Mid Level Case Manager Jobs
Mid level case manager jobs go to professionals ready to own complex caseloads, mentor newer colleagues, and drive care coordination decisions with limited oversight. Hiring runs across Healthcare & Medical Services, Insurance, and Science & Research, with 32% of openings remote or hybrid, and employers like Gallagher, Houston Methodist, and Optum competing for case managers at this level now.
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Showing 5 of 46+ Mid Level Case Manager jobs
JOB SUMMARY
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
ESSENTIAL RESPONSIBILITIES
- Manage a caseload of members with moderate complexity health needs.
- Assess members’ health status, needs, and available resources.
- Develop individualized care plans in collaboration with members, physicians, and other healthcare providers.
- Implement and coordinate care plans, ensuring access to appropriate services and resources.
- Develop and implement care plans with minimal guidance.
- Coordinate referrals to specialists and community resources.
- Monitor member progress toward goals and adjust care plans as needed.
- Evaluate the effectiveness of interventions and services.
- Act as an advocate and liaison to meet a member's individual health care needs by assessing, planning, implementing, coordinating, monitoring and evaluating options and services. This is accomplished by using communication and available resources to promote quality, cost-effective outcomes in accordance with available contract benefits.
- Work collaboratively and communicate clearly and professionally with physicians, providers, co-workers and other members of the health care team to carry out the established plan of care.
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, company policies, regulatory requirements and accreditation standards.
- Identify areas for potential cost savings, quality improvement and workflow efficiencies.
- Other duties as assigned or requested.
Experience
Required
- 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master’s degree OR; 5 years’ experience with a Bachelor’s in Social Work
Preferred
- Medicaid managed care and/or Medicare experience
- Experience working with the healthcare needs of diverse populations
- Experience demonstrating understanding of importance of culture competency in addressing targeted populations
SKILLS
- Strong assessment and care planning skills.
- Ability to work independently and as part of a team.
- Proficiency in using Microsoft office suite, case management software and electronic health records.
- Understanding of healthcare systems and case management principles
- Bilingual English/Spanish language skills preferred
Education
Required
- Bachelor’s degree in nursing or RN licensure or Master’s degree in Social Work, Counseling, or related field OR Bachelor’s degree in Social Work
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 12/31/27.
Preferred
- Certified Case Manager (CCM)
Language (Other than English):
None
Travel Required:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Occasionally
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$72,700.00
Pay Range Maximum:
$116,600.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
JOB SUMMARY
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
ESSENTIAL RESPONSIBILITIES
- Manage a caseload of members with moderate complexity health needs.
- Assess members’ health status, needs, and available resources.
- Develop individualized care plans in collaboration with members, physicians, and other healthcare providers.
- Implement and coordinate care plans, ensuring access to appropriate services and resources.
- Develop and implement care plans with minimal guidance.
- Coordinate referrals to specialists and community resources.
- Monitor member progress toward goals and adjust care plans as needed.
- Evaluate the effectiveness of interventions and services.
- Act as an advocate and liaison to meet a member's individual health care needs by assessing, planning, implementing, coordinating, monitoring and evaluating options and services. This is accomplished by using communication and available resources to promote quality, cost-effective outcomes in accordance with available contract benefits.
- Work collaboratively and communicate clearly and professionally with physicians, providers, co-workers and other members of the health care team to carry out the established plan of care.
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, company policies, regulatory requirements and accreditation standards.
- Identify areas for potential cost savings, quality improvement and workflow efficiencies.
- Other duties as assigned or requested.
Experience
Required
- 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master’s degree OR; 5 years’ experience with a Bachelor’s in Social Work
Preferred
- Medicaid managed care and/or Medicare experience
- Experience working with the healthcare needs of diverse populations
- Experience demonstrating understanding of importance of culture competency in addressing targeted populations
SKILLS
- Strong assessment and care planning skills.
- Ability to work independently and as part of a team.
- Proficiency in using Microsoft office suite, case management software and electronic health records.
- Understanding of healthcare systems and case management principles
- Bilingual English/Spanish language skills preferred
Education
Required
- Bachelor’s degree in nursing or RN licensure or Master’s degree in Social Work, Counseling, or related field OR Bachelor’s degree in Social Work
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 12/31/27.
Preferred
- Certified Case Manager (CCM)
Language (Other than English):
None
Travel Required:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Occasionally
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$72,700.00
Pay Range Maximum:
$116,600.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services20
- Insurance8
- Science & Research3
- Technology & Software3
- Biotechnology & Pharmaceuticals2
Mid Level Case Manager Jobs: Frequently Asked Questions
How do I get a mid level case manager job?
Position yourself around ownership and outcomes: highlight caseloads you managed independently, outcomes you improved, and situations where you exercised clinical or program judgment without close supervision. Tailor your resume to show scope, not just tasks. Employers at this level want evidence you can handle complexity and keep cases moving, so concrete results and documentation fluency matter more than credentials alone.
Which companies hire mid level case managers?
Companies hiring mid level case managers right now include Gallagher, Houston Methodist, and Optum, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from health systems, managed care organizations, community behavioral health agencies, and government contractors who need professionals who can work independently on complex caseloads.
Are there remote mid level case manager jobs?
Yes, remote and hybrid options are a real part of this market. About 32% of mid level case manager openings are remote or hybrid as of November 2026, concentrated in utilization review, telephonic care management, and insurance-side roles. On-site positions remain common in hospital systems, corrections, and community-based programs that require in-person client contact.
How do I move up to a mid level case manager role?
Growing into a mid level role means demonstrating that you can manage a caseload with minimal supervision, handle complex or high-acuity cases, and take ownership of outcomes rather than just completing tasks. Over your first few years, build depth in documentation, care coordination, and cross-functional collaboration. Seeking out harder cases, volunteering for projects, and developing measurable results accelerates that progression significantly.
Which industries hire the most mid level case managers?
Mid Level case manager roles concentrate in Healthcare & Medical Services, Insurance, and Science & Research, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at the mid level because their caseloads are complex enough to require experienced judgment, yet structured enough that skilled professionals can manage them without constant clinical supervision.