Case Mgr DSHP LTSS
Dover, DE · On-site +1
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 ...
Dover, DE · On-site +1
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 ...
Dover, DE · On-site +1
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 ...
Dover, DE · On-site
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 ...
Dover, DE · On-site
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 ...
Dover, DE · On-site +1
$20 - $25.75/hr
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 ...
Dover, DE · On-site +1
$20 - $25.75/hr
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 ...
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 member's needs ...
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 member's needs ...
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 member's needs ...
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 member's needs ...
... telephonic, and virtual interactions. The Diabetes Care Coordinator assesses, monitors, and ... Coordinate and manage care for patients with diabetes and other chronic conditions using ...
... telephonic, and virtual interactions. The Diabetes Care Coordinator assesses, monitors, and ... Coordinate and manage care for patients with diabetes and other chronic conditions using ...
$5.29 - $8.14
0% of jobs
$8.14 - $10.98
0% of jobs
$10.98 - $13.82
0% of jobs
$16.45 is the 25th percentile. Wages below this are outliers.
$13.82 - $16.67
27% of jobs
$16.67 - $19.51
19% of jobs
The median wage is $22.35 / hr.
$19.51 - $22.35
4% of jobs
$22.35 - $25.20
10% of jobs
$25.20 - $28.04
7% of jobs
$30.53 is the 75th percentile. Wages above this are outliers.
$28.04 - $30.88
8% of jobs
$30.88 - $33.73
4% of jobs
$33.73 - $36.57
20% of jobs
$5
$24
$36
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.
| Aspect | Telephonic Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review (e.g., URAC) |
| Work Environment | Remote or office-based, patient and provider communication | Typically office or hospital-based, focus on medical necessity review |
| Employer & Industry | Insurance companies, healthcare providers, managed care | Insurance 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.
For Telephonic Case Manager jobs in Delaware, the most frequently searched job titles are:
The top searched job categories for Telephonic Case Manager jobs in Delaware are:

Full-time
Medical, Retirement, PTO
Posted 16 days ago
8.3
Based on 73 frontline employees who took The Breakroom Quiz
132nd of 314 rated insurance
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.
Education:
Experience:
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_TIMEGet the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
5,001 - 10,000 Employees
Philadelphia, PA, US
1983