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Case Management Processor Jobs (NOW HIRING)

Memorial Hermann

The Manager is responsible for coordinating the use systems and processes for care/utilization ... Case Manager Certification required Experience/ Knowledge/ Skills: * Minimum five (5) years ...

Vivent Health

Supervisor, Case Management

Denver, CO · On-site

Implement and monitor quality assurance processes to guarantee the effectiveness and accuracy of case management services provided by the team. * Facilitate ongoing training and professional ...

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Case Management Processor information

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How much do case management processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for case management processor in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $26.92 per hour, depending on experience, location, and employer.

What is a case management processor?

A Case Management Processor is responsible for reviewing, organizing, and managing case files and documentation to support efficient case resolution. They ensure accuracy, compliance, and timely processing of information while coordinating with other teams or departments. The role often involves data entry, verifying case details, and maintaining confidential records. Strong attention to detail, time management, and communication skills are essential for success in this position.

What are the typical daily responsibilities of a case management processor?

As a Case Management Processor, your day-to-day tasks include reviewing and processing case documentation, updating records in case management systems, and ensuring all information is accurate and compliant with organizational standards. You will often communicate with case managers, clients, or other departments to obtain missing information or clarify case details. Attention to deadlines and detail is crucial, as your work directly supports the efficiency and effectiveness of the broader case management team. This role offers valuable exposure to case management processes and can be a strong stepping stone for further advancement within the organization.

What are the key skills and qualifications needed to thrive in the case management processor position, and why are they important?

To thrive as a Case Management Processor, you should have strong organizational skills, attention to detail, and experience with data entry or administrative work, often supported by a high school diploma or some post-secondary education. Familiarity with case management software, CRM platforms, and secure data handling protocols is typically required. Excellent communication, time management, and problem-solving abilities help you effectively support case managers and clients. These competencies ensure accurate processing of documentation, efficient workflow, and reliable support for case management teams.

Is a case management processor a good career?

A case management processor is a role that involves reviewing and processing cases in healthcare, social services, or insurance settings. It offers opportunities for stable employment, requires strong organizational and communication skills, and may involve certifications or training. The career can be rewarding for those interested in helping clients navigate complex systems.

What qualifications do you need to be a case management processor?

A case management processor typically needs a high school diploma or equivalent, along with strong organizational and communication skills. Some roles may require experience with case management software or relevant certifications, such as a case management credential or related training, depending on the industry and employer requirements.
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Case Management Processor jobs near you
Infographic showing various Case Management Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Manager, Case Mgmt.

Memorial Hermann Health System

Pasadena, TX • On-site

Other

This job post has expired today. Applications are no longer accepted.

Memorial Hermann Health System rating

7.7

Company rating: 7.7 out of 10

Based on 289 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Manager of ED and OBS Case Management - Adult Services
Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning.
The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively. The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement.Job Description

Minimum Qualifications

Education: Bachelor's of Science in Nursing OR Social Work (BSW). Master’s degree preferred*

*Note: effective March 1, 2019 and going forward, these are the minimum qualifications for this role; incumbents hired before March 1, 2019 may have commensurate experience in lieu of BSN.

Licenses/Certifications:

  • Current and valid license to practice as a Registered Nurse in the state of Texas or

  • Licensed Master Social Worker (LMSW) required, LCSW preferred

  • Case Manager Certification required

Experience/ Knowledge/ Skills:

  • Minimum five (5) years experience in utilization management, case management, discharge planning or other cost/quality management program

  • Three (3) years of experience in hospital-based nursing or social work

  • Three (3) years of demonstrated leadership experience

  • Knowledge of leading practice in clinical care and payor requirements

  • Self-motivated, proven communication skills, assertive

  • Background in business planning, and targeted outcomes

  • Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management

  • Working knowledge of the concepts associated with Performance Improvement

  • Demonstrated effective working relationship with physicians

  • Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes

  • Effective oral and written communication skills

Principal Accountabilities

  • Assists in supervising and managing all aspects of the local level program.

  • Supports growth and development of the case management program consistent with enterprise wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities as needed.

  • Responsible for coordinating day to day operations of the program at the unit level.

  • Assists in identifying and achieving optimal targeted financial outcomes via the inpatient case management process.

  • Participates in departmental personnel functions (hiring, firing, etc.) in conjunction with the Director of Case Management.

  • Provides input to annual and interim performance appraisal reviews for the professional and non-professional staff in department.

  • Acts as liaison to facilitate communication and collaboration between all care partners (physicians, hospitalists, community care managers, nurses, community resources, etc.)

  • Responsible for leading a high performance team of “system thinkers” who incorporate leadership principles and vision in performing the functions of case management.

  • Uses data to drive decisions, plan, and implement performance improvement strategies for case management.

  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

  • Other duties as assigned.

What Memorial Hermann Health System employees say

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About Memorial Hermann

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The Memorial Hermann Southwest Hospital Women's Services is a magnet hospital as well as a level 3 designated facility with a blend of high-risk and community patients. This creates a fast-paced environment and a chance to work with a diverse population. Our Labor & Delivery unit has a low c-section rate and is extremely collaborative and close-knit. We have the ability to cross-train through all areas of Women's Services. We have a family-like atmosphere with an amazing amount of comradery, and our low turnover rates attest to this. Nurses here feel like they not only have autonomy but can also be advocates for their patients. MHSW not only prides ourselves on evidenced based practice, but nurses have a strong voice.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1907

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