Case Manager /Medicaid Eligibility / Healthcare

Case Manager – Medicaid Eligibility (Healthcare)

Hospital Support Services (HSS)
Baltimore, MD | Full-Time | Hybrid (Remote & On-Site)

Job Summary

Hospital Support Services (HSS) is seeking a Case Manager – Medicaid Eligibility to manage healthcare-related Medicaid (Medical Assistance) cases for hospital-referred patients. This position is responsible for eligibility determination, case management, patient outreach, documentation, and coordination with hospitals and social services agencies. Accuracy, organization, and timely follow-up are critical to success in this role.

Core Responsibilities
• Manage a caseload of Medicaid eligibility cases from intake through approval
• Perform eligibility screening and determine appropriate Medicaid category
• Enter, update, and maintain accurate case management records in the HSS database
• Communicate with patients to collect required eligibility documentation
• Coordinate with hospitals, social services agencies, and field staff
• Request, review, and submit medical records as part of the eligibility process
• Track case timelines and follow up to ensure timely Medicaid enrollment
• Communicate with Department of Social Services caseworkers to obtain approval
• Review completed cases for accuracy, compliance, and payment processing
• Ensure all healthcare eligibility documentation is complete and current
• Perform other case management duties as assigned

Required Qualifications
• Bilingual (English & Spanish)
• High school diploma or equivalent work experience
• Experience in healthcare administration, case management, eligibility, or social services preferred
• Strong data entry and computer skills
• Excellent organizational and time-management abilities
• Clear written and verbal communication skills
• Ability to manage multiple cases in a fast-paced healthcare environment
• Comfortable working with confidential patient information
• Reliable, detail-oriented, and adaptable to changing procedures
Preferred / Nice-to-Have Experience
• Experience completing Medicaid applications through Maryland Health Connection (MHC)
• Familiarity with Telligen's Qualitrac, for non-citizen Medicaid / Emergency Medical Services (EMS) eligibility review
• Prior experience working with hospital referrals, Medicaid enrollment portals, or state eligibility systems
(These qualifications are preferred but not required.)

Schedule & Work Environment
• Monday – Thursday: 9:00 AM – 6:00 PM
• Friday: 9:00 AM – 1:00 PM
• Hybrid Schedule:
o Remote: Mondays and Fridays
o On-site: Tuesdays through Thursdays (Baltimore – Little Italy)

Compensation & Benefits
• Pay: $15.00 – $18.00 per hour (based on experience)
• Paid time off
• 401(k) with employer matching

Job Type: Full-time

Work Location: Hybrid remote in Baltimore, MD 21202