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Hospital Case Manager Jobs in Miami, FL (NOW HIRING)

HCA Healthcare

Clinical Rehab Specialist

Aventura, FL · On-site

The Clinical Rehabilitation Specialist works closely with hospital case management to ensure a responsive and smooth flowing referral and admission process for the inpatient acute rehab program.

Elevance Health

Nurse Case Manager

Doral, FL

Nurse Case Manager Nurse Case Manager I Location: This role enables associates to work virtually ... Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will ...

Care Resource

Medical Case Manager

Miami, FL · On-site

Uses knowledge of individual programs to conduct home visits, hospital visits and one visit with ... Case Management Medicaid Provider Certification is required. Completed application and ...

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How much do hospital case manager jobs pay per hour?

As of May 28, 2026, the average hourly pay for hospital case manager in Miami, FL is $23.68, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $25.77 per hour, depending on experience, location, and employer.

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

To thrive as a Hospital Case Manager, you need a background in nursing or social work, knowledge of healthcare regulations, and experience in care coordination, often supported by RN or social work licensure and case management certification (such as CCM or ACM). Familiarity with hospital information systems, utilization review tools, and electronic health record (EHR) platforms is typically required. Strong communication, problem-solving, and negotiation skills help Hospital Case Managers excel in collaborating with patients, families, and multidisciplinary healthcare teams. These competencies are essential for ensuring effective patient care transitions, optimizing resource utilization, and improving patient outcomes.

What are some common challenges Hospital Case Managers face when coordinating patient care, and how can they effectively address them?

Hospital Case Managers often encounter challenges such as navigating complex discharge planning, coordinating among multidisciplinary teams, and addressing insurance or resource limitations. Effective communication, attention to detail, and strong organizational skills are essential for overcoming these obstacles. Building strong relationships with healthcare providers, social workers, and insurance representatives can help streamline care transitions and advocate for patient needs. Staying informed about community resources and hospital protocols also supports successful outcomes.

What does a Hospital Case Manager do?

A Hospital Case Manager is a healthcare professional responsible for coordinating patient care during a hospital stay. They assess patients' needs, develop care plans, facilitate communication among medical teams, and ensure patients receive appropriate services and resources. Case Managers also help with discharge planning, making sure patients transition safely to home or another facility. Their goal is to improve health outcomes while managing costs and ensuring quality care.

Where do case managers get paid the most?

Hospital case managers tend to earn the highest salaries in regions with a high cost of living and larger healthcare markets, such as metropolitan areas. Salaries are also influenced by experience, certifications, and the size of the healthcare facility, with those working in urban or specialized hospital settings generally earning more.

What is the difference between Hospital Case Manager vs Medical Social Worker?

AspectHospital Case ManagerMedical Social Worker
CredentialsRN or licensed healthcare professionalLicensed clinical social worker (LCSW) or social work degree
Work EnvironmentHospitals, healthcare facilities, patient discharge planningHospitals, clinics, community health settings, patient support
Employer & IndustryHospitals, healthcare providersHospitals, social service agencies, community organizations
Primary FocusCoordinating patient care, discharge planning, insuranceProviding emotional support, counseling, social services

While both roles work within hospital settings and require healthcare-related credentials, Hospital Case Managers focus on care coordination and discharge planning, whereas Medical Social Workers provide emotional support and social services to patients. Understanding these differences helps patients and employers choose the right professional for specific needs.

What are popular job titles related to Hospital Case Manager jobs in Miami, FL? For Hospital Case Manager jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Hospital Case Manager jobs in Miami, FL look for? The top searched job categories for Hospital Case Manager jobs in Miami, FL are:
What cities near Miami, FL are hiring for Hospital Case Manager jobs? Cities near Miami, FL with the most Hospital Case Manager job openings:
Hospital Case Manager jobs near you
Infographic showing various Hospital Case Manager job openings in Miami, FL as of May 2026, with employment types broken down into 7% As Needed, 70% Full Time, 17% Part Time, 3% Temporary, and 3% Contract. Highlights an 92% Physical, 4% Hybrid, and 4% Remote job distribution, with an average salary of $49,251 per year, or $23.7 per hour.
Case Manager (Full-Time)

Case Manager (Full-Time)

Larkin Community Hospital

Hialeah, FL • On-site

Full-time

Posted 25 days ago

Job description

Qualifications:

  • Experience
    • Previous C.M. Experience
    • Substantial clinical experience
  • Education
    • Bachelor's degree (required)
    • Masters (preferred)
  • Licensing
    • Foreign Medical Graduate or Registered Nurse (preferred)
    • CCM (Certified Case Manager) (preferred)
    • ACM (Accredited Case Manager) (preferred)
  • Bilingual (English/Spanish) (preferred)

Responsibilities:

  • Performs and documents patient assessment within 24 hours of admission
  • Checks prior authorizations initiative by admitting
  • Knowledge navigating and using payer portals
  • Performs concurrent reviews
    • Contacting all HMO’s on a daily basis and provides clinical information to obtain insurance authorization for the patient’s admission and continued stay
  • Indicates the appropriate level of care and utilization of services needed
  • Establishes criteria for medically necessary services
    • Knowledgeable of Milliman Care and Interqual Guidelines
  • Develops a plan of care for patients from admission to discharge.
  • Promotes the most efficient and cost-effective use of services
  • Curtails the performance of inappropriate and/or duplicate services
  • Encourages standardization of medical practice patterns
  • Enhances the quality of healthcare
  • Performs concurrent reviews for patients to ensure that extended stays are medically justified and are documented in patient's medical records.
  • Calculates and manages the lengths of stay and continued-stay days for patients.
  • Evaluating the patient’s condition and readiness for discharge planning
  • Develops discharge plans
  • Communicate and assist the physicians in the planning and coordination of patients discharge planning
  • Management of transfer procedures
  • Management of the guardianship process
  • Able to discuss and educate patient/family regarding discharge planning and resources available after discharge. Clearly specifies all the information discussed with the patient and/or family regarding the patient’s discharge plan.
  • Participates in PI programs through the identification of opportunities for improvement, data collection, evaluation of findings, improving the process, applying knowledge and incorporates into practice
  • Scheduling Peer-to-Peer reviews with payors
  • Proactively identifying and resolving issues that could lead to denials

Skills:

  • Familiarity with Medhost electronic medical records
  • Extensive medical knowledge
  • Self-driven (work and education)
  • Keeps knowledge up to date by reading literature and participating in outside continued education meetings, training, and conferences
  • Working knowledge of regulatory agencies
  • Excellent human relations and communication skills (verbal and written) to maintain good rapport and effective working relationships with medical staff, nursing staff, and other ancillary department staff throughout the hospital
  • Excellent organizational skills and attention to detail
  • Ability to convey care plan to physicians and the medical team
  • Proficient with Microsoft Office Suite or related software.
  • Integrity
Larkin Community Hospital logo

About Larkin Community Hospital

Sourced by ZipRecruiter

At Larkin, we have been serving the health care needs of South Miami, Hialeah, and the surrounding communities for more than 40 years. We take pride in the continuing tradition of caring. We remain dedicated to providing excellent medical care with the personal touch and convenience that only a community hospital offers.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

South Miami, FL, US

Year founded

1969

Social media

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