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Managed Care Case Manager Jobs (NOW HIRING)

Foster Care Case Manager Location: Kalamazoo, MI Status: Full Time Salary: $47,008/annually Help Change a Child's Story Are you passionate about supporting children and families within the foster ...

Foster Care Case Managers use effective screening methods to understand and match the needs of children to foster families, enhancing appropriate placements. You will recruit, license, train, and ...

Foster Care Case Managers use effective screening methods to understand and match the needs of children to foster families, enhancing appropriate placements. You will recruit, license, train, and ...

RN Care Case Manager Are you looking to make a positive impact in your community? Do you believe nursing is more than tasks -- that it's about connection, compassion, and making a difference? Cheer ...

Foster Care Case Manager $52,000 Salary Everybody needs a job but only extraordinary people work here. Our team is creative and dedicated to making a difference every day in the lives of the people ...

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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 10, 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:

Foster Care Case Manager - 10101

Grand Rapids, MI

Samaritas
Non-Profits • 1 - 5K employees

$47K/yr

Full-time

Re-posted 5 days ago


Job description

Now Hiring: Foster Care Case Manager

Location: Grand Rapids, MI
Status: Full time
Salary: $47,008 annually

Help Change a Childs Story

Are you passionate about supporting children and families within the foster care system? Join our team as a Foster Care Case Manager and make a lasting difference in the lives of youth by providing stability, advocacy, and compassionate support.

In this role, youll manage your own caseload, work closely with families and community partners, and play a critical role in helping children find safe and supportive environments.


Why This Role Matters

Every child deserves safety, stability, and the opportunity to thrive. As a Foster Care Case Manager, youll be a trusted advocatehelping guide children and families through challenging transitions while ensuring their voices are heard and their needs are met.


What Youll Do

Case Management & Client Support

  • Manage a caseload of foster care cases, providing ongoing support and advocacy
  • Build relationships with children, caregivers, and families to support stability and well-being
  • Offer guidance, referrals, and mentoring to those involved in each case

Placement Coordination & Court Involvement

  • Coordinate initial placements and any necessary changes in placement
  • Prepare for and attend court hearings, providing updates and documentation
  • Support children and caregivers through transitions with hands-on involvement

Collaboration & Communication

  • Partner with referral sources, courts, agencies, and community organizations
  • Maintain consistent communication with all stakeholders involved in each case
  • Advocate for appropriate services and support systems

Documentation & Compliance

  • Maintain accurate and timely case records, reports, and required documentation
  • Track client progress and ensure compliance with all program and regulatory standards

What You Bring
  • Bachelors degree in Social Work or related human services field required
  • State of Michigan licensure preferred
  • At least 1 year of experience in child welfare preferred
  • Strong interpersonal, organizational, and documentation skills
  • Ability to work independently while managing a dynamic caseload

Additional Requirements
  • Valid, unrestricted drivers license with a good driving record
  • Reliable personal transportation and current automobile insurance
  • Willingness to participate in a 24-hour on-call support system as needed

What Sets You Apart
  • Passion for working with children and families
  • Ability to navigate complex, emotionally challenging situations
  • Strong advocacy and problem-solving skills
  • Commitment to making a difference in the lives of youth

Make a Difference That Lasts

If you're ready to take on meaningful, impactful work and help shape brighter futures for children in foster care, wed love to meet you.

Apply today and help change a childs story!


#socialwork #childwelfare #humanservices #youth #mentoring #counseling #placement