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Complex Case Manager Jobs (NOW HIRING)

Harris Health System

Complex Case Manager

Houston, TX · On-site

$80K - $100K/yr

The Complex Case Manager (CCM) will identify, monitor, manage, and evaluate the delivery of health services to Community members with chronic, medically complex or catastrophic conditions in both ...

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Highmark Health

Complex Case Manager RN

Harrisburg, PA · On-site

The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers ...

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How much do complex case manager jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for complex case manager 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 other jobs can a complex case manager do?

A complex case manager can transition into roles such as care coordinator, social worker, healthcare administrator, or patient advocate, utilizing skills in case planning, communication, and problem-solving. These positions often require knowledge of healthcare systems, documentation, and sometimes additional certifications or licenses.

What is a complex case manager?

A Complex Case Manager is a healthcare professional who coordinates care for patients with multiple or serious health conditions that require comprehensive management. They assess patient needs, develop care plans, and work closely with patients, families, and healthcare providers to ensure optimal outcomes. Complex Case Managers help navigate healthcare systems, address barriers to care, and connect patients with resources, aiming to improve quality of life and reduce hospitalizations. Their role is crucial in managing cases that involve chronic illnesses, behavioral health issues, or social challenges.

What are some common challenges faced by complex case managers and how can they be addressed?

Complex Case Managers often encounter challenges such as coordinating care across multiple providers, managing high caseloads, and addressing social determinants of health that impact patient outcomes. Effective communication, strong organizational skills, and leveraging interdisciplinary teamwork are key strategies to overcome these challenges. Additionally, staying updated on resources and support services in the community can help ensure clients receive comprehensive care. Regular team meetings and ongoing professional development also support success in this dynamic role.

What are the key skills and qualifications needed to thrive as a complex case manager, and why are they important?

To thrive as a Complex Case Manager, you need a background in healthcare or social work, typically with a relevant degree and licensure such as RN, LCSW, or CCM certification. Familiarity with case management software, electronic health records (EHRs), and care coordination tools is essential. Excellent communication, critical thinking, and problem-solving skills are vital for building trust with clients and collaborating with multidisciplinary teams. These competencies ensure effective management of complex patient needs, improved outcomes, and efficient resource utilization.
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Complex Case Manager jobs near you
Infographic showing various Complex Case Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $51,494 per year, or $24.8 per hour.

Complex Case Manager

Family Physicians Group

Orlando, FL • On-site

Full-time

Re-posted 14 days ago

Job description

The Complex Case Manager manages a cohort of Medicare Advantage patients to help ensure they receive the “right care at the right time in the right place” to improve clinical outcomes. Employing a variety of strategies and techniques the Complex Case Manager assists the patient in managing their health issues. Through use of assessment, data, conversations with member, and active care planning, the Complex Case Manager ensures the patient is continually progressing towards the desired outcome.

Requirements

  • Knowledge of Medicare Parts A, B, and D.

  • Medicare Advantage experience a plus

  • Case Management experience.

  • Knowledge of the evidence-based guidelines for the main chronic conditions-HTN, CAD, Heart Failure, Diabetes, CKD and COPD.

  • Detail oriented and comfortable working with tight deadlines in a fast-paced environment

  • Strong verbal and written communication skills

Duties and Responsibilities

Works in collaboration and continuous partnership with chronically ill or high-risk patients and their family/caregiver(s) in a team approach to:

  • Promote timely access to appropriate care.

  • Increase utilization of preventative care.

  • Increase comprehension through culturally and linguistically appropriate education.

  • Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s).

  • Increase patients’ ability for self-management and shared decision-making.

  • Connect patients to relevant community resources, with the goal of enhancing patient health and well-being and increasing patient satisfaction.

  • Other Duties as assigned.

Knowledge, Skills, and Abilities

  • Knowledge of Electronic Medical Records.

  • Ability to be collaborative and effectively communicate with patient.

  • Ability to solve practical problems and deal with a variety of situations.

  • Ability to effectively present information in one-one and small group situations to clients and other employees of the organization.

    Bi-lingual in English and Spanish a plus

Education and Experience

  • Current State of Florida Registered Nurse.

  • Case Management experience preferred

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and/or sit for extended period. The employee is occasionally required to sit. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

FLSA Status

Non- Exempt

Family Physicians Group is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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