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Medicare Case Manager Jobs in Rochester, NY (NOW HIRING)

MJHS

Nurse Practitioner

Rochester, NY · On-site

$140K - $150K/yr

We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a ... C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPNs who provide ...

MJHS

Nurse Practitioner

Rochester, NY · On-site

$140K - $150K/yr

We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a ... C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPNs who provide ...

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Medicare Case Manager information

See Rochester, NY salary details

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$32

How much do medicare case manager jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for medicare case manager in Rochester, NY is $22.65, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $24.42 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 Rochester, NY?

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

What job categories do people searching Medicare Case Manager jobs in Rochester, NY look for?

The top searched job categories for Medicare Case Manager jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Medicare Case Manager jobs?

Cities near Rochester, NY with the most Medicare Case Manager job openings:

Medicare Case Manager jobs near you

Registered Professional Nurse

Batavia, NY • On-site

Genesee County
See more jobs at Genesee Countyexternal

$30.96/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Genesee County (Michigan) rating

7.0

Company rating: 7.0 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

DISTINGUISHING FEATURES OF THE CLASS: 
This work involves responsibility to provide professional nursing services to patients/clients throughout the county. The work is performed under supervision of a higher level nurse, administrator or physician in accordance with the prescribed nursing care plan. Supervision may be exercised over the work of Licensed Practical Nurses, student nurses or various aides.  Does related work, as required and assigned.

TYPICAL WORK ACTIVITIES:
  • Assesses nursing care needs and prepares, implements and evaluates the nursing care plan;
  • Performs approximately 18-20 client visits per week;
  • Serves as a Case Manager for a caseload of clients dependent on program and as prescribed by a Public Health, Community Health, Supervising Community Health, or Supervising Public Health Nurse;
  • Works with the client’s physician formulating a plan of care directed at meeting the client’s medical, psychosocial and safety needs;
  • Makes referrals to other disciplines programs, agencies or county entities directed at facilitation the maximization of client health/independence;
  • Carries out therapeutic treatments as ordered by the physician;
  • Instructs patient or members of patient’s family in regard to patient’s diet, heath habits, the carrying out of treatments at home, and rehabilitative measures as authorized by the physician;
  • Provides on-going monitoring and assessment for changes in client status requiring revisions of the care plan, obtains physicians order and makes referrals as needed;
  • Completes required Medicare, Medicaid, Third party payer documentation (CHHA & LTHHCP clients);
  • Participates in quality assurance, continuing education and other activities as requested;
  • Maintains client records;
  • Works as a team member in promoting excellence in nursing standards.
The above examples of duties are intended only as illustrations of the various types of work performed.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND/OR PERSONAL CHARACTERISTICS: 
  • Good knowledge of nursing principles and techniques and their relation to medical practices; working knowledge of dietetics, sanitation and personal hygiene; skill in the application of nursing techniques and practices; ability to case manage a group of clients; ability to understand and follow technical, oral and written instructions; ability to keep records and make reports; ability to get along well with patients, families and others; ability to carry out successfully the measures prescribed; ability to plan and supervise the work of sub-professional and non-technical personnel; good observation; mental alertness; initiative; patience; emotional stability, physical condition commensurate with the demands of the position.
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, bend, stoop, pull and push, use hands to finger, handle or feel objects, tools, or controls; and reach with hands and arms.  The employee is required to walk, stand for long periods of time, talk and hear.

The noise level in the work environment is moderately quiet.

MINIMUM QUALIFICATIONS:
  • Possession of a valid license issued by the State of New York to practice as a Registered Professional Nurse.

NOTE: Maintenance of license is required for continued employment.

SPECIAL REQUIREMENT FOR APPOINTMENT AND CONTINUED EMPLOYMENT IN POSITIONS WHERE REQUIRED:  Possession of a valid NYS Drivers license.

All qualified applicants will be afforded equal employment opportunities without discrimination because of race, creed, color, national origin, sex, age, disability or marital status.

TOP NOTCH HEALTH INSURANCE
DENTAL AND VISION BENEFITS
VACATION AND SICK TIME
NEW YORK STATE RETIREMENT

Non-Competitive Class

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