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Case Management Consultant Jobs (NOW HIRING)

... consultation with the Director of Case Management, monitor employee's performance and manages disciplinary matters as warranted including recommendations for disciplinary action for noncompliance ...

... consultation with the Director of Case Management, monitor employee's performance and manages disciplinary matters as warranted including recommendations for disciplinary action for noncompliance ...

... consultation with the Director of Case Management, monitor employee's performance and manages disciplinary matters as warranted including recommendations for disciplinary action for noncompliance ...

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Case Management Consultant information

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How much do case management consultant jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for case management consultant in the United States is $31.53, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $33.17 per hour, depending on experience, location, and employer.

What is a case management consultant?

A Case Management Consultant is a professional who provides expert advice and guidance to organizations or individuals in managing cases, typically in healthcare, social services, or insurance settings. Their primary role is to assess cases, develop care or action plans, coordinate services, and ensure optimal outcomes for clients or patients. They often review processes, offer recommendations for improvement, and may train staff on best practices. By streamlining case management procedures, they help organizations deliver more efficient and effective services. Case Management Consultants need strong analytical, communication, and organizational skills.

What are the key skills and qualifications needed to thrive as a case management consultant?

To thrive as a Case Management Consultant, you need a solid background in social work, healthcare, or a related field, often supported by a bachelor's or master's degree and relevant licensure or certification (such as CCM). Familiarity with case management software, electronic health records, and data analysis tools is typically required. Strong communication, problem-solving, and organizational skills are essential for building relationships and effectively coordinating care. These competencies ensure efficient case handling, optimal client outcomes, and compliance with regulatory standards.

What is the difference between Case Management Consultant vs Social Worker?

AspectCase Management ConsultantSocial Worker
CredentialsTypically requires a bachelor’s or master’s degree in social work, psychology, or related fields; certifications varyRequires a bachelor’s or master’s degree in social work (BSW or MSW); licensure often needed
Work EnvironmentConsults with healthcare providers, insurance companies, and organizations; often office-based or remoteWorks directly with clients in hospitals, community agencies, or schools
Employer & IndustryHealthcare, insurance, and consulting firmsHealthcare, social services, government agencies

While both roles involve coordinating services and supporting clients, Case Management Consultants primarily provide expert advice and strategic planning, often working behind the scenes. Social Workers engage directly with clients to provide support, counseling, and resource connection. Understanding these differences helps clarify career paths and job expectations in the social services industry.

What are some typical challenges a case management consultant faces when working with diverse client populations?

Case Management Consultants often encounter challenges such as navigating complex client needs, managing high caseloads, and addressing cultural or language barriers. They must be adept at coordinating resources, advocating for clients, and adapting care plans to suit individual circumstances. Building rapport and trust with clients from varied backgrounds is essential, as is maintaining clear communication with multidisciplinary teams to ensure seamless service delivery.
More about Case Management Consultant jobs
What cities are hiring for Case Management Consultant jobs? Cities with the most Case Management Consultant job openings:
What states have the most Case Management Consultant jobs? States with the most job openings for Case Management Consultant jobs include:
What job categories do people searching Case Management Consultant jobs look for? The top searched job categories for Case Management Consultant jobs are:
Infographic showing various Case Management Consultant job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $65,580 per year, or $31.5 per hour.

Manager Case Management

Mount Nittany Medical Center

State College, PA • On-site

$20 - $25.75/hr

Full-time

Re-posted 24 days ago


Mount Nittany Health rating

6.7

Company rating: 6.7 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description


POSITION SUMMARY
Under the supervision of the Director assumes responsibility in managing the human and material resources of the Case Management Department in order to provide quality patient care and an environment conducive to staff growth and professional performance. This individual remains clinically competent in area of practice. Interprets and enforces policies and procedures, standards of care and standards of practice with others and demonstrates same through own actions. This individual remains clinically competent in the area of practice and is able to take a direct patient assignment as needed.
LEADERSHIP VALUES
The MNH Leadership Values we are striving to emulate:
• Respect, appreciation and caring for all-positive outlook
• Initiative, achievement oriented, drive for excellence and continuous improvement; perseverance and ability to see the big picture
• Teamwork and support for others; interdependence and commitment to the collective; system success as opposed to individual achievement or credit
• Open, respectful, candid communication; handles conflicts and differing points of view directly; doesn't shy away from difficult issues or conversations
• Stewardship of resources and passion for efficiency
• Ownership of actions and results focused
• Resilient; adaptable to change; perseveres in the midst of challenges
• Courage
MINIMUM REQUIREMENTS
Education:
  1. Bachelor of Science Degree in Nursing, Social Work or related Health field required.
  2. Master's Degree preferred

Experience:
1. Five years of Case Management experience required.
2. 1 year supervisory experience required.
Knowledge, Skills, Abilities:
  1. Demonstrated leadership and interpersonal skills.
  2. Ability to work effectively under stressful situations.
  3. Demonstrated oral and written communication skills.
  4. Ability to function in an independent manner with little or no need for direct supervision.
  5. Effectively communicates verbally with patients, physicians, visitors, co-workers and supervisors.
  6. Ability to document data and other information.
  7. Ability to read and interpret written communication.
  8. Ability to speak, read, and writes the English language.
  9. Conducts business in a professional and cordial manner that upholds the integrity and reputation of Mount Nittany Medical Center.
  10. Knowledge of human resource laws and regulations as they relate to the management of staff.

License/Certification/Registration:
  1. Current licensure as a professional registered nurse in the Commonwealth of Pennsylvania or LMSW/LCSW (Social Work) license preferred.
  2. Certified Case Manager (CCM) preferred.
  3. Meets the American Heart Association's standards for Healthcare Provider Basic Life Support (BLS) and renews BLS every two years.

SUPERVISION RECEIVED
Works independently to achieve departmental goals and objectives consulting with the Director as needed and/or in accordance with established policy.
SUPERVISION GIVEN
Supervises assigned staff in the Case Management Department.
Responsibilities
ESSENTIAL FUNCTIONS
Manages assigned unit personnel. Provides day-to-day supervision of case management activities.
  1. Strategic Oversight: Develops and implements case management programs, including utilization review, intake, and discharge planning.
  2. Coordinates and collaborates with staff to plan unit/ patient assignments according to staff education, training and ability, standards of care and patient needs.
  3. Actively participates in recruiting, interviewing and selecting unit staff. Participates in and/or conducts performance reviews, as well as counseling and discipline of unit staff.
  4. Ensures staff meet the minimum qualifications of their positions at all times including licensure, certification and registration.
  5. Plans and evaluates work flow for continuity of patient services which assures collaboration with health care team; enhances cost management.
  6. Actively participates in Inter Rater Reliability monitoring of staff. Performs document review of data entry for completeness, accuracy, and clarity of documentation submitted by case managers per record audit policy and procedures. Seeks corrections, completion and /or clarification from case managers and data entry when necessary, providing education/ instruction and reinforcement of policy and procedures.
  7. Monitors case management activities and time-line compliance through monitoring of case management reports and logs
  8. Coordinates the orientation process for new employees.
  9. Monitors observation, admission, and length of stay data on a monthly basis.
  10. Resource Management: Monitors departmental budgets, expenses, and the use of medical resources to enhance cost-effectiveness
  11. Regulatory Compliance: Ensures all practices meet federal, state, and organizational guidelines, such as Medicare/Medicaid/ Commercial requirements and JCAHO standards

Facilitates communication regarding patient care.
  1. Acts as a liaison with the medical staff to coordinate medical and nursing management of patient care.
  2. Serves as resource for conflict resolution when patient issues are unresolved by primary care givers.
  3. Presents changes and innovations in a positive manner.

Manages patient care/ Assuring Quality Discharge Planning
  1. Performance Monitoring: Analyzes patient care data and key care indicators to identify trends, reduce delays, and improve clinical outcomes.
  2. Assures that patients have received assessment and reassessment of physical care, psychosocial support and education to be discharged safely.
  3. Assures collaboration with appropriate other health care providers resulting in formulation of a nursing diagnosis and initiation/revision of a care plan consistent with the medical plan of care.
  4. Actively participates in utilization management of patients across the continuum of care.
  5. Monitors readmissions.
  6. Monitors participation in Daily Discharge Rounding's for each unit.
  7. Coordinates interactions with other health care facilities, community agencies and the public as appropriate with regard to assigned areas of responsibility and operations.

Denial Management
  1. Utilizes Best Practice strategies for Denial Management.
  2. Assumes the primary responsibility of denial management Axis program.
  3. Manages in coordination with Director the appeals management process.
  4. Serves as liaison with the finance/ billing department for claims issues.
  5. Monitors concurrent and retrospective denials.
  6. Builds and maintains effective relationships with the payers.
  7. Works collaboratively with the Physician Advisor.
  8. Participates in the UR Committee - reporting monthly denial management activity as requested.

Manages personal professional growth and development as well as the unit's staff.
  1. Demonstrates the qualities of advocate, role model, mentor and facilitator during growth and development of self, nursing staff and other health care team members.
  2. Delegates appropriately and provides unity of command; assists staff with delegated responsibilities.
  3. Provides leadership, direction and remediation to unit specific nursing personnel in accordance with organizational, departmental and governing agency goals, objectives and standards.
  4. Team Leadership: Manages, mentors, and evaluates a team of case managers and social workers to ensure high-quality care.

NON-ESSENTIAL FUNCTIONS
Performs related and miscellaneous duties as assigned.
About Us
Why Mount Nittany Health?
At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.

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