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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 · 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 ...

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 ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$18.25 - $23.50/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$18.25 - $23.50/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$36.13 - $45.41/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

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 ...

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

$34.50 - $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 ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$18.25 - $23.50/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$36.13 - $45.41/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$36.13 - $45.41/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$36.13 - $45.41/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$36.13 - $45.41/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$18.25 - $23.50/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

H. Lee Moffitt Cancer Center

CASE MANAGER

Tampa, FL · On-site

$18.25 - $23.50/hr

The Case manager coordinates the care and service of selected patient populations across the ... Computer literate, Knowledge of cost accounting and financial data analysis, Medicare and Medicaid ...

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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 9, 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 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.
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 May 2026, with employment types broken down into 50% Full Time, 47% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.

MDS Coordinator- Medicare Case Management

South Ogden Post Acute

Ogden, UT • On-site

$33.50 - $42.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Job Title: RN MDS Coordinator - Skilled Nursing / Medicare Case Management
Facility: South Ogden Post-Acute
Location: South Ogden, UT
Position: Full-Time
Position Overview
South Ogden Post-Acute is seeking an experienced Registered Nurse (RN) MDS Coordinator to join our clinical leadership team.
This role is responsible for overseeing the MDS 3.0 assessment process, Medicare case management, care planning coordination, and regulatory compliance within the facility. The MDS Coordinator works closely with nursing leadership and the interdisciplinary team to ensure accurate assessments, appropriate reimbursement, and high-quality resident care.
At South Ogden Post-Acute, we are committed to a people-first culture guided by our core values:
Lead with integrity. Empower people. Deliver outcomes.
About South Ogden Post-Acute
South Ogden Post-Acute is a skilled nursing and rehabilitation facility focused on helping residents achieve the highest possible level of independence and quality of life. Our team emphasizes clinical excellence, regulatory compliance, and compassionate resident-centered care.
Key Responsibilities
  • Oversee and manage the MDS 3.0 assessment process for all residents
  • Ensure assessments are completed accurately and within federal and state regulatory timeframes
  • Assign appropriate ICD-10 diagnosis codes related to resident conditions
  • Coordinate Medicare Part A case management and payer documentation
  • Develop and update resident-centered care plans with the interdisciplinary team
  • Maintain scheduling for Medicare and Medicaid assessments
  • Submit required MDS data to the Department of Health
  • Monitor regulatory updates related to Medicare and Medicaid reimbursement
  • Assist with coverage determinations, eligibility documentation, and denial notices
  • Collaborate with nursing leadership and facility administration to maintain regulatory compliance and strong survey readiness

Benefits
  • Medical, dental, and vision insurance
  • Employer-matching 401(k) retirement plan
  • Up to 16 days paid time off annually
  • Company-paid life insurance
  • Supportive leadership team and collaborative clinical environment

Qualifications
  • Active Registered Nurse (RN) license in good standing
  • Associate degree required; Bachelor's degree preferred
  • Minimum 1-2 years of MDS Coordinator or MDS experience in a skilled nursing facility
  • Strong working knowledge of MDS 3.0, care planning, and Medicare Part A reimbursement
  • Understanding of state and federal long-term care regulations
  • Resident Assessment Coordinator (RAC-CT) certification preferred
  • Strong organizational and documentation skills
  • Ability to coordinate interdisciplinary teams and manage assessment schedules

Apply
If you are an experienced RN with MDS expertise who enjoys coordinating resident care, ensuring reimbursement accuracy, and supporting strong clinical outcomes, we encourage you to apply.
Join the team at South Ogden Post-Acute and help us continue delivering exceptional care to the residents we serve.

Apply