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Regional Case Manager Jobs (NOW HIRING)

EHG

Regional Case Manager

Clifton, NJ

Regional Case Manager Summary: The Case Management plays a critical role in centralizing and coordinating insurance authorization and case management functions across our multi-facility skilled ...

Your Health

Track Case Manager

Macon, GA · On-site

Closely monitor and manage appropriate scheduling buckets, including region and transitional care management scheduling buckets * Acute/Urgent Case Management: Address all new patient cases, acute ...

Goldbelt, Inc.

Nurse Case Manager (NCM)

Fulton, MO · On-site

Plan and coordinate regional case management-related meetings and provide verbal reports of significant matters resulting from meetings or other events to COR within one day and provide written ...

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How much do regional case manager jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for regional case manager in the United States is $25.25, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $27.40 per hour, depending on experience, location, and employer.

Where do case managers get paid the most?

Case managers tend to earn higher salaries in regions with a higher cost of living and greater demand for healthcare services, such as urban areas or states with robust healthcare industries. Salaries can also vary based on experience, certifications, and the specific sector they work in, such as insurance, healthcare, or social services.

What is a Regional Case Manager?

A Regional Case Manager is a professional responsible for overseeing and coordinating care or services for clients within a specific geographic region. They typically work in healthcare, social services, or insurance, ensuring that individuals receive appropriate support and resources. Regional Case Managers assess client needs, develop care plans, monitor progress, and collaborate with other service providers. Their goal is to improve outcomes for clients while efficiently managing regional resources.

What are the key skills and qualifications needed to thrive as a Regional Case Manager, and why are they important?

To thrive as a Regional Case Manager, you need a solid background in case management, social work, or nursing, often supported by relevant certifications such as CCM or LCSW. Familiarity with case management software, electronic health records (EHRs), and data reporting systems is typically required. Excellent communication, organizational, and problem-solving skills help you coordinate services and advocate for clients across multiple locations. These abilities are crucial for ensuring effective care coordination, compliance, and positive outcomes for diverse populations in a regional setting.

What job makes $10,000 a month without a degree?

A Regional Case Manager typically earns between $4,000 and $8,000 per month, depending on experience and location, and usually requires relevant healthcare or social work certifications. Jobs that pay $10,000 a month without a degree are often in sales, real estate, or entrepreneurship, where income depends on performance and commissions rather than formal education. High-paying roles without degrees generally involve sales skills, specialized training, or business ownership.

What are the 4 pillars of case management?

The four pillars of case management are assessment, planning, implementation, and evaluation. These core components guide case managers, including Regional Case Managers, in providing comprehensive support and ensuring client needs are met effectively throughout the case management process.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include high-level consulting, specialized medical professionals such as surgeons, senior corporate executives, or certain freelance roles like software contractors or project managers with extensive experience. These positions often require advanced skills, certifications, or significant expertise, and may involve project-based or contract work with variable schedules.

How does a Regional Case Manager typically coordinate with local teams and external partners to ensure consistent client support across multiple locations?

As a Regional Case Manager, you will regularly collaborate with local case managers, healthcare providers, and community organizations to deliver seamless support to clients across your assigned region. This often involves organizing regular check-ins, sharing best practices, and ensuring that local teams adhere to standardized protocols. Effective communication and relationship-building are key, as you'll need to bridge gaps between different sites and external partners to maintain consistent care quality. You may also be responsible for troubleshooting service delivery challenges and providing guidance or training to local staff.
What cities are hiring for Regional Case Manager jobs? Cities with the most Regional Case Manager job openings:
What states have the most Regional Case Manager jobs? States with the most job openings for Regional Case Manager jobs include:
Regional Case Manager jobs near you
Infographic showing various Regional Case Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 86% Full Time, 9% Part Time, 2% Temporary, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $52,521 per year, or $25.3 per hour.

Regional Case Manager

Eastern Healthcare Group

Clifton, NJ • On-site

Full-time

Posted 7 days ago

Eastern Healthcare Group rating

6.7

Company rating: 6.7 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

) Regional Case Manager
Summary:
The Case Management plays a critical role in centralizing and coordinating insurance authorization and case management functions across our multi-facility skilled nursing and long-term care network in Virginia. This position ensures timely authorization and continuation of care for residents under Medicare, Managed Care, Medicaid Managed Care, and commercial insurance plans. Working from our corporate office, the Case Management serves as a liaison between facility clinical teams, payers, and external partners to optimize reimbursement, reduce denials, and ensure compliance with payer requirements and CMS regulations.
Essential Duties & Responsibilities:
  • Coordinate and obtain insurance authorizations for admissions, continued stays, and skilled service requests for all managed care and commercial payers.
  • Serve as the primary contact between facility case managers, billing teams, and insurance representatives.
  • Review clinical documentation to support medical necessity and communicate payer requirements to facility teams.
  • Track and monitor authorization requests, approvals, and expirations to prevent lapses in coverage.
  • Maintain detailed records of authorizations, payer communications, and denials.
  • Ensure timely submission of clinical updates per payer requirements.
  • Collaborate with facility MDS Coordinators, DONs, Administrators, BOM, and therapists to ensure clinical and financial alignment.
  • Analyze trends in payer denials and delays; provide feedback and training to facility-level staff as needed.
  • Support centralized case management workflow implementation and process improvements.
  • Uphold all HIPAA, CMS, and state regulatory requirements in all documentation and communications.

Job Requirements:
  • Education: Graduate of an accredited program, preferably with a healthcare background
  • Licensure: Current and active nursing license in good standing, if applicable.
  • Experience: Minimum of 2 years of experience in insurance authorization, utilization review, or case management within skilled/long-term care or managed care settings.
  • Knowledge: Familiarity with Medicare Part A and B, Managed Care, and Virginia Medicaid Managed Care rules and processes.
  • Skills:
    • Strong critical thinking and clinical review skills.
    • Excellent written and verbal communication.
    • High attention to detail and organizational accuracy.
    • Proficiency in EMR systems and payer portals.
    • Ability to work independently and collaboratively in a fast-paced environment.

About Eastern Healthcare Group:
Eastern Health Group is a family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting people. We are committed to creating a nurturing, family-like atmosphere where staff develop meaningful relationships with residents and where exceptional patient outcomes are the standard.

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