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Medical Case Management Jobs in Riverside, CA (NOW HIRING)

Corvel

CA Medical Case Manager I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source * Utilizes their medical ...

Corvel

CA Medical Case Manager I

Rancho Cucamonga, CA · On-site

$30.64 - $45.80/hr

Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source * Utilizes their medical ...

Genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...

genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...

genex

Medical Nurse Case Manager (RN)

Anaheim, CA · On-site

Individual will be responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Works as an ...

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Medical Case Management information

See Riverside, CA salary details

$16

$29

$52

How much do medical case management jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for medical case management in Riverside, CA is $29.09, according to ZipRecruiter salary data. Most workers in this role earn between $22.07 and $32.60 per hour, depending on experience, location, and employer.

What is medical case management?

Medical case management is a collaborative process in which a healthcare professional, often a nurse or social worker, assesses, plans, coordinates, and monitors the medical services required for a patient. The goal is to ensure that patients receive timely, appropriate, and cost-effective care, especially those with complex or chronic conditions. Case managers work closely with patients, their families, and healthcare providers to develop and implement individualized care plans, address barriers to treatment, and facilitate communication among all parties involved.

How does a medical case manager typically collaborate with healthcare providers and insurance companies?

Medical Case Managers serve as a vital link between patients, healthcare providers, and insurance companies. On a daily basis, they coordinate care plans, communicate patient needs to physicians and specialists, and ensure that recommended treatments are covered by insurance policies. Collaboration often involves frequent meetings, preparing detailed case reports, and advocating for the best patient outcomes while adhering to cost and policy guidelines. This role requires strong interpersonal skills and the ability to navigate complex healthcare systems, making teamwork and clear communication essential for success.

What are the key skills and qualifications needed to thrive as a medical case manager, and why are they important?

To thrive as a Medical Case Manager, you need a background in nursing, social work, or a related healthcare field, often with relevant certification such as CCM (Certified Case Manager). Familiarity with case management software, electronic health records (EHR), and healthcare regulations is crucial. Outstanding communication, problem-solving, and organizational skills help you advocate for patients and coordinate care across multidisciplinary teams. These skills ensure effective patient outcomes, efficient resource use, and seamless care transitions in complex healthcare environments.

What is the difference between Medical Case Management vs Medical Social Work?

AspectMedical Case ManagementMedical Social Work
CredentialsCertifications like CCM or CMC, relevant healthcare trainingLicenses such as LCSW or LISW, social work degrees
Work EnvironmentHospitals, clinics, insurance companiesHospitals, community health agencies, social service organizations
Employer & IndustryHealthcare providers, insurance companiesHealthcare facilities, social service agencies
Primary FocusCoordinating medical care, ensuring treatment adherenceAddressing social determinants, providing emotional support

While both roles involve working within healthcare settings, Medical Case Management focuses on coordinating medical treatments and services, whereas Medical Social Work emphasizes addressing social and emotional needs of patients. Understanding these differences helps in choosing the right career path or job search focus.

Is medical case management a good career?

Medical case management is a growing healthcare field that involves coordinating patient care, often requiring strong communication, organizational skills, and relevant certifications such as the CCM. It offers opportunities in hospitals, insurance companies, and healthcare agencies, with a focus on improving patient outcomes and managing complex cases. The role typically involves regular office hours and requires knowledge of healthcare systems and policies.

What do medical case managers do?

Medical case managers coordinate patient care by assessing medical needs, developing treatment plans, and ensuring appropriate services are provided. They work with healthcare providers, insurance companies, and patients to facilitate communication and manage resources effectively, often using case management software and requiring relevant certifications. Their goal is to improve health outcomes and streamline the healthcare process.

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

Medical case managers typically need a bachelor's degree in nursing, social work, or a related healthcare field. Many employers prefer candidates with certification such as the Certified Case Manager (CCM) or Certified Disability Management Specialist (CDMS), along with strong communication and organizational skills.

What cities near Riverside, CA are hiring for Medical Case Management jobs?

Cities near Riverside, CA with the most Medical Case Management job openings:

Medical Case Management jobs near you
Infographic showing various Medical Case Management job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $60,513 per year, or $29.1 per hour.

CA Medical Case Manager I

CorVel Healthcare Corporation

Rancho Cucamonga, CA • On-site

$30.64 - $45.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in California.  

Work from home, and on the road. Monday – Friday, regular business hours.  

As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the referral source
  • Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans
  • Provides assessment, planning, implementation, and evaluation of patient’s progress
  • Evaluates patient’s treatment plan for appropriateness, medical necessity, and cost effectiveness
  • Attends doctors, other providers, home and in some cases, attorney’s visits
  • Attends hospital and/or long-term facility discharge planning conferences, etc. for the purpose of determining appropriateness of care and developing an effective long-term care strategy
  • Conducts home visit for initial evaluation
  • Implements care such as negotiating the delivery of durable medical equipment and nursing services
  • This role requires regular travel, dependent on the injured worker’s injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month 
  • This role may require overnight travel
  • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
  • Additional duties as required

KNOWLEDGE & SKILLS:

  • Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment
  • Ability to meet with the patient, their physicians, other healthcare providers, attorneys, advisors/clients, and coworkers
  • A cost containment background, such as utilization review or managed care is helpful
  • Strong interpersonal, time management, and organizational skills
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets
  • Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

  • Experience as an RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred
  • Graduate of accredited school of nursing
  • Current RN Licensure in state of operation
  • Certification as a CCM, CIRS, or other Case Management certifications preferred
  • A valid driver’s license, reliable transportation, and ability to travel to assigned locations is required 

PAY RANGE

CorVel uses a market-based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range, and these adjustments would be clarified during the offer process.

Pay Range: $30.64 - $45.80 per hour

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL – Medical Case Managers:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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