NSXNational Skills ExchangeSign in
Back to Framework

Medical and Health Services Managers

SOC 11-9111.00Job Zone 4 · Considerable Preparationv.26.05

Context coveredThis framework covers Medical and Health Services Managers working across hospitals, outpatient clinics, long-term care facilities, and health systems, from entry-level departmental roles through executive leadership positions.

Emerging
Entry / Apprentice
  1. Staff schedules and shift assignmentsreview and distribute under supervisor guidance within a single clinical department.
  2. Computerized record management systemsenter and retrieve personnel activity data under direct oversight in a health care facility.
  3. Health care regulations and policy updatesidentify and summarize relevant changes to present to a supervising manager.
  4. Medical and administrative staff communicationsrelay instructions and document outcomes using established protocols in a hospital or clinic setting.
  5. Budget reports and expenditure logscompile routine financial data under direction to support departmental fiscal reporting.
  6. Compliance software and document management toolsoperate with guidance to maintain accurate patient and personnel records.
  7. Recruitment postings and applicant screening materialsprepare according to HR templates under supervision in a health services organization.
  8. Resource utilization datacollect and organize staffing, bed, and equipment usage figures for review by senior management.
  9. Meeting agendas and written correspondencedraft clearly using standard formats to support departmental administrative operations.
  10. Advances in medical technology and health insurance policymonitor assigned information sources and flag relevant developments to department leadership.
Developing
Mid-level / Established
  1. Clinical and clerical personnelsupervise day-to-day work activities with reduced oversight across an assigned unit or department.
  2. Staff scheduling systemsconfigure and maintain shift assignments based on workload, space, and equipment availability in a multi-unit facility.
  3. Departmental budget cyclescoordinate routine planning, track authorized expenditures, and prepare periodic financial reports for administrator review.
  4. Personnel onboarding and training programsimplement established curricula and evaluate staff performance outcomes within a health care setting.
  5. Computerized record management systemsmaintain and troubleshoot database entries to ensure data integrity for personnel and operational reporting.
  6. Resource utilization metricsmonitor inpatient bed occupancy, diagnostic service volumes, and staffing ratios to flag inefficiencies to leadership.
  7. Interdepartmental coordinationfacilitate communication between nursing, technical, and support staff to sustain smooth daily operations in a clinical environment.
  8. Health care compliance requirementsapply current government regulations and accreditation standards to departmental workflows and documentation practices.
  9. Candidate interviews and hiring decisionsconduct structured evaluations and recommend selections in collaboration with HR and senior management.
  10. Operational problem-solvingassess recurring service delivery issues and implement corrective actions within scope of authority in a hospital or outpatient setting.
Proficient
Senior / Expert IC
  1. Multi-disciplinary health care teamsdirect, evaluate, and optimize performance of medical, nursing, technical, and support personnel across an entire facility or service line.
  2. Comprehensive health services programsplan, implement, and administer clinical and administrative initiatives aligned with organizational quality and patient care goals.
  3. Fiscal operationsconduct full-cycle budget development, authorize expenditures, establish service rates, and oversee financial reporting for a health care organization.
  4. Complex staffing decisionsresolve non-routine personnel challenges including performance management, conflict resolution, and workforce restructuring in high-stakes clinical environments.
  5. Enterprise record management infrastructuredesign and oversee computerized data systems that support personnel, operational, and regulatory reporting requirements.
  6. Strategic resource allocationanalyze capacity data for beds, equipment, and staff to drive evidence-based decisions on capital investment and service expansion.
  7. Regulatory and policy complianceinterpret evolving government mandates, payer policy changes, and accreditation standards and embed them into organizational procedures.
  8. Organizational recruitment and talent developmentlead end-to-end hiring processes and design training frameworks that build long-term workforce capability.
  9. Cross-functional negotiation and persuasionbroker agreements between clinical departments, vendors, insurers, and administrative stakeholders to advance facility objectives.
  10. Technology adoptionevaluate and champion implementation of medical software, compliance platforms, and data management systems to improve operational efficiency.
Advanced
Lead / Principal / Executive
  1. Organizational vision and strategic directionset multi-year health services priorities and align departmental goals with system-wide mission across a large health care enterprise.
  2. Senior leadership teamsdevelop, mentor, and evaluate manager-level personnel to build institutional bench strength and succession pipelines.
  3. System-wide fiscal strategyestablish budgetary frameworks, approve major capital expenditures, and guide financial performance across multiple facilities or business units.
  4. Governance and regulatory relationshipsrepresent the organization before boards, accreditation bodies, and government agencies to shape policy compliance at an enterprise level.
  5. Transformational workforce programsarchitect enterprise recruitment, retention, and leadership development strategies that address system-level talent gaps in health care markets.
  6. Cross-organizational partnershipsnegotiate high-stakes contracts, mergers, and service agreements with payers, academic institutions, and community health entities.
  7. Innovation and technology strategysponsor adoption of emerging medical technology, analytics platforms, and digital health solutions to position the organization competitively.
  8. Organizational culture and performance standardsinstill values of quality, safety, and equity throughout clinical and administrative operations at an executive level.
  9. Crisis and adaptive leadershiplead institution-wide responses to public health emergencies, regulatory investigations, or major operational disruptions with decisive judgment.
  10. Health care systems thinkingsynthesize advances in medicine, economics, law, and data science to drive evidence-informed policy decisions that improve population health outcomes.

AI-at-Work Competency Framework

A 4-level framework describing how a worker at each mastery level uses, directs, and evaluates AI tools in this occupation. Each statement cites its evidence inline. Subscribe for $19.99/mo to read the full framework — or sign in if you have a subscription.

  1. Emerging
  2. Developing
  3. Proficient
  4. Advanced
Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library

Ten durable-skill domains mapped to four proficiency levels for this occupation. Subscribe to unlock the full Pathsmith Durable Skills Framework across all 1,016 occupations.

Monthly subscription · Stripe-hosted · unlocks AI-at-Work and Pathsmith Durable Skills across the full library
Show O*NET source anchors70 anchors · skillscrosswalk.com

O*NET enrichment · skillscrosswalk.com

Suggest an O*NET correction

Source anchors that ground each statement

Related titles
Assisted Living Administrator · Assisted Living Manager · Cancer Center Director · Care Coordinator · Client Services Director · Clinic Director · Clinical Director · Clinical Informatics Director · Clinical Manager · Clinical Services Director · Clinical Supervisor · Community Health Nursing Director
RAPIDS apprenticeships
O*NET skills
SpeakingCritical ThinkingManagement of Personnel ResourcesMonitoringJudgment and Decision MakingActive ListeningWritingTime ManagementComplex Problem SolvingSocial PerceptivenessReading ComprehensionCoordinationPersuasionNegotiationInstructingActive LearningService OrientationSystems EvaluationOperations AnalysisSystems AnalysisLearning StrategiesManagement of Financial ResourcesManagement of Material Resources
Knowledge domains
Administration and ManagementEnglish LanguageCustomer and Personal ServicePersonnel and Human ResourcesEducation and TrainingComputers and ElectronicsAdministrativeMedicine and DentistryMathematicsLaw and GovernmentEconomics and AccountingPsychologyPublic Safety and Security
Abilities
Oral ComprehensionWritten ComprehensionProblem SensitivityWritten ExpressionOral ExpressionInductive ReasoningDeductive ReasoningSpeech ClaritySpeech RecognitionNear Vision
Work styles
DependabilityLeadership OrientationAttention to DetailIntegrityCooperationAdaptability
Technology
Compliance softwareCalendar and scheduling softwareDocument management softwareMedical softwareCategorization or classification softwareData base management system softwareDevelopment environment softwareTransaction security and virus protection softwareComputer aided design CAD softwareMaterials requirements planning logistics and supply chain software
Tasks · seed anchors for statements
  1. Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance, and other personnel.
  2. Develop and maintain computerized record management systems to store and process data, such as personnel activities and information, and to produce reports.
  3. Plan, implement, and administer programs and services in a health care or medical facility, including personnel administration, training, and coordination of medical, nursing and physical plant staff.
  4. Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting.
  5. Maintain awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.
  6. Establish work schedules and assignments for staff, according to workload, space, and equipment availability.
  7. Monitor the use of diagnostic services, inpatient beds, facilities, and staff to ensure effective use of resources and assess the need for additional staff, equipment, and services.
  8. Direct or conduct recruitment, hiring, and training of personnel.
CIP education codes
01.820101.820226.050944.050351.070151.070251.070451.070651.071851.071951.072051.072151.072251.200151.200251.200751.200851.201151.220151.220851.221051.221151.221351.221451.229951.320651.329951.380251.381851.382052.020652.021052.021452.0216

Sources: O*NET v30.2 (CC BY 4.0), SkillsCrosswalk.com, LER.me®, Anthropic Economic Index, SAFI (Jadhav & Danve, 2026), WEF Skills Taxonomy 2021, Pathsmith Durable Skills Framework. © 2026 EBSCOed.