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Telephonic Case Manager Jobs in Texas (NOW HIRING)

Athens Administrators

Telephonic Nurse Case Manager

Boerne, TX

$94K - $132K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Telephonic Nurse Case Manager Department: Managed Care Reports To: Case Management Supervisor FLSA Status: Exempt Job Grade: 14 ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We ...

FCCI Insurance Group

Medical Case Manager

Richardson, TX · On-site +1

$62K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers' compensation claims. The selected new hire will provide coordination and evaluation of medical ...

CVS Health

Case Manager, Registered Nurse

Mountain Home, TX · On-site

$54K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. * Application and/or interpretation of applicable ...

CK Family Services

Case Manager

Arlington, TX · On-site

$18 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Case Managers are assigned a caseload of foster and adoptive parents whom they support, empower ... in-person, telephonic, and video calls), collection and timely completion of paperwork ...

CK Family Services

Case Manager

Plano, TX · On-site

$19.25 - $24.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Case Managers are assigned a caseload of foster and adoptive parents whom they support, empower ... in-person, telephonic, and video calls), collection and timely completion of paperwork ...

Altus ACE

RN Case Manager

Houston, TX · On-site

$80K/yr

Assessments may be in person or telephonic. Assists with teaching and coordinating medical and ... Case Management certification preferred Bilingual in Spanish preferred 3-5 years acute clinical ...

Altus ACE

RN Case Manager

Houston, TX

$80K/yr

Assessments may be in person or telephonic. Assists with teaching and coordinating medical and ... Case Management certification preferred Bilingual in Spanish preferred 3-5 years acute clinical ...

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Telephonic Case Manager information

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How much do telephonic case manager jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for telephonic case manager in Texas is $22.75, according to ZipRecruiter salary data. Most workers in this role earn between $14.33 and $31.01 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.
More about Telephonic Case Manager jobs
What are popular job titles related to Telephonic Case Manager jobs in Texas? For Telephonic Case Manager jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Telephonic Case Manager jobs in Texas look for? The top searched job categories for Telephonic Case Manager jobs in Texas are:
What cities in Texas are hiring for Telephonic Case Manager jobs? Cities in Texas with the most Telephonic Case Manager job openings:
Telephonic Case Manager jobs near you
Infographic showing various Telephonic Case Manager job openings in Texas as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $47,316 per year, or $22.7 per hour.

Nurse Case Manager

Paradigm Healthcare Services

Houston, TX • On-site

Other

Re-posted 4 days ago

Job description

Paradigm Healthcare LLC is Hiring a Licensed Nurse Case Manager
In keeping with the organization's goals, the Case Manager/ Prior Authorization Liaison- Managed Care Department, is responsible for providing comprehensive telephonic case management, insurance verification, and authorization services for our skilled nursing facilities (SNFs). This role supports the managed care continuum from referral and admission through ongoing utilization review, discharge planning, and continuation of care.
The position partners closely with Managed Care Organizations (MCOs), referral sources, and facility leadership to promote managed care census growth, ensure appropriate levels of care, maximize contractual and reimbursement opportunities, and maintain compliance with payer and regulatory requirements. Acting as a primary liaison between facilities and payers, the Case Manager/ Prior Authorization Liason ensures effective communication, continuity of care, and optimal clinical and financial outcomes for SNF patients.
Essential Duties and Responsibilities
Case Management & Utilization Review
  • Provide telephonic case management support to assigned skilled nursing facilities.
  • Maintain active and accurate case files for SNF patients in PointClickCare (PCC), including Admin Notes, A/R insurance tabs, and shared Case Management logs.
  • Review benefits verification and authorization data to ensure patients are placed at the appropriate level of care for contractual optimization; renegotiate rates when applicable.
  • Notify MCOs of clinical admissions and initiate required clinical assessments.
  • Review admission clinical documentation to determine appropriate target discharge plans.
  • Conduct timely initial reviews, concurrent reviews, and continued stay reviews with MCOs to ensure covered days and reimbursement.
  • Chair and facilitate weekly case conference calls with supported facilities.
  • Assist facility interdisciplinary teams in developing appropriate goals of care and treatment plans for SNF patients.
  • Coordinate all Notice of Medicare Non-Coverage (NOMNC) processes and track appeals in collaboration with facility teams.
  • Obtain accurate payer information to support continuation of care and discharge planning.
Authorization & Referral Management
  • Represent the organization professionally to referral sources, managed care representatives, and external partners; maintain positive, collaborative relationships.
  • Enter and manage referral leads, including Return to Acute (RTA) leads, in the PointClickCare CRM module.
  • Verify insurance benefits and facility network participation through PCC, MCO portals, and direct payer communication.
  • Submit, track, and follow up on all insurance authorization requests electronically or manually, as required.
  • Update referral and authorization status throughout the PDG authorization and approval stages of the referral process.
  • Coordinate physician assignment upon referral and authorization approval.
  • Collaborate with Referral Management and Placement Specialists to ensure all coverage and documentation requirements are met.
  • Communicate referral source or payer issues promptly to appropriate internal stakeholders.
  • Negotiate appropriate levels of care and contracted rates with MCOs as necessary.
Care Coordination & Support Functions
  • Serve as the primary liaison between the MCO and facility for all case-related communication.
  • Assist facilities in identifying in-network home health and durable medical equipment (DME) providers.
  • Support billing and revenue cycle teams with authorization clarification, reimbursement issues, and census updates as needed.
  • Participate in daily or routine pipeline and case review meetings as required.
  • Perform additional duties within the Case Management Department as assigned to support organizational objectives.
Supervisory Responsibility
This position has no direct supervisory responsibilities.
Required Education, Experience, and Skills
  • Active Nurse License
  • Minimum of two (2) years of experience in:
    • Skilled nursing facility case management, including initial reviews, concurrent reviews, and NOMNC processes, and/or
    • Managed care verification of benefits and insurance authorization processes.
  • Strong and demonstrated experience using PointClickCare software in a skilled nursing facility environment.
  • Proficient computer skills, including Microsoft Outlook, Microsoft Office Suite, Microsoft Teams, and payer portals.
  • Recent skilled long-term care experience required.
  • Ability to make independent decisions using sound judgment and critical thinking.
  • Self-motivated, self-directed, and able to work independently in a fast-paced environment.
  • Excellent written and verbal communication skills.
  • Strong organizational, negotiation, and relationship-management skills.
  • Ability to establish and maintain effective working relationships with internal teams, facilities, and external organizations.

Position Type and Expected Hours of Work
This position supports healthcare facilities that operate 24 hours per day, 7 days per week. While the role is primarily Monday through Friday, scheduled weekend and holiday coverage may be required based on business needs.
Work Environment and Physical Demands
This position routinely uses standard office equipment, including computers, phones, and photocopiers. The work environment is primarily office-based with physical demands consistent with a professional healthcare management role.
Other Duties
This job description is not intended to be a comprehensive list of all duties, responsibilities, or activities. Duties may change at any time with or without notice.
Reasonable Accommodation
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position.

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