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Apprentice Utilization Management Nurse Jobs in Delaware

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Apprentice Utilization Management Nurse information

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$39K

$89.6K

$163.1K

How much do apprentice utilization management nurse jobs pay per year?

As of Sep 4, 2026, the average yearly pay for apprentice utilization management nurse in Delaware is $89,560.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,600.00 and $104,600.00 per year, depending on experience, location, and employer.

What is an apprentice utilization management nurse?

An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.

What are the key skills and qualifications needed to thrive as an apprentice utilization management nurse, and why are they important?

To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.

What are some common challenges faced by apprentice utilization management nurses, and how can they be addressed?

Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.

What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?

AspectApprentice Utilization Management NurseUtilization Management Nurse
CredentialsLicensed RN, in training or early certification stageLicensed RN with certification in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review in healthcare or insurance organizations
Job ResponsibilitiesAssisting with case reviews, learning utilization review processesConducting case assessments, making coverage decisions

The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.

What cities in Delaware are hiring for Apprentice Utilization Management Nurse jobs?

Cities in Delaware with the most Apprentice Utilization Management Nurse job openings:

Apprentice Utilization Management Nurse jobs near you

LPN - Shift Date: 01/19/2026 - 01/19/2026

Care Coordination Services LLC

Seaford, DE

$34 - $39/hr

Full-time

Re-posted 27 days ago

Job description

Job Description POSITION TITLE: Licensed Practical Nurse (LPN) DEPARTMENT: Nursing REPORTS TO: RN Nursing Supervisor/Unit Manager/Center Nurse Executive POSITION SUMMARY: Under the direction of a Registered Nurse (RN), the Licensed Practical Nurse delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act. The LPN contributes to nursing assessments and care planning, provides direct patient care, and supervises patient care provided by unlicensed staff.

RESPONSIBILITIES/ACCOUNTABILITIES: Patient Evaluation: Collects, reports and documents objective and subjective data. Observes conditions and reports changes in condition to RN. Care Planning: Contributes to establishing individualized patient goals.

Assists in developing interventions to achieve goals. Implements the plan of care. Evaluates effectiveness of interventions to achieve patient goals and minimize re-hospitalizations.

Participate in review and revision of care plans. Provision of Direct Patient Care: Administers medications and performs treatments per physician orders. Communicates pertinent data to RN and/or physician.

Documents accurately and thoroughly. Consults and seeks guidance from the RN as necessary. At the direction of the RN, participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning: Communicates team's recommendations for discharge to the attending physician, patient, and family.

Prepares patient/family for discharge including patient and family education. Monitors patient care provided by unlicensed staff: Assigns duties as specified by State Nurse Practice Act, Genesis policy, and staff training. Communicates patient information with unlicensed staff during and between shifts.

Monitors, evaluates and follows up on assigned responsibilities of unlicensed staff. Ensures that assigned tasks are performed in accordance with policies and procedures. Uses Point Click Care (PCC) according to the Business Processes.

Performs drug count when beginning and ending shift and whenever necessary. Assists physician in rounds and examination of patients, as needed. Participates in shift-to-shift communication between incoming and outgoing nursing staff.

Collaborates and coordinates with other departments to provide timely effective care consistent with individual's needs, choices, and preferences. Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients, and families. Enhances nursing practice by attending all mandated in-service programs.

Assists with the orientation of newly hired nursing staff. Promotes a culture of safety to ensure a healthy practice and living environment. Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times.

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