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Rn Telephonic Case Manager Jobs (NOW HIRING)

PONOS MGMT INC

RN - Telephonic Case Manager

Richmond, VA · On-site

$45 - $57/hr

The RN Telephonic Case Manager supports Medicaid populations through proactive telephonic outreach, comprehensive assessments, and collaboration with interdisciplinary teams. This role helps ensure ...

Enlyte

Telephonic Case Manager

Albany, NY · Remote

$74K - $86K/yr

Compact RN is required Perks: Full and comprehensive benefits program, 24 days of paid vacation ... As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers ...

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PONOS MGMT INC

IL-LTSS Telephonic Case Manager

Chicago, IL · On-site

$114K - $118K/yr

The IL-LTSS Telephonic Case Manager supports Medicaid populations through proactive telephonic ... Active multistate Registered Nurse (RN) license required * CCM certification preferred * Minimum 2+ ...

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Rn Telephonic Case Manager information

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How much do rn telephonic case manager jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for rn telephonic case manager in the United States is $36.49, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $38.46 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an RN Telephonic Case Manager, and why are they important?

To thrive as an RN Telephonic Case Manager, you need a current RN license, strong clinical background, and expertise in care coordination and patient education. Familiarity with case management software, telehealth platforms, and utilization review tools is typically required, along with certifications such as CCM (Certified Case Manager) being advantageous. Outstanding communication, active listening, and problem-solving skills are crucial for building rapport with patients remotely and collaborating with healthcare teams. These abilities ensure effective patient support, improved health outcomes, and efficient care delivery in a remote setting.

How does an RN Telephonic Case Manager typically collaborate with other healthcare professionals to support patient care?

RN Telephonic Case Managers frequently work as part of an interdisciplinary team, coordinating with physicians, social workers, pharmacists, and other care providers to ensure comprehensive patient support. Communication is primarily conducted via phone, secure emails, and electronic health records to discuss care plans, address barriers, and facilitate smooth transitions between care settings. This collaboration is essential for developing individualized care plans, monitoring patient progress, and ensuring that care goals are met. Building strong professional relationships and maintaining clear, timely communication are key aspects of success in this role.

What is the difference between Rn Telephonic Case Manager vs Rn Case Manager?

AspectRn Telephonic Case ManagerRn Case Manager
CredentialsRN license, case management certification often preferredRN license, case management certification often preferred
Work EnvironmentPrimarily remote, phone-based interactionsTypically in healthcare facilities or offices, in-person and phone interactions
Employer & IndustryHealth insurance companies, telehealth providersHospitals, clinics, healthcare organizations
Search & Comparison IntentYesYes

The main difference is that Rn Telephonic Case Managers primarily work remotely via phone, focusing on case coordination without in-person contact. Rn Case Managers often work onsite in healthcare settings, providing direct patient care and case management. Both roles require RN licensure and similar certifications, but their work environments and daily interactions differ.

What is an RN Telephonic Case Manager?

An RN Telephonic Case Manager is a registered nurse who provides case management services over the phone. They help patients navigate their healthcare plans by coordinating care, providing education about medical conditions, and ensuring patients receive appropriate resources and follow-up care. These nurses often work for insurance companies, hospitals, or healthcare organizations, and play a crucial role in helping patients manage chronic illnesses or recover from acute events. Their work focuses on improving patient outcomes, reducing hospital readmissions, and supporting patients in managing their health remotely.
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Rn Telephonic Case Manager jobs near you
Infographic showing various Rn Telephonic Case Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 92% Full Time, 1% Part Time, and 6% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $75,891 per year, or $36.5 per hour.

RN - Telephonic Case Manager

PONOS MGMT INC

Richmond, VA • On-site

$45 - $57/hr

Full-time

Posted 11 days ago

Job description

Organizational Overview

Ponos Care is a physician-led, value-based healthcare organization committed to improving outcomes for individuals living with chronic, inflammatory, and immune-related conditions. Through compassionate care delivery, innovative treatment models, and data-informed clinical practices, Ponos Care focuses on improving health equity, enhancing patient outcomes, and reducing avoidable hospitalizations.


The RN Telephonic Case Manager supports Medicaid populations through proactive telephonic outreach, comprehensive assessments, and collaboration with interdisciplinary teams. This role helps ensure members receive appropriate case management and care coordination services that promote independence and quality of life.

Position Overview

The RN Telephonic Case Manager manages complex member caseloads requiring case management and care coordination. The role completes telephonic assessments, develops individualized care plans, and coordinates services addressing medical, behavioral health, and social determinants of health needs.


The Case Manager partners with interdisciplinary teams, providers, and community organizations to ensure continuity of care, support safe transitions, reduce avoidable hospitalizations, and improve member outcomes.


This role supports value-based care initiatives and ensures care management activities meet applicable regulatory, quality, and documentation standards, including NCQA and HEDIS requirements.


Core Responsibilities

Care Management & Coordination

  • Complete comprehensive telephonic assessments for members
  • Develop individualized care plans addressing medical, behavioral health, and social support needs
  • Coordinate clinical services with providers, specialists, and community-based organizations
  • Facilitate continuity of care following hospital discharge and other care transitions
  • Conduct ongoing outreach to monitor progress, reassess needs, and update care plans as indicated
  • Partner with interdisciplinary teams to support eligibility reviews and service planning
  • Review clinical documentation and submit required information to support continuity of care
  • Coordinate services and referrals to community-based programs to meet member needs
  • Track engagement and adherence, and address barriers
  • Ensure timely communication and escalation between the care team and PCP and specialists
  • Triage and escalate high-risk findings per protocol, triggers and alerts and urgent clinical or behavioral health concerns
  • Support implementation and optimization of care management programs to improve outcomes and reduce avoidable utilization


Documentation & Quality Reporting

  • Document assessments, outreach, care plans, and interventions accurately in the electronic health record (EHR)
  • Ensure documentation meets organizational policies and regulatory and audit standards
  • Identify and help close HEDIS care gaps and other quality performance measures
  • Participate in quality improvement activities to strengthen care coordination outcomes


Interdisciplinary Collaboration

  • Collaborate with physicians, nurses, social workers, and other care team members to coordinate care
  • Align services and resources across medical, behavioral health, and social needs
  • Communicate member priorities, barriers, and care plan updates to the interdisciplinary team


Program Development Support

  • Contribute to the development and maintenance of policies, procedures, and workflows for case management programs
  • Identify opportunities to streamline care coordination, improve member experience, reduce avoidable utilization, and advance value-based care goals
  • Participate in continuous improvement initiatives aligned with organizational goals and quality performance

Qualifications and Education

  • Active multistate Registered Nurse (RN) license required
  • CCM certification preferred
  • Minimum 2+ years of experience in care management, case management, or population health
  • Experience supporting Medicaid populations or complex care environments preferred
  • Knowledge of Long-Term Services and Supports (LTSS) programs
  • Experience using electronic health record (EHR) systems
  • Ability to manage complex caseloads in a remote work environment
  • Strong communication and care coordination skills

EEO Statement

We are an Equal Opportunity Employer and are committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity or expression), national origin, age, disability, genetic information, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws. We believe inclusion strengthens our organization and enhances our ability to serve members and communities nationwide. We are committed to providing reasonable accommodation for qualified individuals with disabilities throughout the recruitment and employment process.