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

Luminis Health

Case Manager (RN)

Lanham, MD · On-site

The Case Manager works under the direction of the clinical director of care management, providing ... review for Medicare, Medicaid and commercial insurers. Essential Job Duties: Reasonable ...

Luminis Health

Case Manager (RN)

Lanham, MD · On-site

The Case Manager works under the direction of the clinical director of care management, providing ... review for Medicare, Medicaid and commercial insurers. Essential Job Duties: Reasonable ...

Luminis Health

Case Manager (RN)

Lanham, MD · On-site

$35 - $50/hr

The Case Manager works under the direction of the clinical director of care management, providing ... review for Medicare, Medicaid and commercial insurers. Essential Job Duties: Reasonable ...

Luminis Health

Case Manager (RN)

Lanham, MD · On-site

$35 - $50/hr

The Case Manager works under the direction of the clinical director of care management, providing ... review for Medicare, Medicaid and commercial insurers. Essential Job Duties: Reasonable ...

JSSA

Hospice - RN Case Manager

Rockville, MD · On-site

$90K/yr

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 ...

SPINX Company

Hospice - RN Case Manager

Rockville, MD · On-site

$90K/yr

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 ...

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All JobsMedicaid Case JobsMedicaid Case Manager JobsMedicaid Case Manager Jobs in Reston, VA

Medicaid Case Manager information

See Reston, VA salary details

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How much do medicaid case manager jobs pay per hour?

As of Aug 10, 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:
Medicaid Case Manager jobs near you
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.

LMSW Case Manager, Social Work- In Patient II Arlington, VA Virginia Hospital (40hrs.)

Kaiser Permanente

Arlington, VA • On-site

$42.20/hr

Full-time

Medical, Life

Posted 14 days ago

Job description

This role is eligible for $7,500 sign on bonus. 
Job Summary:

For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life.


Essential Responsibilities:
  • Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
  • Effectively manages and coordinates assigned caseload consistent with established criteria. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
  • In close collaboration with the nurse case manager and other members of the health care team, develops and monitors a plan of care designed to promote the members optimal level of functioning and enhance the quality of life.
  • Identifies, facilitates, and advocates appropriate organizational and community resources to meet the plan of care and ensures that they are implemented for in a cost effective, efficient, and timely manner.
  • Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
  • Analyzes patient and program outcomes to identify improvements in program, quality, and cost effectiveness of case management activities.
  • Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, and Disability) and/or refers to appropriate community agencies in cases of suspected patient abuse/neglect when identified.
  • Provides supportive counseling and education to members, families and caregivers, members of the health care team, health plan staff, and the community, including end-of-life issues and Advanced Directives.
  • Promotes self-awareness and knowledge of current case management standards in the community and recent innovations in patient care. Maintains current knowledge of laws, regulations, and policies relating to the practice of social work in the local market/local agencies and maintains high social work standards as defined by the NASW Code of Ethics.
  • Scheduling and coordinating family meetings as needed.
  • Completing guardianship paperwork and providing technology assistance so that patients/family can virtually attend court proceedings, as needed.
  • INPATIENT ONLY - Completion of Uniform Assessment Instruments (UAIS) form for long-term care (Virginia Medicaid requirement only).
  • Performs other related duties as assigned.

Basic Qualifications:
Experience

  • Minimum one (1) years of clinical social work experience in a health care setting required.
Education

  • Masters degree in social work (MSW) required.
License, Certification, Registration
  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  • Licensed Independent Social Worker (District of Columbia) within 6 months of hire OR Licensed Graduate Social Worker (District of Columbia) within 6 months of hire
  • Licensed Master Social Worker (Maryland) within 6 months of hire
  • Licensed Master's Social Worker (Virginia) within 6 months of hire

Additional Requirements:
  • N/A
Preferred Qualifications:

  • Experience with computer software programs in a Windows environment preferred.
  • Knowledge of community systems and resources in the defined service area preferred.
  • Knowledge of regulatory issues for the Mid-Atlantic area preferred.

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