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Contract Case Manager Jobs in Decatur, GA (NOW HIRING)

Kaiser Permanente

RN, Targeted Review

Atlanta, GA · On-site

Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management.

Elevance Health

Med Mgmt Nurse (contract)

Decatur, GA · Remote

Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... Job Type: Contract or Contract to hire Additional Details: * InterQual review criteria for ...

Nick Schnyder Law Firm LLC

Intake Specialist

Atlanta, GA · On-site

$17 - $22.75/hr

Log rejected, viable, and referred potential clients accurately in the case management system * Assess case viability and prepare client contracts in accordance with firm guidelines * Exercise ...

Nick Schnyder Law Firm LLC

Intake Specialist

Marietta, GA · On-site

$16.75 - $22.50/hr

Log rejected, viable, and referred potential clients accurately in the case management system * Assess case viability and prepare client contracts in accordance with firm guidelines * Exercise ...

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Contract Case Manager information

See Decatur, GA salary details

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How much do contract case manager jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for contract case manager in Decatur, GA is $24.17, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $26.30 per hour, depending on experience, location, and employer.

What is a contract case manager?

A Contract Case Manager is a professional responsible for assessing, planning, coordinating, and managing client cases on a contractual basis. They often work with healthcare providers, social services, or insurance companies to ensure clients receive appropriate care and resources. Their duties may include evaluating client needs, developing care plans, and coordinating services while adhering to contractual agreements. Unlike full-time employees, they work on a temporary or project-based basis, offering flexibility for both employer and case manager.

What are the key skills and qualifications needed to thrive as a contract case manager?

A successful Contract Case Manager needs a solid background in case management, contract compliance, and client advocacy, often supported by a degree in social work, healthcare, or a related field. Familiarity with case management software, documentation systems, and regulatory guidelines is frequently required, and certifications like CCM (Certified Case Manager) may be preferred. Strong organizational skills, attention to detail, and the ability to communicate compassionately with diverse stakeholders are essential soft skills for this role. These competencies are vital for ensuring effective client outcomes, regulatory adherence, and smooth collaboration within interdisciplinary teams.

What are some typical challenges faced by contract case managers, and how can they be managed successfully?

Contract Case Managers often navigate complex caseloads while ensuring compliance with diverse contractual and regulatory requirements. Common challenges include balancing the needs of multiple clients, managing detailed documentation, and coordinating care or resources across various agencies. Successful case managers use strong organizational skills, effective communication, and time management strategies to address these demands. Building positive relationships with clients and team members, as well as staying updated on relevant policies, also greatly supports success in this position.

How hard is it to become a contract case manager?

Becoming a contract case manager typically requires a relevant bachelor's degree in social work, healthcare, or a related field, along with experience in case management or social services. Certification such as the Certified Case Manager (CCM) can enhance job prospects, and strong organizational and communication skills are essential. The difficulty varies based on individual qualifications and the specific employer requirements.

Is a contract case manager a stressful job?

A contract case manager's job can be stressful due to managing multiple cases, meeting deadlines, and handling sensitive client information. The role often requires strong organizational skills, attention to detail, and the ability to work under pressure, which can contribute to job-related stress.

What are the most commonly searched types of Case Manager jobs in Decatur, GA?

The most popular types of Case Manager jobs in Decatur, GA are:

What job categories do people searching Contract Case Manager jobs in Decatur, GA look for?

The top searched job categories for Contract Case Manager jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Contract Case Manager jobs?

Cities near Decatur, GA with the most Contract Case Manager job openings:

Contract Case Manager jobs near you
Infographic showing various Contract Case Manager job openings in Decatur, GA as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $50,275 per year, or $24.2 per hour.

RN, Specialty Care Review On Call PRN

Kaiser Permanente

Atlanta, GA • On-site

Other

This job post has expired today. Applications are no longer accepted.

Kaiser Permanente rating

8.2

Company rating: 8.2 out of 10

Based on 923 frontline employees who took The Breakroom Quiz

54th of 898 rated healthcare providers

Job description

Job Summary:
Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical necessity of the designated services using established criteria and guidelines for coordination of services. Eligibility and benefit reviews will be performed as necessary. Identification of patients for case management, quality improvement reviews, and communication with inpatient care coordinators, case managers, providers, Customer Service, Claims, Contracts and Benefits - Appeals, Risk Management are responsibilities of the position.
Essential Responsibilities:
  • Responsible for the day to day review activities as outlined above. Utilizes established criteria to perform medical necessity review for all members requiring home health and DME services. All referral reviews will be performed within the required timeframe and with adherence to the decision notification process. Refers all cases that do not meet established criteria to the appropriate review physician. Performs benefit and eligibility reviews on referrals. Provides investigation and preparation of cases requiring review of the Chief of QRM according to the established guidelines. Understands the Complex Case Management Program and referral process; Refers patients to the Complex Case Managers according to procedure. Provides correspondence in accordance to policy and procedure for members with respect to service requests. Interacts with vendors to ensure that resources are being utilized appropriately while maintaining quality outcomes.
    • Establishes and maintains contact with case manager regarding requests and review status as appropriate.
    • Refers the patient to the social workers as appropriate. Performs quality of care and service reviews using identified quality indicators. Reviews the utilization reports with the Supervisor to assure appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant state and Federal regulations, criteria, documentation requirements and laws that affect managed care and case/utilization management. Maintains effective interaction/communication with members of the medical staff, health care teams, intake coordinators, complex case managers, social workers, inpatient care coordinators, referral coordinators, Member Services, Claims, Contracts and Benefits-Appeals, Risk Management and Kaiser Permanente medical offices to facilitate the review process. Builds effective working relationships with other department. Under the guidance of the supervisor, participates in the maintenance of all QRM policies and procedures related to the Transitional Care Review Program. Participates in call rotation to support after hours and weekend requests for quality resource management services.Refers cases identified as risk management, peer review or quality issues to QAIR and Risk Management.
    • Document Review Activities according to documentation guidelines. Issue letters of non - coverage to members not meeting established medical necessity criteria. Works cross-functionally with other departments in striving to meet organizational goals and objectives. Achieves and maintains an understanding of relevant state and federal regulations, criteria, and documentation requirements and laws that affect managed care, home health and case/utilization management. Knowledgeable and compliant with regional personnel policies and procedures. Knowledgeable and compliant with QRM departmental and unit specific policies and procedures. Participates in annual regional and departmental compliance training. Knowledgeable and compliant with Principles of Responsibility. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.
    • Responsible for assisting the Medical Office Administration, Customer Services and Provider Relations in investigating concerns and issues. Access to protected health information (PHI) will be limited to the minimum necessary required to effectively perform the job. Demonstrates understanding of HIPAA privacy regulations by maintaining confidentiality of Protected Health Information (PHI). Demonstrates doing the right thing and doing things the right way is an underlying premise in all work related activities and is able to identify location of copy of Principles of Responsibility. Develops and maintains an awareness of how to report compliance issues and concerns. Identifies issues of wrong doing and promptly investigates and reports to immediate supervisor or Director of Regional Compliance. Assures an atmosphere and culture for staff to report issues of wrong doing. Other duties as assigned.
Basic Qualifications:
Experience
  • Minimum three (3) years of clinical nursing OR completed Kaiser Permanente Nurse Residency Program in KP Georgia.
Education
  • B.S. in Nursing or four (4) years of directly related experience.
  • High school diploma or GED required.
License, Certification, Registration
  • Registered Professional Nurse License (Georgia)
Additional Requirements:
  • Working knowledge of all relevant federal, state, local and regulatory requirements, including Medicare.
  • Functional knowledge of computers.
  • Experience in ICD9/CPT4 coding.
  • Experience in home health and durable medical equipment coordination.
  • Experience with managed health care delivery systems.
Preferred Qualifications:
  • Minimum three (3) years of clinical nursing with preferred experience home health, rehabilitation or skilled nursing care.
  • Minimum two (2) years of experience in utilization or case management, discharge planning and quality improvement in a managed care or health care setting preferred.
  • Preferred experience with managed care or health care delivery systems.
  • CCM preferred.
  • B.S. in Nursing.

Primary Location: Georgia,Atlanta,Regional Office - 9 Piedmont
Scheduled Weekly Hours: 1
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun
Working Hours Start: 08:30 AM
Working Hours End: 05:00 PM
Job Schedule: Call-in/On-Call
Job Type: Standard
Employee Status: Regular
Worker Location: Onsite
Employee Group/Union Affiliation: GUP|UFCW|Local 1996
Job Level: Entry Level
Department: Regional Office - 9 Piedmont - UR-Care at Home - 2808
Pay Range: $40.35 - $51.59 / hour Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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