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Remote Utilization Review Nurse Jobs in Delaware

ChristianaCare

NP/PA - Virtual Swingternist

Newark, DE · On-site +1

$2.7K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The selected virtual swingternist candidate will provide remote clinical management to patients at ... Assesses health status of assigned patients through complete medical history and chart review

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All JobsUtilization Review Nurse JobsRemote Utilization Review Nurse JobsRemote Utilization Review Nurse Jobs in Delaware

Remote Utilization Review Nurse information

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$21

$42

$69

How much do remote utilization review nurse jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote 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 are the key skills and qualifications needed to thrive as a remote utilization review nurse?

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

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

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

What is a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

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Remote Utilization Review Nurse jobs near you
Infographic showing various Remote 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, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Clinical Admissions Therapist (Delaware)

Charlie Health

Delaware City, DE • Remote

$55K - $67K/yr

Full-time

Re-posted yesterday

Charlie Health rating

8.5

Company rating: 8.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you.

About the Role

Charlie Health is looking for a dynamic individual to serve as Clinical Admissions Therapist. The Clinical Admissions Therapist will be responsible for meeting with clients upon admission, building rapport, completing biopsychosocial assessments, and establishing treatment needs.

We're a mission-driven team working to expand access to life-saving behavioral healthcare for people who need it most. Across all departments, we collaborate to deliver meaningful outcomes and build a more connected, effective model of care. If you're inspired by our mission and excited to help transform the behavioral health landscape, we encourage you to apply.

Responsibilities
  • Demonstrate personable and competent communication skills to develop rapport with clients and referral sources
  • Present programming information in a thorough and supportive manner to help clients gain access to care
  • Complete virtual biopsychosocial assessments for a wide range of ages, including children, teens, young adults, and adults with various mental health concerns
  • Determine appropriateness and fit for virtual intensive outpatient program (IOP) level of care
  • Construct provisional mental health diagnoses utilizing DSM-V criteria
  • Document client information in accordance with regulatory standards using electronic medical record
  • Assign treatment team members and group schedules while informing staff of new admissions
  • Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in facilitating intake
  • Collaborate with referral sources: hospitals, treatment centers, psychiatrists, therapists, and other behavioral health providers upon admission
  • Looking to cover the following shifts to meet the schedules and needs of our clients:
    • Mornings and Afternoons - Must be available 11am - 7pm MT
    • Afternoons and Evenings - Must be available 12pm - 8pm MT
    • Weekends encouraged
    • Will consider alternative availability on individual basis
  • Work authorized in the United States and native or bilingual English proficiency
  • Strong communication and interpersonal skills
  • Access to reliable technology resources to deliver uninterrupted, confidential, and compliant telehealth services
  • Ability to thrive in fast-paced environment while maintaining high attention to detail and quality of care
Requirements
  • Experience working with a wide range of ages, including children, teens, young adults, and adults preferred
  • Experience completing behavioral health assessments and admissions preferred
  • Independent licensure in a mental health field required
  • An independent license is preferred, but we're happy to work with associate-level clinicians who are eager to grow and work toward full licensure.
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

Note to Colorado applicants: applications will be accepted and reviewed on a rolling basis

The expected base pay for this role will be between $55,000 and $67,500 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits.#li-remote

Based on the nature of this role, you will need to complete several state background checks for clearance to see clients. Florida requires a fingerprint based background check, with more information found here. Please note that the cost for this background check will be paid for in full by Charlie Health.

Our Values
  • Connection: Care deeply & inspire hope.
  • Congruence: Stay curious & heed the evidence.
  • Commitment: Act with urgency & don't give up.

Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

By clicking "Submit application" below, you agree to Charlie Health's Privacy Policy and Terms of Service.

By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

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