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Remote Medical Case Management Jobs in Georgia (NOW HIRING)

York Risk Services

RN Field Case Manager

Atlanta, GA · On-site +1

$75K - $95K/yr

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Atlanta, GA · On-site +1

$75K - $95K/yr

Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management ... remote work environment that allows face to face interaction with injured workers and medical ...

Integrated Resources INC

Case Manager

Alpharetta, GA · Remote

$19.50 - $25.25/hr

Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management ... Proposes alternative plans of treatment when requests for services do not meet medical necessity ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

Harris

$10/hr

Remote Care Manager Location: Remote The Care Manager will be assigned a patient panel based on ... A minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management ...

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Remote Medical Case Management information

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 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 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 94% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution.

Case Manager, Disability Services

INSPIRITUS INC

Athens, GA

Part-time

Re-posted 16 days ago

Job description


Summary
The Case Manager is a designated Developmental Disabilities Professional and provides leadership in the development and support of the service plans for individuals receiving services and ensures Support Companion compliance with Host Home regulations. The Case Manager also provides comprehensive support services to intellectually disabled individuals placed in host homes in the community and conducts visits at least monthly to monitor the health and safety of the individual while ensuring compliance with regulatory standards. Our Disability and Health Services program is designed to integrate adults, adolescents and children with disabilities into community settings as active participants.
Essential Functions
  1. Conducts site visits monthly, or more frequently as needed, and completes the report at the time of the visit
    1. Reviews Support Companion documentation during home visits.
    2. Attempts to correct any issues on site during visit
    3. Develops Corrective Action Plan for Support Companion to correct any outstanding issues
    4. Reports any unresolved problems relating to Support Companion documentation to Assistant Director
  2. Ensures Individual Service Plans include all information so that services can be billed
    1. Ensures that the current Individual Service Plan goals are being tracked.
  3. Confirms that budgets in Individual Service Plans are correct and billed based on Budgets and Documentation
  4. Ensures that the Level of Care is current and signed by Region and participant
  5. Ensures that Prior Authorizations are issued by the Region to allow for billing
  6. Reviewing that functional assessments are in place to support formulation of the participant's plan for delivery of all waiver services that include:
  1. The Health Risk Screening Tool;
  2. The Supports Intensity Scale;
  3. Functional Behavioral Evaluation;
  4. Others (E.g., Nursing, OT, PT etc.) as needed or required.
  1. Monitors the Case Management System provided by IDD Connect Portal regularly to address any issues pertaining to support coordination ratings
  2. Provides support and training to correct all support coordination home ratings of coaching and above
  3. Contacts Support Coordinator to request version changes to services provided to the participant
  4. Conducts in home or office-based Support Companion trainings as needed to ensure that sound person specific supports are in place
  5. Facilitates Participant transfers as needed and ensures that they are connected to the appropriate resources of their choice
  6. Ensures all requirements, including rate changes and Support Companion training occurs prior to participant's engaging in alternative care services.
  7. Maintains a working knowledge base on Comprehensive Supports Waiver Program (COMP) manual and Department of Behavioral Health and Developmental Disabilities (DBHDD) provider manuals, Department of Community Health (DCH), Policystat and Council on Accreditation standards
  8. Ensures that all hospital discharges are reviewed by Inspiritus' Registered Nurse (RN)
  9. Complies with the various federal, state or local laws that apply to and regulate their job responsibilities
  10. Ensures all health and safety protocols are developed and meeting manual requirements
  11. Assesses the satisfaction of individuals served
  12. Ensures that current and all medications changes are properly documented on the participant's Medication Administration Record and coincides with all relevant in home prescriptions (include risk/side effect training)
  13. Ensures that all approved Support Companions are in compliance with requirements identified in Extended Reach
  14. Conforms with and abides by all regulations, policies, work procedures and instructions
  15. Participates in training, fundraising events and other Inspiritus activities and initiatives such as performance and quality improvement

Fully Utilizes Extended Reach (ER):
  1. Keeps all rate information up to date at all times
  2. Completes and maintains all case and home tasks (including past due reports/activities) found on ER
  3. Monitors and plans for the completion of upcoming tasks
  4. Reviews and uploads monthly documentation no later than the last day of the month, completes monthly case manager reports while at the home visit utilizing electronic health record technology
  5. Reviews and submits medical reports within 24 hours of the appointment.
  6. Ensures that all annual documentation is completed and in the home prior to the start of the ISP
  7. Ensures completion and uploading of all home compliance documents
  8. Trains and assists Support Companions on using the Family Portal

Oversees Contracted/Subcontracted Providers/Professionals by the Organization:
  1. Engages in cross training activities focused around completing and maintaining all

Home tasks (including past due reports/activities) found on ER.
31. Financial oversight and management of individual funds;
32. Support Companion competency and training; and performance through the
monitoring of case and home records
33. Mechanisms that assure care is provided according to the plan of care for each
individual served
Competencies
  1. Must possess DDP designation or be eligible to obtain.
  2. Must be competent in training adult learners.
  3. Must maintain all requirements for current licensure.
  4. Must complete all assigned Relias and other trainings annually.
  5. Is knowledgeable of the various Region and Division units and key personnel
  6. Ability to forge a mutually respectful partnership with persons served and their families in which they are helped to gain the skills and confidence to address any issues and problems they face.
  7. Ability to set limits and maintain the helping role of the practitioner and to intervene appropriately to meet the needs of the persons served or other family members
  8. Must be skilled at working independently in a remote setting.
  9. Must have the ability to communicate with all persons in a professional and culturally competent manner.
  10. Must be highly skilled at working in a collaborative manner with other team members.
  11. Must pass a comprehensive background check including work references and criminal background check.
  12. Must be computer and internet literate with competencies in Microsoft Office Suite (Excel, Word, Outlook) and database/electronic case management system.
  13. Must hold a valid Georgia Driver's license, possess a reliable personal, multi-passenger vehicle, and have personal auto insurance and a good driving record.

Supervisory Responsibility
None
Work Environment
This job operates in a remote office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Home visiting is required.
Physical Demands
  1. Regularly required to talk and hear. Required to stand, walk, sit, use hand to finger, handle or feel objects, tools or controls: and reach with hands and arms. Required to operate personal vehicle.
  2. Employee frequently lifts and or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus

Position Type and Expected Hours of Work
  1. Hours scheduled and worked must be sufficient to meet the individual needs of each participant served by the provider.
  2. Typical work schedule is Monday-Friday 8:30am-5:00pm; 40 hours per week.
  3. Night and weekend work may be required.
  4. While performing the responsibilities of this job, the employee travels via personal automobile and is exposed to changing weather conditions.

Travel
Travel up to 50% of the time. Responds immediately to all after hours on-calls and reports any issues to manager/supervisor.
Required Education and Experience
A bachelor's degree in social work or at least a bachelor's degree in human services field including but not limited to: sociology, special education, rehabilitation counseling, and psychology AND has one year of experience in providing human services to individuals with I/DD.
Preferred Education and Experience
  1. Master's degree.
  2. Established connections within the Developmental Disabilities community, through either personal or employment-related experience.

Additional Eligibility Qualifications
None required for this position.
Work Authorization/Security Clearance (if applicable)
None required for this position.
AAP/EEO Statement
[Insert AAP/EEO statement here, if applicable.]
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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