County Manager Jobs
County manager jobs are open across local government, regional authorities, and public administration agencies, from department-head level to chief executive officer of a county, with specializations in budget management, intergovernmental relations, and public works oversight. Scan the live roles below and apply to whichever ones fit.
Find County Manager JobsLooking for remote work? View remote county manager jobs →Overview
Showing 5 of 500+ County Manager jobs
We are looking for compassionate Registered Nurses (RN) to join our hospice team.
Position: Hospice RN Case Manager
Reports to: Clinical Director
Essential Job Functions/Responsibilities
The role of an RN Case Manager is one of the most direct, hands-on nursing roles in our hospice team. The RN Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
Patient Care
1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of nursing process.
3. Assesses and evaluates patient’s status by:
-Writing and initiating plan of care
-Regularly re-evaluating patient and family/caregiver needs
-Participating in revising the plan of care as necessary
4. Uses health assessment data to determine nursing diagnosis.
5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan.
9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
10. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient and family/caregiver and other team members in providing continuity of care.
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
8. Attends interdisciplinary group meetings.
Additional Duties
1. Ensures that arrangements for equipment and other necessary items and services are available.
2. Supervises ancillary personnel and delegates responsibilities when required.
3. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
4. Fulfills the obligation of requested and/or accepted case assignments.
5. Actively participates in quality assessment performance improvement teams and activities.
Qualifications
1. Registered nurse with current licensure to practice professional nursing in the state.
2. Graduate of National League for Nursing accredited school of nursing.
3. Maintains a current CPR certification.
4. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
5. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
6. Self directed and able to work with minimal supervision.
7. Management experience not required. Responsible for supervising hospice aides.
8. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
9. Shows ability to organize and prioritize workload independently.
10. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
11. Bilingual Spanish required
Education
- Associate Degree in Nursing required.
- BSN is a plus.
Why join Comfort and Peace Hospice?
We are a clinician-owned hospice company and we pride ourselves on providing excellent care that is matched by excellent customer service. We will be happy and honored to have you join our boutique style hospice. This will be a perfect job for you if "you are a great communicator and you love customer service".
Benefits include:
- Competitive compensation
- Dynamic and team-oriented work environment
- Growth and development opportunities
- Health insurance coverage (Medical, dental, and vision)
- We contribute to your 401K plan
- Holiday pay
- Mileage reimbursement
Job Type: Full-time
Pay: $53.00 - $58.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Mileage reimbursement
- Paid time off
- Vision insurance
Application Question(s):
- Medicare LCD & Recertification Knowledge:
In a Case Manager role, you are responsible for proving ongoing hospice eligibility during benefit periods. How comfortable are you assessing and documenting progressive clinical decline (e.g., tracking FAST/PPS scores, weight loss, and disease trajectories) for recertification?
[ ] Expert – I routinely manage recertification documentation, track progressive decline metrics, and lead IDT discussions regarding eligibility.
[ ] Proficient – I understand recertification criteria and can document functional decline, but occasionally seek guidance on non-cancer cases.
[ ] Basic – I know the basics of hospice eligibility, but I have limited direct experience managing routine recertifications.
[ ] No Experience – I am new to hospice recertification documentation.
- Symptom Management & Clinical Autonomy:
Hospice Case Managers independently manage complex symptom crises (e.g., pain, terminal restlessness, dyspnea, nausea) in the field. How would you rate your expertise in managing hospice comfort meds and standing orders?
[ ] Advanced – Very confident titration of comfort medications, managing symptom crises independently, and collaborating with physicians on complex plan-of-care adjustments.
[ ] Proficient – Comfortable initiating comfort protocols and managing common hospice symptoms under standing physician orders.
[ ] Basic – Familiar with basic palliative medication administration, but prefer close guidance from leadership for medication adjustments.
- Technology & Field Documentation:
Case Managers must complete point-of-care EMR documentation (such as HospiceMD) directly at the bedside or in the field to ensure real-time team communication. What is your comfort level with point-of-care charting on a tablet/laptop?
[ ] Highly Proficient – I comfortably chart at the point of care/bedside, upload documentation in real time, and navigate mobile EMR tools easily.
[ ] Proficient – I complete my charting on the same day using mobile tools, though I prefer finishing documentation after visits.
[ ] Basic – I prefer traditional paper charting or completing all computer charting at home on a desktop at the end of the day.
- Interdisciplinary Team (IDT) Leadership:
As the Case Manager, you coordinate care for your assigned patients alongside Social Workers, Chaplains, Hospice Aides, and Medical Directors. Describe your experience collaborating within an Interdisciplinary Group (IDG/IDT).
[ ] Extensive – I regularly present case updates in IDT meetings, direct Hospice Aide care plans, and collaborate continuously with psychosocial and spiritual teams.
[ ] Moderate – I participate in IDT meetings and coordinate care with aides, social workers, and chaplains regularly.
[ ] Limited – I have worked in nursing teams, but not specifically within a formal Hospice Interdisciplinary Team.
Experience:
- Hospice: 1 year (Required)
- Nursing: 2 years (Required)
License/Certification:
- California RN license (Required)
Shift availability:
- Day Shift (Required)
Ability to Commute:
- San Diego, CA (Required)
Work Location: On the road
We are looking for compassionate Registered Nurses (RN) to join our hospice team.
Position: Hospice RN Case Manager
Reports to: Clinical Director
Essential Job Functions/Responsibilities
The role of an RN Case Manager is one of the most direct, hands-on nursing roles in our hospice team. The RN Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
Patient Care
1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
2. Provides professional nursing care by utilizing all elements of nursing process.
3. Assesses and evaluates patient’s status by:
-Writing and initiating plan of care
-Regularly re-evaluating patient and family/caregiver needs
-Participating in revising the plan of care as necessary
4. Uses health assessment data to determine nursing diagnosis.
5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
7. Counsels the patient and family in meeting nursing and related needs.
8. Provides health care instructions to the patient as appropriate per assessment and plan.
9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
10. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload.
Communication
1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
5. Provides and maintains a safe environment for the patient.
6. Assists the patient and family/caregiver and other team members in providing continuity of care.
7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
8. Attends interdisciplinary group meetings.
Additional Duties
1. Ensures that arrangements for equipment and other necessary items and services are available.
2. Supervises ancillary personnel and delegates responsibilities when required.
3. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
4. Fulfills the obligation of requested and/or accepted case assignments.
5. Actively participates in quality assessment performance improvement teams and activities.
Qualifications
1. Registered nurse with current licensure to practice professional nursing in the state.
2. Graduate of National League for Nursing accredited school of nursing.
3. Maintains a current CPR certification.
4. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
5. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
6. Self directed and able to work with minimal supervision.
7. Management experience not required. Responsible for supervising hospice aides.
8. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
9. Shows ability to organize and prioritize workload independently.
10. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
11. Bilingual Spanish required
Education
- Associate Degree in Nursing required.
- BSN is a plus.
Why join Comfort and Peace Hospice?
We are a clinician-owned hospice company and we pride ourselves on providing excellent care that is matched by excellent customer service. We will be happy and honored to have you join our boutique style hospice. This will be a perfect job for you if "you are a great communicator and you love customer service".
Benefits include:
- Competitive compensation
- Dynamic and team-oriented work environment
- Growth and development opportunities
- Health insurance coverage (Medical, dental, and vision)
- We contribute to your 401K plan
- Holiday pay
- Mileage reimbursement
Job Type: Full-time
Pay: $53.00 - $58.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Mileage reimbursement
- Paid time off
- Vision insurance
Application Question(s):
- Medicare LCD & Recertification Knowledge:
In a Case Manager role, you are responsible for proving ongoing hospice eligibility during benefit periods. How comfortable are you assessing and documenting progressive clinical decline (e.g., tracking FAST/PPS scores, weight loss, and disease trajectories) for recertification?
[ ] Expert – I routinely manage recertification documentation, track progressive decline metrics, and lead IDT discussions regarding eligibility.
[ ] Proficient – I understand recertification criteria and can document functional decline, but occasionally seek guidance on non-cancer cases.
[ ] Basic – I know the basics of hospice eligibility, but I have limited direct experience managing routine recertifications.
[ ] No Experience – I am new to hospice recertification documentation.
- Symptom Management & Clinical Autonomy:
Hospice Case Managers independently manage complex symptom crises (e.g., pain, terminal restlessness, dyspnea, nausea) in the field. How would you rate your expertise in managing hospice comfort meds and standing orders?
[ ] Advanced – Very confident titration of comfort medications, managing symptom crises independently, and collaborating with physicians on complex plan-of-care adjustments.
[ ] Proficient – Comfortable initiating comfort protocols and managing common hospice symptoms under standing physician orders.
[ ] Basic – Familiar with basic palliative medication administration, but prefer close guidance from leadership for medication adjustments.
- Technology & Field Documentation:
Case Managers must complete point-of-care EMR documentation (such as HospiceMD) directly at the bedside or in the field to ensure real-time team communication. What is your comfort level with point-of-care charting on a tablet/laptop?
[ ] Highly Proficient – I comfortably chart at the point of care/bedside, upload documentation in real time, and navigate mobile EMR tools easily.
[ ] Proficient – I complete my charting on the same day using mobile tools, though I prefer finishing documentation after visits.
[ ] Basic – I prefer traditional paper charting or completing all computer charting at home on a desktop at the end of the day.
- Interdisciplinary Team (IDT) Leadership:
As the Case Manager, you coordinate care for your assigned patients alongside Social Workers, Chaplains, Hospice Aides, and Medical Directors. Describe your experience collaborating within an Interdisciplinary Group (IDG/IDT).
[ ] Extensive – I regularly present case updates in IDT meetings, direct Hospice Aide care plans, and collaborate continuously with psychosocial and spiritual teams.
[ ] Moderate – I participate in IDT meetings and coordinate care with aides, social workers, and chaplains regularly.
[ ] Limited – I have worked in nursing teams, but not specifically within a formal Hospice Interdisciplinary Team.
Experience:
- Hospice: 1 year (Required)
- Nursing: 2 years (Required)
License/Certification:
- California RN license (Required)
Shift availability:
- Day Shift (Required)
Ability to Commute:
- San Diego, CA (Required)
Work Location: On the road
County Manager Jobs by Experience Level
See All 500+ County Manager Jobs
Find roles that match your experience and apply in just a few clicks.
Find County Manager JobsCounty Manager Job Market
Who's Hiring
- Molina Healthcare89
- County Market8
- Right at School7
- CVS Health6
- Virginia Commonwealth University6
Top Industries Hiring
- Healthcare & Medical Services22
- Retail1
- Insurance1
- Human Resources1
- Aerospace & Defense1
What Employers Look For
The qualifications that appear most often in county manager jobs.
- Master's degree in public administration, business administration, or a related field
- Minimum five to ten years of progressively responsible local government management experience
- Demonstrated experience developing and managing multi-million-dollar municipal or county operating budgets
- Proven ability to work directly with elected officials, boards, and commissions
- Experience overseeing multiple county departments including public works, planning, and finance
- ICMA Credentialed Manager designation or active progress toward credentialing
Tips for Your County Manager Job Search
Tailor your resume to ICMA standards
County manager hiring panels expect to see Council-Manager Plan experience and familiarity with ICMA's code of ethics. Rename your competency section to reflect public administration values like equity, transparency, and fiscal stewardship rather than generic management language.
Apply early to roles that fit
Migrate Mate lists county manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight budget authority in dollar terms
County manager postings almost always specify operating budget size as a minimum requirement. Lead your work-history bullets with the exact annual budget you managed, the department headcount you oversaw, and any bond or capital project experience relevant to that jurisdiction's scale.
Target counties at the right population tier
Smaller counties under 50,000 residents often promote from department director roles, while larger metro counties recruit nationally and expect prior county administrator or deputy manager experience. Filter your search by county population to match your actual career stage.
Prepare a policy presentation for panel interviews
Many county manager finalists are asked to present a 30-to-60-minute policy or budget analysis to the full board of commissioners. Research the county's most recent adopted budget, its strategic plan, and any pending bond referenda before your first round so you can reference specifics.
Negotiate start date and transition support
County manager offers frequently include a transition period with the outgoing manager or an interim. Clarify in writing whether that overlap is paid, whether relocation assistance is included, and what the board's expectations are for a written 90-day entry plan before you accept.
County Manager Jobs: Frequently Asked Questions
Which companies are hiring the most county managers?
The most active employers for county managers right now are Molina Healthcare, County Market, and Right at School, and the most openings are in California, Florida, and Illinois, based on current listings on Migrate Mate as of November 2026. Demand tends to be highest in jurisdictions undergoing leadership transitions or significant infrastructure investment cycles.
How many county manager jobs are remote?
About 75% of county manager openings are fully remote or hybrid as of November 2026, reflecting the in-person nature of most executive county government roles. Policy coordination, strategic planning, and intergovernmental liaison functions are the sub-areas most likely to allow partial remote flexibility in senior county positions.
How do you become a county manager?
Most county managers start by earning a graduate degree in public administration or a closely related discipline, then build a career path through analyst, department director, and deputy manager roles within local government. Joining ICMA, pursuing credentialed manager status, and developing a record of budget leadership and board relations are the practical steps that move candidates into county manager consideration.
Can you get hired as a county manager with limited experience?
Direct county manager appointments with limited experience are rare, but smaller rural counties and special districts sometimes promote strong department directors or assistant administrators into the role when a candidate demonstrates fiscal competence and board trust. Targeting assistant county manager or deputy administrator openings first is the most reliable way to build the credential set larger counties require.
What does the county manager interview process look like?
County manager searches typically involve a recruiting panel screening, a structured interview with senior staff, a public meet-and-greet session with community stakeholders, and a final interview with the full board of commissioners or county council. Finalists are often asked to submit a written vision statement or present a policy analysis before the board vote, and reference checks extend to elected officials from prior jurisdictions.
Where can I find and apply to county manager jobs?
You can find and apply to county manager jobs on Migrate Mate, which lists current openings from counties across the United States in one place. Find the roles that match your experience level and jurisdiction preferences, then apply directly to each listing from the page.
See All 500+ County Manager Jobs
Find roles that match your experience and apply in just a few clicks.
Find County Manager Jobs