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Medical case manager skills for your resume and career

Updated January 8, 2025

4 min read

Quoted experts

William Weston,

Roxanne Ruiz-Adams

Below we've compiled a list of the most critical medical case manager skills. We ranked the top skills for medical case managers based on the percentage of resumes they appeared on. For example, 17.5% of medical case manager resumes contained patients as a skill. Continue reading to find out what skills a medical case manager needs to be successful in the workplace.

15 medical case manager skills for your resume and career

1. Patients

Here's how medical case managers use patients:

Collaborate with inpatient medical team and case management department to promote effective discharge planning and utilization management of hospitalized patients.
Provided case management services to chemically dependent, dual diagnosis, developmentally delayed patients at an ambulatory clinic facility.

2. Rehabilitation

Here's how medical case managers use rehabilitation:

Included case specific implementation of vocational rehabilitation, utilization and bill review functions along with job analysis and modification.
Utilized MDA disability guidelines, determined need for functional capacity exams, individual medical exams, and rehabilitation services.

3. Care Coordination

Here's how medical case managers use care coordination:

Provided medical care coordination for catastrophic injuries sustained by worker and advocated on behalf of worker, family and insurance adjuster.
Monitored clients' health status through review of lab reports, provider notes and care coordination activities.

5. Home Health

Here's how medical case managers use home health:

Coordinated benefits advocacy, insurance authorizations for service delivery, inpatient discharge planning, home health referrals and skilled nursing placement.
Home Health Supervisor promoted to Associated Director

6. 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 medical case managers use customer service:

Impacted CorVel's ability to secure utilization review business by providing quality on-site customer service and education.
Involved in facility quality improvement process by identifying customer service issues and aiding in resolution.

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7. Management Services

Management services may refer to a number of supervisory duties depending on the type of work. A manager may be required to oversee a team of employees complete a series of tasks or monitor the quality of a product. Overall, any form of management involves supervising a worksite, whether this is a restaurant, grocery store, or manufacturing plant.

Here's how medical case managers use management services:

Provided clients with case management services in order to determine initial and ongoing eligibility for economic assistance programs within North Carolina.
Worked independently providing medical case management services to injured workers and long term disability claimants in Northern Michigan.

8. Community Resources

Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.

Here's how medical case managers use community resources:

Conduct medical evaluations, coordinate care including physician referrals, diagnostic imaging, community resources, transportation and other ancillary services.
Obtained Utilization Review reports from hospitals *Referred members to managed care products, participating providers, and community resources.

9. Mental Health

Mental health is the state of wellbeing in which an individual can cope with the regular stresses and tensions of life, and can work productively without having any emotional or psychological breakdown. Mental health is essential for a person of any age and helps them make the right decisions in their life.

Here's how medical case managers use mental health:

Coordinated with interdisciplinary medical team and coordinated supportive services to improve mental health functioning and addressed barriers to care.
Engage interdisciplinary team in training opportunities to increase understanding of mental health disorders and behavioral health needs.

10. Discharge Planning

Here's how medical case managers use discharge planning:

Work in collaborative practice between physicians/medical providers and medical administration to provide utilization management and discharge planning.
Specialized in catastrophic injuries requiring significant concurrent hospital review and discharge planning.

11. Behavioral Health

Here's how medical case managers use behavioral health:

Facilitate the coordination of medical and behavioral health benefits of long-term care services for members with intellectual disabilities.
Communicate with fellow Case Managers, Behavioral Health Therapists and Members regarding the outcomes of financial assistance applications.

12. 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 medical case managers use patient care:

Conducted initial and ongoing financial determination for eligibility base on Florida HIV/AIDS Eligibility Procedures Guidelines and Ryan White Patient Care Guidelines.
Participated in daily shift report briefings, effectively communicating with out-going/incoming team members regarding patient care to affect positive health outcomes.

13. Medical Necessity

Here's how medical case managers use medical necessity:

Advised on coverage and medical procedure authorization from a medical perspective based on medical necessity in an emergency setting.
Review of medical necessity and hospital utilization, with recommendations to the Medical Director or Employer Group Benefit Administrator.

14. Medical Care

Here's how medical case managers use medical care:

Saved approximately over 2.5 millions on unnecessary medical care and litigation expenses to the third party administrators.
Perform client assessments to determine appropriateness of medical care and make recommendations as needed.

15. Utilization Review

Another name for utilization review is utilization management. It is the process of ensuring that healthcare services are used in a suitable manner. Utilization review is a critical component of adding value to the health care system. Mostly, UR is carried out by healthcare insurance companies, but hospitals and other healthcare providers also perform the process. Utilization review has three types of assessment namely: concurrent, prospective, and retrospective.

Here's how medical case managers use utilization review:

Perform Utilization Review to establish clinical guidelines and Jurisdictional laws as they apply to the Utilization Review Process.
Perform utilization review by way of evidence-based guidelines for appropriateness of medical treatment, diagnostics, and surgery.

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What skills help Medical Case Managers find jobs?

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

What technical skills for a medical case manager stand out to employers?

William Weston

Professor, Centre College

The ability to write clearly and think critically. The deep sense that other people in other cultures, and other positions in our own culture, see the world differently, enabling students to respond to a broad range of people appropriately.

What soft skills should all medical case managers possess?

Roxanne Ruiz-Adams

Lecturer, Kean University

In the world we are in, empathy and compassion are tools we need most when interacting with each other. Graduates need to practice the skills of listening actively, and communicating in a way that is responsive rather than reactive. As social media expands and the world becomes smaller we all have become more connected and more aware of the experience of being a global citizen. Graduates need to practice having conversations with those who are different from them, practice putting themselves in the shoes of those they interact with, and learn the art of conflict resolution. We are all different in the way we think, but now more than ever we need graduates who are solution focused in their responses to the world rather than problem focused.

What hard/technical skills are most important for medical case managers?

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 medical case manager skills to add to your resume

The most important skills for a medical case manager resume and required skills for a medical case manager to have include:

Patients
Rehabilitation
Care Coordination
Social Work
Home Health
Customer Service
Management Services
Community Resources
Mental Health
Discharge Planning
Behavioral Health
Patient Care
Medical Necessity
Medical Care
Utilization Review
Primary Care

Claims Adjusters
Medical Treatment
Medical Management
Durable Medical Equipment
Health Care Services
Medical Knowledge
Financial Assistance
Social Security
Medical Services
Insurance Carriers
Community Agencies
Management System
Substance Abuse Treatment
Social Services
Support Services
Health Insurance

Medical Appointments
Early Intervention
HIPAA
Crisis Intervention
Hippa
Health Education
Hiv Testing
EMR
Initial Assessment
Risk Reduction
Medical Professionals
Psychosocial Assessments
Link Clients
Comprehensive Assessments
Medication Adherence
InterQual

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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