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Part Time Utilization Management Jobs in Delaware

$15.16/hr

The Sales Associate is responsible for supporting Management in promoting a customer and product ... Our part time associates are eligible to participate in the Company's employee assistance program ...

$15.16/hr

The Sales Associate is responsible for supporting Management in promoting a customer and product ... Our part time associates are eligible to participate in the Company's employee assistance program ...

Sales Lead

Dover, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Newark, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Newark, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Newark, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Newark, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Dover, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Sales Lead

Newark, DE ยท On-site

JOB SUMMARY To assist store management with basic store operations, developing associates, and ... Age requirements for part-time employment may vary based on state PAY AND BENEFITS Check out the ...

Showing results 41-60

Part Time Utilization Management information

What is a part time utilization management?

A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.

What are the key skills and qualifications needed to thrive as a part time utilization management professional?

To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, clinics, healthcare providers

While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.

What are the most commonly searched types of Utilization Management jobs in Delaware?

The most popular types of Utilization Management jobs in Delaware are:

Infographic showing various Part Time Utilization Management job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution.

Ambulatory Care Nurse - RN Part Time

Dover, DE โ€ข On-site

Westside Family Healthcare Inc
Health Care and Social Assistanceย โ€ขย 51 - 200 employees

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

Description:

WESTSIDE IS LOOKING FOR NURSES!

LOAN REPAYMENT PROGRAM AVAILABLE!


JOIN A CARING, DEDICATED NURSING TEAM MAKING A DIFFERENCE IN OUR COMMUNITIES!

Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care. The Ambulatory Care Nurse is an on-site RN serving as an integral member of the patient care team, supporting assigned care teams by managing high and rising risk patients, coordinating services throughout the continuum of care and serves as the in-office nurse. The Ambulatory Care RN supports patients by facilitating implementation of the prescribed medical treatment plan through patient-centered education of disease processes and wellness opportunities and through patient self-management skill development. The nurse process and established protocols will be used to coordinate the delivery of care consistent with a team-based, patient-centered approach to provide health services and education to patients and families through effective partnership with patient’s medical home team, community resources, medical professionals, pharmacies and the Westside Family Healthcare organization. The Ambulatory Care RN will provide safe, therapeutic, efficient, quality care in all patient interactions. 

Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.

WORKING AT WESTSIDE MEANS WORKING IN A PRIMARY CARE MEDICAL HOME

A Primary Care Medical Home is not a special building. It is a way to provide healthcare that puts the patient at the center of health care decision-making. As a community health center, Westside Family Healthcare provides care for everyone who walks through our doors.  


Our Mission: To improve the health of our communities by providing equal access to quality healthcare

Our Vision: Achieve health access for all

Our Values:

  • Compassion: Lead with compassion
  • Service: Serve with humility
  • Excellence: Be exceptional
  • Empowerment: Empower all people

OUR BENEFITS: Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase more paid, short-term disability paid for by Westside, long term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.

RESPONSIBILITIES OF NURSES

  1. Manage a caseload of patients identified as at risk for health deterioration, sentinel events and/or poor outcomes using the nursing process and established protocols/workflows. Ongoing evaluation of care coordination efforts by measuring interventions effectiveness and fostering a continuous improvement mentality. Partners with the patient and family, the primary care provider, and other team members to implement an interdisciplinary plan of care. 
  2. Participates in daily huddles with the Clinical Operations team, and other team meetings/trainings as scheduled 
  3. Proactively and continuously reviews patient medical records to identify any care needs requiring intervention or follow up during patient interactions 
  4. Works with patients and families to ensure both medical and psychosocial needs are met in order to promote health and well-being and to identify any barriers that inhibit the patient from adhering to the prescribed plan of care 
  5. Educates patient/family about medical conditions (existing or newly diagnosed) to assist them in appropriate self-management 
  6. Proactively incorporates lifestyle improvement opportunities and preventative care into patient interactions, empowering patients to reach their individual health goals 
  7. Assesses and documents progress towards goals based on provider’s plan of care; utilizing clinical judgment, established protocols, review of patients’ self-monitory tools and trends in clinical data (i.e., HbA1c, LDL, BP) 
  8. Promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk 
  9. Provides ambulatory care support as a member of the care team, which may include, but is not limited to walk-in and/or telephone triage utilizing established protocols 
  10. Proactively advocates for patient care issues to ensure overall quality and adherence to provider’s plan of care; ensuring care is sensitive to each specific patient’s needs 
  11. Participates in quality improvement activities and initiatives
  12. Maintains compliance with all professional and organization requirements to meet position standards 


PM22

Requirements:

MINIMUM OBJECTIVE QUALIFICATIONS

  1. Graduate of an accredited nursing program with an associate degree in Nursing
  2. Active RN licensure in the State of Delaware (or compact state) with no restrictions or disciplinary action
  3. Current BLS certification