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Medical Case Management Jobs (NOW HIRING)

Medical Case Manager

Las Vegas, NV · On-site

$52K - $96K/yr

You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA ...

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Medical Case Management information

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$15

$27

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How much do medical case management jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical case management in the United States is $27.89, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $31.25 per hour, depending on experience, location, and employer.

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 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.

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.

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.
More about Medical Case Management jobs
What cities are hiring for Medical Case Management jobs? Cities with the most Medical Case Management job openings:
What are the most commonly searched types of Medical Case Management jobs? The most popular types of Medical Case Management jobs are:
What states have the most Medical Case Management jobs? States with the most job openings for Medical Case Management jobs include:
Infographic showing various Medical Case Management job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 96% Full Time, and 2% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $58,003 per year, or $27.9 per hour.
Medical Case Manager

Other

Medical, Retirement

Posted 17 days ago


Job description

Description

Are you seeking a career with a growing company, a place where you can make an impact in the community?


Then Positive Impact Health Centers is the company for you!


Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes.


What makes us different? 


We offer our employees the following:

  • 1 Health Wellness day per quarter
  • Parental Leave
  • Free parking at our locations/bus line accessibility
  • Competitive Salary & Benefits
  • Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program)
  • 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents
  • Credit Union 

JOB SUMMARY: The Medical Case Manager (MCM) will provide medical case management services to eligible adult clinic patients at Positive Impact Health Centers, following applicable funding guidelines and best practice care models. The MCM will function as an integral member of an interdisciplinary team which may include the following: medical provider, behavioral health clinician, medication access specialist, clinical pharmacist, and supportive services staff (Community Health Worker, Patient Navigator, Retention/Adherence Manager).

Requirements

  •  Learn and remain current on practice issues related to HIV/AIDS, related medical diagnoses, and medical case management.
  • Provide medical case management services to identified patients of the clinic program, following medical case management guidelines established by HRSA/Ryan White and the Metropolitan Atlanta HIV Health Services Planning Council.
  • Complete bio-psychosocial assessments with new and returning patients, utilizing required screening tools established by the Metropolitan Atlanta HIV Health Services Planning Council and Ryan White/HRSA.
  • Provide medical case management services to an average caseload size of 75 patients: develop a comprehensive Individualized Service Plan (ISP);
  • Provide ongoing monitoring of ISP with each patient to assess the efficacy of the plan; coordinate services to meet goals of the service plan.
  • Perform periodic re-evaluations and revisions/adaptations of service plans.
  • Provide adherence and retention counseling to ensure patients maintain health care.
  • Identify gaps in core and supportive services, including care resources, mental health, substance abuse, housing, nutrition, and transportation
  • Coordinate referrals and follow-up for medical and non-medical services.
  • Assist and consult with interdisciplinary care team regarding patients' ongoing need for care and referrals.
  • Assist patients with applications and ongoing eligibility for medication access programs (i.e. ADAP and pharmaceutical assistance programs), as needed to support clinic staff.
  • Assist patients with social service questions and related needs.
  • Develop network of additional community resources.
  • Document patient information, activities, referrals and consultations in a timely and accurate manner, through the use of the agency's electronic medical record system and related reporting software.
  • Abide by all state, federal laws and agency policies as related to confidentiality and Health Insurance Portability and Accountability Act (HIPAA).
  • Assist the agency administration in the development of long-range plans, including goals and objectives, as directed by supervisor.
  • Abide by all agency policies and procedures, including conflict of interest policy.
  • Additional duties as assigned.

Knowledge, Skills, and Abilities

  • Strong social work, or case management skills, including the ability to obtain a comprehensive psychosocial assessment and assist adult clients with the development of an individualized service plan;
  • Excellent interpersonal skills and the ability to communicate effectively in a multi-cultural setting including target populations, volunteers, agency staff, and agency Board members;
  • Proficient computer skills for word processing, data entry, documentation, and navigation of Internet;
  • Comprehensive and up-to-date knowledge of HIV medical and case management fundamentals preferred;
  • Ability to adapt work style to accommodate both solitary and collaborative tasks;
  • Ability to function independently without close supervision;
  • Excellent time management techniques.
  • Consistent follow-through to completion of assigned tasks

Minimum Qualifications

  • Bachelor's degree in social work or related social service or healthcare discipline is required.
  • Must have a minimum of one-year experience in a social service delivery system with experience in locating, developing, and coordinating the prevision of supportive services in the community.
  • Strong computer skills needed for word processing, chart documentation, data entry, and navigation of the Internet.
  • Excellent interpersonal skills, and the ability of communicating effectively in a multi-cultural setting with target populations, volunteers and agency staff.
  • Experience in assessing and developing a care plan with patients.
  • Excellent time management and organizational skills.
  • Experience working with individuals from diverse backgrounds. Displays cultural sensitivity in all interactions with patients and staff.
  • Written and verbal fluency in Spanish is highly preferred.

License/Licensure:

Active Georgia licensure (LMSW or LCSW) for MSW candidates is preferred


Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit and talk or hear. The employee is occasionally required to walk, use hands to finger, handle, or operate computers, objects, tools, or controls and reach with hands and arms.

The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.


NOTES:

  1. Positive Impact Health Centers, Inc., is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, or covered veteran status.
  2. Recreational drugs, weapons and violence are not permitted on agency property or at any agency events or programs.
  3. The above job description represents the general nature, primary duties and responsibilities, and qualifications for the work performed by employees within this job, but is not a comprehensive and exhaustive list. Employees may be required to perform other duties as assigned, and specific duties, responsibilities, and activities within the core nature of the job may change at any time with or without notice. Employees must be able to perform the essential functions of the job, as specified by the employing entity, with or without reasonable accommodation.
  4. Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered for all jobs, if not currently employed by Positive Impact Health Centers.