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Evening Optum Utilization Review Jobs in Delaware

Christiana Care Health Services

Must be willing and able to work all shifts (day, evening, and overnight), including weekends and ... Application Review * Your application will be forwarded to the leadership team of your highest ...

Bayhealth

CT Technologist Supervisor

Dover, DE · On-site

Day/ Evening SALARY RANGE: 42.92 - 66.52 HOURLY General Summary: Under the direction of the ... Utilization of job-related information, technical skills and procedures, including continuous ...

All JobsEvening Optum Utilization Review JobsEvening Optum Utilization Review Jobs in Delaware

Evening Optum Utilization Review information

What is an evening Optum utilization review?

Evening Optum Utilization Review jobs involve evaluating medical records and healthcare services during evening hours to determine if they meet established guidelines for medical necessity, appropriateness, and efficiency. Professionals in this role typically review patient cases, collaborate with healthcare providers, and ensure compliance with insurance or regulatory requirements. These positions are essential for managing healthcare costs and ensuring patients receive appropriate care, often requiring clinical experience and familiarity with utilization management processes.

What are the key skills and qualifications needed to thrive as an evening Optum utilization review?

To thrive as an Evening Optum Utilization Review Nurse, you need a valid RN license, clinical experience, and a solid understanding of utilization management principles. Familiarity with case management software, electronic health records (EHRs), and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong analytical thinking, attention to detail, and effective communication skills enable you to assess medical necessity and coordinate care efficiently. These competencies ensure accurate and timely reviews, compliance with regulations, and optimal outcomes for both patients and the organization.

What are some common challenges faced by utilization review nurses working evening shifts at Optum, and how can they be addressed?

Utilization Review nurses working evening shifts at Optum often encounter challenges such as limited access to providers or support staff during non-standard hours, which can make obtaining timely information more difficult. Additionally, they may need to manage increased autonomy and prioritize cases with less immediate supervision. To address these challenges, evening UR nurses rely heavily on strong communication skills, proactive documentation, and efficient use of digital tools and resources. Collaboration with daytime teams through thorough handoffs and clear case notes also helps ensure continuity of care and decision-making.

What is the difference between Evening Optum Utilization Review vs Evening Optum Claims Reviewer?

AspectEvening Optum Utilization ReviewEvening Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of care for insurance claimsReview and process insurance claims for accuracy and completeness
CertificationsTypically requires clinical credentials (e.g., RN, LPN, or other healthcare licenses)Usually requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, healthcare payers, or claims processing centers
Industry UsageCommonly used in health insurance and managed careCommon in health insurance and claims processing sectors

Both roles are integral to health insurance operations but focus on different aspects: Utilization Review evaluates the necessity of care, while Claims Review verifies claim accuracy. Understanding these differences helps in choosing the right career path or job focus within the insurance industry.

What are popular job titles related to Evening Optum Utilization Review jobs in Delaware?

For Evening Optum Utilization Review jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Evening Optum Utilization Review jobs in Delaware look for?

The top searched job categories for Evening Optum Utilization Review jobs in Delaware are:

What cities in Delaware are hiring for Evening Optum Utilization Review jobs?

Cities in Delaware with the most Evening Optum Utilization Review job openings:

Evening Optum Utilization Review jobs near you
Infographic showing various Evening Optum Utilization Review job openings in Delaware as of June 2026, with employment types broken down into 3% As Needed, 85% Full Time, 9% Part Time, and 3% Temporary. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

Nurse Residency Program: Progressive Care Track 2026

Christiana Care Health System

Newark, DE • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

Job Details Senior Nursing Students, Nurse Graduates and new RN's, it is time to apply for our Nurse Residency Program: ProgressiveCare Track! This is a rolling application available for all start dates.

The ChristianaCare Nurse Residency Program is accredited with distinction as a Practice Transition Program by the American Nurses Credentialing Center's Commission on Accreditation in Practice Transition Programs.

Research demonstrates that new to practice nurses completing a structured and accredited residency program leads to:

  • Increase in competency

  • Reduction of error

  • Reduced self-reported stress

  • Increase in job satisfaction

Therefore, we are committed to supporting all registered nurses with under one year of experience through a nurse residency specialty track.

This exciting curriculum integrates:

  • Lecture and simulation education

  • Peer support

  • Up to 16 weeks (as determined by your individual transition to practice needs) of preceptor-led clinical experiences structured to foster critical thinking, evidence-based practice, interdisciplinary collaboration, effective communication, quality and safety, and professional development.

The progressive care nurse resident will complete preceptor-led training on our intermediate or transitional level step-down units at our Newark or Wilmington campuses. The nurse resident completes preceptor-led training followed by continued residency meetings during months 6, 8, 10, and 12 to further develop as professional nurses and integral member of our caregiver team.

Upon completion of this program, participants will have built a strong foundation for nursing practice in a fast-paced, challenging environment, bridging care for medically complex patients outside of the Intensive Care Unit.

Nurse residents are required to pass State Boards and be licensed as a RN in the State of Delaware (or compact state) prior to starting position. Upon hire, a commitment agreement to work at the ChristianaCare will be signed. The agreement requires completion of a two years with the requirement to remain on the unit of hire for a minimum of 15 months. Individuals unable to fill this commitment will be charged $10,000.

What we have to offer to you:

  • We are a 4xrecognized Magnet Status Hospital!

  • Growth Opportunities defined by our Clinical Ladder.

  • We offer a robust benefits package. Our healthcare benefits include medical, dental & eyecare, starting day one!Enjoy generous paid time off, paid parental leave, competitive pay with shift differentials,tuition reimbursement.Additional benefits include, dependent care assistance, pet insurance, financial coaching, fitness & wellness reimbursements and discounts on multiple services and events.

  • Advance Your Nursing Skills by providing a higher level of care.

Units available at this time (subject to change dependent upon the needs of the hospital):

Newark:

5E: Heart Failure (December Dates Only)

3C: Intermediate Medical Unit

Requirements:

  • Graduating from accredited nursing school (BSN Preferred)

  • BLS required

  • Less than 12 months of nursing experience by the start of the program

  • Eligible for Delaware license as a Graduate Nurse/Registered Nurse or RN license from a compact state

  • Must be willing and able to work all shifts (day, evening, and overnight), including weekends and holidays, during and after the residency program, based on unit staffing and operational needs.

How to apply:

  • In the section "My Experience," on the application, be sure to upload your cover letter and transcripts in the section "Resume/CV/Other Documents." PDF format works best.

  • Submit a cover letter for the Progressive Care Nurse Residency expressing your interest in this specific program/specialty

  • Please address your cover letter to Carolyn Gutzmirtl

  • Resume
  • Transcript (unofficial)

  • Two clinical recommendations will be required, but not at the time of the application. If it is determined the minimum qualifications are met, a separate email will be sent from an outside vendor for you to provide us with your clinical instructors' information.

We are conducting in- person interviews every Wednesday and Thursday so be sure to complete the required steps to be seen by a hiring manager!

To be interviewed you must have completed:

One audio on-demand interview through Hey Milo and have both clinical instructor references completed through Skill Survey.

What to Expect After Application:

Communication from Talent Acquisition Team about specific next steps, including: video interview and clinical references Applications to be sent for review by residency coordinators

Offers to be made once all scheduled interviews are completed.

Summer 2026 Start Dates

August 31st (unavailable for internal promotions)

Fall 2026 Start Date

October 26th

November 9th

November 23rd

December 7th

January 4th, 2027

If you have any issues with your application or any inquiries, please contact Cathleen Mengel, the Nurse Residency recruiter at cathleen.s.mengel@christianacare.org.

It is important to note that the DE license process may take 6-8 weeks to complete and the failure to do so will directly impact employees' ability to start a position if an offer is made. We strongly encourage applicants to visit the DE Board of Nursing website and begin the fingerprinting and background check process immediately after you submit your application.

This is a flat rate position, any individual hired into this position will be paid $38.61/hr plus any applicable differentials.

This is a flat rate position, any individual hired into this position will be paid $38.61/hr plus any applicable differentials. This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Post End Date

Sep 25, 2026

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visithttps://careers.christianacare.org/benefits-compensation/

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