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Medicare Case Manager Jobs (NOW HIRING)

Case Manager

Pleasanton, CA ยท On-site

$22.25 - $28.75/hr

Job Title : Case Manager Location : Case Manager Case Manager Need candidates at the earliest ... Member relations- Medicare / medicaid / commercial Blueshield / Aetna experience is plus candidate ...

Director MDS - RN

Gainesville, GA ยท On-site

$34.50 - $41.75/hr

Conducts weekly Medicare/case management meetings to review plan of care. * Performs other tasks as assigned. * Conducts job responsibilities in accordance with the standards set out in the Company ...

Director MDS - RN

Gainesville, GA ยท On-site

$34.75 - $42/hr

Conducts weekly Medicare/case management meetings to review plan of care. * Performs other tasks as assigned. * Conducts job responsibilities in accordance with the standards set out in the Company ...

Director MDS - RN

Gainesville, GA ยท On-site

$34.50 - $41.75/hr

Conducts weekly Medicare/case management meetings to review plan of care * Performs other tasks as assigned * Conducts job responsibilities in accordance with the standards set out in the Company ...

Clinical Case Manager

Orlando, FL ยท On-site

$75K/yr

Perform case management, oversight, and coordination of care for all skilled disciplines ... Minimum 1 year of Medicare OASIS experience (required) * Excellent time management and ...

Clinical Case Manager

Orlando, FL ยท On-site

$75K/yr

Perform case management, oversight, and coordination of care for all skilled disciplines ... Minimum 1 year of Medicare OASIS experience (required) * Excellent time management and ...

Case Manager

Sherman Oaks, CA ยท On-site

$35 - $45/hr

Proficiency in medical record reviews and complex lien resolution processes (including Medicare, Medi-Cal/DHCS, ERISA, and private health plans). * Hands-on mastery of Legal Case Management Systems ...

Case Manager

Fishkill, NY ยท On-site

$20/hr

Case Manager/ Administrative Assistant Rate: $20/hour Shift: Full-Time Schedule: Days Taconic ... Complete insurance authorization clinical reviews and Notice of Medicare Non-Coverage (NOMNC ...

Case Manager - AOMC

Elmira, NY ยท On-site

$40.56 - $54.55/hr

CASE MANAGER **This is an onsite position. MAIN FUNCTION: The Case Manager coordinates, negotiates ... Prepares Medicare/Non Medicare hospital notices of no coverage (HINN) when patient's level of care ...

Case Manager - AOMC

Elmira, NY ยท On-site

$40.56 - $54.55/hr

CASE MANAGER**This is an onsite position.MAIN FUNCTION:The Case Manager coordinates, negotiates ... Prepares Medicare/Non Medicare hospital notices of no coverage (HINN) when patient's level of care ...

Case Manager - AOMC

Elmira, NY ยท On-site

$40.56 - $50.05/hr

CASE MANAGER **This is an onsite position. MAIN FUNCTION: The Case Manager coordinates, negotiates ... Prepares Medicare/Non Medicare hospital notices of no coverage (HINN) when patient's level of care ...

Case Manager - AOMC

Elmira, NY ยท On-site

$40.56 - $50.05/hr

CASE MANAGER**This is an onsite position.MAIN FUNCTION:The Case Manager coordinates, negotiates ... Prepares Medicare/Non Medicare hospital notices of no coverage (HINN) when patient's level of care ...

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Medicare Case Manager information

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How much do medicare case manager jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for medicare 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 are the key skills and qualifications needed to thrive as a Medicare case manager?

To thrive as a Medicare Case Manager, you need a background in nursing or social work, current licensure (such as RN or LCSW), and a thorough understanding of Medicare regulations and case management principles. Familiarity with case management software, electronic health records (EHR) systems, and utilization review tools is typically required. Exceptional communication, problem-solving, and organizational skills help you coordinate care, advocate for patients, and collaborate with multidisciplinary teams. These skills are crucial for ensuring patients receive appropriate, cost-effective care while maintaining compliance with Medicare guidelines.

What are the most common challenges Medicare case managers face when coordinating care for clients, and how can they effectively address them?

Medicare Case Managers often encounter challenges such as navigating complex insurance regulations, managing high caseloads, and addressing gaps in communication between healthcare providers, patients, and families. To overcome these obstacles, successful case managers stay up to date on Medicare policies, leverage electronic health records for better coordination, and employ strong interpersonal skills to advocate for clients. Regular collaboration with multidisciplinary teams and ongoing professional development also help in providing comprehensive, patient-centered care.

What is the difference between Medicare Case Manager vs Medical Social Worker?

AspectMedicare Case ManagerMedical Social Worker
CredentialsRN, LPN, or licensed healthcare professionalMaster's in Social Work (MSW) or equivalent, licensure required
Work EnvironmentHospitals, clinics, insurance companies, home healthHospitals, community clinics, patient homes, social service agencies
Employer & IndustryHealthcare providers, insurance companies, government programsHospitals, mental health facilities, social service organizations

Medicare Case Managers primarily coordinate care for Medicare beneficiaries, focusing on healthcare plans and services. Medical Social Workers provide emotional support, counseling, and connect patients to community resources. While both roles involve patient advocacy, Medicare Case Managers are more healthcare-focused, whereas Medical Social Workers address social and emotional needs.

Is Medicare Case Manager a good career path?

Medicare Case Managers coordinate healthcare services for Medicare beneficiaries, requiring knowledge of insurance policies, healthcare regulations, and strong communication skills. The role offers stable employment with opportunities for advancement and typically requires relevant certifications or experience in healthcare or social services.

What does a Medicare case manager do?

A Medicare case manager coordinates and manages care for Medicare beneficiaries, ensuring they receive appropriate services and benefits. They assess patient needs, develop care plans, communicate with healthcare providers, and help clients navigate Medicare policies and coverage options, often using case management software. Strong organizational and communication skills are essential for this role.
More about Medicare Case Manager jobs

What cities are hiring for Medicare Case Manager jobs?

Cities with the most Medicare Case Manager job openings:

What states have the most Medicare Case Manager jobs?

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

Infographic showing various Medicare 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.

Case Manager

Apex Informatics

Pleasanton, CA โ€ข On-site

$22.25 - $28.75/hr

Other

This job post hasย expired 2 days ago.ย Applications are no longer accepted.


Job description

Job Title : Case Manager
Location : Case Manager Case Manager
Need candidates at the earliest
Appeals and Grievance- 5 yrs : Member relations- Medicare / medicaid / commercial
Blueshield / Aetna experience is plus
candidate has to be in 1 hour driving distance of Pleasanton