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Telephonic Case Manager Jobs in Virginia (NOW HIRING)

Sedgwick

Telephonic Case Manager

Newport News, VA · Remote

... Telephonic Case Manager This position is a remote position, however; you will be required to go into the Newport News, VA office from time to time. You must live in this area in order to be ...

Sedgwick

Telephonic Case Manager

Newport News, VA · On-site

... Telephonic Case Manager This position is a remote position, however; you will be required to go into the Newport News, VA office from time to time. You must live in this area in order to be ...

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Telephonic Case Manager information

See Virginia salary details

$5

$24

$36

How much do telephonic case manager jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for telephonic case manager in Virginia is $24.21, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $33.03 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.

How can I make 2000 a week working from home?

A Telephonic Case Manager can potentially earn $2,000 weekly by working full-time, handling a high volume of cases, and gaining experience or specialized certifications. Increasing productivity, working overtime, or taking on additional clients can also boost income, but earnings depend on the employer's pay structure and workload demands.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Case Management Directors, can also command higher salaries, sometimes exceeding $80,000 annually depending on the industry and location.

What does a telephonic case manager do?

A telephonic case manager is responsible for coordinating and managing patient care or client cases over the phone. They assess needs, develop care plans, provide support, and communicate with healthcare providers or clients to ensure appropriate services are delivered efficiently. Strong communication skills and familiarity with healthcare or social service systems 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, 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.

Can I be a case manager without a degree?

Telephonic case managers typically need a high school diploma or equivalent, but some employers prefer or require post-secondary education or certifications in case management or related fields. Relevant skills include strong communication, organization, and knowledge of healthcare or social services, and obtaining certifications like the Certified Case Manager (CCM) can enhance job prospects. Requirements vary by employer and jurisdiction, so reviewing specific job postings is recommended.
More about Telephonic Case Manager jobs
What are popular job titles related to Telephonic Case Manager jobs in Virginia? For Telephonic Case Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Telephonic Case Manager jobs in Virginia look for? The top searched job categories for Telephonic Case Manager jobs in Virginia are:
What cities in Virginia are hiring for Telephonic Case Manager jobs? Cities in Virginia with the most Telephonic Case Manager job openings:
Telephonic Case Manager jobs near you
Infographic showing various Telephonic Case Manager job openings in Virginia as of July 2026, with employment types broken down into 4% As Needed, 89% Full Time, and 7% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $50,351 per year, or $24.2 per hour.
Telephonic Case Manager

Telephonic Case Manager

Sedgwick

Newport News, VA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 319 frontline employees who took The Breakroom Quiz

205th of 299 rated insurance

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Telephonic Case Manager

This position is a remote position, however; you will be required to go into the Newport News, VA office from time to time. You must live in this area in order to be considered.

PRIMARY PURPOSE OF THE ROLE: While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

  • Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
  • Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
  • Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems.
  • Effectively communicates and builds relationships with the claims' examiner, client, injured worker, attorney and supervisor.
  • Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach
  • Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality.
  • Identifies opportunities to expedite care for cost containment and timely medical recovery.
  • Provides recommendations for alternate clinical resources to support claim resolution.
  • Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.

EDUCATION AND LICENSING

Current unrestricted RN license(s) in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, rehabilitation nursing or a related specialty is highly preferred.

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

Physical:Computer keyboarding.

Auditory/Visual: Hearing, vision and talking

TAKING CARE OF YOU BY

  • Offering a blended work environment.
  • Supporting meaningful work that promotes critical thinking and problem solving.
  • Providing on-going learning and professional growth opportunities.
  • Promoting a strong team environment and a culture of support.
  • Recognizing your successes and celebrating your achievements.
  • Thrives when everyone is working towards the same vision/goals.
  • We offer a diverse and comprehensive benefits package including:
  • Three medical, and two dental & vision plans to choose from.
  • Tuition reimbursement
  • 401K plan that matches 50% on every $ you put in up to the first 6% you save.
  • 4 weeks PTO your first full year.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

#nurse #telephoniccasemanager

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $73,000 - $75,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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