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Medicare Case Manager Jobs in Virginia (NOW HIRING)

VHS Hospice

RN Case Manager

Newport News, VA

$35 - $45/hr

... Medicare guidelines. * Develop, implement, and update individualized nursing care plans based on ... Qualifications for Hospice RN Case Manager: * Current, active, and unencumbered Registered Nurse ...

Virginia Health Services

RN Case Manager

Newport News, VA · On-site

$35 - $45/hr

... Medicare guidelines. * Develop, implement, and update individualized nursing care plans based on ... Qualifications for Hospice RN Case Manager: * Current, active, and unencumbered Registered Nurse ...

HCAOA

RN Case Manager - Assessment Only

Arlington, VA · On-site

$50 - $55/hr

RN Case Manager (Assessment Only) ComForCare Home Health Care in Arlington, VA is looking for a ... Ensure compliance with Medicare, Medicaid, and Joint Commission guidelines during all assessment ...

Inova

Manager Case Management

Falls Church, VA · On-site

$21.25 - $27.50/hr

Inova Fairfax Hospital is looking for a dedicated Experienced Manager Case Management to join the ... for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation ...

ComForCare

RN Case Manager - Assessment Only

Arlington, VA · On-site

$85 - $105/hr

... Case Manager (Assessment Only) to join our growing team. This is a fantastic opportunity for an ... Ensure compliance with Medicare, Medicaid, and Joint Commission guidelines during all assessment ...

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How much do medicare case manager jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for medicare case manager in Virginia is $22.76, according to ZipRecruiter salary data. Most workers in this role earn between $19.09 and $24.57 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.

What are popular job titles related to Medicare Case Manager jobs in Virginia?

For Medicare Case Manager jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Medicare Case Manager jobs in Virginia look for?

The top searched job categories for Medicare Case Manager jobs in Virginia are:

What cities in Virginia are hiring for Medicare Case Manager jobs?

Cities in Virginia with the most Medicare Case Manager job openings:

Medicare Case Manager jobs near you
Infographic showing various Medicare Case Manager job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $47,334 per year, or $22.8 per hour.

RN Case Manager, Inpatient

Augusta Health

Fishersville, VA • On-site

Full-time

Medical, PTO

Posted 24 days ago

Augusta Health rating

6.6

Company rating: 6.6 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

683rd of 1,064 rated hospitals

Job description

The Inpatient RN Case Manager works with the interdisciplinary team to coordinate the care of the patients focusing on what the patient will need post hospitalization. They will assess, evaluate and coordinate a safe discharge plan with the patients/families' goals of care as their guide. The goal of the RN case manager is to transition the patients to the next level of care in a timely and safe way with the wishes of the patients/families at the forefront of those transitions. This professional is responsible for maintaining very effective inter-professional collaboration across the clinical teams involved in patient care, as central to the success of the work.
Minimum Qualifications
  • Bachelor's degree in nursing or equivalent experience.
  • Registered nurse license in the Commonwealth of Virginia or from a state that is part of a Compact agreement with Virginia
  • Minimum of 2 years in an acute hospital setting

Preferred Qualifications
  • BS or MS in Nursing
  • National certification in case management
  • 2-3 years of recent experience in discharge planning in an acute care setting preferred

Skills
  • Ability to work independently with a minimum of direction, anticipate and organize workflow, prioritize and follow through on responsibilities.
  • Possesses strong clinical knowledge/expertise of common diagnoses, current treatments, and current physical and psychosocial sequelae.
  • Excellent verbal and written communication skills and the ability to work with diverse populations.
  • Collaborates with Social Worker on patients with complex psychosocial needs and complex family dynamics.
  • Knowledge of long-term care resources and qualifying requirements; Medicare, Medicaid, third party payors; financial, transportation, pharmaceutical assistance and other community and health systems resources for assisting with patient needs.
  • Able to identify and report quality-of-care and risk management issues to the Director in a timely fashion.
  • Maintains familiarity with all hospital and department specific policies and procedures.

Some benefits of working at Augusta Health include:
  • Generous paid time off to promote work life balance
  • Healthcare Benefits
  • Free onsite parking
  • Tuition reimbursement
  • Onsite child care

Company Information
Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia's scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.
Equal Opportunity
Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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