Case Management Specialist Jobs
Case Management Specialist jobs are open across healthcare, insurance, social services, and corrections, from entry-level to senior and lead roles, with specializations in utilization review, behavioral health, and disability management. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 23+ Case Management Specialist jobs
Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association.
Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We’re also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center.
This is a Full-Time position (80 hours per pay period) with a varied day shift schedule (includes every other weekend) located at our Scripps Memorial Hospital La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2026.
- Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Becker’s Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
- Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist in the Case Management department. The primary duties of this position will include supporting care managers and social workers with transitions of care, referral management through ECIN/CarePort, authorization management, and insurance and provider coordination. Other duties may include the following:
- Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
- Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
- Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
- Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
- Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
- Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Required Qualifications:
- Must be able to demonstrate proficiency of computer applications, excellent mathematical skills, and ability to handle monies.
- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems.
- Able to adapt, prioritize and meet deadlines.
Preferred Qualifications:
- 2 years of experience in customer service or healthcare/medical office environment.
- Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association.
Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We’re also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center.
This is a Full-Time position (80 hours per pay period) with a varied day shift schedule (includes every other weekend) located at our Scripps Memorial Hospital La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
- Scripps is a Great Place to Work Certified company for 2026.
- Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
- Becker’s Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
- We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
- Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist in the Case Management department. The primary duties of this position will include supporting care managers and social workers with transitions of care, referral management through ECIN/CarePort, authorization management, and insurance and provider coordination. Other duties may include the following:
- Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
- Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
- Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
- Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
- Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
- Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Required Qualifications:
- Must be able to demonstrate proficiency of computer applications, excellent mathematical skills, and ability to handle monies.
- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems.
- Able to adapt, prioritize and meet deadlines.
Preferred Qualifications:
- 2 years of experience in customer service or healthcare/medical office environment.
- Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.
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Find JobsCase Management Specialist Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in case management specialist jobs.
- Bachelor's degree in nursing, social work, or a related health or human services field
- Active RN license or LSW credential depending on care setting and employer
- Certified Case Manager (CCM) credential or eligibility to sit for the exam
- Experience coordinating care plans across multidisciplinary clinical and social service teams
- Proficiency with electronic health records and case management software platforms
- Knowledge of insurance authorization, utilization review, and discharge planning processes
Tips for Your Case Management Specialist Job Search
Tailor your resume to the setting
Hospitals, managed care organizations, and nonprofits each want different things. A hospital wants clinical background and care coordination experience. A managed care company wants utilization review and ICD coding familiarity. Match your resume to the specific sector before you apply.
List your certifications prominently
CCM, ACM, and CPHM certifications move your application past early filters. Put them in your resume header, not buried in a skills section. If you're eligible but not yet certified, note that you're in the process.
Apply early to roles that fit
Migrate Mate lists case management specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by care setting
Filter job searches by care setting, not just title. Acute care, long-term care, home health, and telehealth positions all carry different day-to-day responsibilities and credentialing expectations. Applying to the right care environment makes your cover letter much more specific.
Prepare for scenario-based interview questions
Interviewers for case management roles routinely ask how you'd handle a patient refusing discharge, a coverage denial, or a gap in community resources. Prepare two or three real examples from your work that show your documentation process and cross-team communication.
Negotiate by specialty and setting
Compensation for case management specialists varies meaningfully by specialty and employer type. Research what comparable roles in your care setting pay before your offer conversation, and be ready to cite your caseload size and any cost-containment outcomes you've delivered.
Case Management Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most case management specialists?
The companies hiring the most case management specialists right now include Kaiser Permanente, The Salvation Army, and Weltman, Weinberg & Reis, with the largest share of openings in California, Ohio, and Illinois, based on current listings on Migrate Mate as of November 2026. Health systems, managed care organizations, and large insurance carriers consistently account for the bulk of open positions.
How many case management specialist jobs are remote?
About 0% of case management specialist openings are fully remote or hybrid as of November 2026, with availability varying by employer type and clinical requirement. Telephonic utilization review, insurance-based case management, and workers' compensation roles are the sub-areas most likely to offer fully remote arrangements, while hospital and clinic-based positions typically require on-site presence.
How do you become a case management specialist?
Start with a degree in nursing, social work, or a related health field, then gain direct patient care or service coordination experience in a clinical or community setting. Pursue a recognized certification such as the CCM through the Commission for Case Manager Certification once you meet the eligibility requirements. Building familiarity with care planning documentation and insurance authorization processes strengthens your candidacy significantly.
Can you get a case management specialist job with little experience?
Yes, entry-level case management specialist roles exist, particularly in community health organizations, behavioral health agencies, and insurance operations, where employers often hire candidates who have clinical or social services experience but limited formal case management history. Emphasizing your assessment, documentation, and referral coordination skills helps. Volunteer experience with discharge planning or community resource navigation is also valued by many hiring managers.
What does the case management specialist interview process look like?
Most employers conduct a phone screen followed by one or two rounds of interviews, often including a panel with a clinical supervisor and an HR representative. Expect competency questions about caseload prioritization, care plan development, and handling complex or high-risk cases. Some employers add a written scenario exercise to assess documentation quality and clinical reasoning before extending an offer.
Where can I find and apply to case management specialist jobs?
You can find and apply to case management specialist jobs on Migrate Mate, which lists current openings from employers across the United States. Search for roles that match your specialty, care setting, and location, then apply directly to each listing that fits your background and goals.
See All 23 Case Management Specialist Jobs
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