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Remote Utilization Management Jobs in Delaware (NOW HIRING)

Intuitive

Clinical Sales Manager

Wilmington, DE · On-site +1

This will include managing installations, training and utilization growth within their assigned ... Remote field management Implementation of sales process Platform and presentation skills Required ...

ABB

Data Center COE Project Management Leader

DE · Remote

$119K - $190K/yr

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... utilization, margin, satisfaction), and alignment with sales on planning, bids, estimating, and ...

ITW

National Sales Manager

DE · Remote

The role is a remote position; location base will be reviewed as this position covers all regions ... Develop communication and territory management skills throughout the field sales team * Identify ...

ChristianaCare

Coding Coordinator IV - (Remote)

Newark, DE · On-site +1

$32.77 - $52.43/hr

... utilization AHIMA/ACDIS best practice query principles, if necessary, either verbally or written ... Three years coding experience in a Health Information Management Department or equivalent.

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Delaware

Remote Utilization Management information

See Delaware salary details

$21

$42

$69

How much do remote utilization management jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote utilization management 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.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Delaware? The most popular types of Utilization Management jobs in Delaware are:
What are popular job titles related to Remote Utilization Management jobs in Delaware? For Remote Utilization Management jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Delaware look for? The top searched job categories for Remote Utilization Management jobs in Delaware are:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Delaware as of July 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.
Nurse, Virtual RN *$5000 Signing Bonus*

Nurse, Virtual RN *$5000 Signing Bonus*

Westside Family Healthcare, Inc.

New Castle, DE • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Job description

Job Type
Full-time
Description
WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM!
SIGN ON BONUS OFFERED!
LOAN PAYOFF PROGRAMS AVAILABLE!
Join our dedicated healthcare team as a nurse, where each day presents a new opportunity to make a significant difference in the lives of our patients.
The Virtual RN is an experienced Registered Nurse (RN) working as part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient's health care needs based on nurse assessment, clinical judgment, nurse process and evidence-based clinical support tools. The RN will provide appropriate disposition and timely follow up, per telephone triage policy. The RN must meet minimum quality and productivity standards as defined by Westside Family Healthcare.
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.
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, dental insurance, vision insurance, life and disability insurance, 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 the Virtual RN Nurse role
1. Provide telephonic clinical assessment, health education and utilization management services across the life span,
2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care
3. Provide telephonic triage for patients seeking care with multiple complaints
4. Assessment and provision of care using telecommunication devices
5. Application of the nursing process in telehealth care
6. Delivery of culturally sensitive, age-specific care to identified populations
7. Use of clinical decision support tools
8. Provide effective therapeutic communication, counsel and crisis management
9. Handle multiple in bound calls and ability to complete out-bound calls
10. Other duties as assigned.
Requirements
  1. Graduate of an accredited college or school of nursing with an Associates' degree in nursing
  2. Active, unencumbered Registered Nurse licensure in the State of Delaware or compact state
  3. Proficient with technology
  4. Two years of work experience in an ambulatory care, emergency services, med/surg, and/or pediatrics

Westside Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina, Nebraska, New Jersey, Pennsylvania, Puerto Rico, Rhode Island, Texas, Virginia and West Virginia.

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