Healthcare Management companies and organizations handle many administrative, specialized and customer service-related duties associated with medical and healthcare services, including healthcare facility management, pharmaceuticals distribution, healthcare software development (and implementation/management), analytical services (patient data management, quality of care analysis, etc.), and healthcare-specific consulting services. With the growing complexity of the healthcare system, both in the United State and globally, the delivery of healthcare increasingly requires coordination between multiple parties to maintain, or improve, these capabilities. Governmental and internal regulations, coupled with the involvement of insurance companies, have developed layer upon layer of compliance and risk concerns that complicate already difficult administration and management functions. As a result, healthcare professionals rely more and more on specialized administrative groups to navigate the overcomplicated, labyrinthine system.
Common Healthcare Management job titles: Chief Executive Officer (CEO), Chief Operating Officer (COO), Chief Medical Officer (CMO)
Healthcare Facility Management
Healthcare Facility Management involves the coordination the day-to-day management and analysis of operations within hospitals, clinics, emergency rooms and other healthcare facilities. That is to say, the shape and organization of the healthcare facility is (i.e., recruitment, staff development, acquisition of technology, service improvement and reductions, and the allocation and spending of financial resources) is a core function of this group. Decisions made by healthcare managers, or administrators, focus not only on ensuring that patients receive the most appropriate, timely and effective care possible, but also on the performance of the facilities support operations (including Finance/Accounting, Human Resources, Information Technology, etc.).
Common Healthcare Facility Management job titles: Healthcare Manager, Director of Healthcare Facility Management, Clinical Manager
The Care Management function ensures that patients are properly cared for by coordinating with healthcare providers (physicians, nurses, etc.), insurance providers and other healthcare facility staff members to produce a cost effective care plan to increase the patient's wellness and comfort. Care management is patient-specific and involves activities that are designed to manage medical/social/mental health conditions more effectively. Such activities include: population management (identification and data management), patient engagement, planning, condition assessment, care coordination, office activity management and service implementation.
Common Care Management job titles: Senior Living Advisor, Long Term Support Services Coordinator, Patient Navigation and Services Coordinator
Healthcare Facility Administration
The Healthcare Facility Administration function is responsible for all of the traditional support functions associated with running a business, in addition to the unique challenges of maintaining an advanced medical facility. Functions such as Human Resources, Finance, Information Technology and Marketing fall under the supervision of the Healthcare Facility Administration. In addition to these traditional support tasks, Healthcare Facility Administration groups are responsible for defining and enforcing standards of care, outlining waste management methods, implementing compliance measures and procuring medical equipment and supplies.
Common Healthcare Facility Administration job titles: Receptionist, Facility Engineer, Maintenance Technician
Patient Data Management
The Patient Data Management function ensures the collection, documentation and accuracy of all medical data related to the patients who have been treated or are in the process of being treated within the facility. To do so, this function uses a variety of methods, including the Patient Data Management System (PDMS) and other software systems to produce visualizations and archives of patient data, registered through devices and external systems. Such management helps to ensure patient safety (a record of procedures performed and related patient response allows nurses and physicians to understand what has worked, what has not worked and which direction to take with future treatments, etc.) and assists in inventory controls.
Common Patient Data Management job titles: Data Specialist, Case Management Data Analyst, Data Engineer
The Patient Relations function involves the interactions between hospital staff or administrators and patients. This can include scheduling, reminder calls, billing, obtaining patient information, performing follow up surveys to assess the quality of care provided, auditing patient health information regulation practices and designing guest relations programs to improve the image of the hospital and attract patients. Heavy regulations revolve around the relationships between nurses/physicians and patients as they are a large influence in patient care and healthcare favorability.
Common Patient Relations job titles: Client Relations Specialist, Physician Liaison, Patient Relations Representative, Practice Administrator
Pharmaceutical Distribution Services
Pharmaceutical Distribution organizations serve as a vital link between pharmaceutical manufacturers (and medical supplies manufacturers, in some cases) and healthcare providers by ensuring that pharmaceutical and medical products are delivered to retail pharmacies and institutional providers like hospitals and clinics. This group, furthermore, offers the deliverance of healthcare products, technology and equipment to facilities not related to hospitals such as physician offices, surgery centers, long-term care facilities and home healthcare businesses. To do this, pharmaceutical distributors purchase prescription medicines and other medical products directly from manufacturers for storage in warehouses and distribution centers before processing and delivering these products to healthcare providers.
Common Pharmaceutical Distribution Services job titles: Warehouse Associate, Distribution Coordinator, Material Handler, Inventory Associate
Healthcare Technology Services
Healthcare Technology Services organizations design, develop, market and implement software related to healthcare, including patient data management systems, patient/insurance billing and claims management systems and financial software designed to improve the financial performance of healthcare facilities. These systems support functions related to patient care, including registration and scheduling; clinical systems for doctors, nurses, emergency personnel and other care providers; systems for lab technologists, pharmacists and radiologists; and billing systems for insurers.
Common Healthcare Technology Services job titles: Healthcare Systems Specialist, Health Information Specialist, Health Information Management Associate
Healthcare Consulting Services
The Healthcare Consulting Services Group provides specialized financial and operational business expertise and support services to maximize profitability and generate new revenue streams for healthcare facilities and providers. Such expertise and services are usually needed for a limited time and involve contract and reimbursement management, expansion opportunity evaluations, staffing management, compensation planning and onboarding, staff organization, inventory management, audit and compliance assistance, etc. This group focuses on the business aspect of running a healthcare facility so physicians can focus on providing patient care.
Common Healthcare Consulting Services job titles: Healthcare Consultant, Strategic Consultant, Medical Consultant