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Medicaid Case Manager Jobs in Reston, VA (NOW HIRING)

SF Case Manager Reston/Herndon

Reston, VA · On-site

$20.75 - $26.75/hr

Vision insurance Service Facilitator (SF) Case Manager MUST live in VA Daily local travel to client ... You'll spend your days connecting with families, helping them navigate Virginia's Medicaid Waiver ...

Support Planner

Rockville, MD · On-site

$60K - $65K/hr

Case Manager- Support Planner Job Type: Full Time Work Schedule: 8:00am- 5:00pm, Monday through ... Coordinate HCBS, Medicaid Waiver, and community-based services * Serve as a client advocate to ...

JSS Hospice is looking for full time Primary Nurses/Case Managers to provide our Montgomery County ... Have sufficient knowledge of third-party reimbursement, especially Medicare/Medicaid, to interpret ...

Showing results 21-40

Medicaid Case Manager information

See Reston, VA salary details

$14

$23

$34

How much do medicaid case manager jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medicaid case manager in Reston, VA is $23.88, according to ZipRecruiter salary data. Most workers in this role earn between $20.00 and $25.77 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 Reston, VA? For Medicaid Case Manager jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Medicaid Case Manager jobs in Reston, VA look for? The top searched job categories for Medicaid Case Manager jobs in Reston, VA are:
What cities near Reston, VA are hiring for Medicaid Case Manager jobs? Cities near Reston, VA with the most Medicaid Case Manager job openings:
Infographic showing various Medicaid Case Manager job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 15% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $49,670 per year, or $23.9 per hour.

Case Manager Nurse - Full Time/Part Time - Home Care

Five Stars Care LLC

Fairfax, VA • On-site

$50 - $100/hr

Full-time

Re-posted 3 days ago


Job description

Job Summary
We are seeking a dedicated and compassionate Registered Nurse (RN)/Case Manager Nurse to join our growing home care team. This full-time/part time RN position focuses on completing client assessments and reassessments to ensure high-quality, individualized care for patients in the Northern Virginia communities.
Responsibilities 
  • Conduct initial client assessments and routine reassessments in client home settings
  • Conduct hospital discharge assessments in client home settings
  • Develop and update individualized care plans
  • Ensure compliance with care standards
Qualifications
  •  Must hold a current, unrestricted Registered Nurse (RN) license in the Commonwealth of Virginia
  • Must have experience conducting in-home clinical assessments and completing Medicaid DMAS Forms 97, 98, 99, and 100
  • Ability to work independently
Benefits
  • Flexible Scheduling
  • Competitive Compensation
  • Paid mileage for eligible travel