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Telephonic Case Management Jobs (NOW HIRING)

PONOS MGMT INC

RN - Telephonic Case Manager

Richmond, VA · On-site

$45 - $57/hr

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 ...

Genex

Telephonic Case Manager

Boca Raton, FL · On-site

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

genex

Telephonic Case Manager

Boca Raton, FL

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

genex

Telephonic Case Manager

Boca Raton, FL · On-site

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

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Telephonic Case Management information

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$24

$36

How much do telephonic case management jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for telephonic case management in the United States is $24.42, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $33.27 per hour, depending on experience, location, and employer.

What is a telephonic case manager?

A telephonic case manager is a healthcare or social services professional who coordinates and manages client cases primarily through phone communication. They assess client needs, develop care plans, and collaborate with healthcare providers or support teams remotely, often using case management software. Strong communication skills and knowledge of healthcare or social services are essential for this role.

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

To thrive as a Telephonic 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, electronic health records, and telehealth platforms is typically required. Excellent communication, problem-solving, and empathy are essential soft skills for effectively supporting patients remotely. These skills ensure coordinated, patient-centered care and positive health outcomes in a virtual environment.

What jobs pay 2000 a day?

In telephonic case management, earning $2,000 a day is uncommon and typically associated with highly specialized or executive-level roles, such as senior healthcare consultants or independent contractors with extensive experience. These positions often require advanced certifications, a strong professional network, and the ability to handle complex cases or projects independently. Most telephonic case management roles offer salaries or fees that are significantly lower on a daily basis.

What is telephonic case management?

Telephonic case management is a process where healthcare professionals, often nurses or social workers, manage and coordinate patient care over the phone. This service involves assessing patient needs, developing care plans, monitoring patient progress, and providing education and support—all remotely. Telephonic case management is commonly used to help patients with chronic illnesses, those transitioning from hospital to home, or individuals who require ongoing support but may have difficulty attending in-person appointments. It helps improve access to care, enhance patient outcomes, and reduce healthcare costs by preventing unnecessary hospitalizations.

What jobs pay $10,000 a month without a degree?

Telephonic case management roles can pay around $10,000 per month for experienced professionals, especially those working independently or in high-demand healthcare settings. Success in such roles often depends on strong communication skills, industry knowledge, and certifications rather than formal degrees.

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

AspectTelephonic Case ManagementUtilization Review Nurse
CredentialsRN, CCM or similar certificationsRN, often with certifications like URAC or CUC
Work EnvironmentRemote, phone-based case managementRemote or hospital-based review settings
Employer & IndustryInsurance companies, healthcare providersInsurance companies, healthcare organizations
Primary FocusCoordinating patient care and servicesAssessing medical necessity for services

While both roles involve remote work and require nursing credentials, Telephonic Case Management focuses on coordinating ongoing patient care, whereas Utilization Review Nurses primarily evaluate the necessity of medical services for insurance approval.

What are some common challenges faced in a Telephonic Case Management role, and how can they be overcome?

One common challenge in Telephonic Case Management is building rapport and trust with clients without face-to-face interaction. Case managers also navigate managing high caseloads and coordinating care among various providers remotely. Effective communication, strong organizational skills, and the ability to use technology efficiently are key to overcoming these challenges. Regular training on call management and active listening techniques can also help case managers deliver high-quality, patient-centered care and maintain strong professional relationships.

Where do case managers get paid the most?

Case managers tend to earn higher salaries in regions with a higher cost of living and greater demand for healthcare services, such as metropolitan areas or states with robust healthcare industries. Salaries can also vary based on experience, certifications, and the specific healthcare setting, with those working in insurance companies or specialized medical facilities often earning more.
More about Telephonic Case Management jobs
What cities are hiring for Telephonic Case Management jobs? Cities with the most Telephonic Case Management job openings:
What states have the most Telephonic Case Management jobs? States with the most job openings for Telephonic Case Management jobs include:
What job categories do people searching Telephonic Case Management jobs look for? The top searched job categories for Telephonic Case Management jobs are:
Telephonic Case Management jobs near you

RN - Telephonic Case Manager

PONOS MGMT INC

Richmond, VA • On-site

$45 - $57/hr

Full-time

Posted 5 days ago

Be an early applicant

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.