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Part Time Utilization Review Nurse Jobs in Delaware

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences ... Instruct patient's families or nursing staff in maintenance program and caregiver training in ...

Social Worker part time

Newark, DE ยท On-site

$25 - $27/hr

... proper utilization of services. * Acts as liaison between resident/family and relevant ... One or two years previous experience in medical setting, preferably nursing home based * Skills ...

LPN Part-Time |2 day work week

Newark, DE ยท On-site

$25.25 - $34.25/hr

Part-Time Work Schedule: * Days: 2-day business work week * Hours: 3:00 PM - 11:00 PM Hiring ... Ensures annual review of the participants physical condition and assist access to and encourage ...

Showing results 21-40

Part Time Utilization Review Nurse information

See Delaware salary details

$21

$42

$69

How much do part time utilization review nurse jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for part time utilization review nurse in Delaware is $42.32, according to ZipRecruiter salary data. Most workers in this role earn between $33.46 and $48.61 per hour, depending on experience, location, and employer.

What is a part time utilization review nurse?

A Part Time Utilization Review Nurse is a registered nurse who works part-time hours and is responsible for reviewing medical records to determine if healthcare services are medically necessary and appropriate. They assess the quality and efficiency of patient care, ensuring compliance with insurance policies and regulatory standards. These nurses often work for hospitals, insurance companies, or healthcare organizations, and play a key role in cost management and quality assurance. Their work helps to ensure that patients receive appropriate care while also controlling healthcare expenses.

What does a part time utilization review nurse do?

As a part-time utilization review nurse, your job is to review the medical necessity of a procedure and ensure that all services offered to a patient meet regulatory compliance requirements. Utilization review nurses often focus on reducing costs while maintaining or improving the quality of patient care. You then relay this information to other reviewers and third-party payers. Many utilization review nurses help answer questions from insurance companies, apply critical thinking and good judgment to unusual cases, ensure accurate and appropriate documentation of everything that occurs, and conduct additional research as needed for a given case. Part-time utilization review nurses usually work in areas that have lower patient volume.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a valid RN license, in-depth clinical knowledge, and experience in care management or case review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance/Medicare guidelines are typically required. Strong analytical thinking, attention to detail, and effective communication skills help set exceptional candidates apart. These skills ensure accurate case evaluations, compliance with regulations, and effective collaboration with healthcare teams and payers.

What are some common challenges faced by part time utilization review nurses, and how can they effectively manage their workload?

Part-time Utilization Review Nurses often face the challenge of balancing a high volume of case reviews within limited working hours, which can create time management pressures. Additionally, they may need to stay updated with frequently changing insurance policies and clinical guidelines. Effective communication and collaboration with full-time colleagues and healthcare providers are crucial for seamless transitions and accurate reviews. Utilizing efficient documentation practices and prioritizing urgent cases can help part-time nurses stay organized and maintain quality outcomes.

What is the difference between Part Time Utilization Review Nurse vs Part Time Case Manager?

AspectPart Time Utilization Review NursePart Time Case Manager
CredentialsRN license, certifications in utilization review or case managementRN license, case management certification often preferred
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, insurance companies, community health agencies
Primary FocusReview medical necessity and appropriateness of careCoordinate patient care and discharge planning
Common UsageUsed in insurance and healthcare settings for review rolesUsed for patient advocacy and care coordination roles

While both roles require nursing credentials and work within healthcare settings, the Part Time Utilization Review Nurse primarily focuses on assessing the necessity of medical treatments, whereas the Part Time Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job opportunity.

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

The most popular types of Utilization Review Nurse jobs in Delaware are:

Infographic showing various Part Time Utilization Review Nurse job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Ambulatory Care Nurse - RN Part-Time

Westside Family Healthcare Inc

Bear, DE โ€ข On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday


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.ย 


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.ย 
  2. Participates in daily huddles with the Clinical Operations team, and other team meetings/trainings as scheduledย 
  3. Proactively and continuously reviews patient medical records to identify any care needs requiring intervention or follow up during patient interactionsย 
  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 careย 
  5. Educates patient/family about medical conditions (existing or newly diagnosed) to assist them in appropriate self-managementย 
  6. Proactively incorporates lifestyle improvement opportunities and preventative care into patient interactions, empowering patients to reach their individual health goalsย 
  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)ย 
  8. Promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at riskย 
  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 protocolsย 
  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 needsย 
  11. Participates in quality improvement activities and initiatives
  12. Maintains compliance with all professional and organization requirements to meet position standardsย 



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