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Managed Care Case Manager Jobs (NOW HIRING)

cbi

Health Care Case Manager

Phoenix, AZ · On-site

SSVF - Health Care Case Manager Community Bridges, Inc. (CBI) is an integrated behavioral healthcare organization offering a full continuum of care, including variety of programs throughout Arizona ...

cbi

Health Care Case Manager

Phoenix, AZ · On-site

SSVF - Health Care Case Manager Community Bridges, Inc. (CBI) is an integrated behavioral healthcare organization offering a full continuum of care, including variety of programs throughout Arizona ...

Merakey

Foster Care Case Manager

York, PA · On-site

$19.63/hr

We are seeking a Foster Care Case Manager to join our team at our program in York, PA area. Earn $19.63/hr. Position Details This position is responsible for monitoring the placement, treatment and ...

KVC Health Systems

Foster Care Case Manager

Columbia, MO · On-site

$43K - $49K/yr

Foster Care Case Manager Location: Columbia, MO - Primarily field-based with 1-3 days per week in-office for supervision, meetings, and team collaboration Pay: $43,888-$49,000 based on education and ...

Aperion Care

Managed Care Coordinator

Lincolnwood, IL · On-site

$60K/yr

In support of Managed Care Case Management perform the duties of triaging daily referral requests ... case manager for preauthorization. * Perform benefit verifications on all referrals adhering to ...

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Managed Care Case Manager information

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How much do managed care case manager jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for managed care 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 does a managed care case manager do?

A Managed Care Case Manager coordinates and oversees healthcare services for patients within managed care systems, such as HMOs or PPOs. They assess patients’ medical needs, develop care plans, and work with healthcare providers and insurance companies to ensure that patients receive appropriate and cost-effective care. Their role also includes monitoring patient progress, advocating for necessary services, and helping patients navigate healthcare and insurance processes. This position requires strong communication, organizational, and problem-solving skills.

How does a managed care case manager typically collaborate with healthcare providers and insurance companies?

Managed Care Case Managers work closely with both healthcare providers and insurance companies to coordinate patient care efficiently and cost-effectively. They regularly communicate with physicians, nurses, and other healthcare professionals to assess patient needs and develop care plans. Additionally, they interact with insurance representatives to ensure treatments are covered, secure necessary authorizations, and clarify benefits. Effective collaboration requires strong communication skills and a thorough understanding of managed care policies, as well as the ability to advocate for patients while balancing organizational requirements.

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

To thrive as a Managed Care Case Manager, you need a solid background in healthcare, case management, and knowledge of insurance regulations, often supported by a nursing or social work degree and relevant licensure or certification (such as CCM or ACM). Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically required. Strong communication, negotiation, and problem-solving skills help you effectively coordinate care and advocate for patients. These competencies ensure cost-effective, high-quality care and compliance with managed care policies.

What is the difference between Managed Care Case Manager vs Utilization Review Nurse?

AspectManaged Care Case ManagerUtilization Review Nurse
CredentialsRN, Case Management CertificationRN, Certification in Utilization Review
Work EnvironmentInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare facilities
Primary FocusCoordinating patient care and servicesAssessing medical necessity for services
Industry UsageCommon in managed care settingsCommon in hospital and insurance settings

Managed Care Case Managers focus on coordinating patient care and services, ensuring appropriate utilization and support. Utilization Review Nurses primarily evaluate the medical necessity of treatments and procedures. While both roles require nursing credentials and work within healthcare or insurance environments, their core responsibilities differ, with case managers emphasizing care coordination and utilization review nurses focusing on assessment and approval of services.

What cities are hiring for Managed Care Case Manager jobs?

Cities with the most Managed Care Case Manager job openings:

Who are the top companies hiring for Managed Care Case Manager jobs?

The top employers for Managed Care Case Manager jobs are:

What states have the most Managed Care Case Manager jobs?

States with the most job openings for Managed Care Case Manager jobs include:

What are popular job titles related to Managed Care Case Manager jobs?

For Managed Care Case Manager jobs, the most frequently searched job titles are:

Managed Care Case Manager jobs near you

Foster Care Case Manager

Columbus, GA • On-site

BrightSpring Health Services
Health Care and Social Assistance • 10K+ employees
Learn more about BrightSpring Health Servicesexternal

$35K - $42K/yr

Full-time

Re-posted 26 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

224th of 247 rated social care providers

Job description

StepStone Family & Youth Services


 

StepStone Family & Youth Services provides trauma informed, youth centered services to children and families involved in foster care. The Foster Care Case Manager plays a vital role in supporting youth and foster families through therapeutic case management, service coordination, and individualized support that promotes safety, stability, permanency, and positive outcomes.

We are seeking a compassionate and dedicated Foster Care Case Manager who is passionate about supporting children and families through trauma informed, strengths based, and family centered practices. This role is ideal for a professional who understands the impact of trauma, loss, and disrupted family systems and is committed to helping youth and families build resilience and long term success.

The Foster Care Case Manager works closely with foster families, biological families, treatment teams, schools, and community providers to support placement stability, emotional wellbeing, and coordinated care for youth in foster care placements. Through ongoing communication, advocacy, and service planning, this position helps ensure youth and families receive responsive and supportive services tailored to their unique needs.

The ideal candidate is organized, adaptable, empathetic, and committed to delivering high quality services while maintaining professionalism, compliance, and a trauma informed approach throughout all aspects of service delivery.


The Foster Care Case Manager works under the supervision of the Program Manager. They are responsible for the delivery of case management services, individual and family counseling and training and supervision of foster families. The Foster Care Case Manager assists the Program Manager in developing individual treatment plans for troubled children and their families. They maintain weekly contact with the foster families, children, and bio-families and monitors the progress of the child and family throughout the placement. They assist with training, home studies, and evaluation of foster parents. The Foster Care Case Manager uses standardized tools to measure social and emotional progress and outcomes and prepares written treatment plans and progress reports.

PERSONAL WORK RELATIONSHIP: The Foster Care Case Manager makes decisions regarding the placement and treatment of neglected, abused, disturbed, and medically complex children. He or she will have good verbal and writing skills. They will be capable of working with children, parents, foster parents, client agencies and the courts. The Foster Care Case Manager will be creative, pragmatic, assertive, and know when to act independently and when to seek the advice of others.

EXAMPLES OF DUTIES. The position includes, but is not limited to, the following:

  • Reviews referrals and matches children with appropriate foster families.
  • Places children in state licensed or state certified foster homes.
  • Obtains all state and agency required documentation for child in care.
  • Provides weekly documented contact and at bi-weekly visits to child and foster home.
  • Visits each assigned child at least once each month away from the foster home.
  • Prepares a treatment plan for the child within 21 days of placement and quarterly thereafter.
  • Prepares monthly progress reports for assigned children.
  • Provides Independent Living training and monthly ILP progress reports for assigned clients.
  • Provides reunification services to the biological families when required by treatment plan.
  • Coordinates visitation of children with biological parents, siblings, and relatives.
  • Provides supervised visits with parents, siblings, and relative when required by court.
  • Acts as liaison person with placing agencies, schools, and other community agencies.
  • Attends court hearings and review hearings.
  • Attends staff meetings and treatment planning meetings as required.
  • Completes interviews, training and home studies on prospective foster parents as needed.
  • Attends conferences and seminars as required for annual training requirement.
  • Conducts/participates in two or more foster parent support group meetings each year.
  • Maintains flexible working hours and works weekends or holidays as needed.

The Foster Care Case Manager has a bachelor’s degree in social work, sociology, psychology, counseling, or related human services field and two years’ experience working with children and families. A bachelor’s degree in social work, sociology, psychology, counseling, or related human services field and five years’ experience with a placing agency working with troubled children and families may be consider in lieu of a graduate degree.


StepStone Family and Youth Services, an affiliate of BrightSpring Health Services, provides the full spectrum of support to children in need of alternative, safer, and more positive living environments with residential and family services. StepStone connects children and youth who need homes with foster families, as well as foster care training, respite care and support services. For young adults transitioning from foster care to independent living, StepStone provides personalized guidance and training on basic life skills, including money management and education. For more information, please visit www.stepstoneyouth.com. Follow us on Facebook and LinkedIn.

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