RetrainMap / Pivot Audits / Medical and Health Services Managers

The Pivot Audit · verified 2026-08-15

Medical and Health Services Managers: an honest AI-exposure audit

Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.

How to read this page (the honest frame)
616,200
employed, US (2024) — BLS via O*NET OnLine, fetched 2026-08-15
$123,860
median annual wage (2025) — BLS OEWS via O*NET OnLine
Much faster than average (7%+)
BLS projected employment change 2024–34 · projected openings/yr: 62,100
85th
AI-exposure percentile, of 774 scored occupations — Felten–Raj–Seamans AIOE (2021 index)

The sources disagree — read this before the score scares you. The AIOE index puts this occupation at the 85th exposure percentile, yet BLS projects “Much faster than average (7% or higher)” employment change for 2024–34. Both are published numbers from serious sources; neither is a prediction about your job. A product that shows you only the scary one is selling, not informing.

USAGE

What the AI-usage data actually shows

#231
usage rank of 718 published occupations, by share of observed Claude usage matching this occupation's tasks
0.05%
of observed usage matches tasks commonly done in this occupation
37/63
augmentation vs automation split of those conversations, %

Read this correctly: it measures how often tasks like this occupation's appear in Claude conversations — not how many members of the occupation use AI; “augmentation vs automation” describes conversation styles, not job outcomes. Snapshot of period 2026-05-01; no trend exists. Source: Anthropic Economic Index (CC BY 4.0), retrieved 2026-08-15. The dataset's own instruction: it “cannot ground advice on career choices in either direction.”

AUDIT

What the “related occupations” pivot list really offers

Pivot tools — free and paid — typically recommend O*NET's related occupations for your job. Here is that exact list for Medical and Health Services Managers, with each occupation's AI-exposure percentile attached. Judge the escape value yourself.

2 of the 13 scored “related occupations” sit below the median of AI exposure — a thin list, and thinner than pivot-tool marketing implies. Check the wage on each before calling it an escape.

7 of the 20 related occupations carry no AIOE score (2018-SOC codes newer than the index) — an honest gap, labeled in the table.

#Related occupation (O*NET 30.3)AI-exposure percentile (AIOE)
1Health Informatics Specialistsnot scored
2Health Education Specialists66th
3Clinical Nurse Specialists57th
4Social and Community Service Managers81st
5Health Specialties Teachers, Postsecondary72nd
6Management Analysts98th
7Health Information Technologists and Medical Registrarsnot scored
8Preventive Medicine Physiciansnot scored
9Education and Childcare Administrators, Preschool and Daycare70th
10Emergency Medicine Physiciansnot scored
11Rehabilitation Counselors62nd
12Patient Representatives44th — below median
13First-Line Supervisors of Personal Service Workersnot scored
14Occupational Therapy Aides28th — below median
15Medical Assistants55th
16Clinical Data Managersnot scored
17Registered Nurses57th
18Clinical Research Coordinators90th
19Medical Secretaries and Administrative Assistants83rd
20Administrative Services Managersnot scored

Computed 2026-08-15 from O*NET 30.3 “Related Occupations” × AIOE percentiles (average-rank method; full method in the source ledger). Across all 782 scoreable occupations, an occupation's exposure percentile and its related occupations' mean exposure percentile correlate at r = 0.907; 122 of 192 top-quartile-exposed occupations (63.5%) have zero related occupations below median exposure. “Skills-adjacent and AI-safe” is a near-empty set for exactly the people searching for it.

ROUTES

The routes that actually change the number

In the data, pivots that genuinely reduce exposure are mostly job-zone jumps into hands-on work — retraining, not adjacency. That has real costs and real prices, so here they are, from the institutions' own pages. Routes below are the nearest-by-wage destinations from our audited library (exposure ≤ 60th percentile).

The honest wage math: nothing in a retraining library replaces a $123,860 median without years of runway. Every destination below is a pay cut — shown, not hidden. For this occupation the evidenced alternatives are (a) adapting in place (see the AI-credential registry for what that costs) and (b) genuine exposure-reduction at a real income cost.

Registered Nurses

$97,550 median wage 2025 Faster than average (5% to 6%) · BLS 2024–34 −$26,310 vs this occupation's median

AIOE exposure: 57th percentile of 774 scored occupations · employment (2024): 3,391,000 · wage/outlook: BLS via O*NET OnLine, fetched 2026-08-15

What training costs (published prices, dated):

  • 2-year ADN at community colleges (plus prerequisites and NCLEX licensure). No program price was re-verified today.

Diagnostic Medical Sonographers

$96,590 median wage 2025 Much faster than average (7%+) · BLS 2024–34 −$27,270 vs this occupation's median

AIOE exposure: 45th percentile of 774 scored occupations · employment (2024): 90,000 · wage/outlook: BLS via O*NET OnLine, fetched 2026-08-15

What training costs (published prices, dated):

  • 1–2 year certificate/associate at community colleges (often requires a prior clinical credential). No program price was re-verified today.

Licensed Practical and Licensed Vocational Nurses

$64,400 median wage 2025 Average (3% to 4%) · BLS 2024–34 −$59,460 vs this occupation's median

AIOE exposure: 38th percentile of 774 scored occupations · employment (2024): 651,400 · wage/outlook: BLS via O*NET OnLine, fetched 2026-08-15

What training costs (published prices, dated):

  • Lincoln Land Community College (IL) LPN certificate — ≈$8,899 total in-district tuition and fees at the 2025–26 rate ($287/credit; 2026–27: $293/credit); books, supplies and licensing ≈$1,100 more, itemized on the page (llcc.edu, verified 2026-08-15)

Funding: training toward routes like these can be WIOA-fundable for eligible adults and dislocated workers — eligibility is determined at your local American Job Center (find yours); state Eligible Training Provider Lists name the approved programs. Registered apprenticeships are searchable at apprenticeship.gov.

The full report for Medical and Health Services Managers — $29, one-time

This free audit shows the shape. The paid report builds your priced menu: every evidenced route out of Medical and Health Services Managers with published program costs near you, earnings records where they exist (College Scorecard field-of-study / Census PSEO), apprenticeship and WIOA funding pointers, the credential ladder, and the same honest exposure read — every figure sourced and dated. No score theater, no “safe jobs” list the data cannot support.

The $29 report Read the free specimen first

No email capture before purchase. No countdown timer. It's a report, not a funnel.

Sources for this page