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Assistant To Case Manager Jobs (NOW HIRING)

The Salvation Army

Pathway of Hope Case Manager

Chicago, IL · On-site

$21.81 - $26.17/hr

Pathway of Hope Case Manager LOCATION/DEPT : Midwest Corps REPORTS TO : Corps Officer FLSA CATEGORY : Non-Exempt STATUS TYPE : RFT PAY GRADE : 205 PAY RANGE : $21.81 - $26.17 OUTCOMES The Pathway of ...

Urban Pathways, Inc.

Senior Case Manager

Bronx, NY · On-site

$27.39 - $36.98/hr

Responsibilities Reporting to the Director of Social Services/Social Services Supervisor, the Senior Case Manager provides and documents clinical and case management services for clients. He/She ...

Salus Hospice

Hospice RN Case Manager

Carlsbad, CA · On-site

$50 - $60/hr

Salus Hospice is urgently seeking a compassionate and skilled Hospice RN Case Manager to join our dedicated team serving the San Diego County region. If you're passionate about providing exceptional ...

Clarvida

Case Manager

Santa Ana, CA

$20.75 - $26.75/hr

Clarvida is seeking an innovative and purpose driven individual to join our team as a Case Manager Bilingual Spanish for our CalWORKs Behavioral Health Services program. This position will assist the ...

The GEO Group

ASSISTANT CASE MANAGER

Elizabeth, NJ

$19/hr

We hire only those that strive to do their best. By joining our family, you'll receive the honor ... Responsibilities Summary The Assistant Case Manager provides case management support for a ...

Just A Start

Senior Case Manager

Cambridge, MA · On-site

$70K - $80K/yr

The Senior Case Manager scope of work includes but is not limited to: (1) providing trauma-informed case management services to trainees and alumni, (2) leadership/administration of the case ...

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How much do assistant to case manager jobs pay per hour?

As of May 31, 2026, the average hourly pay for assistant to case manager in the United States is $21.26, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $24.52 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Assistant to Case Manager, and why are they important?

To thrive as an Assistant to Case Manager, you need strong organizational abilities, attention to detail, and a background in social services or a related field, often supported by an associate degree or relevant experience. Familiarity with case management software, client record systems, and office productivity tools is typically required. Excellent communication, time management, and interpersonal skills are crucial for supporting case managers and liaising with clients and service providers. These skills ensure efficient case support, accurate documentation, and effective collaboration in delivering client-centered services.

What are some common challenges faced by an Assistant to Case Manager, and how can they be effectively managed?

As an Assistant to Case Manager, you may encounter challenges such as balancing a high volume of administrative tasks with the need to provide timely support to both clients and case managers. Staying organized and prioritizing tasks is crucial to ensure that documentation, scheduling, and communication are handled efficiently. Additionally, adapting to shifting client needs and maintaining clear, professional communication with team members can help prevent misunderstandings and workflow delays. Proactively seeking feedback and utilizing organizational tools can further enhance your effectiveness in this dynamic support role.

What does an Assistant to Case Manager do?

An Assistant to Case Manager provides administrative and operational support to case managers, helping manage client files, schedule appointments, gather documentation, and communicate with clients or service providers. They ensure that case management processes run smoothly by handling routine tasks, allowing case managers to focus on client care and more complex responsibilities. Their work is essential in maintaining accurate records, tracking progress, and supporting the delivery of services to clients.

What jobs make $3,000 a month without a degree?

For an Assistant to a Case Manager, earning $3,000 a month without a degree is possible through roles such as administrative assistants, customer service representatives, or entry-level office support positions, often requiring strong organizational and communication skills. These jobs typically involve supporting case managers or other professionals and may offer opportunities for advancement with experience. Compensation varies by location and industry, but many entry-level roles in administrative or support functions can reach this income level with experience and additional responsibilities.

What is the difference between Assistant To Case Manager vs Case Coordinator?

AspectAssistant To Case ManagerCase Coordinator
Required CredentialsHigh school diploma; some roles may prefer associate degreeHigh school diploma; relevant experience often valued
Work EnvironmentOffice setting, supporting case managersOffice or community-based settings, coordinating client services
Employer & Industry UsageHealthcare, social services, insuranceHealthcare, social services, nonprofit organizations
Common Search & ComparisonAssisting case managers, administrative supportManaging client cases, coordinating services

The Assistant To Case Manager primarily provides administrative and support tasks to case managers, focusing on documentation and scheduling. In contrast, a Case Coordinator actively manages client cases, coordinates services, and ensures smooth communication between clients and providers. Both roles are essential in social services and healthcare settings but differ in responsibilities and scope.

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Assistant To Case Manager jobs near you
Infographic showing various Assistant To Case Manager job openings in the United States as of May 2026, with employment types broken down into 94% Full Time, 5% Part Time, and 1% Temporary. Highlights an 92% Physical, and 8% Remote job distribution, with an average salary of $44,217 per year, or $21.3 per hour.
RN Case Manager - FT - Days - Res Mgmt

RN Case Manager - FT - Days - Res Mgmt

DHR Health

Edinburg, TX • On-site

Full-time

Posted 20 days ago

DHR Health rating

6.4

Company rating: 6.4 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

628th of 864 rated healthcare providers

Job description

DHR Health - US:TX:Edinburg - Days
Summary:
POSITION SUMMARY:
Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a patient advocate to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities to reduce cost while ensuring the highest quality of care is maintained. Review criteria are applied to determine medical necessity for admission and continued stay. The RN Case Manager provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.
The RN Case Manager works collaboratively with interdisciplinary staff internal and external to the organization, and participates in quality improvement and evaluation processes related to the management of patient care. The case manager is on-site and available seven days a week, as well as holidays and, therefore, is required to work a weekend rotation and an occasional holiday and will required to be on call.
POSITION EDUCATION/ QUALIFICATIONS:
  • Graduate from an accredited school for nursing required.
  • A valid license as a Registered Nurse with the State of Texas is required.
  • Certification in Case Management (CCM) is highly desired.
  • Candidate must demonstrate proficiency in both the English and Spanish language.

JOB KNOWLEDGE/EXPERIENCE:
  • Knowledge in the areas of case management and utilization management, experience with Managed Care and utilization management as it relates to third-party payers preferred.
  • Three to five years clinical experience is required, with experience in a Hospital or acute care setting being strongly preferred
  • Experience in use of InterQual and or Milliman criteria and review processes highly desirable.
  • Knowledge and understanding of Medicare and Medicaid guidelines and regulations pertaining to utilization review and discharge planning.

Responsibilities:
POSITION RESPONSIBILITES:
  • Assists in the development and implementation of the case management program.
  • Collaborates with already existing programs and departments to ensure appropriate resource utilization by all patients being followed in a caseload.
  • Works with nurse managers, other clinical departments, and division directors in program development.
  • Establishes and/or attempts appropriate caregiver forums to provide program teaching/information and seeks program effectiveness feedback.
  • Provides orientation and ongoing education specific to case management.
  • Participates in extending case management approach.
  • Acts as a consultant to all disciplines specific to case management program.
  • Performs ongoing evaluation of case management program.
  • Participates in daily rounds, providing education to other team members re: Case Management
  • Provides follow-up to system issues and reports individual practitioner variances appropriately to PA or

Department Director.
  • Participates in respective nursing unit meetings providing Case Management education and new regulatory requirements as needed per the Case Management Supervisor.
  • Directs, coordinates, and provides case management to patients in caseload.
  • Assesses the patients within the caseload to identify needs, issues, resources, and care goals.
  • Through proper reporting mechanisms, completes case management assessment, reviews admitting diagnoses/problem(s), determines plan to address client's needs, and optional/preferred level of care.
  • Develops a discharge plan early on in admission.
  • Implements and coordinates interventions that will lead to goals in plan.
  • Monitors the effectiveness of the plan.
  • Participates in case finding and preadmission evaluation screening to ensure reimbursement.
  • Identifies potential transition planning problems in a timely manner to set up services required.
  • Works with attending physician and care team members to move patient through the hospital system and set up appropriate services or referrals.
  • Identifies need for new resources if gaps exist in service continuum and initiates creative care delivery options
  • Reviews the medical records of all observation and inpatient admissions to determine the medical necessity for admission and continued stay, using pre-established criteria (InterQual or Milliman) with appropriate frequency.
  • Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payer/insurance guidelines.
  • Assesses clinical, including psychosocial, system parameters.
  • Establishes planning to determine goals and objectives and care setting to optimally meet patient needs. Develops a discharge plan in a timely manner.
  • Conducts necessary conferences and team meetings regarding specific patient needs.
  • Implements interventions that lead to the patient accomplishing goals established in plan.
  • Coordinates the necessary resources to accomplish goals developed in plan.
  • Proactively affects system to facilitate efficient flow of care.
  • Gathers information from sources to enable case manager to monitor the plan's effectiveness.
  • Evaluates the effectiveness of the plan (including variance) in reaching patient's outcomes and goals.
  • Makes appropriate changes to plan as necessary.
  • Documents patient/patient representative understanding of case management plan.
  • Documents avoidable day and /or delay in service variances as per policy.
  • Recognizes and immediately intervenes in cases of suspected abuse or neglect.
  • Recognizes National Patient Safety Goals and Core Measures as applicable to the patient populations served.
  • Plays an essential role in assisting physicians, nurses, and staff with an accurate determination of a patient's observation status. The case manager is an important resource in preventing delayed discharges of observation patients.
  • Identifies and monitors observation admissions daily, to determine the correct patient status.
  • Consults with physicians, nursing, admitting, and outside insurance case managers to determine the appropriate status of patient.
  • Assumes the role of review coordinator for observation services; reviews medical record for appropriateness of status and level of care and facilitates the level of care, utilizing InterQual or Milliman for observation.
  • Works with physicians, nurses, staff, patients, and families to arrange prompt and safe discharge.
  • Case managers must take telephone orders from physicians changing patient status from observation to inpatient admission. This should be done when monitoring observation status. A call or page should be made to a physician if the case manager believes that this should be an inpatient admission and should not wait until the 24 hours are ending before conversion. Case managers must actively monitor patients on observation status and seek to clarify their status as close to the 24-hour benchmark as possible.
  • Develops a discharge plan with nursing when appropriate.
  • Completes daily Observation log in a timely manner.
  • Accurately applies InterQual or Milliman criteria 95% of the time in determining status. Refers appropriately to the PA when medical decision making determination is necessary.
  • Consistently follows Condition Code 44 policy when IP status requires changing to Observation for Medicare patients 95% of the time.
  • Consistently follows the Observation policy for all other payers. (correct determination of start time)
  • Reviews the medical records of all inpatient admissions to determine the medical necessity for admission and continued stay, using pre-established criteria.
  • Identifies cases that fail daily to meet criteria and refers these cases to appropriate physician advisor.
  • Assists and educates attending physicians on an on-going basis.
  • Contacts the attending physicians daily on cases that lack adequate documentation warranting acute hospitalization.
  • Contacts the attending physician to notify him or her of the decision to issue notice of non-coverage. Explains UR process and insurance coverage requirements. Obtains physician's written concurrence when necessary.
  • Informs the patient and/or next of kin when insurance coverage must be terminated for the current admission.

Issues HINN letter.
  • Reinstates insurance coverage when the patient's condition becomes acute and meets criteria again. Issues reinstatement letter.
  • Continues review of all patients using criteria and determines need for continued hospitalization based upon third party payer/insurance guidelines.
  • The initial review applying InterQual criteria is completed within 24 hours of admission.
  • Continued Stay Review is completed no greater than every 48 hours (72 hours for Critical Care) or more frequently as dictated by discharge screening criteria.
  • Document timeframe for next review 95% of the time.
  • Proceeds to issue Hospital Issued Notice of Non-coverage and Hospital Requested Review for Medicare patients according to policy.
  • Refers cases not meeting criteria appropriately, following contract requirements for all other payers.
  • Completes case management assessment of patients and support systems in order to facilitate the most appropriate and timely transition plan.
  • Introduces self to the patient/family, explains the case manager role, and provides them with a business card.
  • Assesses documentation in the medical record appropriate to level of care.
  • Documented level of care recorded when needed prior to nursing home placement.
  • Begins to prepare patient/family regarding optional pathway for care including several complications/options that may occur.
  • Provides transitional planning information to patient or patient's representative 24 hours before discharge when appropriate.
  • Documents referrals to nursing homes, rehab, hospitals, and home care.
  • Documents meetings with family, patient, or doctor.
  • Assembles necessary referrals, discharge summary, and pertinent information for placement prior to the day of discharge.
  • Sends forms to institutions or home health agencies within 48 hours of discharge when appropriate.
  • Documents home-care lists and alternate level-of-care facilities lists provided to families when appropriate.
  • Offers choice to Medicare patients and completes documentation as outlined in the policy.
  • Initiates the Important Message to Medicare policy for when discharge has been determined to be within 48 hours or less.
  • Utilizes support staff efficiently. (transportation, FAXing to agencies, chart copying)
  • Communicates the discharge plan to patients/ patient representatives and pertinent healthcare team members.
  • Collaborates with Quality Management Department: Performs quality assessment reviews and studies both concurrently and retrospectively as required by the hospital's PI plan, JCAHO standards, and third-party payer regulations.
  • Applies generic quality screens/indicators concurrently to patient medical records and accurately abstracts relevant patient care data to determine if quality screens are flagged. Performs first line reviews on potential quality issues as requested by director
  • Refers all other potential quality of care issues identified, not reviewed, as part of the quality assessment screening to the physician advisor to facilitate timely follow up.
  • Collects potentially avoidable day data for system Performance Improvement.
  • Refers potentially avoidable day cases to the PA when the medical staff triggers are met.
  • Refers quality issues to the Case Management Supervisor, CMO and/or PA appropriately.
  • Provides clinical data/information to contracted third-party payers while patient is hospitalized to ensure continued reimbursement and to avoid reimbursement delays within 24 hours of request.
  • Accurate InterQual and Milliman documentation that meet the requirements of third party payers for admission certification and continued stay approval is documented 95% of the time.
  • Interacts, communicates, and intervenes with multidisciplinary healthcare team in a purposeful, goal-directed fashion. Works proactively to maximize the effectiveness of resource utilization.
  • Anticipates, initiates, and facilitates problem resolution around issues of resource use and continued hospitalization and discharge planning.
  • Establishes a means of communicating and collaborating with physicians, other team members, the patient's payers, and administrators.
  • Utilizes appropriate resources in cases that present ethical dilemmas.
  • Explores strategies to reduce length of stay and resource consumption within the care-managed patient populations, implements them, and documents the results.
  • Communicates to appropriate members of healthcare team the patients at risk of losing insurance coverage or

HINN notification of Medicare and Medicaid patients.
  • Maintains a proactive role to ensure appropriate documentation concurrently to minimize inefficient resource utilization and prevent loss of reimbursement.
  • Reviews physician documentation and, when needed, follows procedures to seek clarification of documentation relative to diagnosis and comment, on the patient's clinical state
  • Participates in daily rounds on nursing units
  • Refers to PA those cases in which appropriate resource utilization is to be evaluated, such as IP MRI, IP, endoscopy, or whenever the test ordered does not relate to the reason for admission or diagnosis/symptom
  • Other duties as assigned.

Other information:
LINES OF REPSONSIBILITES:
(Chain-of-command)
1. Director of Resource Management
CUSTOMER SERVICE:
Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.
AGE SPECIFIC:
Emplo...

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About DHR Health

Sourced by ZipRecruiter

DHR Health, located in Edinburg, Texas, is a major player in the healthcare industry, offering a comprehensive range of medical services. Launched in 1997 by Dr. Carlos J. Cardenas and Dr. Manish Singh, the enterprise was established with the emblematic pursuit of raising the healthcare standards of the Rio Grande Valley. Today, it serves as a full-service health system providing advanced specialty care to individuals irrespective of their ability to pay, emphasizing its commitment to the community. In line with its mission statement, DHR Health focuses on the development of a comprehensive health system devoted to ensuring superior health services, education, and financial solvency. With significant contributions to the medical field, like the installation of South Texas's first da Vinci Xi Surgical System, DHR has effectively notched distinct achievements.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Edinburg, TX, US

Year founded

1997

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