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Telephonic Case Manager Jobs in Delaware (NOW HIRING)

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 ...

Telephonic Case Manager information

See Delaware salary details

$5

$24

$36

How much do telephonic case manager jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for telephonic case manager in Delaware is $24.44, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $33.32 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 Delaware?

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

Infographic showing various Telephonic 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 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $50,830 per year, or $24.4 per hour.

Case Mgr DSHP LTSS

Amerihealth Caritas

Dover, DE • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 16 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 314 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_TIME

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