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Medicare Case Manager Jobs in Columbus, OH (NOW HIRING)

Field RN Case Manager

Columbus, OH · On-site

$74.90K - $91.80K/yr

Field Registered Nurse Case Manager Employment: Long Term Contract Shift: 8:00-5:00 pm M-F Start ... Columbus, OH ABOUT THE POSITION: -Will be working with Medicare Members with complex medical or ...

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Medicare Case Manager information

See Columbus, OH salary details

$13

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How much do medicare case manager jobs pay per hour?

As of May 28, 2026, the average hourly pay for medicare case manager in Columbus, OH is $22.17, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $23.89 per hour, depending on experience, location, and employer.

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 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 job categories do people searching Medicare Case Manager jobs in Columbus, OH look for? The top searched job categories for Medicare Case Manager jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Medicare Case Manager jobs? Cities near Columbus, OH with the most Medicare Case Manager job openings:
Registered Nurse Case Manager

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


Job description

Registered Nurse Case Manager

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or have a valid exemption.

HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment.

As a RNCM you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You'll be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health.

WHAT WE OFFER: We make it easy to do your job and have competitive financial incentives. On a pay per visit model, the more visits you make, the more you will earn! We pay mileage and have bonus opportunities. Our schedules are flexible, and you'll have the support of a whole team, from scheduling to patient admissions. Our benefits package is also competitive in the market. We provide medical, dental, and vision insurance with flexibility for you to select what works best for you. Eligible teammates will also receive paid time off, opportunity to participate in 401k, company paid life insurance and access to a robust Employee Assistance Program.

HOW YOU'LL WORK: You'll assume ultimate accountability and leadership for the assessment of the patient condition and plan of care. You will case manage and provide clinical care under the direction of the physician. You'll educate patients and their family members and ensures the safety of the patient. You will work autonomously, so you need to be efficient in managing your time. You'll be responsible for all practices and duties within the scope of practice outlined by the state.

MAJOR AREAS OF RESPONSIBILITY:

  • Plan of Care: Observe and monitor patient conditions and perform OASIS assessments (If you don't already know this assessment, we will teach you!) to develop an individualized care plan and adjust as needs change.
  • Minimize Patient Risk: Administer medication as prescribed by the physician and help decrease re-hospitalizations by prioritizing visits for high-risk patients.
  • Supervision: Oversee and supervise total care of patient provided by nurse aides and LPNs
  • Continuity of Care: Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges.
  • Family Educator/Advocate: Educate the patient and family on the disease process using teach back methods to ensure patient and family understanding.
  • Policies: Complete all clinical documentation following agency protocol and Medicare/Federal guidelines. Collaborate with the interdisciplinary team and physicians to ensure optimal care is provided.
  • Rules and Regulations: Understand and follow agency policies, procedures, rules, and regulations and communicate changes in schedule/availability to schedulers or supervisors.
  • Operations: Attend in-service training and mandatory agency meetings

HARD & SOFT SKILLS:

  • Compassionate communicator with a positive attitude
  • Patience is a virtue when working with patients, families, physicians, and coworkers
  • Attention to detail is critical, as is being observant and following directions

REQUIREMENTS:

  • Registered Nurse with current license in the state of employment
  • Minimum one-year experience as an RN in an acute care setting. Home care experience preferred
  • Valid driver's license and auto insurance in your name as a driver
  • Capable of all physical demands

We are proud to be part of the Alternate Solutions Health Network family.

We'll help you put your passion for patient care to work. Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.