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Medicaid Case Worker Jobs (NOW HIRING)

Brownhealth

Case Worker Outreach

Pawtucket, RI · On-site

... and MTT Medicaid guidelines: including updating of client database, reviewing outside ... Experience working with individuals with substance abuse, sexual abuse, and/or involvement with ...

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Medicaid Case Worker information

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$47.4K

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How much do medicaid case worker jobs pay per year?

As of Sep 6, 2026, the average yearly pay for medicaid case worker in the United States is $47,429.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $54,500.00 per year, depending on experience, location, and employer.

What is a Medicaid case worker?

A Medicaid Case Worker helps individuals and families determine their eligibility for Medicaid benefits and assists them with the application process. They review financial and personal information, explain program requirements, and ensure compliance with state and federal guidelines. Additionally, they may provide referrals to other social services and offer ongoing support to help clients maintain their benefits. Their role is essential in connecting vulnerable populations to necessary healthcare services.

What skills and qualifications are needed to be a Medicaid case worker?

To thrive as a Medicaid Case Worker, you need a solid understanding of public health policies, case management, and eligibility determination, typically supported by a degree in social work or a related field. Proficiency with case management software, Medicaid systems, and client data tools is often required. Strong interpersonal skills, empathy, attention to detail, and effective communication are essential soft skills in this position. These abilities are crucial for accurately assessing client needs, managing caseloads efficiently, and ensuring eligible individuals receive appropriate services.

What challenges might a Medicaid case worker face on the job?

Medicaid Case Workers often manage a high volume of clients, each with unique and sometimes complex needs, which can make prioritization and organization challenging. Navigating frequent changes in Medicaid regulations and policies requires ongoing learning and adaptability. Additionally, workers may encounter emotionally difficult situations while supporting clients facing significant financial or health hardships. However, these challenges are balanced by the rewarding opportunity to make a tangible impact in people's lives.

How to become a Medicaid case worker?

To become a Medicaid case worker, candidates typically need a high school diploma or equivalent, with some positions requiring a bachelor's degree in social work, healthcare, or a related field. Relevant skills include case management, knowledge of Medicaid policies, and strong communication abilities; certification or training in Medicaid programs may also be beneficial. Employment often requires background checks and may involve working in government or healthcare settings with regular hours.

What does a Medicaid case worker do?

A Medicaid case worker evaluates applicants' eligibility for Medicaid benefits, assists clients in completing necessary paperwork, and ensures they receive appropriate healthcare coverage. They also coordinate with healthcare providers and maintain case records, often working within government or social service agencies to support clients' access to healthcare services.
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Cities with the most Medicaid Case Worker job openings:

What states have the most Medicaid Case Worker jobs?

States with the most job openings for Medicaid Case Worker jobs include:

What job categories do people searching Medicaid Case Worker jobs look for?

The top searched job categories for Medicaid Case Worker jobs are:

Medicaid Case Worker jobs near you
Infographic showing various Medicaid Case Worker job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 16% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $47,429 per year, or $22.8 per hour.

Case Manager

KLEO Community Family Life Center

Chicago, IL • On-site

$26/hr

Full-time

Re-posted 12 days ago

Job description

Job Summary
The Case Manager provides person-centered, trauma-informed support to shelter residents with the goal of increasing stability, housing access, and connection to essential services. This role includes completing biopsychosocial assessments, developing service plans, coordinating care, and maintaining documentation that supports Medicaid billing requirements, in addition to shelter and funding compliance.
Key Responsibilities
Resident Engagement, Assessment & Service Planning
  • Conduct regular check-ins with assigned residents to assess needs and progress.
  • Complete intake and ongoing assessments, including biopsychosocial assessments, housing history, and functional needs.
  • Identify barriers related to mental health, substance use, medical needs, and daily functioning as they relate to service planning.
  • Collaborate with residents to develop and update individualized action plans using SMART goals.
  • Ensure service plans and case management activities are tied to identified needs and documented medical necessity when applicable.
  • Support residents in accessing housing resources, benefits (SNAP, SSI, Medicaid), employment services, healthcare, legal aid, and other community supports.
  • Provide language-accessible services for Spanish-speaking residents.

Case Documentation, Medicaid & Compliance
  • Maintain accurate, timely, and Medicaid-compliant documentation in HMIS and other required systems
  • Enter progress notes that clearly reflect:
  • Resident needs as identified in assessments.
  • Case management interventions provided.
  • Link between services, goals, and outcomes.
  • Ensure documentation meets Medicaid case management standards, audit requirements, and shelter policies.
  • Participate in case file reviews, audits, and Medicaid readiness activities with supervision.

Crisis Response & Advocacy
  • Respond to resident crises using trauma-informed and de-escalation approaches.
  • Coordinate with supervisors, crisis teams, or emergency services when needed.
  • Advocate for residents experiencing barriers related to housing, benefits, healthcare access, or legal systems.

Collaboration & Care Coordination
  • Participate in shift handoffs to ensure continuity of care and accurate documentation.
  • Coordinate services with internal teams and external providers, including behavioral health, medical, housing, and benefits partners.
  • Communicate effectively with supervisors regarding Medicaid-related documentation questions or service eligibility.

Training & Professional Development
  • Complete required HMIS, Medicaid, and documentation trainings.
  • Demonstrate understanding of medical necessity, service linkage, and documentation expectations for Medicaid billing.
  • Apply trauma-informed care, harm reduction, and Housing First principles in daily work.
  • Participate in supervision, team meetings, and ongoing learning.

Other Duties
  • Must comply with agency requirements of strict client confidentiality, professional ethics and agency policies and procedures.
  • Must participate in the following but not limited to monthly staff meetings; training (travel often required); fundraising events; community fairs; client events, outreach efforts and other events as directed by leadership.
  • All other duties as assigned.

Qualifications
Education & Experience
  • Bachelor's Degree in Social Services, or a related field preferred.
  • Minimum of 3 years of experience as a Case Manager or previous knowledge and experience in providing services to at-risk individuals or members of the homeless or migrant community.
  • Strong documentation skills, collaboration across shifts, and adaptability to resident needs.
  • Excellent organizational and communication skills, both oral and written.
  • Participation as a team player and sensitive to issues of diversity.
  • Computer knowledge of MS Office products, and email systems.
  • Ability to work independently, prioritize tasks and meet deadlines.
  • Ability to work in a fast-paced shelter setting.
  • Strong organizational, analytical, and problem-solving skills
  • English proficiency required. Bilingual (Spanish or French Creole) preferred.

General Physical Requirements
  • Exerting up to 15 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
  • Standing and walking for extended periods of time while working on-site.
  • Able to maintain regular, punctual attendance consistent with KLEO policy and procedures, the Americans with Disabilities Act (ADA), and other federal, state and local standards.
  • Able to perform the essential job functions consistent with the ADA, and other federal, state and local standards.

Available Shifts
  • 1st Shift (Non-Bilingual)
  • 2nd Shift (Bilingual)

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