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Medicaid Case Manager Jobs in Raleigh, NC (NOW HIRING)

Resources for Seniors, Inc.

Case Manager

Raleigh, NC · On-site

$44K/yr

The Case Manager, under the supervision of the Director, conducts support for the Medicaid Home Community-Base Services (HCBS), for a cost-effective alternative to institutionalization for ...

McKesson Corporation

Reimbursement Case Manager

Cary, NC · On-site

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support ... Contact commercial, Medicare, Medicaid, and other payers to verify patient eligibility, benefits ...

Duke University

Medicaid Eligibility Analyst

Durham, NC · Hybrid

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

Duke Health

Medicaid Eligibility Analyst

Durham, NC · On-site +1

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

Duke University

Medicaid Eligibility Analyst

Durham, NC · On-site

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

Duke Health

Medicaid Eligibility Analyst

Durham, NC · On-site

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

Dukehealth.org

Medicaid Eligibility Analyst

Durham, NC · On-site

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

Duke University

Medicaid Eligibility Analyst

Durham, NC · On-site

... case managers/social workers, co-workers, supervisors, and representatives at Department of Social Services/Department of Disability Services. Shares own ideas/viewpoint in a compelling manner and ...

New Hope

CASE MANAGER BUTNER, NC

Butner, NC

$16.50 - $21.50/hr

... The Case Manager is responsible for coordinating, monitoring, and documenting individualized ... licensing standards, Medicaid requirements (if applicable), and organizational policies.

New Hope

CASE MANAGER BUTNER, NC

Butner, NC · On-site

$16.50 - $21.50/hr

... The Case Manager is responsible for coordinating, monitoring, and documenting individualized ... licensing standards, Medicaid requirements (if applicable), and organizational policies.

Speaks Law Firm

Case Manager/ Paralegal - Personal Injury

Raleigh, NC · On-site

$50K - $68K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

S peaks Law Firm is seeking an experienced high volume Personal Injury Case Manager (Paralegal) to ... Familiarity with Medicare, Medicaid, and other health insurance portals Qualifications Required:

Speaks Law Firm

Case Manager/ Paralegal - Personal Injury

Raleigh, NC · On-site

$50K - $68K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

S peaks Law Firm is seeking an experienced high volume Personal Injury Case Manager (Paralegal) to ... Familiarity with Medicare, Medicaid, and other health insurance portals Qualifications Required:

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All JobsMedicaid Case JobsMedicaid Case Manager JobsMedicaid Case Manager Jobs in Raleigh, NC

Medicaid Case Manager information

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How much do medicaid case manager jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for medicaid case manager in Raleigh, NC is $22.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $24.09 per hour, depending on experience, location, and employer.

How much do Medicaid case managers make?

Medicaid case managers typically earn between $40,000 and $65,000 annually, depending on experience, location, and employer. They often require knowledge of healthcare policies and case management software, with some positions offering additional benefits or certifications.

What qualifications do you need to be a Medicaid Case Manager?

To become a Medicaid Case Manager, candidates typically need a high school diploma or equivalent, with many roles requiring a bachelor's degree in social work, nursing, or a related field. Relevant experience in healthcare, social services, or case management, along with strong communication and organizational skills, is often required; some positions may also require certification in case management or Medicaid-specific training.

What is a Medicaid Case Manager?

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.

What are popular job titles related to Medicaid Case Manager jobs in Raleigh, NC?

For Medicaid Case Manager jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medicaid Case Manager jobs in Raleigh, NC look for?

The top searched job categories for Medicaid Case Manager jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicaid Case Manager jobs?

Cities near Raleigh, NC with the most Medicaid Case Manager job openings:

Medicaid Case Manager jobs near you
Infographic showing various Medicaid Case Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $46,410 per year, or $22.3 per hour.

Case Manager

Resources for Seniors, Inc.

Raleigh, NC • On-site

$44K/yr

Full-time

Re-posted 18 days ago

Job description

Resources for Seniors, Inc. is seeking candidates for a Case Manager in the Homecare department at the Main Office. The Case Manager, under the supervision of the Director, conducts support for the Medicaid Home Community-Base Services (HCBS), for a cost-effective alternative to institutionalization for beneficiaries.
Essential Functions:
  • Conducts telephone needs assessments for public and corporate callers at the time of initial contact with the agency;
  • Conducts in-home needs assessments for individuals who meet the established criteria for eligibility for Case Management services;
  • Collects and records identifying beneficiary’s information and service data as required;
  • Arranges for available human services as indicated and monitors the implementation and continuation of same;
  • Performs all necessary monitoring activities to ascertain the delivery of planned services and their effectiveness within the service plan;
  • Performs follow-up activities to determine continuation of achieved results and determines remedial steps if required;
  • Acts as an advocate for disabled and older adult throughout the service delivery system;
  • Participates in regular staffing of caseload to review and assess beneficiaries progress;
  • Provides support to caregivers through consultation, seminar presentations and support group facilitation as requested;
  • Coordinates activities with other department and agency staff to ensure a cohesive system of service delivery;
  • Maintains all records as per established funding source, agency and department procedures;
  • Performs related duties as required, and other duties as requested.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee, with or without reasonable accommodations, to successfully perform the essential functions of this job.
  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; sit for long periods of time; use hands to finger, handle or feel; and reach with hands and arms;
  • This position requires the ability to occasionally lift office products, supplies, and move equipment up to 50 pounds.
Work Environment:
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Knowledge, Skills amp; Abilities:
  • Knowledge of the aging process and the needs of disabled and older adults;
  • Knowledge of the resources available to meet the needs and of the methods used to access, arrange and maintain the successful delivery of services;
  • Demonstrate skill in problem assessment, person center goals, in service planning, monitoring and coordination and in conduction of initial, on-going and follow-up interviews;
  • Demonstrate ability to work cooperatively with a variety of individuals and organizations; to work independently and meet deadlines and coordinate numerous projects;
  • Supports the Mission, Value and Vision of RESOURCES FOR SENIORS;
  • Adhere to all policies and procedures as defined by RESOURCES FOR SENIORS;
  • Maintain confidentiality at all times according to agency’s policy and procedures and HIPAA requirements;
  • Maintain organized documentation of work activities, prepare and interpret reports.
Training and Experience:
  • Bachelor’s degree in Social Work or related human service field;
  • Equivalent of one-year experience in the provision of direct services, preferably in the field of aging, as a student or in a paid capacity; or equivalent work and experience.
The position is a full time, benefits eligible, exempt position with working hours of 8:00am-5:00pm, Monday-Friday. Qualified applicants should submit their updated resume along with a cover letter to Laura Mozer, HR Manager
by fax to 919-872-6683 or email.
RFS is an E.O.E. M/F/D/O/V

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