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Remote Behavioral Health Utilization Review Jobs in Delaware

ChristianaCare

Coding Coordinator IV - (Remote)

Newark, DE · On-site +1

$32.77 - $52.43/hr

We are guided by our values of Love and Excellence and are passionate about delivering health, not ... Timely prebill review and audit patient medical records (inpatient primarily) and correctly capture ...

Mantis Innovation

BMS Estimator (Remote)

Wilmington, DE · On-site +1

$125K - $155K/yr

... healthcare, pharmaceutical, higher education, and mission-critical data center projects. Key ... Review construction drawings, specifications, submittals, and bid packages to determine actual BMS ...

Mantis Innovation

BMS Estimator (Remote)

Wilmington, DE · On-site +1

$125K - $155K/yr

... healthcare, pharmaceutical, higher education, and mission-critical data center projects. Key ... Review construction drawings, specifications, submittals, and bid packages to determine actual BMS ...

ChristianaCare

Coder II (Remote)

Newark, DE · On-site +1

$24.33 - $36.50/hr

... health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and ... Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

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Remote Behavioral Health Utilization Review information

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How much do remote behavioral health utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote behavioral health 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 remote behavioral health utilization review?

A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.

What are the typical daily responsibilities for someone working in remote behavioral health utilization review?

In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.

What are the key skills and qualifications needed to thrive in remote behavioral health utilization review, and why are they important?

To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.

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

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

What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Delaware?

For Remote Behavioral Health Utilization Review jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Remote Behavioral Health Utilization Review jobs in Delaware look for?

The top searched job categories for Remote Behavioral Health Utilization Review jobs in Delaware are:

What cities in Delaware are hiring for Remote Behavioral Health Utilization Review jobs?

Cities in Delaware with the most Remote Behavioral Health Utilization Review job openings:

Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Remote Behavioral Health Utilization Review job openings in Delaware as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Benefits Coordinator (Fully Remote)

McQuade Organization

Middletown, DE • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 13 days ago

Job description

In this role, you’ll support clients in understanding their benefit options and ensure they receive an exceptional experience from start to finish. This position focuses on client support, benefits guidance, and clear communication in a fully remote environment.

  • Serve as a primary point of contact for clients regarding their employee benefits
  • Explain benefit options including health, dental, vision, life, and supplemental plans in a clear, easy-to-understand way
  • Recommend solutions tailored to clients’ needs and help them make informed decisions
  • Host virtual meetings to review benefits, plan updates, and enhancements
  • Build strong client relationships and identify opportunities to expand the services they use
  • Provide responsive support to ensure a smooth and positive client experience
  • Collaborate with internal teams to ensure accurate information and timely responses
  • Act as the main point of contact for clients regarding their employee benefits, including health, dental, vision, life, disability, and retirement plans.
  • Help clients understand their benefit options, explain costs and features, and recommend solutions tailored to their organizational goals.
  • Lead individual client onboarding, ensuring smooth plan setup and seamless enrollment
  • Stay up to date on benefits offerings, company processes, and industry trends
  • Strong communication and presentation skills—you can explain complex information clearly
  • Comfortable speaking with clients via phone and video (Zoom)
  • Organized and detail-oriented, able to manage multiple client needs
  • Basic experience with CRM systems or willingness to learn (e.g., Salesforce, Ease, Gusto)
  • Self-motivated and able to work independently in a remote setting
  • Positive attitude and willingness to learn

Apply