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

Healogics

Part Time Registered Nurse (RN)

Corona, CA · On-site

$44.08 - $55.55/hr

The position may also serve as a Case Manager to a group of assigned Wound Care Center patients, as ... Medicare and Medicaid Services (CMS) guidelines, as applicable.This will be a Monday-Thursday ...

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Medicare Case Manager information

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$14

$23

$34

How much do medicare case manager jobs pay per hour?

As of Jul 21, 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 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 is the highest paid case manager?

The highest paid case managers are often those with specialized certifications, extensive experience, and working in high-demand industries such as healthcare or insurance. Medicare case managers with advanced skills and leadership roles can earn salaries exceeding $80,000 annually, with top earners reaching over $100,000 in some regions or organizations.

What qualifications do you need to be a medical case manager?

To become a Medicare case manager, candidates typically need a bachelor's degree in nursing, social work, or a related healthcare field. Relevant experience in case management, strong communication skills, and knowledge of Medicare policies are also important; some roles may require certification such as the Certified Case Manager (CCM) credential.

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.

How to become a Medicare reviewer?

To become a Medicare reviewer, typically one needs a background in healthcare, such as nursing, health administration, or related fields, along with knowledge of Medicare policies and guidelines. Relevant certifications, like the Certified Medicare Counselor or similar credentials, can enhance qualifications. Experience with claims processing, medical review, or utilization management is also valuable in this role.

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

Business Office Manager

Riverside PostAcute Care

Riverside, CA • On-site

$24 - $30/hr

Full-time

Re-posted 13 days ago

Job description

Business Office Manager

What We’re Looking For:  MUST HAVE SKILLED NURSING FACILITY EXPERIENCE

We are seeking to hire a self-motivated, efficient, responsible Business Office Manager, with Skilled Nursing Facility experience, who will be overseeing all business office functions and ensuring policy and procedure compliance in all areas. This is a direct hire: Full Time permanent position for a great, growing company. If you have a passion for healthcare, this is the right opportunity for you!

Our Business Office Manager focuses on leading and managing our Business Office to ensure smooth and effective operations and management of important documents and processing. This organized individual will direct the overall accounting activities in accordance with the current applicable federal, state, and local standards.

What You’ll Do:

  • Oversees the management of the business office, including but not limited to, supervising, organizing, evaluating, and monitoring business office operations and staff responsible and private insurance management maintains a good working relationship with residents, patients and their families, and facility personnel.

  • Sets up and maintains financial files for residents including billing, admission papers, state and Medicare reimbursement documents Coordinates and collects accounts receivable and past-due accounts.

  • Ensures Medicare eligibility and prior research is completed Ensures that criteria for Medicare, Medi-Cal, and TARS billing is met and accurately billed Assists with Medi-Cal tracking Prepares billing for agencies, Medicare, veterans, and other billing agents.

  • Prepare and submit corporate, Medicare and agency reports; and ensures posting of ancillaries and performs month-end closings.

  • Attends in-service training classes, daily stand up meetings, and other meetings as required Assists hospitals and HMOs with Case Management and Discharge planning when appropriate Performs other duties as assigned by the Administrator.

  • Perform other duties as assigned by Supervisor.