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Part Time Utilization Review Jobs in Delaware (NOW HIRING)

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

As of Jun 11, 2026, the average hourly pay for part time utilization review 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 job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

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

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

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 current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Delaware? The most popular types of Utilization Review jobs in Delaware are:
What are popular job titles related to Part Time Utilization Review jobs in Delaware? For Part Time Utilization Review jobs in Delaware, the most frequently searched job titles are:
What cities in Delaware are hiring for Part Time Utilization Review jobs? Cities in Delaware with the most Part Time Utilization Review job openings:
Infographic showing various Part Time Utilization Review job openings in Delaware as of June 2026, with employment types broken down into 1% As Needed, 63% Full Time, and 36% Part Time. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.
Ambulatory Care Nurse - RN Part-Time

Ambulatory Care Nurse - RN Part-Time

Westside Family Healthcare Inc

Bear, DE • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 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 without regard to ability to pay. The Ambulatory Care Nurse (RN) is an on-site nurse RN serving as an integral member of the patient care team, supporting assigned care teams by managing high and rising risk patients, coordination services throughout the continuum of care and serves as the in-office nurse. The Ambulatory Care Nurse 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.


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, regardless of ability to pay. 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, regardless of ability to pay.

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


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. 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)
  6. Promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk
  7. 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



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
  4. Active Ambulatory Care Certification (AMB-BC) – must commit to obtaining within 1 year of hire