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Medicaid Waiver Case Manager Jobs (NOW HIRING)

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MEDICAID WAIVER LIAISON - 67011565

Jacksonville, FL · Hybrid

$1.4K - $1.6K/wk

This position with APD will serve staff and management across the Agency. Your work will impact the ... Processes iConnect requests as received from Waiver Support Coordinators and/or supervisor per case ...

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33

CADI Waiver Case Manager

Burnsville, MN · On-site

$21 - $23/hr

Provide essential case management duties to clients served on the Waiver program. Work with a multidisciplinary team to assist clients receive respectful, responsive, culturally appropriate services ...

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How much do medicaid waiver case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medicaid waiver 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.

What is a Medicaid Waiver Case Manager?

Medicaid Waiver Case Managers are professionals who help individuals eligible for Medicaid Home and Community-Based Services (HCBS) waivers access and coordinate necessary services and supports. They assess client needs, develop personalized care plans, monitor service delivery, and advocate for the individual's preferences and well-being. Their primary goal is to help clients remain in their homes and communities rather than in institutional settings. Case managers also connect clients with resources such as medical care, therapies, and other community services to improve quality of life.

What skills and qualifications are needed to be a Medicaid Waiver Case Manager?

To thrive as a Medicaid Waiver Case Manager, you need a background in social work or a related field, knowledge of Medicaid regulations, and often a relevant degree or certification. Familiarity with case management software, electronic health records, and state-specific Medicaid systems is typically required. Strong communication, organization, and problem-solving skills help build trust with clients and coordinate complex care plans. These abilities are crucial for ensuring clients receive appropriate services, maintaining compliance, and achieving positive outcomes in a regulated environment.

What challenges do Medicaid Waiver Case Managers face when coordinating care?

Medicaid Waiver Case Managers often encounter challenges such as navigating complex eligibility requirements, managing large caseloads, and coordinating services across multiple providers. Additionally, they may work with clients who have diverse and sometimes urgent needs, requiring strong time management and communication skills. Building relationships with both clients and external agencies is essential to ensure effective service delivery and positive outcomes.

What is the difference between Medicaid Waiver Case Manager vs Medicaid Eligibility Specialist?

AspectMedicaid Waiver Case ManagerMedicaid Eligibility Specialist
CredentialsTypically requires a social work, nursing, or related certification; state-specific licensing may be neededUsually requires a background in social services or healthcare; certifications vary by state
Work EnvironmentCommunity-based, assisting clients with long-term care plans and service coordinationOffice setting, reviewing applications and determining eligibility
Employer & IndustryState Medicaid agencies, healthcare providers, community organizationsState Medicaid offices, government agencies, healthcare organizations

Medicaid Waiver Case Managers focus on coordinating services for clients enrolled in Medicaid waiver programs, often working directly with clients in community settings. Medicaid Eligibility Specialists primarily evaluate and determine Medicaid eligibility through application review in office environments. Both roles require knowledge of Medicaid policies but serve different functions within the healthcare and social services industry.

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What cities are hiring for Medicaid Waiver Case Manager jobs?

Cities with the most Medicaid Waiver Case Manager job openings:

What states have the most Medicaid Waiver Case Manager jobs?

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

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

The top searched job categories for Medicaid Waiver Case Manager jobs are:

Medicaid Waiver Case Manager jobs near you
Infographic showing various Medicaid Waiver Case Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Medicaid Waiver Case Manager

South Alabama Regional Planning Commission

Mobile, AL • On-site

$20 - $25.75/hr

Full-time

Posted 12 days ago

Job description

SUMMARY DESCRIPTION:

The Medicaid Waiver Case Manager is responsible for implementation of the Medicaid Waiver Home and Community-based Services Program within the SARPC area following specific requirements as set out in Medicaid Waiver guidelines.


SUPERVISORY CONTROLS:

Receives general instructions from the Medicaid Waiver Team Lead. Supervisor sets limitations, quality and quantity expected, deadlines and priorities; employee uses initiative in carrying out assignments; and work is checked for technical accuracy.


RESPONSIBILITIES AND DUTIES:
1. Establish referral sources by disseminating information to organizations, agencies, and individuals. Receive and respond to verbal and written referrals of eligible Medicaid recipients in order to obtain information on potential Medicaid clients and to provide information to referral sources.
2. Conduct and prepare on-site assessments on potential clients in order to enroll them in the Medicaid Waiver Program. Submit completed forms to the appropriate state agency and follows up on status of the same in order to fill the number of slots allowed by the Alabama Medicaid Agency in a timely manner.
3. Authorize contractors to initiate services after receiving notification of approval from Alabama Medicaid Agency, and forward appropriate copies of assessments, care plans, and service authorization forms to the respective contractors. Visit contractors' offices and exchanges information with appropriate personnel to ensure that the contractors are operating as outlined in guidelines.
4. Develop, monitor, and revise client's care plan in coordination with client/caregiver to fit the needs of the client. Conduct monthly visits to clients' homes and evaluate the services being provided by the Medicaid Waiver Program to ensure the services are appropriate, adequate, and of acceptable quality. Prepare case notes of visits and evaluations for documentation to be placed in case files.
5. Check monthly billings submitted by contractors for services rendered to clients in order to determine that the billing is accurate and the claims are in conformity with the clients' Care Plans. Monitor the cost effectiveness of Waiver services for each client.
6. Conduct yearly redetermination assessments on clients as outlined in Medicaid Waiver guidelines and completes HCBS forms in order to meet requirements prescribed by the Alabama Medicaid Agency.
7. Compose and maintain the following reports as necessary: HCBS Program Case Management Activity Record and Case Managers Daily Time Logs.
8. Exchange information with Medicaid Waiver clerical staff through written and verbal communication in order to assign work and follow up on tasks.


KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
1. Knowledge of social work programs and processes.
2. Knowledge of community resources and support network available to clientele served.
3. Excellent communications skills, both orally and written.
4. Ability to relate to the elderly and their unique problems.
5. Knowledge and ability to write and print legibly.
6. Knowledge and ability to operate office equipment including telephone, copy machine, fax
machine, computer, and calculator.
7. Knowledge and ability to do basic arithmetic.
8. Ability to read and interpret guidelines and regulations and apply them to the job.
9. Completion of initial case manager's training within three (3) months of employment.
10. Bachelor's Degree from an accredited four-year college or university in Social Work, Behavioral
Sciences, Psychology, Geriatric Studies, or a related field. At least three (3) months of work
experience in a social work or related program.
11. A valid driver's license and a good driving record.


WORK CONDITIONS:
The work requires some physical exertion such as long periods of standing; walking over rough, uneven,
or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities;
recurring lifting of moderately heavy items such as record boxes. This position requires driving on a
regular basis.


SUPERVISORY RESPONSIBILITIES:

None

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