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Medicare Case Manager Jobs (NOW HIRING)

East Ridge Nursing and Rehab

Case Manager

Miami, FL

$19.25 - $24.75/hr

The Case Manager is responsible for compliance with Medicare and Medicaid programs. Join our wonderful team today to make a difference in the lives of our Residents! QUALIFICATIONS: * MDS coordinator ...

Apex Informatics

Case Manager

Pleasanton, CA · 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 ...

Champion Care

Case Manager

Milwaukee, WI

$20 - $24/hr

Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

Champion Care

Case Manager

Milwaukee, WI · On-site

$20 - $24/hr

) Case Manager - Skilled Nursing & Post-Acute Care Managed Care | Insurance Authorization | Medicare & Medicaid $20-$24 per hour | Full-Time Are you experienced in skilled nursing case management ...

The Bell Minor Home

Director MDS - RN

Gainesville, GA · 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 ...

Tailored Management

Case Manager

Lewisville, TX · Remote

$20/hr

Case Manager Location: 100% Remote Pay: $20/hour plus paid weekly! Start Date: September 8, 2026 ... Maintain knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans and ...

The Bell Minor Home

Director MDS - RN

Gainesville, GA

$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 ...

Tailored Management

Case Manager

Lewisville, TX · Remote

$20/hr

Case Manager Location: 100% Remote Pay: $20/hour plus paid weekly! Tentative Start Date: June 29 ... Maintain expertise in payer landscapes and remain informed on reimbursement changes across Medicare ...

South Shore Health

Case Manager

Weymouth, MA

$23.25 - $30/hr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ...

AccordCare, Inc.

Clinical Case Manager

Orlando, FL · 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 ...

Activa Home Health

Clinical Case Manager

Orlando, FL · 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 ...

Forrest General Hospital

CASE MANAGER

Hattiesburg, MS

$16.75 - $21.50/hr

Issues Medicare hospital notices as indicated. * Collaborates with physician advisors, attending ... The Case Manager in the Utilization Management (UM) role is involved in utilization review ...

South Shore Health

Case Manager

Weymouth, MA

$117K - $170K/yr

The Case Manager is on-site and available seven (7) days a week as well as holidays and, therefore ... Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ...

CIBOLA GENERAL HOSPITAL CORPORATION

Case Manager

Grants, NM · On-site

$18.50 - $23.75/hr

... Medicare, Medicaid, commercial payer, and regulatory requirements. Case Management Responsibilities * Perform comprehensive patient assessments to identify clinical, psychosocial, financial, and ...

Cibola General Hospital

Case Manager

Grants, NM · On-site

$18.50 - $23.75/hr

... Medicare, Medicaid, commercial payer, and regulatory requirements. Case Management Responsibilities * Perform comprehensive patient assessments to identify clinical, psychosocial, financial, and ...

Cibola General Hospital

Case Manager

Grants, NM · On-site

$18.50 - $23.75/hr

... Medicare, Medicaid, commercial payer, and regulatory requirements. Case Management Responsibilities * Perform comprehensive patient assessments to identify clinical, psychosocial, financial, and ...

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Medicare Case Manager information

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How much do medicare case manager jobs pay per hour?

As of Jun 29, 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 does a Medicare Case Manager do?

A Medicare Case Manager is a healthcare professional who coordinates and manages care for patients enrolled in Medicare. Their main responsibilities include assessing patient needs, developing care plans, facilitating communication between healthcare providers, and ensuring that patients receive appropriate, cost-effective services. They also help patients navigate the complexities of Medicare coverage and advocate for the best possible outcomes. Case managers work in settings such as hospitals, insurance companies, and home health agencies.

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.

What is the hardest part of being a case manager?

The hardest part of being a Medicare case manager is managing complex patient needs while coordinating with multiple healthcare providers and insurance companies. It requires strong organizational skills, attention to detail, and the ability to handle emotional or stressful situations when patients face health challenges or coverage issues.

What jobs pay 10,000 a month without a degree?

A Medicare Case Manager typically earns between $3,000 and $6,000 per month, which is below $10,000. High-paying jobs that can reach $10,000 a month without a degree include roles such as real estate brokers, sales managers, commercial pilots, or skilled trades like electricians and plumbers, often requiring experience, certifications, or licenses rather than a college degree.

What are the key skills and qualifications needed to thrive as a Medicare Case Manager, and why are they important?

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 jobs pay 2000 a day?

Medicare Case Managers typically do not earn $2000 a day; their salaries are usually based on annual or hourly rates. High-paying roles in healthcare, such as specialized physicians or surgeons, can reach or exceed this daily income, especially with advanced certifications and experience. These roles often require extensive training, licensing, and work in high-demand environments.

What is a Medicare case manager?

A Medicare case manager is a healthcare professional who coordinates and manages Medicare beneficiaries' care plans, ensuring they receive appropriate services and benefits. They often work with healthcare providers, review medical records, and help patients navigate Medicare policies and coverage options.
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:
What job categories do people searching Medicare Case Manager jobs look for? The top searched job categories for Medicare Case Manager jobs are:
Medicare Case Manager jobs near you
Infographic showing various Medicare Case Manager job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 36% Full Time, 45% Part Time, 15% Contract, and 2% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.
Medicare Case Manager

Medicare Case Manager

Group Health Cooperative of Eau Claire

Altoona, WI

Full-time

Medical, Dental, Retirement, PTO

Posted 17 days ago

Job description

Position Purpose
With minimal supervision; plans, directs, and evaluates total managed care options for members and functions as part of an interdisciplinary team in accordance with established philosophy. The population of membership includes those with chronic medical conditions as well as mental health and AODA issues. Relates effectively with others for continuity of care; maintains satisfactory relations with others, maintains accurate and complete records, and upgrades policies, procedures, and skills of others within the department.
Essential Position Functions
  • Initiate and implement a managed health care plan for health plan members. Work with members through difficult situations and provide support and tools to enable them to help themselves.
  • Assess the social and emotional needs of members and work with them to develop strategies to foster their independence.
  • Advocate on behalf of the member regarding accessibility of services; reduce resource consumption, and achieve positive member outcomes.
  • Identify problems and provide the best possible solution.
  • Accurately and promptly implement solutions that assist with member education and care management programs.
  • Collaborate with co-workers and outside resources regarding continuity of care options.
  • Participate in planning changes and improvements.
  • Maintain a professional approach with the highest standard of confidentiality.
  • Cooperate and maintain good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member.
  • Maintain the standards of accurate and complete documentation and reporting.
  • Remain calm when accepting urgent requests or phone calls from others.
  • Establish referral network/linkages with outside agencies for members.
  • Attend professional workshops, seminars and in-service training.
  • Maintain up to date knowledge of all changes in relevant discipline.
  • Create a working climate that provides growth and job satisfaction to others within the department.
  • Act as liaison between GHC and homeless assistance coalitions.
  • The listing of essential and periodic functions is not to be considered an exhaustive list of all duties that may be performed.
Minimum Requirements of the Position
  • A minimum of an associate’s degree in social work, human services or nursing.
  • Active Wisconsin RN, LPN, or Social Work License required.
  • D-SNP Case Managers will require active Wisconsin Registered Nursing license.
  • Prefer candidates with work or volunteer experience in human services, patient care, or social work.
  • Must demonstrate high degree of customer service skills, including excellent verbal and written communication skills.
  • Must be able to work under pressure with strong attention to detail.
  • Ability to learn and adapt in a changing environment.
  • Ability to work with and influence a diverse population.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

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