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Telephonic Case Manager Jobs in Decatur, GA (NOW HIRING)

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 Manager information

See Decatur, GA salary details

$5

$23

$35

How much do telephonic case manager jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for telephonic case manager in Decatur, GA is $23.84, according to ZipRecruiter salary data. Most workers in this role earn between $15.00 and $32.50 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 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 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 popular job titles related to Telephonic Case Manager jobs in Decatur, GA?

For Telephonic Case Manager jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching Telephonic Case Manager jobs in Decatur, GA look for?

The top searched job categories for Telephonic Case Manager jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Telephonic Case Manager jobs?

Cities near Decatur, GA with the most Telephonic Case Manager job openings:

Infographic showing various Telephonic Case Manager job openings in Decatur, GA as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $49,585 per year, or $23.8 per hour.

Telephonic Case Manager

Peachtree Corners, GA • On-site, Remote

$53K - $98K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description


Remote RN Telephonic Case Manager Opportunity
We're seeking a compassionate and experienced RN Telephonic Case Manager to join our growing team.
100% Remote Work Environment
Competitive Compensation Based on Experience
Quarterly Performance Bonuses
Free CEUs for Ongoing Professional Development
✅ License and Certification Reimbursement
⚖️ Excellent Work-Life Balance
Qualifications:
- Active Multi-State RN License
- Must reside in a Compact State
- National Certifications preferred: CCM, CRC, COHN, or CRRC
- Workers' Compensation Case Management experience is highly valued
What You'll Do:
You'll provide impactful case management services that help patients and employees navigate their healthcare journey. Working within URAC standards, CMSA Standards of Practice, and Broadspire QA Guidelines, you'll ensure quality care while promoting positive outcomes and cost-effective solutions.
Apply today and build a rewarding career with us!
Responsibilities
  • Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual's medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
  • Render opinions regarding case costs, treatment plan, outcome and problem areas, and makes recommendations to facilitate case management goals to include RTW.
  • Demonstrates ability to meet administrative requirements, including productivity, time management and QA standards, with a minimum of supervisory intervention.
  • May perform job site evaluations/summaries to facilitate case management process.
  • Facilitates timely return to work date by establishing a professional working relationship with the injured worker/disabled individual, physician, and employer. Coordinate RTW with injured worker, employer and physicians.
  • Maintains contact and communicates with claims adjusters to apprise them of case activity, case direction or secure authorization for services. Maintains contact with all parties involved on case, necessary for case management the injured worker/disabled individual.
  • May obtain records from the branch claims office.
  • May review files for claims adjusters and supervisors for appropriate referral for case management services.
  • May meet with employers to review active files.
  • Makes referrals for Peer reviews and IME's by obtaining and delivering medical records and diagnostic films, notifying injured worker/disabled individual and conferring with physicians.
  • Utilizes clinical expertise and medical resources to interpret medical records and test results and provides assessment accordingly.
  • Meets monthly production requirements and quality assessment (QA) requirements to ensure a quality product.
  • Reviews cases with supervisor monthly to evaluate files and obtain directions.
  • Upholds the Crawford and Company Code of Business Conduct at all times.
  • Demonstrates excellent customer service, and respect for customers, co-workers, and management.
  • Independently approaches problem solving by appropriate use of research and resources.
  • May perform other related duties as assigned.

Qualifications
  • Associate's degree or relevant course work/certification in Nursing is required; BSN Degree is preferred.
  • Minimum of 1-3 years diverse clinical experience and one of the below:
  • Certification as a case manager from the URAC-approved list of certifications (preferred);
  • A registered nurse (RN) license.
  • Must be compliant with state requirements regarding national certifications.
  • General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
  • Excellent oral and written communications skills to effectively facilitate return-to-work solutions within a matrix organization and ensure timely, quality documentation.
  • Excellent analytical and customer service skills to facilitate the resolution of case management problems.
  • Basic computer skills including working knowledge of Microsoft Office products and Lotus Notes.
  • Demonstrated ability to establish collaborative working relationships with claims adjusters, employers, patients, attorneys and all levels of employees.
  • Demonstrated ability to gather and analyze data and establish plans to improve trends, processes, and outcomes.
  • Excellent organizational skills as evidenced by proven ability to handle multiple tasks simultaneously.
  • Demonstrated leadership ability with a basic understanding of supervisory and management principles.
  • Active RN home state licensure in good standing without restrictions with the State Board of Nursing.
  • Must meet specific requirements to provide medical case management services.
  • Minimum of 1 National Certification (CCM, CDMS, CRRN, and COHN) is preferred. If not attained, must plan to take certification exam within proceeding 36 months.
  • National certification must be obtained in order to reach Senior Medical Case Management status.

#LI-RG1
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family. And as part of the One Crawford family, we offer a comprehensive Total Rewards package to our employees to assist with their financial, health/wellness, continuing education/training and other needs:
  • Competitive base pay
- The Pay Range/Salary represents the anticipated low and high pay that may be offered for this position. To determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours.
  • Bonus/Incentive Pay and other Performance-Based Rewards, if applicable.
  • We offer a well-rounded benefits package that encourages wellness and helps our employees to be an educated healthcare consumer. The core benefits* offered include:
- Medical, Dental and Vision Plans
- Prescription Drugs
- HSA, HRA, and FSA Accounts
- Paid Holidays, Vacation and Sick Leave
- 401(k) Retirement Plan
- Tuition Assistance
- Paid Parental Leave
- Supplemental Health Benefits
Other Benefits currently available at no cost include: - Enhanced Mental Health Support
- Virtual Physical Therapy
- Caregiving Services
- Life Assistance Program
*The above information highlights some of the benefits currently available to eligible full-time employees.
  • Training programs that promote continuous learning and career progression while enhancing job performance.
  • Sustainability programs that give back to the communities in which we live and work.
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion.

Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.