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Medicaid Case Manager Jobs (NOW HIRING)

Allure HCS

IL · On-site

$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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East Ridge Nursing and Rehab

Case Manager

Miami, FL

$19.25 - $24.75/hr

The Case Manager is responsible for compliance with Medicare and Medicaid programs. Join our wonderful team today to make a difference in the lives of our Residents! QUALIFICATIONS: * MDS coordinator ...

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East Ridge Nursing and Rehab

Case Manager

Miami, FL

$19.25 - $24.75/hr

The Case Manager is responsible for compliance with Medicare and Medicaid programs. Join our wonderful team today to make a difference in the lives of our Residents! QUALIFICATIONS: * MDS coordinator ...

DHVAJ

Case Manager

Louisville, KY · On-site

$19.25 - $24.75/hr

Knowledge of Kentucky Medicaid Targeted Case Management guidelines preferred. * Strong ... communication, organizational, and documentation skills. * Ability to work independently and ...

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Dhvaj

Case Manager

Louisville, KY · On-site

$19.25 - $24.75/hr

Knowledge of Kentucky Medicaid Targeted Case Management guidelines preferred. * Strong ... communication, organizational, and documentation skills. * Ability to work independently and ...

Apex Informatics

Case Manager

Pleasanton, CA · On-site

$22.25 - $28.75/hr

Job Title : Case Manager Location : Case Manager Case Manager Need candidates at the earliest ... Member relations- Medicare / medicaid / commercial Blueshield / Aetna experience is plus candidate ...

Dhvaj

Case Manager

Louisville, KY

$19.25 - $24.75/hr

Knowledge of Kentucky Medicaid Targeted Case Management guidelines preferred. * Strong ... communication, organizational, and documentation skills. * Ability to work independently and ...

Champion Care

Case Manager

Milwaukee, WI

$20 - $24/hr

Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

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Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

) Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

Hilton East

CASE MANAGER

Hilton, NY · On-site

$25 - $28/hr

The Case Manager must have knowledge of Medicaid programs and Social Security benefits to assist residents and families with available resources and eligibility guidance. Requirements: * Bachelor ...

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Glass City Behavioral Healthcare Inc

Case Manager

Toledo, OH · On-site

$18.25 - $23.50/hr

Keep accurate and Medicaid documentation. Complete group therapy Other duties assigned. Summary As a Case Manager, you will be at the forefront of providing crucial support and guidance to ...

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University of New Mexico

Case Manager

Albuquerque, NM

$19.50 - $25/hr

Strong knowledge of New Mexico Medicaid regulations, prior authorizations, and insurance navigation ... Case management for this population requires coordination with Medicaid programs, specialty ...

Allure Specialty Pharmacy

Case Manager

Bronx, NY

$21 - $27/hr

The Care Manager (CM) works with Medicaid Health Home clients with complex healthcare needs, and ... Responsibilities • Responsible for the overall caseload management and case management team ...

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Allure Specialty Pharmacy

Case Manager

Bronx, NY

$21 - $27/hr

The Care Manager (CM) works with Medicaid Health Home clients with complex healthcare needs, and ... Case conference with a primary care physician and/or specialists and other care team members ...

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Allure Specialty Pharmacy

Case Manager

Bronx, NY

$21 - $27/hr

The Care Manager (CM) works with Medicaid Health Home clients with complex healthcare needs, and ... Responsibilities • Responsible for the overall caseload management and case management team ...

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All JobsMedicaid Case Manager Jobs

Medicaid Case Manager information

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How much do medicaid case manager jobs pay per hour?

As of Jul 5, 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.

How much does a Medicaid case manager make?

Medicaid case managers typically earn between $40,000 and $60,000 annually, depending on experience, location, and employer. Salaries can vary based on certifications, workload, and whether they work in government or private healthcare settings.

What qualifications do you need to be a medical case manager?

To become a Medicaid case manager, candidates typically need a bachelor's degree in social work, nursing, or a related field, along with relevant experience in healthcare or social services. Certification such as the Certified Case Manager (CCM) or Medicaid-specific training can enhance job prospects, and strong communication and organizational skills are essential for managing client needs effectively.

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.

How to become a case manager for Medicaid?

To become a Medicaid case manager, candidates typically need a relevant bachelor's degree such as social work, nursing, or healthcare administration. Certification as a case manager, such as the Certified Case Manager (CCM), can enhance job prospects, and experience in healthcare or social services is often required. Strong communication, organizational skills, and knowledge of Medicaid policies are also important for success in this role.

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 highest paid case manager?

The highest paid Medicaid case managers are often those with extensive experience, advanced certifications, or working in high-cost regions. Senior-level case managers or those in managerial or specialized roles can earn salaries exceeding $70,000 annually, with some reaching over $90,000 depending on location and employer. Salary potential increases with additional training in healthcare management or social work.

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 35% Full Time, 62% Part Time, and 3% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Medicaid specialist assistant Rock Island County

Allure HCS

IL • On-site

$40K - $50K/yr

Part-time

Posted 13 days ago

Be an early applicant

Job description

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week)

Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred

We are seeking a highly experienced Medicaid professional with direct, verifiable, hands-on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases.

This is NOT an entry-level position.
General Medicaid knowledge alone is NOT sufficient.

Out-of-state Medicaid experience will be reviewed; however, Illinois Medicaid experience is strongly preferred, as each state operates independently with different systems, policies, and procedural requirements.

MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTS

The candidate must have verifiable, direct experience with:

  • Filing Long-Term Care Medicaid applications

  • Managing cases from initial filing through approval

  • Working directly with Medicaid caseworkers to resolve pending issues

  • Handling OIG-related matters

  • Preparing and managing appeals, including participation in administrative hearings

  • Reopening denied cases and understanding procedural requirements

  • Managing strict filing deadlines and timely submission requirements

  • Tracking deadlines related to:

    • Backdating coverage

    • Appeals filings

    • Reconsiderations and reopening denied cases

Strong Preference Given To Candidates With Illinois Experience Including:

  • Filing applications through the ABE (Application for Benefits Eligibility) system

  • Using the MEDI system to verify eligibility and monitor case status

  • Working knowledge of the Illinois Medicaid Policy Manual

  • Experience with Illinois Long-Term Care billing practices and reimbursement timelines

Illinois experience must be clearly reflected on your resume and will be verified.

Preferred Additional Experience

  • Experience using PointClickCare (PCC) software

  • Experience working within a long-term care facility environment

  • Understanding how Medicaid eligibility impacts facility billing cycles

Key Responsibilities

  • 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 Medicaid caseworkers to secure timely approvals

  • Communicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending cases

  • Prepare documentation for OIG cases and appeals

  • Ensure approvals are obtained timely to protect reimbursement

Excellent written and verbal communication skills are required.

Work Environment & Candidate Profile

This role offers excellent guidance and strong team support from management and coworkers. Collaboration is valued, and you will be part of a supportive team environment.

However, the ideal candidate must:

  • Be self-motivated and able to work independently

  • Be highly detail-oriented and deadline-driven

  • Think critically and act quickly

  • Work well with others

  • Be adaptable and able to accept and tolerate procedural or policy changes

  • Maintain professionalism in a fast-paced, evolving regulatory environment

Position Details

  • Part-Time: 24-28 hours per week

  • Compensation based on verified experience

  • Independent role within a collaborative team

  • Salary $40,000-$50,000 a year pending experience