A managed healthcare consultant certification from the American Institute of Health Care Professionals provides new skills and techniques that increase your value among your peers, in the consulting world and in the workplace. Our certification program explores the concepts of healthcare quality, managing available resources, understanding and working with managed health care and finding new ways to improve the quality of care, while meeting budget goals. Apply today and see what you can accomplish in your career with help from AIHCP.
Managed Healthcare Consultant Certification Requirements and Fees
Before getting your healthcare consultant certification, you must meet one of the following prerequisite criteria to be eligible for the program:
- A registered nurse currently licensed to practice professional nursing
- A licensed social worker
- A licensed counselor
- A licensed psychologist
- A licensed physician
- A licensed healthcare professional
- A health care provider with a minimum of an associate degree with experience in managed care or case management.
- Hold a bachelor’s degree or higher in psychology, human services, or other health-related field. You must also have experience in managed health care or case management
- A health care executive, director, or manager
A licensed and experienced insurance professional is also eligible, but they will be evaluated on an individual basis for entry after evaluating their qualifications. You can also fill out our qualification review form to see if your current credentials and experience make you eligible to join the program.
The program itself consists of four required CE courses, with a cost total of $650 and include the courses below. This cost doesn’t factor in other materials required for specific courses, including textbooks. After completing the courses there is a $220 certification fee, plus shipping and handling, for Managed Care Certification which includes the official certificate, ID card, and other related documents. Students have two full years to complete the four courses. Courses are independent study and are self-paced with faculty mentoring as needed. You may register and pay for one course at a time.
- HM 540 – Budgeting & Finance for Health Care Managers
- HM 550 – Insurance, Reimbursements & Managed Health Care
- HM 560 – Principles of Health Care Quality Improvement and Management
- CM 585 – Population Health: Building a Foundation for Wellness
After successfully completing the courses and becoming certified by AIHCP in Managed Health Care Consulting you may use the initials/credential of “MHCC-C” after your name which stands for “Certified Managed Health Care Consultant.” As well as access to our health care fellowship program. Fellowship status requires you to complete a minimum of 250 hours of continued education within six years from the initial application for the fellowship. Achieving Fellowship is optional after receiving certification.
Renewing Your Certification in Managed Healthcare Consulting
Your certification is valid for four years from the date of your initial certification. To continue using the credentials after that time, you will need to get recertified, specifically via AIHCP’s recertification program. The recertification fee is $220, plus shipping and handling, and you need to provide evidence of at least 50 contact hours of continuing education in the form of studies, lectures, and learning activities related to managed healthcare consulting. You will also have to show proof of at least 500 hours of practice, specifically with the certification that you want to renew, over the initial four-year certification period.
Healthcare Consultant Certification Testimonials
Many professionals who take AIHCP’s certifications flourish in their fields with the new skills, techniques, and knowledge gained from their AIHCP courses. Check our testimonials page and read from many healthcare professionals who grew their practice or advanced in their fields, such as case management, grief counseling, and crisis intervention.
The Benefits of a Managed Healthcare Consultant Certification
Achieving a managed healthcare consultant certification is more than just finding new ways to improve the quality of care; it’s also about better understanding the healthcare systems in your workplace and finding ways to improve it for coworkers and stakeholders without compromising on patient care. There is a major focus on understanding and working with insurers and payors to better utilize resources while ensuring high quality patient care. Certified managed healthcare consultants are found employed in hospitals as well as any health care organization or setting where managed care reimbursements are provided by insurance and other payor contracts. They are frequently employed by managed care organizations, private consultant firms and others may be in their own private consulting practices. They serve in an advisory and education role on how to not only negotiate contracts but on how to work with care models that will ensure high quality care within sustainable budget goals. They work closely with many different departments and professionals within health care organizations and managed health care organizations. They are often seen as a bridge between cost and quality care initiatives. Our program will allow you to acquire high level skills and knowledge to succeed and increase your marketability in this practice specialty.
The constantly evolving nature of healthcare also means that healthcare consultants need to stay on top of new developments and insights that can affect the quality of care delivered at any time. Fortunately, AIHCP’s blog provides constant updates across multiple specialties, allowing healthcare professionals multiple avenues to gain knowledge and strategies to better the lives of patients and clients.
FAQs on AIHCP’s Healthcare Consultant Certification
What are the benefits of a managed healthcare consultant certification?
Getting the managed healthcare consultant certification offers professionals the opportunity to be even more effective in the workplace. Gaining knowledge on financial data, health insurance plans, and current resources in a healthcare setting is paramount to reducing costs without sacrificing the quality of care. AIHCP’s healthcare consultant courses touch on all these points to provide a comprehensive program that helps professionals grow in their skills and rise up the promotion ladder, whether they’re in a small clinic or a large hospital network.
Do I have to take the program and its courses to achieve my certification?
Our model for certification is designed so that our certified members accomplish the same educational achievements, which means consistency in gaining knowledge and skills. Many have experience in many types of specialty practices, but they are varied. Our model focuses on core and solid, comprehensive knowledge and skills that put the practice at a higher level of quality. However, there are instances where past education may be used to waive some of the courses required. View our FAQ page to learn more.
Do you offer a curriculum of continuing education courses for recertification?
Each of our certification programs offers continuing education curricula designed to meet the full requirements for recertification.
Do your continuing education courses have any board approvals?
Most of our continuing education courses do have some or many board approvals, though specific approval depends on the type of professional boards. You can see the full list on our healthcare CE approvals page.
Is the certification necessary for healthcare consultants?
Obtaining the healthcare consultant certification is definitive proof of your commitment to the profession. Taking valuable time to learn more about the nuances of managed healthcare consulting, such as investigating various insurance options or taking stock of the current state of a practice, further cements your authority and expertise in the space. Furthermore, the insights gained during the program allow you to be a thought leader among your peers, adding even more value to the skills and knowledge gained from AIHCP.
What is the process for your Certification programs? How do I enter and complete a the case management certification program?
We have a dedicated page that provides a quick over-view of our certification process. It will provide you with good information about the process/phases of both the education courses and application for certification.