Case Mgr DSHP LTSS
Dover, DE · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... He or she contributes to the LTSS case management process by performing telephonic and/or face-to ...
Case Mgr DSHP LTSS
Dover, DE · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... He or she contributes to the LTSS case management process by performing telephonic and/or face-to ...
Case Manager DSHP Long Term Services & Support
Dover, DE · On-site +1
$20 - $25.75/hr
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... He or she contributes to the LTSS case management process by performing telephonic and/or face-to ...
Case Manager DSHP Long Term Services & Support
Dover, DE · On-site +1
$20 - $25.75/hr
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... He or she contributes to the LTSS case management process by performing telephonic and/or face-to ...
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Quick apply
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... Flexible, remote scheduling * No-cost continuing education courses and clinical workshops tailored ...
Business Litigation Associate
Wilmington, DE · On-site +1
Strong organizational, case management, and interpersonal skills Preferred Qualifications ... remote options. The specific arrangement will be determined in collaboration with you, based on ...
Business Litigation Associate
Wilmington, DE · On-site +1
Strong organizational, case management, and interpersonal skills Preferred Qualifications ... remote options. The specific arrangement will be determined in collaboration with you, based on ...
Care Manager
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager
Millsboro, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...
Care Manager
Millsboro, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...
Care Manager
Millsboro, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...
New
Care Manager
Millsboro, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and ...
New
Care Manager IDD
Dover, DE · Remote
Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities ... Case management experience, preferably within a managed care organization, is desired. * Proficient ...
Care Manager IDD
Dover, DE · Remote
Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities ... Case management experience, preferably within a managed care organization, is desired. * Proficient ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager IDD
Dover, DE · Remote
Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities ... Case management experience, preferably within a managed care organization, is desired. * Proficient ...
Care Manager IDD
Dover, DE · Remote
Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities ... Case management experience, preferably within a managed care organization, is desired. * Proficient ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Care Manager II
Dover, DE · Remote
Case management experience, preferably within a managed care organization, is desired. * Proficient ... Those fully remote associates residing in states where service is required by contract, law, or ...
Legal & Compliance Administrator
Dover, DE · On-site +1
... case management system, and other documentation in a logical and systematic manner. * Monitor ... Ability to follow established processes, ask appropriate questions, and escalate issues when ...
Legal & Compliance Administrator
Dover, DE · On-site +1
... case management system, and other documentation in a logical and systematic manner. * Monitor ... Ability to follow established processes, ask appropriate questions, and escalate issues when ...
Collaborate closely with hospital discharge planners, social workers, case managers, physicians and ... Manage leads from referral sources and ensure efficient admissions process for clients. * Increase ...
Collaborate closely with hospital discharge planners, social workers, case managers, physicians and ... Manage leads from referral sources and ensure efficient admissions process for clients. * Increase ...
Virtual Care Veterinarian (Remote)
Wilmington, DE · Remote
$50 - $80/hr
... the case * Provide evidence-based treatment recommendations, including prescriptions when ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...
Virtual Care Veterinarian (Remote)
Wilmington, DE · Remote
$50 - $80/hr
... the case * Provide evidence-based treatment recommendations, including prescriptions when ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...
Virtual Care Veterinarian (Remote)
Dover, DE · Remote
$50 - $80/hr
... the case * Provide evidence-based treatment recommendations, including prescriptions when ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...
Virtual Care Veterinarian (Remote)
Dover, DE · Remote
$50 - $80/hr
... the case * Provide evidence-based treatment recommendations, including prescriptions when ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...
Primary Care Physician (Remote Full-Time No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Primary Care Physician (Remote Full-Time No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Primary Care Physician (Remote | Full-Time | No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Primary Care Physician (Remote | Full-Time | No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Collaborate closely with hospital discharge planners, social workers, case managers, physicians and ... Manage leads from referral sources and ensure efficient admissions process for clients. * Increase ...
Collaborate closely with hospital discharge planners, social workers, case managers, physicians and ... Manage leads from referral sources and ensure efficient admissions process for clients. * Increase ...
Telehealth Physician (Remote Full-Time No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Telehealth Physician (Remote Full-Time No On-Call) Monday- Friday 9am-6pm Join Belle, a fast ... Collaborate with our integrated care team (nurse case managers, NPs, CHWs) * Ensure thorough ...
Remote Case Management Processor information
What is the difference between Remote Case Management Processor vs Remote Claims Processor?
| Aspect | Remote Case Management Processor | Remote Claims Processor |
|---|---|---|
| Credentials | Typically requires case management certifications or healthcare-related credentials | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare or social services settings, remote or office-based | Insurance companies, healthcare providers, remote or office-based |
| Industry Usage | Healthcare, social services, insurance | Insurance, healthcare, financial services |
| Job Focus | Managing patient or client cases, coordinating services | Processing insurance claims, verifying coverage |
While both roles involve processing information remotely, the Remote Case Management Processor focuses on managing client cases and coordinating services, often in healthcare or social services. In contrast, the Remote Claims Processor primarily handles insurance claims, verifying coverage and processing payments. Understanding these differences helps job seekers identify the right role based on their credentials and career interests.
What cities in Delaware are hiring for Remote Case Management Processor jobs?
Cities in Delaware with the most Remote Case Management Processor job openings:
Full-time
Medical, Retirement, PTO
Posted 10 days ago
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
129th of 311 rated insurance
Job description
Qualified candidates must live in and be able to travel throughout Kent County in DE.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Responsibilities:
The Case Manager assists members who are eligible for LTSS in obtaining the services they need as required by Diamond State Health Plan Plus LTSS in Kent county Delaware. He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face assessments for the identification, evaluation, coordination and management of members needs, including physical health, behavioral health, social services and long term services and supports.
- Facilitate person centered planning team meetings to coordinate care and services. Identify, coordinate, and assist members in gaining access to needed LTSS services and other Covered Services, as well as non-covered medical, social, housing, educational, and other services and supports.
- Provides information to members and conducts monitoring of authorized services and supports for members.
- Informs members about available LTSS required needs assessments, the care plan process, service alternatives and service delivery options.
- Informs members of their rights and responsibilities as well as assists with the complaint, grievance, and DHS Fair Hearing process.
- Collects additional necessary information, including member preferences, strengths, and goals to inform the development of the Plan of Care.
- Conducts comprehensive health needs assessments annually or more frequently as needed in accordance with requirements.
Education:
- High School Diploma required with three (3) years related experience.
- Bachelor's Degree in social work, psychology or other related fields preferred .
Experience:
- At least 3 years working in social service or health care related field.
- Experience working with people with disabilities or seniors in need of LTSS.
- Knowledge of the home and community-based service system and how to access and arrange for services.
- Experience conducting LTSS needs assessments and monitoring LTSS delivery.
- Cultural competency and the ability to provide informed advocacy.
- Ability to interact with health care professionals in a professional manner.
- Ability to travel up to 75% within Kent county
- Qualified candidates must live in and be able to travel throughout New Castle County in DE.
Valid driver's license required.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Employment Type: FULL_TIMEWhat AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983