Medical Case Manager Salary
Medical Case Managers in the United States take home an average $50K annually. Location is the biggest factor affecting pay for this group, followed by career length. The majority of workers are highly satisfied with their job. While some workers in this profession — close to a fifth — do not have any health coverage, a strong majority do receive medical benefits and the greater part have dental insurance. The vast majority of Medical Case Managers (87 percent) who responded to the survey are women. This report is based on answers to PayScale's salary questionnaire.
Job Description for Medical Case Manager
Medical case mangers serve as liaisons between medical doctors and their staff, as well as patients who have long-term health problems. They are primarily responsible for monitoring patients' treatment and insurance coverage plans to ensure that their needs are entirely met.Read More...
Medical case managers work closely with the medical community, including hospitals, doctors' offices, insurance companies, etc. They are responsible for conducting pre-screening interviews with patients to determine the services they are eligible to receive, verifying the statuses of their medical care plans, and developing inclusive and individualized care plans which include long- and short-term goals which focus on positive outcomes. They must also continuously update and evaluate patient care plans based on changes to health statuses and other factors, as well as handle claims related to medical cases between patients and insurance carriers. The primary role of the liaison is to ensure that all parties involved are receiving fair treatment.
A bachelor's or master's degree in nursing is generally required for this position, and some employers may prefer applicants who have completed additional coursework in medical case management or a degree in social work which focuses on case management skills.
Medical Case Manager Tasks
- Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims.
- Compile, audit and analyze patient records to document condition and treatment and to provide data for cost control and care improvement efforts.
- Recommend process and policies to improve quality of patient services and increase revenue.
- Analyze information gathered by investigation; report findings and recommendations.
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Pay by Experience Level for Medical Case Manager
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Medical Case Managers with a lot of experience tend to enjoy higher earnings. Average salaries for inexperienced employees average out to around $39K, but folks who have five to 10 years of experience earn a higher median of $46K. Medical Case Managers claiming one to two decades of experience make an estimated median of $63K. Individuals who have achieved more than 20 years of experience don't seem to earn much more than people who have 10 to 20 years under their belts; the more senior group reports an average income of $68K.
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