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Remote Telephonic Nurse Case Manager Jobs in Delaware

Amerihealth Caritas

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 ...

Amerihealth Caritas

Care Manager

Millsboro, DE · Remote

The Care Manager (RN/SW) assists members appropriate for care management and care coordination ... Fully Remote with required weekly travel within Sussex county and required travel though out ...

Amerihealth Caritas

Care Manager

Millsboro, DE · Remote

The Care Manager (RN/SW) assists members appropriate for care management and care coordination ... Fully Remote with required weekly travel within Sussex county and required travel though out ...

Amerihealth Caritas

Care Manager IDD

Dover, DE · Remote

The Care Manager (RN/SW) assists members appropriate for care management and care coordination ... Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities:

Amerihealth Caritas

Care Manager IDD

Dover, DE · Remote

The Care Manager (RN/SW) assists members appropriate for care management and care coordination ... Fully Remote with required weekly travel within Kent and Sussex counties. Responsibilities:

Amerihealth Caritas

Care Manager II

Dover, DE · Remote

The Care Manager (RN/SW) assists members appropriate for care management and care coordination ... Work Arrangement: Remote with up to 50% required travel throughout the state of Delaware.

SerKy Consulting, LLC

Nurse Practitioner

Lewes, DE · Remote

$134K - $135K/yr

Provide comprehensive care management for medically complex Medicaid and Dual Eligible (D-SNP) populations through telehealth and remote monitoring * Collaborate with physicians, registered nurses ...

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How much do remote telephonic nurse case manager jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote telephonic nurse case manager in Delaware is $36.52, according to ZipRecruiter salary data. Most workers in this role earn between $29.62 and $38.51 per hour, depending on experience, location, and employer.

What is a remote telephonic nurse case manager?

A Remote Telephonic Nurse Case Manager is a registered nurse who works from a remote location, providing case management services to patients primarily over the phone. They coordinate care, assess patient needs, develop care plans, and facilitate communication between patients, healthcare providers, and insurance companies. Their goal is to help patients achieve optimal health outcomes while ensuring efficient use of resources. This role is common in health insurance, workers’ compensation, and managed care organizations.

What does a remote telephonic nurse case manager do?

Telephonic nurse case managers are medical professionals who coordinate all aspects of patient care for high-risk individuals. As a remote telephonic nurse case manager, you work primarily from home. Using telephone communications, you evaluate each client while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources. Your responsibilities include overseeing outstanding patient care while working alongside patients, their families, and other medical professionals. Other duties may include collaborating with insurance companies, social workers, and supply managers. You may also address the legal and ethical aspects of patient care.

What are the key skills and qualifications needed to thrive as a remote telephonic nurse case manager, and why are they important?

To thrive as a Remote Telephonic Nurse Case Manager, you need strong clinical knowledge, case management experience, and a current RN license, often supported by a BSN degree. Familiarity with case management software, telehealth platforms, and relevant certifications such as CCM or ACM is typically expected. Exceptional communication, critical thinking, and organizational skills are crucial for building rapport with patients and coordinating care remotely. These competencies ensure effective patient management, improved health outcomes, and efficient care coordination in a virtual environment.

What are some common challenges faced by remote telephonic nurse case managers and how can they be addressed?

Remote Telephonic Nurse Case Managers often encounter challenges such as building rapport with patients without face-to-face interaction and managing caseloads across different time zones. To address these, strong communication skills, effective time management, and the use of structured assessment tools are essential. Regular collaboration with interdisciplinary teams via virtual meetings and leveraging technology platforms for documentation can also help streamline workflows and enhance patient outcomes.

What is the difference between Remote Telephonic Nurse Case Manager vs Remote Telephonic Utilization Review Nurse?

AspectRemote Telephonic Nurse Case ManagerRemote Telephonic Utilization Review Nurse
CredentialsRN license, case management certificationRN license, utilization review certification
Work EnvironmentPatient advocacy, care coordinationInsurance review, medical necessity assessment
Employer & IndustryHealthcare providers, case management companiesInsurance companies, health plans

Both roles require RN licensure and involve remote work, but the Nurse Case Manager focuses on coordinating patient care, while the Utilization Review Nurse assesses medical necessity for services. They serve different functions within healthcare and insurance industries, though both are vital for patient and cost management.

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The top searched job categories for Remote Telephonic Nurse Case Manager jobs in Delaware are:

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

Remote Telephonic Nurse Case Manager jobs near you
Infographic showing various Remote Telephonic Nurse Case Manager job openings in Delaware as of August 2026, with employment types broken down into 86% Full Time, 13% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $75,956 per year, or $36.5 per hour.

Case Mgr DSHP LTSS

Amerihealth Caritas

Dover, DE • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 22 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

132nd of 315 rated insurance

Job description

Qualified candidates must live in and be able to travel throughout Kent, New Castle, and Sussex Counties 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 Kent, New Castle, and Sussex Counties 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_TIME

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