ZipRecruiter

Log In

1

Medicare Case Manager Jobs in Riverside, CA (NOW HIRING)

Cabrillo Hospice

RN Case Manager

Riverside, CA · On-site

We are seeking a Hospice Registered Nurse Case Manager to oversee patient care, mentor ... Clinical Oversight - Monitor and review patient care, ensuring compliance with Medicare and hospice ...

Cabrillo Hospice

RN Case Manager

Riverside, CA · On-site

$55 - $65/hr

We are seeking a Hospice Registered Nurse Case Manager to oversee patient care, mentor ... Clinical Oversight - Monitor and review patient care, ensuring compliance with Medicare and hospice ...

Cabrillo Hospice

RN Case Manager

Riverside, CA · On-site

We are seeking a Hospice Registered Nurse Case Manager to oversee patient care, mentor ... Clinical Oversight - Monitor and review patient care, ensuring compliance with Medicare and hospice ...

ScionHealth

Inpatient Case Manager

Perris, CA · On-site

$49.83 - $63.20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... of functions of case management, utilization review and management, and discharge planning ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...

next page

Showing results 1-20

All JobsMedicare Case JobsMedicare Case Manager JobsMedicare Case Manager Jobs in Riverside, CA

Medicare Case Manager information

See Riverside, CA salary details

$14

$23

$34

How much do medicare case manager jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medicare case manager in Riverside, CA is $23.95, according to ZipRecruiter salary data. Most workers in this role earn between $20.05 and $25.82 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 Riverside, CA?

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

What job categories do people searching Medicare Case Manager jobs in Riverside, CA look for?

The top searched job categories for Medicare Case Manager jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Medicare Case Manager jobs?

Cities near Riverside, CA with the most Medicare Case Manager job openings:

Medicare Case Manager jobs near you

RN Case Manager

Cabrillo Hospice

Riverside, CA • On-site

Full-time

Re-posted 10 days ago

Job description

 
Hospice Registered Nurse Case Manager

Lead with Compassion & Excellence in Hospice Care

Are you an experienced Hospice RN who thrives in leadership and is passionate about providing high-quality end-of-life care? We are seeking a Hospice Registered Nurse Case Manager to oversee patient care, mentor interdisciplinary teams, and ensure compliance with clinical best practices. This role is ideal for a skilled leader who excels in case management, team coordination, and regulatory compliance, all while delivering compassionate care to patients and families.

Key Responsibilities

Leadership & Team Oversight - Supervise, mentor, and ensure the competency of your assigned hospice care team, maintaining high standards of care.

Patient & Family Coordination - Serve as the team leader, providing direction and oversight to interdisciplinary team members.

Case Management - Oversee care plans, ensuring accurate evaluations, appropriate treatments, and optimal patient outcomes.

Clinical Oversight - Monitor and review patient care, ensuring compliance with Medicare and hospice regulatory standards.

Documentation & Compliance - Review and approve care plans within the Electronic Medical Records (EMR) system, ensuring accuracy and adherence to Medicare Conditions of Participation.

Quality Improvement - Participate in agency quality assurance initiatives, reviewing outcome data and driving performance improvements.

Interdisciplinary Team Meetings - Lead and coordinate team meetings with hospice clinicians and the medical director to ensure exceptional patient care.

Education & Mentorship - Provide ongoing training, guidance, and documentation support for hospice team members, assisting with orientation and performance feedback.

Regulatory Readiness - Assist the Director of Clinical Services (DCS) in maintaining compliance and survey readiness.

On-Call Leadership - Participate in an on-call rotation, ensuring 24/7 oversight of patient care and agency operations.

What to Expect in This RoleExtensive Travel & Home-Based Care

Be prepared to travel several hours per day, covering multiple locations, with 1-10 home visits daily.

Travel areas may vary and are subject to change based on patient needs.

Deliver compassionate, hands-on care in diverse and unpredictable home environments.

Work in varied weather conditions, including rain, snow, and ice, while navigating stairs, different housing structures, and unique living conditions.

Utilize a tablet or laptop for real-time medical record documentation during each patient visit.

Management & Decision-Making

Apply clinical expertise to make sound decisions that impact patient care.

Solve moderately complex problems using experience, precedent, and sound judgment.

Collaborate effectively with interdisciplinary team members to improve patient outcomes.

Knowledge & Skills You'll Use Daily

Extensive hospice and palliative care nursing knowledge.

Ability to manage patient needs and interdisciplinary team functions.

Proficiency in Microsoft Word, Excel, and EMR systems.

Strong interpersonal skills to communicate with patients, families, and caregivers in a compassionate and professional manner.

Sensitivity to patient privacy, HIPAA compliance, and ethical care practices.

Ability to adapt to the unique needs of each patient and family, ensuring they feel supported and valued.

Qualifications & RequirementsEducation & Experience

Bachelor's degree or higher in a health-related field.

Minimum of 3 years of clinical RN experience, with hospice experience required.

At least 1 year of supervisory or management experience in a hospice setting.

Strong knowledge of Medicare Conditions of Participation, Local Coverage Determinations, and regulatory standards. JCAHO knowledge preferred.

Proficiency with Outlook, Word, and Excel.

Licenses & Certifications

Valid RN license in the state of practice.

Certified Hospice and Palliative Care Nurse certification preferred.

Active BLS certification through the American Heart Association or Red Cross.

Valid driver's license and auto liability insurance for home visits.

Why Join Us?

Lead a Team & Provide Direct Impact - Oversee patient care while mentoring a compassionate hospice team.

Supportive & Collaborative Environment - Work alongside dedicated healthcare professionals who prioritize quality care.

Flexibility & Work-Life Balance - Enjoy the autonomy of home-based patient visits while making a difference.

Apply Today

If you are a hospice nursing leader ready to step into a high-impact, rewarding role, we'd love to hear from you. Apply today to be part of a team that is committed to exceptional hospice care and leadership.

 
 
 
 
 

Apply