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Medicaid Manager Jobs in Rome, GA (NOW HIRING)

Primecare Home Care

RN Supervisor

Cartersville, GA · On-site

The RN plays a critical role in maintaining compliance with state regulations, Medicaid ... Ability to manage multiple priorities in a fast-paced environment. * Demonstrates professionalism ...

Primecare Home Care

Licensed Practical Nurse (LPN)

Rome, GA · On-site

$25.75 - $35/hr

Conduct required supervisory visits in clients' homes in accordance with state, Medicaid, and ... Ability to manage assigned visits efficiently and timely General Job Performance Expectations

Visiting Nurse Health System Inc

Care Manager LPN

Rome, GA · On-site

$43K - $65K/yr

Care Manager LPN - Community Care - Chattooga, Gilmer, Whitfield, Murray, Pickens and Gordon County ... Understand Medicare/Medicaid regulations and care coordination best practices * Can function ...

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All JobsMedicaid JobsMedicaid Manager JobsMedicaid Manager Jobs in Rome, GA

Medicaid Manager information

See Rome, GA salary details

$23K

$61.4K

$102.5K

How much do medicaid manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for medicaid manager in Rome, GA is $61,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $69,000.00 per year, depending on experience, location, and employer.

What are some common challenges a Medicaid Manager faces when coordinating with healthcare providers and state agencies?

Medicaid Managers often encounter challenges when aligning the diverse requirements of healthcare providers with the regulatory expectations of state agencies. Balancing compliance, timely claims processing, and communication between stakeholders can be complex, especially given frequently changing policies and high caseloads. Successful Medicaid Managers stay proactive by fostering strong relationships, staying up-to-date on policy changes, and implementing efficient workflows to minimize errors and delays. This collaborative approach is essential for ensuring quality care delivery while maintaining program integrity.

What does a Medicaid Manager do?

A Medicaid Manager oversees the administration and management of Medicaid programs within a healthcare organization or government agency. They ensure compliance with federal and state regulations, manage budgets, supervise staff, and coordinate services to ensure eligible individuals receive appropriate healthcare benefits. Their role often includes developing policies, monitoring program performance, and collaborating with other departments or agencies to improve service delivery. Medicaid Managers play a critical role in optimizing program efficiency and ensuring quality care for beneficiaries.

What is the difference between Medicaid Manager vs Medicaid Coordinator?

AspectMedicaid ManagerMedicaid Coordinator
CredentialsTypically requires a bachelor’s degree in healthcare administration, social work, or related field; certifications like Certified Medicaid Planner may be preferredOften requires similar educational background; certifications are less common but may include Medicaid-specific training
Work EnvironmentWorks in healthcare organizations, government agencies, or insurance companies overseeing Medicaid programsUsually works in healthcare facilities or community organizations assisting with Medicaid enrollment and compliance
ResponsibilitiesOversees Medicaid program operations, manages staff, ensures compliance, and develops policiesAssists clients with Medicaid applications, explains benefits, and ensures proper documentation

Medicaid Managers focus on overseeing Medicaid program operations and compliance, while Medicaid Coordinators primarily assist clients with enrollment and benefits. Both roles require similar educational backgrounds but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as a Medicaid Manager?

To thrive as a Medicaid Manager, you need expertise in healthcare administration, regulatory compliance, and Medicaid policy, often supported by a bachelor’s or master’s degree in health administration or a related field. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and relevant certifications such as Certified Professional in Healthcare Quality (CPHQ) are vital. Strong leadership, communication, and problem-solving skills help you effectively manage teams and navigate complex healthcare regulations. These skills ensure efficient program administration, regulatory adherence, and improved healthcare outcomes for Medicaid populations.
What are the most commonly searched types of Medicaid jobs in Rome, GA? The most popular types of Medicaid jobs in Rome, GA are:
What job categories do people searching Medicaid Manager jobs in Rome, GA look for? The top searched job categories for Medicaid Manager jobs in Rome, GA are:
What cities near Rome, GA are hiring for Medicaid Manager jobs? Cities near Rome, GA with the most Medicaid Manager job openings:
Medicaid Manager jobs near you
Infographic showing various Medicaid Manager job openings in Rome, GA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $61,379 per year, or $29.5 per hour.

RN Supervisor

Primecare Home Care Services

Cartersville, GA • On-site

Full-time

Re-posted 4 days ago

Job description

Job Title: Registered Nurse Supervisor
Location:
Job Type: Full-Time
Compensation & Benefits: $1,000 sign-on bonus: $500 paid upon hire and $500 paid after 90 days of employment
Position Summary
The Registered Nurse (RN) is responsible for ensuring accurate, timely, and compliant clinical documentation for adult home care services. This role includes completion and review of assessments, renewal assessments, care plan development and review, supervisory visits, and oversight of care delivery documentation.
The RN plays a critical role in maintaining compliance with state regulations, Medicaid requirements, and PrimeCare Home Care Services' policies and procedures. Working independently with minimal supervision from clinical leadership, the RN ensures clinical accuracy, patient safety, and regulatory readiness across all assigned caseloads.
Key Responsibilities
Clinical Documentation & Oversight
  • Complete and review initial assessments and renewal assessments in accordance with regulatory timelines.
  • Review and update individualized plans of care to ensure alignment with assessed needs and physician orders.
  • Review care delivery documentation for accuracy, completeness, and compliance.
  • Ensure documentation reflects client needs, service justification, and regulatory requirements.
  • Identify documentation deficiencies and provide feedback or corrective guidance as needed.
Supervisory & Clinical Responsibilities
  • Conduct required supervisory visits in clients' homes in accordance with state and Medicaid regulations.
  • Evaluate the delivery of skilled nursing and personal care services.
  • Monitor patient condition and communicate changes to appropriate clinical leadership and care team members.
  • Provide education and clinical guidance to caregivers and field staff as needed.
  • Ensure services are delivered in accordance with the approved plan of care.
Regulatory Compliance & Quality Assurance
  • Ensure compliance with all applicable state, Medicaid, and agency documentation standards.
  • Participate in internal audits, chart reviews, and quality assurance activities.
  • Assist in developing and implementing corrective action plans when deficiencies are identified.
  • Support agency readiness for surveys, audits, and regulatory reviews.
  • Maintain compliance-focused clinical practices at all times.
Qualifications
Licensure & Certifications
  • Current, unencumbered Registered Nurse (RN) license in the State of Georgia.
  • Current Basic Life Support (BLS) certification.
  • Valid driver's license with reliable transportation.
  • Current TB screening.
Experience
  • Adult home care or home health nursing experience preferred.
  • Experience completing and reviewing clinical assessments and care plans.
  • Supervisory visit experience preferred.
  • Working knowledge of Medicaid and state home care regulations preferred.
Knowledge, Skills, and Abilities
Communication
  • Ability to read, analyze, and interpret clinical documentation, regulations, and policies.
  • Strong written and verbal communication skills.
  • Ability to provide clear, professional feedback related to documentation and care delivery.
Professional & Organizational Skills
  • Highly organized, detail-oriented, and deadline-driven.
  • Strong clinical judgment and decision-making skills.
  • Self-directed with the ability to work independently.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Demonstrates professionalism, accountability, and discretion.
General Job Performance Expectations
  • Consistently meets productivity, quality, and compliance expectations.
  • Adheres to all PrimeCare Home Care Services policies, procedures, and ethical standards.
  • Demonstrates commitment to continuous quality improvement.
  • Maintains confidentiality of patient, employee, and organizational information.
  • Meets attendance, punctuality, productivity, and safety requirements.
Physical Demands
  • Frequent standing, walking, sitting, and use of hands.
  • Occasional bending, kneeling, or crouching.
  • Ability to lift up to 30 pounds using proper body mechanics.
  • Frequent use of computers and electronic documentation systems.
Work Environment
  • Combination of office-based and in-home work settings.
  • Moderate noise levels and potential interruptions.
  • May require meeting strict regulatory and documentation deadlines.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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