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Managed Care Case Manager Jobs (NOW HIRING)

Family Forward

Foster Care Case Manager

Hillsboro, MO · On-site

$40K - $45K/yr

What to expect on a given day as a Foster Care Case Manager: * You will make decisions related to client services for medical, education, social, and emotional supports; monitor, and ensure clients ...

FamilyForward

Foster Care Case Manager

Hillsboro, MO · On-site

$40K - $450K/yr

What to expect on a given day as a Foster Care Case Manager: * You will make decisions related to client services for medical, education, social, and emotional supports; monitor, and ensure clients ...

Samaritas

Foster Care Case Manager - Team 2

Kalamazoo, MI · On-site

$47K/yr

Now Hiring - Foster Care Case Manager Location: Kalamazoo, MI Status: Full time Salary: $47,008 Help Change a Childs Story Are you passionate about supporting children and families within the foster ...

Ignite Human Capital

RN Care Case Manager

La Jolla, CA · On-site

$120K - $140K/yr

Cheer Home Care is looking for an RN Care Case Manager who loves spending time with older adults and providing high-quality care in the home. The RN Care Case Manager collaborates with ...

Sevita Health

Foster Care Case Manager

Indianapolis, IN · On-site

$38K - $46K/yr

Case Manager Foster Care Indiana MENTOR Introduces our Child and Family Services division and Treatment Foster Care Program. Why Join Us? * Full compensation/benefits package. * Flexible schedule ...

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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?

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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

Kalamazoo, MI • On-site

Bethany Christian Services
Non-Profits • 1 - 5K employees
Learn more about Bethany Christian Servicesexternal

$38K - $45K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

Key responsibilities

  • Support foster parents and children by providing case management services and maintaining effective contact with involved parties.

  • Attend court hearings, complete required reports, and coordinate with providers to facilitate treatment plans and ensure child safety.

  • Meet regularly with foster parents to assess and promote appropriate care, and investigate child abuse and neglect cases.

Bethany Christian Services rating

7.7

Company rating: 7.7 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Rooted in our Christian faith, Bethany Christian Services works to ensure children are safe, loved, and connected through family. Across 29 states, we strengthen families, support foster care and adoption, and walk alongside refugees with compassion. Here, living out your faith means using your gifts to bring hope and make a lasting impact.
As a Foster Care Case Manager, you'll be part of a foster parent's Bethany team, supporting them and the child in their care. You'll train, equip, and help connect foster parents to community resources to meet the child's needs.
How Your Role Makes a Difference
  • Provide case management services to children in foster care;
  • Attend and testify at court hearings, as necessary;
  • Maintain effective contact with attorneys, therapists, CASA workers, and/or other providers;
  • Maintain current and accurate client records, case files, record notes, and medical records;
  • Comply with the reporting guidelines established by the organization, Department of Child Services (DCS), and the court, while submitting all required reports in a timely manner;
  • Provide services that empower clients and adhere to the organization's standards of ethical Practice;
  • Coordinate and facilitate the completion of the treatment plan, and maintain contact with all providers to include attending child and family team meetings;
  • Meet with foster parents at least monthly to assist with and ensure the appropriate care is given to foster children;
  • Investigate child abuse and neglect in accordance with program expectations and guidelines;
  • Recommend whether the parental rights should be terminated in a timely manner that ensure the safety of the child;
  • Participate in on-call system and schedule, as necessary;
  • Assess the safety and appropriateness of the placement on an ongoing basis using child welfare principles and social work best practices;
  • Attend weekly meetings with supervisor to consult on cases, and to review case plan and direction;
  • Partner with the Licensing and Placement Specialist regarding foster parent complaints;
  • Keep abreast of community resources and refer foster families for support, as needed;
  • Stay abreast of all agency, federal, and state regulatory requirements related to social services;
  • Essential job responsibilities may vary based on the specific needs of each program/department;
  • May be required or asked to participate in a Bethany sponsored event;
  • Complete other duties as assigned.

What Will Make You Successful
  • Bachelor's degree from an accredited college;
  • At least one (1) year of prior case management experience in child and family services;
  • Option to be based out of either Kalamazoo or Benton Harbor;
  • Hold or be willing to obtain state certifications as required by the program;
  • Must have a broad knowledge of basic principles, concepts, and methodology of human service as acquired through a Bachelor's level degree;
  • Demonstrate an understanding of the effects that separation and loss, neglect, physical and sexual abuse has on a child;
  • Knowledge of state, community and agency resources;
  • Excellent verbal and written communication skills;
  • Demonstrated clinical, therapeutic, and crisis intervention skills;
  • Ability to work independently and exercise a high level of confidentiality;
  • Adheres to all agency and departmental safety procedures including reporting any unsafe practices, equipment and environment, and takes an active role in correcting the unsafe practice, equipment or environment through proper notification channels;
  • Computer skills sufficient to perform essential functions including knowledge of Microsoft Office Suite;
  • Must be 21 years old with a valid driver's license with at least 3 years driving experience in the U.S. to operate a vehicle on behalf of Bethany;
  • Must pass a Motor Vehicle Records (MVR) check and maintain a reliable vehicle with proof of adequate coverage;
  • Pass a criminal history screen, including state and local child protection agency registries;
  • Subscription to and integration of the agency Statement of Faith, Mission Statement, and Commitment to Unity.

We Invest in You
  • Experience a team environment with other professionals who are motivated by faith, support one another, pursue excellence, and are in it for the long haul
  • Access to training, professional development, and career growth opportunities
  • Comprehensive health insurance (medical, dental, and vision)
  • 403(b) retirement plan with employer match eligibility
  • Generous time off (11 paid holidays, PTO YourWay, paid parental leave, separate sick and paid absence banks)
  • Access to education reimbursement for those that qualify
  • Comprehensive employee assistance and wellness program
  • Employer paid long-term disability and group term life insurance

#LI-CD1
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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