Benefits:

401(k)

Paid time off

Paid holidays

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

Flexible work from home options available.