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Medicaid Waiver Case Manager Jobs (NOW HIRING)

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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 Sep 2, 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.

More about Medicaid Waiver Case Manager jobs

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 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Medicaid Waiver Nurse

Golden Gate Regional Center Inc

San Francisco, CA • On-site

$63.01 - $75.61/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

Medicaid Waiver Nurse – Starting Salary Range: $63,011 - $75,613

This position determines eligibility for the Medicaid Waiver program in compliance with Federal and State regulations. It also provides training and consultation to case managers on eligibility requirements.

Responsibilities
  • Determine Medicaid Waiver eligibility for individuals supported by GGRC as required by the Department of Developmental Services (DDS) regulations, reviewing case records and collaborating with Case Managers to ensure accurate Client Development Evaluation Reports and filed Consumer Choice forms.
  • Determine Medicaid Waiver eligibility for Institutional Deeming Referrals to Medi-Cal, receive, process, and track referrals, and follow up with Case Managers.
  • Perform annual recertification reviews for persons enrolled in the Medicaid Waiver program.
  • Conduct Medicaid Waiver terminations when eligibility requirements are no longer met.
  • Distribute Medicaid Waiver documentation for data entry and filing to e‑records.
  • Review and compare State and Regional Center reports to ensure data accuracy.
  • Provide assistance during Federal and State audits and follow up on corrective action plans.
  • Inform, educate, and advise case management staff and others regarding the Medicaid Waiver program, documentation, and status changes.
  • Assist with new‑hire orientation sessions for Medicaid Waiver and ongoing training for case management staff.
  • Establish and maintain relationships with external organizations including DDS and County Health and Human Services offices to facilitate information exchange.
  • Participate in related projects and perform additional duties as assigned.
  • Maintain confidentiality of all information related to individuals supported, in compliance with HIPAA and the California Lanterman Act.
Education/Experience
  • Bachelor’s Degree in Nursing from an accredited school; Master’s Degree preferred.
  • Valid Registered Nurse License at time of hire with ability to maintain license in good standing.
  • At least 2 years of experience in a variety of hospital and/or community settings.
  • Experience with individuals with developmental disabilities and quality assurance is preferred.
  • Experience in multicultural settings and/or multilingual capacity is preferred.
Competencies
  • Strong organizational skills
  • Time management
  • Attention to detail
  • Collaboration/teamwork
  • Customer service orientation
  • Respect and cultural awareness; effective self‑management of reactions
  • Initiative and follow‑through
  • Adaptability
  • Ability to multitask with competing priorities
General Skills
  • Knowledge of principles, methods, and procedures of current nursing health practices, epidemiology, developmental assessment, and intervention; ability to recognize changes in level of care.
  • Ability to extract and analyze pertinent information from internal and external medical records and case notes.
  • Ability to interpret and apply federal, state, and county eligibility regulations and agency procedures.
  • Clear and concise communication of complex information verbally and in writing.
  • Operation of basic office equipment including scanners, copiers, faxes, phones.
  • Familiarity with MS Word, MS Excel, MS PowerPoint, MS Outlook or similar software.
  • Organizational skills; attention to detail; initiative and follow‑up.
  • Ability to identify and assist in resolving operational difficulties.
  • Build partnerships and trust through collaboration, active listening, and openness to new ideas.
  • Decisive action in a crisis situation.
  • Responsive adaptation to multiple competing priorities.
  • Use knowledge and expertise to focus on key job outcomes.
  • Demonstrate respect and cultural awareness.
  • Experience in multicultural settings and/or multilingual capacity.
Benefits to Working with GGRC

Comprehensive benefits package including Medical, Dental, Life, Disability, and Vision coverage with generous employer contributions.

10% employer contribution to a 403(b) retirement account.

Generous time‑off benefits: 13 vacation days, 15 sick days, 11 paid holidays, 6 personal holidays, and up to 5 paid days for continuing education.

Golden Gate Regional Center is an Equal Opportunity Employer.

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