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Telephonic Case Manager Jobs (NOW HIRING)

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 outreach, comprehensive assessments, and collaboration with interdisciplinary teams. This role helps ...

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 · 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 ...

Corvel

Telephonic Case Manager I

Rogers, AR · On-site

$63K - $95K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

Omaha, NE · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

Rogers, AR · On-site

$63K - $95K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

Saint Louis, MO · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · On-site

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

Omaha, NE · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

Overland Park, KS · Remote

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

Corvel

Telephonic Case Manager I

West Des Moines, IA · On-site

$62K - $93K/yr

The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate ...

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How much do telephonic case manager jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for telephonic case manager 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?

The role of a telephonic case manager is to coordinate care for patients and assist with providing access to medical services. Your responsibilities in this career are to operate in a supervisory capacity over other nurses in a hospital and doctor’s office. You can also find work with an insurance company. You evaluate patient cases, recommend treatment plans, and oversee the care that patients receive. Additionally, as a telephonic case manager, you may report patient care needs to insurance companies and investigate claims made by patients. You act as a general liaison between patients, insurance companies, and the medical institution. Generally, you also complete the duties of an RN if you are working in a hospital setting.

How does a Telephonic Case Manager typically collaborate with healthcare providers and patients to coordinate care?

Telephonic Case Managers play a key role in bridging communication between patients, healthcare providers, and insurance companies. They regularly interact with patients to assess needs, provide education, and ensure adherence to treatment plans. Additionally, they coordinate with physicians, nurses, and social workers to arrange services, follow up on care progress, and address any barriers to optimal outcomes. This collaboration helps streamline care delivery and ensures that patients receive comprehensive support throughout their healthcare journey.

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

AspectTelephonic Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review (e.g., URAC)
Work EnvironmentRemote or office-based, patient and provider communicationTypically office or hospital-based, focus on medical necessity review
Employer & IndustryInsurance companies, healthcare providers, managed careInsurance companies, healthcare organizations, hospitals

Both roles require RN licensure and related certifications, often working in insurance or healthcare settings. While Telephonic Case Managers focus on coordinating patient care remotely through communication, Utilization Review Nurses primarily evaluate medical necessity for services. The roles overlap in credentials and industry but differ in daily tasks and focus areas.

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, case management experience, and relevant licensure or certification such as RN or CCM. Familiarity with case management software, electronic health records (EHRs), and telecommunication systems is commonly required. Strong communication, active listening, and problem-solving skills help build rapport and effectively coordinate care remotely. These skills ensure efficient patient assessment, care coordination, and positive outcomes in a remote healthcare environment.

What are telephonic case managers?

Telephonic case managers are healthcare professionals who coordinate patient care and manage cases over the phone. They assess patients’ needs, develop care plans, provide health education, and help navigate insurance or treatment options—all remotely. Their goal is to ensure patients receive appropriate, timely care while reducing unnecessary hospitalizations and improving health outcomes. Telephonic case managers often work for insurance companies, hospitals, or healthcare organizations, supporting patients with chronic illnesses, post-discharge needs, or complex health conditions.
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Telephonic Case Manager jobs near you
Infographic showing various Telephonic Case Manager job openings in the United States as of May 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $50,787 per year, or $24.4 per hour.

IL-LTSS Telephonic Case Manager

PONOS MGMT INC

Chicago, IL • On-site

$114K - $118K/yr

Full-time

Posted 4 days ago

Job description

Organizational Overview

Ponos Management Inc., 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 IL-LTSS Telephonic Case Manager supports Medicaid populations through proactive telephonic outreach, comprehensive assessments, and collaboration with interdisciplinary teams. This role helps ensure members receive appropriate LTSS and RPM services that promote independence and quality of life.


Position Overview

The IL-LTSS Telephonic Case Manager manages complex member caseloads requiring Long-Term Services and Supports (LTSS) and Remote Patient Monitoring (RPM). 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 receiving or applying for LTSS services
  • Develop individualized care plans addressing medical, behavioral health, and social support needs
  • Coordinate LTSS and 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


LTSS Program Support

  • Coordinate LTSS applications and documentation requirements in partnership with the realignment team
  • Partner with interdisciplinary teams to support eligibility reviews and service planning
  • Review clinical documentation and submit required information to support LTSS determinations
  • Coordinate waiver services and referrals to community-based programs to meet member needs


Remote Patient Monitoring (RPM) Coordination

  • Partner with RPM vendors to enroll eligible members and maintain effective monitoring workflows
  • Track RPM engagement and adherence, and address barriers to device use and data capture
  • Ensure timely communication and escalation between the care team and RPM partners for alerts and clinical concerns
  • Triage and escalate high-risk findings per protocol, including RPM alerts and urgent clinical or behavioral health concerns
  • Support implementation and optimization of RPM programs to improve outcomes and reduce avoidable utilization
  • Train the Feet on the Street Team on RPM device setup, unboxing, and basic troubleshooting


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
  • Promote integrated care coordination across LTSS, medical management, and RPM services


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.