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Part Time Utilization Review Nurse Jobs in Delaware

Please review the scheduling details for each option and indicate your preference when applying. 1. ... Ideal for nurses seeking consistent full-time or part-time hours in a rewarding long-term care ...

Openings Full-time (3-11:30p & 11-7:30a) Part time (7-3:30p) Duties and Responsibilities * Direct ... review 24-hour summary report in the electronic medical record on assigned residents. * Assist in ...

RN MDS

Wilmington, DE · On-site

$36.25 - $43.75/hr

... growing team as a part time RN MDS Coordinator. As an RN MDS Coordinator your primary ... reviewing the patient's medical record and communicating with direct care staff, the patient ...

Showing results 41-60

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 8, 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.

Nurse Practitioner or Physician Assistant

Medi-Weightloss

Wilmington, DE • On-site

$105K - $136K/yr

Part-time

Re-posted 7 days ago


Medi-Weightloss rating

6.8

Company rating: 6.8 out of 10

Based on 9 frontline employees who took The Breakroom Quiz


Job description

Position: Nurse Practitioner/Physician Assistant
Company: Medi-Weightloss of (Clinic Name)
About Us:
Are you a passionate healthcare professional who values healthy living, quality of life, and work-life balance? Medi-Weightloss is thrilled to invite an exceptional Nurse Practitioner or Physician Assistant to join our dynamic team in a full-time/ Part-Time/ PRN role, serving our ( ) location. This is a unique opportunity to provide top-tier medical care while enjoying the vibrancy of two diverse communities. If you're committed to excellence and compassionate patient care, we encourage you to apply.
Clinical Responsibilities:
• Obtain and review patient's medical and psychosocial history information relevant to patient care.
• Conduct physical examinations according to company guidelines.
• Order and review laboratory studies and diagnostic procedures, including ECGs.
• Deliver Preventive Medicine Counseling, Program counseling, and Product and Supplement Education.
• Adhere to prescription guidelines as per the collaborative agreement with the supervising physician.
• Maintain required documentation for patient care and medication management in the EMR according to company standards.
• Review patient progress and manage patient care accordingly.
• Facilitate referrals to other healthcare professionals and medical facilities as necessary.
• Conduct follow-up calls to patients to discuss progress and address concerns
General Responsibilities:
• Weekly review of Weight Tracker Report, Slipping Report, and assigned KPIs to provide clinical oversight and mentor clinical staff.
• Serve as the company liaison for medical and clinical affairs at the locations.
• Participate in ongoing training initiatives and serve as the in-house trainer for medical staff.
• Seek opportunities to improve franchise clinical operations' efficiency, effectiveness, and capacity.
• Develop strategic recommendations to support patient experience improvement initiatives.
• Program Development - Participate in the launch of test pilots for new programs, services, and products.
• Demonstrate strong project management skills and effectively develop and monitor project work plans.
We Offer:
• Competitive Salary
• Paid Insurance Credentialing!
• Part-Time status.
• No on-call requirements
• Great work-life balance
• Employee discounts on products, supplements & injections!
Who We Are: Medi-Weightloss® prides itself on its evidence-based approach to treatment through clinical research. We address the unique needs of patients affected by excess weight and obesity, recognizing obesity as a disease that requires a range of medical interventions. Our individualized treatment is supported by clinical research and translational science.
License/Certification:
• DEA Certification (Preferred)
• Certified Nurse Practitioner (Required) or
• Physician Assistant License (Required)
Salary: [Competitive, Commensurate with Experience]
Department Franchise Location Role Practitioner (NP/PA) Locations Wilmington, DE Employment type Part-time

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