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Medicare Case Manager Jobs (NOW HIRING)

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 ...

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 ...

The Bell Minor Home

Director MDS - RN

Gainesville, GA · 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 ...

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 ...

Hillside Primary Care

Case Manager

San Antonio, TX · On-site

$60K/yr

Case Manager (Primary Care) Position Summary The Case Manager serves as a patient advocate and care ... CMS, Medicare, Medicaid, commercial payer, and organizational documentation standards. ● ...

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 ...

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 ...

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

Pembroke, MA · On-site

$20.75 - $26.75/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Abington, MA · On-site

$21.25 - $27.25/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

Forrest General Hospital

CASE MANAGER

Hattiesburg, MS · On-site

$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

Marshfield, MA · On-site

$20.75 - $26.50/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Brockton, MA · On-site

$20 - $26/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Quincy, MA · On-site

$20.25 - $26.25/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Scituate, MA · On-site

$20.75 - $26.75/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Hingham, MA · On-site

$21 - $27/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

South Shore Health

Case Manager

Hanover, MA · On-site

$21 - $27/hr

Issues the termination letter for the Medicare patient e - Reinstates insurance coverage when ... The RN Case Manager is an important resource in preventing delayed discharges of observation ...

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Medicare Case Manager information

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How much do medicare case manager jobs pay per hour?

As of Aug 12, 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 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.

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 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.

Is CMS a good career path?

A Medicare Case Manager is a healthcare professional who coordinates Medicare-related services, often requiring knowledge of insurance policies and patient advocacy. The role offers stable employment with opportunities for advancement and typically requires relevant certifications and strong communication skills. It can be a rewarding career for those interested in healthcare administration and patient support.

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.
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 August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

Case Manager

Apex Informatics

Pleasanton, CA • On-site

$22.25 - $28.75/hr

Other

Re-posted 23 days ago

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

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