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Remote Telephonic Nurse Case Manager Jobs in Decatur, GA

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 ...

WovenLegal.com

Legal Relationship Manager

Atlanta, GA · Remote

Legal Relationship Manager (Paralegal Experience Required) Remote | Part-Time | 10-15 Hours Per ... Case Manager, or similar legal support professional. Applicants without legal industry experience ...

Woven Legal LLC

Legal Relationship Manager

Atlanta, GA · Remote

$29 - $31/hr

Legal Relationship Manager (Paralegal Experience Required) Remote | Part-Time | 10-15 Hours Per ... Case Manager, or similar legal support professional. Applicants without legal industry experience ...

corviaconsulting

Litigation Attorney - remote

Atlanta, GA · Remote

$120K - $160K/yr

Familiarity with remote case management systems and legal tech tools What We Offer * Fully remote ... work environment * Competitive compensation based on experience * Consistent caseload and ...

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Remote Telephonic Nurse Case Manager information

See Decatur, GA salary details

$16

$35

$58

How much do remote telephonic nurse case manager jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote telephonic nurse case manager in Decatur, GA is $35.62, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $37.55 per hour, depending on experience, location, and employer.

What is the difference between Remote Telephonic Nurse Case Manager vs Remote Telephonic Utilization Review Nurse?

AspectRemote Telephonic Nurse Case ManagerRemote Telephonic Utilization Review Nurse
CredentialsRN license, case management certificationRN license, utilization review certification
Work EnvironmentPatient advocacy, care coordinationInsurance review, medical necessity assessment
Employer & IndustryHealthcare providers, case management companiesInsurance companies, health plans

Both roles require RN licensure and involve remote work, but the Nurse Case Manager focuses on coordinating patient care, while the Utilization Review Nurse assesses medical necessity for services. They serve different functions within healthcare and insurance industries, though both are vital for patient and cost management.

What are some common challenges faced by Remote Telephonic Nurse Case Managers and how can they be addressed?

Remote Telephonic Nurse Case Managers often encounter challenges such as building rapport with patients without face-to-face interaction and managing caseloads across different time zones. To address these, strong communication skills, effective time management, and the use of structured assessment tools are essential. Regular collaboration with interdisciplinary teams via virtual meetings and leveraging technology platforms for documentation can also help streamline workflows and enhance patient outcomes.

What Does a Remote Telephonic Nurse Case Manager Do?

Telephonic nurse case managers are medical professionals who coordinate all aspects of patient care for high-risk individuals. As a remote telephonic nurse case manager, you work primarily from home. Using telephone communications, you evaluate each client while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources. Your responsibilities include overseeing outstanding patient care while working alongside patients, their families, and other medical professionals. Other duties may include collaborating with insurance companies, social workers, and supply managers. You may also address the legal and ethical aspects of patient care.

What is a Remote Telephonic Nurse Case Manager?

A Remote Telephonic Nurse Case Manager is a registered nurse who works from a remote location, providing case management services to patients primarily over the phone. They coordinate care, assess patient needs, develop care plans, and facilitate communication between patients, healthcare providers, and insurance companies. Their goal is to help patients achieve optimal health outcomes while ensuring efficient use of resources. This role is common in health insurance, workers’ compensation, and managed care organizations.

What are the key skills and qualifications needed to thrive as a Remote Telephonic Nurse Case Manager, and why are they important?

To thrive as a Remote Telephonic Nurse Case Manager, you need strong clinical knowledge, case management experience, and a current RN license, often supported by a BSN degree. Familiarity with case management software, telehealth platforms, and relevant certifications such as CCM or ACM is typically expected. Exceptional communication, critical thinking, and organizational skills are crucial for building rapport with patients and coordinating care remotely. These competencies ensure effective patient management, improved health outcomes, and efficient care coordination in a virtual environment.
More about Remote Telephonic Nurse Case Manager jobs
What job categories do people searching Remote Telephonic Nurse Case Manager jobs in Decatur, GA look for? The top searched job categories for Remote Telephonic Nurse Case Manager jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Telephonic Nurse Case Manager jobs? Cities near Decatur, GA with the most Remote Telephonic Nurse Case Manager job openings:
Remote Telephonic Nurse Case Manager jobs near you
Complex Case Management Clinical Supervisor

Complex Case Management Clinical Supervisor

Oscar Health

Atlanta, GA • Remote

$91K - $120K/yr

Other

Vision, PTO

Posted 10 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

239th of 281 rated insurance

Job description

Hi, we're Oscar. We're hiring a Complex Case Management Clinical Supervisor to join our team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Complex Case Management Clinical Supervisor leads a clinical team. You will act as both clinical support and leadership support for the team and is responsible for driving goals and KPIs for the clinical team to meet business objectives while providing coaching and leadership. This role is responsible for ensuring clear communication both internally and cross departmentally, guiding process improvement, escalating trends or concerns to appropriate stakeholders. Additionally, the role may be responsible for building relationships with external health systems and/or vendors as appropriate.

You will report into the Manager, Clinical Programs.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $91,908.00 - $120,629.25 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Lead team and department meetings, and participate in meetings with operations management and within the current department. Be the clinical expert and resource for the team and other departments. Promote team and vision and strategy to achieve department goals. Provide consistent feedback to members of the team and company to produce positive results.
  • Lead and participate in continuous improvement activities that inspire or influence the improvement and development of a team.
  • Manage team's outcomes, monitor dashboards, and track operational KPIs, conducting root-cause analysis and constructing action plans when issues arise.
  • Manage daily needs of the team, personnel issues, payroll and attendance. Monitor and approve PTO and sick time. Assist with interviewing, hiring, and training as needed.
  • Provide coaching and support to the team to ensure growth and development.
  • Monitor QI and provide individual QI feedback to the team in 1:1's. Uphold and enforce Oscar policies that drive accountability and alignment.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 3+ years of experience in a healthcare setting as a nurse or social worker.
  • Complex Case Management
  • 1+ years of case management experience at a managed care plan or provider organization
  • Active, unrestricted Nursing license (RN) in your state of hire and ability to obtain additional licensure as needed OR Masters in Social Work

Bonus points:

  • NCQA knowledge
  • 1+ year of previous leadership experience in a health care environment
  • Working knowledge of Milliman Care Guidelines or familiarity with UM guidelines
  • CCM certification
  • BSN or LMSW/LCSW
  • Bilingual in Spanish
  • Strong proficiency navigating Excel, JIRA, and SQL

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