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Medicaid Case Manager Jobs (NOW HIRING)

VBS Primary Care

Case Manager

Columbus, OH · On-site

$19.25 - $24.75/hr

Ensure compliance with Ohio Medicaid, agency policies, and ethical standards Qualifications ... Case Management experience in behavioral health, mental health, or social services (preferred)

VBS Primary Care

Case Manager

Columbus, OH · On-site

$19.25 - $24.75/hr

Ensure compliance with Ohio Medicaid, agency policies, and ethical standards Qualifications ... Case Management experience in behavioral health, mental health, or social services (preferred)

Allure HCS

Medicaid specialist assistant

Niles, IL

$40K - $50K/yr

File and manage LTC Medicaid applications * Monitor eligibility and case progress * Track and comply with all deadlines for appeals, backdating, and reopened cases * Communicate directly with ...

Allure HCS

IL

$40K - $50K/yr

File and manage LTC Medicaid applications * Monitor eligibility and case progress * Track and comply with all deadlines for appeals, backdating, and reopened cases * Communicate directly with ...

Allure of Knox County

IL

$40K - $50K/yr

File and manage LTC Medicaid applications * Monitor eligibility and case progress * Track and comply with all deadlines for appeals, backdating, and reopened cases * Communicate directly with ...

Allure HCS

IL

$40K - $50K/yr

File and manage LTC Medicaid applications * Monitor eligibility and case progress * Track and comply with all deadlines for appeals, backdating, and reopened cases * Communicate directly with ...

Allure HCS

IL

$40K - $50K/yr

File and manage LTC Medicaid applications * Monitor eligibility and case progress * Track and comply with all deadlines for appeals, backdating, and reopened cases * Communicate directly with ...

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Medicaid Case Manager information

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How much do medicaid case manager jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medicaid case manager in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

What are Medicaid Case Managers?

Medicaid Case Managers are professionals who help individuals navigate the Medicaid system to ensure they receive appropriate healthcare services and benefits. They assess clients' needs, coordinate care plans, and connect them with medical providers, social services, and community resources. Their goal is to improve health outcomes by advocating for clients and helping them overcome barriers to care. Medicaid Case Managers often work with vulnerable populations, including the elderly, people with disabilities, and low-income families.

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

To thrive as a Medicaid Case Manager, you need a background in social work, nursing, or a related field, along with strong knowledge of Medicaid policies and case management practices. Familiarity with case management software, electronic health records, and sometimes state-specific certification or licensure is typically required. Outstanding communication, problem-solving, and organizational skills help you effectively advocate for clients and coordinate care among various providers. These skills are essential for ensuring clients receive appropriate services, improving health outcomes, and maintaining compliance with Medicaid regulations.

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

AspectMedicaid Case ManagerMedical Social Worker
CredentialsTypically requires a bachelor’s degree in social work, healthcare, or related field; certification may be preferredRequires a master's degree in social work (MSW) and licensure
Work EnvironmentHealthcare facilities, community agencies, Medicaid programsHospitals, clinics, mental health facilities, community agencies
Employer & IndustryGovernment Medicaid agencies, healthcare providersHospitals, healthcare organizations, social service agencies

Medicaid Case Managers focus on coordinating Medicaid services and ensuring clients access benefits, often with a bachelor’s degree. Medical Social Workers provide broader psychosocial support, require a master's degree, and handle complex emotional and social issues. Both roles work in healthcare settings but differ in scope and qualifications.

What are some common challenges Medicaid Case Managers face when coordinating care for clients?

Medicaid Case Managers often navigate complex situations, such as balancing high caseloads, addressing diverse client needs, and overcoming barriers related to social determinants of health. They may encounter challenges in coordinating services across multiple providers and ensuring clients have access to the necessary resources. Effective communication, strong organizational skills, and adaptability are essential to manage these challenges and provide comprehensive support to clients. Team collaboration and ongoing professional development also help case managers stay updated on policy changes and best practices.
More about Medicaid Case Manager jobs
What cities are hiring for Medicaid Case Manager jobs? Cities with the most Medicaid Case Manager job openings:
What states have the most Medicaid Case Manager jobs? States with the most job openings for Medicaid Case Manager jobs include:
What job categories do people searching Medicaid Case Manager jobs look for? The top searched job categories for Medicaid Case Manager jobs are:
Medicaid Case Manager jobs near you
Infographic showing various Medicaid Case Manager job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 51% Full Time, and 47% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Case Manager

reNEST Recovery Support Service, LLC

Rockford, IL • On-site

$20 - $25.75/hr

Full-time

Posted 14 days ago

Job description

Salary: Varies

Position Summary

The Case Manager provides individualized, trauma-informed, and person-centered services designed to promote recovery, stability, and independence for individuals experiencing substance use and/or mental health challenges. The Case Manager coordinates care, advocates for client needs, and assists in accessing community resources in alignment with Illinois Medicaid, SUPR, and ASAM 4th Edition guidelines.

Essential Duties and Responsibilities

  • Conduct comprehensive intake and needs assessments to identify client strengths, barriers, and service priorities.
  • Develop, implement, and monitor individualized case management or recovery support plans.
  • Provide linkage, referral, and coordination to community resources, including housing, employment, medical care, transportation, and social services.
  • Support clients in obtaining and maintaining public benefits (e.g., SNAP, Medicaid, SSI/SSDI).
  • Facilitate and document care coordination among multidisciplinary teams (counselors, peer specialists, prescribers, and outside providers).
  • Provide crisis intervention, advocacy, and supportive counseling within scope of practice.
  • Maintain accurate, timely documentation in compliance with Medicaid and SUPR billing standards (e.g., T1016, T1017, H0006).
  • Participate in case staffings, supervision, and quality assurance activities.
  • Educate clients on self-advocacy, health literacy, and relapse prevention supports.
  • Maintain strict confidentiality under HIPAA and 42 CFR Part 2.
  • Promote recovery principles: hope, choice, empowerment, and connection.

Minimum Qualifications

  • Bachelors degree preferably in social work, psychology, human services, or related field preferred.
  • Minimum of one (1) year of experience in behavioral health, recovery support, or social service coordination.
  • Knowledge of SUPR and Medicaid case management standards.
  • Must possess strong organizational and interpersonal skills.
  • Valid Illinois drivers license and reliable transportation required for community visits.
  • Must pass background check per Illinois DHS and agency policy.

Knowledge, Skills, and Abilities

  • Familiarity with trauma-informed, strengths-based, and recovery-oriented care.
  • Working knowledge of Illinois community and state resources.
  • Excellent verbal and written communication.
  • Ability to manage multiple cases, prioritize needs, and meet documentation timelines.
  • Proficient in basic computer and electronic health record (EHR) systems.
  • Demonstrated empathy, professionalism, and cultural competence.

Preferred Qualifications

  • Qualified as a QMHP, MHP, or RS-CADC under Illinois Medicaid standards.
  • Experience in SUPR-licensed programs, housing navigation, or reentry case management.
  • Knowledge of ASAM criteria, harm-reduction, and motivational interviewing.
  • Bilingual (English/Spanish or English/ASL) preferred.

Physical and Working Conditions

  • Work performed in office, field, and home-based settings.
  • Requires regular travel within service area.
  • Occasional evening or weekend hours may be required.
  • Ability to lift up to 25 lbs.

Compensation

  • Competitive pay commensurate with experience and credentials.
  • Benefits may include supervision, training, and continuing education reimbursement.