Medical Case Manager Salary
Medical Case Managers in the United States pull down an average of $51K per year. Location and tenure each impact pay for this group, with the former having the largest influence. The vast majority of Medical Case Managers (86 percent) who responded to the survey are women. Job satisfaction for Medical Case Managers is high. Some workers in this field — close to one-fifth — are not awarded benefits. Medical coverage is reported by a fair number and dental plans are enjoyed by the larger part. 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.
Common Career Paths for Medical Case Manager
Medical Case Managers might see a strong upturn in salary after transitioning into upper-level roles such as Nurse Case Manager, a seemingly popular career choice. People currently working in the latter position report a noticeably higher median income of $63K per year.
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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 rich background of experience are typically rewarded with larger paychecks. Those who have worked for fewer than five years take home a median salary of $40K, and workers with five to 10 years of experience earn a higher $48K on average. People with 10 to 20 years of experience make an average of about $64K in this role. People who have worked for more than 20 years report a median income of $69K, which is barely higher than the median for folks with 10 to 20 years of experience.
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