

Director and Assistant Dean, Clinical Associate Professor, Indiana University Northwest

Revenue Cycle Management, Data Analytics, Information Governance, Privacy and Security of health information.

What soft skills should all managed care directors possess?

Linda Galocy

Director and Assistant Dean, Clinical Associate Professor, Indiana University Northwest

Writing skills, communication, organization, the ability to multi-task, critical thinking skills.

What hard/technical skills are most important for managed care directors?

Linda Galocy

Director and Assistant Dean, Clinical Associate Professor, Indiana University Northwest

Technical skills are dependent on the job, but working with multiple types of software at one time is very common in the health information profession. Patient records are electronic. Therefore, the ability to learn and adapt to electronic health record systems is a must. In addition, supportive software is typically used in order to get the work done, such as an encoder, which allows a medical coder to assign codes to a patient record, a release of information system that is utilized for tracking requests for patient records from the time the request is received until it is complete. The ability for
+a health information professional to understand an entire process, such as the revenue cycle. There are many individuals involved in the process of obtaining payment for healthcare services rendered, and it is important for everyone to do their job, do it correctly, and when errors occur, work together to correct those errors.

Do you want to know more?

List of managed care director skills to add to your resume

The most important skills for a managed care director resume and required skills for a managed care director to have include:

Patients
Patient Care
Social Work
Quality Care
Oversight
Care Management
Resident Care
Home Health
Customer Service
State Regulations
Acute Care
Health System
Program Development
Medicaid
Performance Improvement
Primary Care

Term Care
Compassion
Rehabilitation
Quality Improvement
CMS
Alzheimer
Care Program
Infection Control
Dementia Care
Strategic Plan
Regulatory Compliance
Patient Satisfaction
Discharge Planning
Business Development
Utilization Management
Ethics

Clinical Operations
Wound Care
Senior Care
Employee Training
Customer Satisfaction
Health Plan
Staff Development
Direct Reports
Palliative Care
PET
Direct Supervision
Spiritual Care
Federal Regulations
Care Contracts
JCAHO

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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