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Medicare Case Manager Jobs in Racine, WI (NOW HIRING)

Froedtert

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Froedtert

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

FROEDTERT HEALTH

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

FROEDTERT HEALTH

RN CASE MANAGER

Milwaukee, WI · On-site

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Froedtert Health

RN CASE MANAGER

Milwaukee, WI

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Advocate Health

RN Case Manager Casual

Milwaukee, WI

... Medicare, and Managed Care. * Demonstrates leadership in the professional practice of nursing ... Experience includes case management/discharge planning in one of the following settings: Acute care ...

Advocate Aurora Health

RN Case Manager Casual

West Allis, WI · On-site

$38.20 - $57.30/hr

... Medicare, and Managed Care. * Demonstrates leadership in the professional practice of nursing ... Experience includes case management/discharge planning in one of the following settings: Acute care ...

AlpineCare

Clinical Manager

Milwaukee, WI

Strong understanding of OASIS documentation, home care protocols, and Medicare compliance ... Complete in-home annual competencies, evaluations, and supervise case management communication

AlpineCare

Clinical Manager

Milwaukee, WI · On-site

Strong understanding of OASIS documentation, home care protocols, and Medicare compliance ... Complete in-home annual competencies, evaluations, and supervise case management communication

Racine County, WI

Outpatient Registered Nurse

Racine, WI · On-site

$67K - $90K/yr

... case management software (TCM - The Clinic Manager) record summary of each encounter, including notations of missed, cancelled appointments, as well as telephone contacts according to Medicare ...

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All JobsMedicare Case Manager JobsMedicare Case Manager Jobs in Racine, WI

Medicare Case Manager information

See Racine, WI salary details

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How much do medicare case manager jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medicare case manager in Racine, WI is $21.52, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.22 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.
What are popular job titles related to Medicare Case Manager jobs in Racine, WI? For Medicare Case Manager jobs in Racine, WI, the most frequently searched job titles are:
What job categories do people searching Medicare Case Manager jobs in Racine, WI look for? The top searched job categories for Medicare Case Manager jobs in Racine, WI are:
What cities near Racine, WI are hiring for Medicare Case Manager jobs? Cities near Racine, WI with the most Medicare Case Manager job openings:
Medicare Case Manager jobs near you
Case Manager (FT)

Case Manager (FT)

Milwaukee Rehabilitation Hospital

Milwaukee, WI

$19.75 - $25.25/hr

Full-time

Medical, Dental, Life, Retirement

Posted 5 days ago

Job description

Case Manager

Position Summary:
The Case Manager, in collaboration with the physician, provides individual program management for each patient to ensure the patient's progression through the continuum of care in a manner that achieves the desired clinical and financial outcomes. Monitors and manages clinical and financial coordination of treatment plan of assigned patients to ensure timely, cost-effective, individualized service delivery. Works with rehabilitation patients with various disabilities including, but not limited to: spinal cord injury, brain injury, cerebrovascular accident, amputation, neurologic disorders, orthopedic conditions, and arthritis. Coordinates length of stay management within Medicare (CMS) guidelines and 60% compliance threshold. Provides community resources as appropriate including vocational rehabilitation resources.
Minimum Qualifications:
  • Current state licensure as a Registered Nurse or Licensed Social Worker
Desired Qualifications:
  • 2 years experience in a hospital setting
  • Certification in case management preferred.

Knowledge, Skills and Ability Requirements:
  • Excellent communication, negotiation, and conflict resolution skills required.
  • Knowledge of reimbursement systems preferred.
Join our team and you will experience a total rewards package to support your health, life, career and retirement including:
  • A supportive and collaborative work environment
  • Opportunities to progress in function, skill, and pay
  • A competitive wage scale
  • A comprehensive health and wellness package including medical, dental, and prescription drug coverage

We offer a benefits package that will best suit your family’s needs. You can choose from a variety of medical coverage plans that best fit your lifestyle. You also have the option to enroll in additional perks such as 401k, life insurance, and disability plans.
Milwaukee Rehabilitation Hospital is an EEO employer - M/F/Vets/Disabled

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