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Remote Medical Case Management Jobs in Georgia (NOW HIRING)

Oscar Health

Case Management RN

Atlanta, GA · Remote

$32.60 - $42.79/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Georgia Behavior Associates

Case Manager

Sandy Springs, GA · On-site +1

$19.75 - $25.50/hr

Bilingual Case Manager (English/Spanish) Georgia (Remote/Hybrid) About BK Behavior BK Behavior is a ... Medical, dental, and vision insurance (eligible employees) * 401(k) with company match * Paid time ...

Preston Harris Group

Medical Sales Manager

Atlanta, GA · Remote

$150K - $180K/yr

Lead, coach, and develop a team of Remote Medical Sales Representatives to achieve and exceed sales ... Analyze sales data and CRM activity to identify opportunities, trends, and areas for improvement.

UnitedHealth Group

RN Case Manager -Remote

Atlanta, GA · On-site +1

$60K - $107K/yr

Provide patient education to assist with self-management * Make referrals to outside sources ... Case management experience * Experience or exposure to discharge planning * Experience in ...

USAA

SIU Major Case Manager (Medical Provider)

Atlanta, GA · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated SIU Major Case Manager (Medical ...

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Remote Medical Case Management information

What are the key skills and qualifications needed to thrive as a remote medical case manager, and why are they important?

To thrive as a Remote Medical Case Manager, you need a background in nursing or social work, strong clinical assessment abilities, and relevant licensure such as RN or LCSW. Familiarity with case management software, telehealth platforms, and electronic health records is commonly required. Outstanding communication, organization, and problem-solving skills help you coordinate care and support patients remotely. These competencies ensure effective patient advocacy, streamlined care coordination, and optimal health outcomes in a virtual environment.

What is the difference between Remote Medical Case Management vs Remote Medical Billing Specialist?

AspectRemote Medical Case ManagementRemote Medical Billing Specialist
CredentialsRN, LPN, or relevant healthcare certificationsMedical billing certifications (e.g., CPC, CBCS)
Work EnvironmentHealthcare settings, insurance companies, or case management firmsMedical offices, billing companies, or healthcare providers
Industry UsageUsed for coordinating patient care and treatment plansUsed for processing insurance claims and billing
Search IntentComparing roles related to patient care coordinationLooking for billing and coding roles in healthcare

Remote Medical Case Management involves coordinating patient care, requiring healthcare credentials and focusing on treatment plans. In contrast, Remote Medical Billing Specialists handle insurance claims and billing processes, often with billing certifications. Both roles are remote and industry-specific but serve different functions within healthcare organizations.

What is remote medical case management?

Remote medical case management is a process where healthcare professionals, such as nurses or case managers, coordinate and manage patients' care from a distance, often using phone calls, video conferencing, and electronic health records. This service helps patients navigate complex medical conditions, ensures they follow treatment plans, and connects them to necessary resources, all without needing in-person visits. Remote case managers collaborate with patients, families, and healthcare providers to improve health outcomes and reduce hospital readmissions. This approach is especially valuable for patients with chronic illnesses, disabilities, or those living in rural or underserved areas.

What are some common challenges faced by professionals in remote medical case management roles?

Professionals in remote medical case management often encounter challenges such as maintaining effective communication with patients, healthcare providers, and insurance companies without in-person interaction. Coordinating care plans, accessing up-to-date patient information, and ensuring compliance with privacy regulations can also be more complex in a virtual environment. To succeed, case managers must be highly organized, technologically proficient, and proactive in building trust and rapport through digital channels. Regular training and collaboration with interdisciplinary teams are essential for overcoming these hurdles and delivering optimal patient outcomes.
What are popular job titles related to Remote Medical Case Management jobs in Georgia? For Remote Medical Case Management jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Remote Medical Case Management jobs in Georgia look for? The top searched job categories for Remote Medical Case Management jobs in Georgia are:
What cities in Georgia are hiring for Remote Medical Case Management jobs? Cities in Georgia with the most Remote Medical Case Management job openings:
Remote Medical Case Management jobs near you
Infographic showing various Remote Medical Case Management job openings in Georgia as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 7% In-person, and 93% Remote job distribution.

Sr Medical Case Manager-CA

Crawford and Company

Peachtree Corners, GA • On-site, Remote

$27.19 - $49.73/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description


Now Hiring: RN Case Manager - Los Angeles, CA Region
Work from home + local field travel
Salary: Competitive & commensurate with experience
Quarterly Bonus Opportunities
Free CEUs for licenses & certificates
License & Certification Reimbursement
We're looking for an RN with a passion for case management to join our team!
RN degree required
National Certification preferred (CCM, CRC, COHN, CRRN)
Workers' Comp Case Management experience a plus
✅ Your Impact: You'll provide effective case management services in a cost-effective manner, delivering medical case management consistent with URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines. You'll support patients/employees receiving benefits under insurance lines including Workers' Compensation, Group Health, Liability, Disability, and Care Management.
This is your chance to grow your career, earn great rewards, and enjoy true work-life balance.
Apply today and make an impact in the community!
Responsibilities
  • May assist supervisor/manager in review of reports, staff development.
  • Reviews case records and reports, collects and analyzes data, evaluates client's medical and vocational status and defines needs and problems in order to provide proactive case management services.
  • Demonstrates ability to meet or surpass administrative requirements, including productivity, time management, quality assessment (QA) standards with a minimum of supervisory intervention.
  • Facilitates a timely return to work date by establishing a professional working relationship with the client, physician and employer. Coordinates return to work with patient, employer and physicians.
  • May recommend and facilitate completion of peer reviews and IME's by obtaining and delivering medical records and diagnostic films notifying patients.
  • Manages cases of various product lines of at least 3-4 areas of service (W/C, Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning). Specifically, the case manager should be experienced in catastrophic cases plus 2-3 additional types listed above.
  • Renders opinions regarding case cost, treatment plan, outcome, and problem areas and makes recommendations to facilitate rehabilitation goals and RTW.
  • May review files for claims adjusters and supervisors.
  • May perform job site evaluations/summaries. Prepares monthly written evaluation reports denoting case activity, progress and recommendations in accordance with state regulations and company standards.
  • May obtain referrals from branch claims office or assist in fielding phone calls for management as needed.
  • Maintains contact and communicates with insurance adjusters to apprise them of case activity, case direction or receive authorization for services. Maintains contact with all parties involved on case, necessary for rehabilitation of the client.
  • May spend approximately 70% of work time traveling to homes, health care providers, job sites, and various offices as required to facilitate return to work and resolution of cases.
  • May meet with employers to review active files.
  • Reviews cases with supervisor monthly to evaluate file and obtain direction.
  • Upholds the Crawford Code of Business Conduct at all times.
  • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
  • Independently approaches problem resolution by appropriate use of research and resources.
  • May perform other related duties as assigned.

Qualifications
  • Bachelor's Degree in a health-related field is preferred. Associates or diploma in nursing also accepted.
  • Three years of Workers' Compensation case management with ability to independently coordinate a diverse caseload ranging in moderate to high complexity.
  • Demonstrated ability to handle complex assignments and ability to work independently is required.
  • Effective oral and written communication skills are required.
  • Thorough understanding of jurisdictional WC statutes.
  • Advanced knowledge to exert positive influence in all areas of case management.
  • Advanced communications and interpersonal skills in order to conduct training, provide mentorship, and assist supervisor in general areas as assigned.
  • Highly skilled at promoting all managed care products and services internally and externally.
  • Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
  • Minimum of 1 nationally recognized Certification from the URAC list of approved certifications.
  • Must be able to travel as required.
  • Individuals who conduct initial clinical review possess an active, professional license or certification:
    • To practice as a health professional in a state or territory of the U.S.; and
    • With a scope of practice that is relevant to the clinical area(s) addressed in the initial clinical review.
  • Must maintain a valid driver's license in state of residence.

#LI-RG1
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:
  • Competitive base pay
- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
  • Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
  • We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
*The above information highlights some of the benefits currently available to eligible full-time employees.
  • Training programs that promote continuous learning and career progression while enhancing job performance.
  • Sustainability programs that give back to the communities in which we live and work.
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.

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