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What does a Medical Case Manager do?

Learn all about Medical Case Manager duties, skills and much more. Get expert advice on how to become a Medical Case Manager.

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 4 min read

A medical case manager is a professional who helps to coordinate and oversee the care of patients with chronic or complex medical conditions. They work with the patient and their family, as well as the patient's healthcare team, to develop a plan of care that meets the patient's needs and goals.

Medical Case Manager job duties include:

  • Act as a liaison between patients, families, physicians, and insurance companies
  • Advise patients and families on treatment options and care plans
  • Collaborate with multidisciplinary teams to coordinate patient care
  • Develop discharge plans for patients
  • Monitor patient progress and adjust care plans as needed
  • Perform utilization review of patient records
  • Prepare reports on patient care for insurance companies
  • Educate patients and families on disease process and self-care management
  • Advocate for patients’ rights and best interests
  • Provide emotional support to patients and families

Medical Case Manager Job Requirements

A Medical Case Manager is a health care professional who coordinates care for patients. They work with patients, families, and health care providers to ensure that patients receive the best possible care. They also develop plan of care for patients and monitor their progress.

Education: A Medical Case Manager must have a bachelor’s degree in nursing or a related field.

Certification: Certification is not required, but many employers prefer candidates who are certified by the American Nurses Credentialing Center or the Commission for Case Manager Certification.

Experience: Medical Case Managers should have at least 2 years of experience working in a hospital or other health care setting.

Medical Case Manager Skills

  • Patient advocacy
  • Excellent communication skills
  • Ability to work independently
  • Strong organizational skills
  • Detail oriented
  • Ability to multitask
  • Flexibility
  • Creativity
  • Critical thinking skills
  • Problem solving skills
  • Empathy
  • Compassion

Related: Top Medical Case Manager Skills: Definition and Examples

How to become a Medical Case Manager

A medical case manager is a professional who helps patients navigate the healthcare system. They work with patients and their families to ensure that they receive the best possible care and make the most informed decisions about their health.

To become a medical case manager, you will need at least a bachelor’s degree in a health-related field. Many case managers have a master’s degree or higher. You will also need to have strong communication and organizational skills.

The best way to prepare for a career as a medical case manager is to get experience working in the healthcare field. This can be done through internships, volunteering, or working in a related field such as social work or patient advocacy.

Once you have the necessary education and experience, you can start applying for jobs as a medical case manager. Many hospitals, clinics, and other healthcare organizations have case management departments. You can also look for job openings with insurance companies, government agencies, and other organizations that work with patients and families to coordinate care.

As a medical case manager, you will help patients and their families navigate the healthcare system and make informed decisions about their care. With the right education and experience, you can make a difference in the lives of those you serve.

Related: Medical Case Manager Resume Example

Related: Medical Case Manager Interview Questions (With Example Answers)