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Insurance Nurse Case Manager Jobs in Delaware (NOW HIRING)

... case management process. Works as an intermediary between carriers, attorneys, medical care ... paperwork for the insurance company, state, or other regulatory bodies. • Maintains ...

Compiles a case inventory monthly for submission to the branch manager to allow for proper billing ... Completes insurance carrier reports on a monthly (or as required) basis, as well as other necessary ...

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Insurance Nurse Case Manager information

See Delaware salary details

$19

$47

$80

How much do insurance nurse case manager jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for insurance nurse case manager in Delaware is $47.57, according to ZipRecruiter salary data. Most workers in this role earn between $35.38 and $57.50 per hour, depending on experience, location, and employer.

How does an insurance nurse case manager typically collaborate with claims adjusters and other healthcare professionals?

Insurance Nurse Case Managers work closely with claims adjusters to review medical documentation, assess treatment plans, and ensure that patients receive appropriate care while managing costs. They frequently communicate with healthcare providers, such as physicians and therapists, to coordinate care and gather information critical to case decisions. This collaborative approach helps streamline claims processing and supports positive patient outcomes, making effective communication and teamwork essential skills for success in this role.

What is the difference between Insurance Nurse Case Manager vs Claims Nurse?

AspectInsurance Nurse Case ManagerClaims Nurse
CredentialsRN license, case management certification often preferredRN license, claims processing training
Work EnvironmentHealthcare settings, insurance companies, case management teamsInsurance companies, claims departments, healthcare providers
Employer & IndustryInsurance carriers, healthcare organizationsInsurance carriers, third-party claims organizations

The Insurance Nurse Case Manager and Claims Nurse roles both require RN licensure and involve working within insurance and healthcare settings. However, the Insurance Nurse Case Manager focuses on coordinating patient care and managing case progress, while the Claims Nurse primarily reviews and processes insurance claims. Both roles are essential in the insurance industry, but they differ in daily responsibilities and focus areas.

What are the key skills and qualifications needed to thrive as an insurance nurse case manager, and why are they important?

To thrive as an Insurance Nurse Case Manager, you need a registered nursing license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with case management software, health insurance systems, and certifications such as CCM (Certified Case Manager) are typically required. Exceptional communication, organizational skills, and the ability to advocate for patients while balancing payer requirements are key soft skills in this role. These skills ensure effective coordination of patient care, cost management, and positive outcomes for both patients and insurance providers.

What is an insurance nurse case manager?

Insurance Nurse Case Managers are registered nurses who work for insurance companies or third-party administrators to help manage and coordinate patient care. They assess patients' medical needs, develop care plans, and act as a liaison between patients, healthcare providers, and insurers. Their primary goal is to ensure that patients receive appropriate, cost-effective care while facilitating communication and helping with claims processes. Insurance Nurse Case Managers also provide education and support to patients and families throughout the treatment process.

What are popular job titles related to Insurance Nurse Case Manager jobs in Delaware?

For Insurance Nurse Case Manager jobs in Delaware, the most frequently searched job titles are:

What cities in Delaware are hiring for Insurance Nurse Case Manager jobs?

Cities in Delaware with the most Insurance Nurse Case Manager job openings:

Infographic showing various Insurance Nurse Case Manager job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $98,954 per year, or $47.6 per hour.

RN Case Manager - Day Shift - Sign-on Bonus

Christiana Care

Newark, DE • On-site

$41.28 - $66.05/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago


ChristianaCare rating

7.7

Company rating: 7.7 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers


Job description

Job Details
RN Case Manager - Day Shift
M-F (Hours: 8a-4:30p with call rotation every 7 weeks) No Holidays or Weekends!
Newark, DE
External Candidates are Eligible for a 10K Sign-on Bonus!
Christiana Care Hospital in Newark, DE is looking for a (RN) Case Manager with experience in Discharge Planning in an Acute Care Hospital Setting.
The RN Case Manager will coordinate care and drive patient progression to establish a discharge plan. This includes functioning as an interdisciplinary team member, creating, implementing, and developing all aspects of discharge planning to establish appropriate, timely, and effective transitions throughout the care continuum.
The Care Management Model:
Our Care Management Triad Team Model is a collaboration between the following:
  • RN Case Manager - Manages patient care, drives patient progression, and establishes a discharge plan.
  • Social Worker - Resolves psycho-social barriers and supports discharge needs.
  • Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.
CARE MANAGEMENT:
  • Identify patients who have post-acute care, placement, and complex discharge planning needs based on a comprehensive assessment that includes physical, as well as psycho-social factors/needs.
  • Anticipate, initiate, and establish a discharge plan for patients with post-acute care needs, collaborating with the physician, nurse, and other health care providers, the patient, their family/primary caregiver(s), third-party payers, and employer following established clinical guidelines, standards, and pathways.
  • Review the admission assessment and collaborate with the primary nurse and other health care providers to ensure a multidisciplinary care plan is in place to meet identified patient care needs and desired outcomes.
  • Identify system issues that serve as barriers to care. Participates in the development and implementation of strategies to remove barriers and facilitate patient progression.
About Us
ChristianaCare is located in Delaware and is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs.
ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,336 beds), a freestanding emergency department, a Level I trauma center, and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. It also includes the pioneering Gene Editing Institute.
Christiana Care Offers
  • Medical, Dental, Vision, Life Insurance, Tuition assistance, etc.
  • Two retirement planning offerings, including 403(b) with company contributions.
  • Generous paid time off with annual rollover and opportunities to cash out.
  • 12-week paid parental leave
  • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Education & Requirements
  • An active RN license is required in DE or a Compact State.
  • A Bachelor of Science in Nursing (BSN) is required.
  • Candidates must have 3-5 years of acute care experience in a hospital setting.
  • In-patient case management experience is preferred.
  • 3-5 years of Acute Care Experience is required.
  • Basic Life Support (BLS) certification is preferred.
  • A Case Management Certification (CMC) must be obtained within 18 months of eligibility.

Hourly Pay Range: $41.28 - $66.05
This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Aug 31, 2026
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/

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About ChristianaCare

Sourced by ZipRecruiter

ChristianaCare is one of the country's most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as a Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

Industry

Outpatient health care

Company size

10,000+ Employees

Headquarters location

Wilmington, DE, US

Year founded

1888