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Remote Utilization Review Nurse Jobs in Delaware

Coding Coordinator IV - (Remote)

Newark, DE ยท On-site +1

$32.77 - $52.43/hr

... reviews. * Communicate with physicians or other providers to validate diagnoses, clinical indicators and appropriately prompts for documentation utilization AHIMA/ACDIS best practice query principles ...

NP/PA - Virtual Swingternist

Newark, DE ยท On-site +1

$2.7K/wk

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

Sales Representative Medical Device

Wilmington, DE ยท On-site +1

$90K - $100K/yr

... be remote, responsible for a territory in and around Pennsylvania, Maryland and Delaware. The ... Conduct annual customer business reviews of top accounts and assist in managing escalated accounts ...

Registered Dietitian

Milford, DE ยท On-site +1

$30.25 - $40.50/hr

Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

Registered Dietitian

Dover, DE ยท On-site +1

$31.25 - $42/hr

Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

Registered Dietitian

Milford, DE ยท On-site +1

$30.25 - $40.50/hr

Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

Registered Dietitian

Dover, DE ยท On-site +1

$31.25 - $42/hr

Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

Registered Dietitian

Wilmington, DE ยท On-site +1

$30.25 - $40.75/hr

Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

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Remote Utilization Review Nurse information

See Delaware salary details

$21

$42

$69

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

As of Sep 1, 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 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.

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 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:

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

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

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, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Psychiatric Nurse Practitioner (PMHNP) - Telehealth

Brightside Health

Houston, DE โ€ข Remote

$84 - $115/hr

Contractor

Re-posted 26 days ago


Job description

Psychiatric Nurse Practitioner (PMHNP) - Flexible Telehealth

Brightside is dedicated to offering transformative mental health care to individuals regardless of their background, location, or circumstances. Our primary goal is to improve access to high-quality and impactful mental health care that is supported by scientific research and delivered with humanity. This is why we are revolutionizing the traditional approach by leveraging precision treatment that is rooted in evidence and tailored to each person's unique needs, ensuring that they receive the most effective treatment from the very beginning.

Apply to be a Psychiatric Nurse Practitioner at Brightside Health, where we integrate a consumer-centric approach with evidence-based methodologies, cutting-edge artificial intelligence, and a dedicated team of providers and therapists to deliver customized treatment for each Brightside member. As we redefine mental healthcare for the telemedicine era, we're driven to establish ourselves as the leading provider of psychiatric care across the nation. Be part of our mission to transform the landscape of mental health treatment.

Our Psychiatric Nurse Practitioners Enjoy:

  • Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review, video consultation, and e-prescribing, lowers the barriers to accessing high-quality and affordable care.

  • Supportive and Collaborative Environment: To ensure the success of our patients and members, we have established dedicated teams for both member and provider support. Additionally, we facilitate collaboration between our providers and clinical leadership through 1:1 consultations, as well as encourage interaction among colleagues through internal communication forums.

  • Measurement-Based Care: Our technology measures symptoms, adherence, and side effects weekly through the active treatment phase and automatically triggers treatment reviews if patients are not improving. We are redefining the provider-patient relationship, supporting encounter-based care with remote and proactive oversight enabled by technology.

  • Machine Learning-Powered Clinical Decision Support: Contrary to conventional practice, data can help match patients to medications for better outcomes. Using machine learning and real-time data from patient monitoring, we are building a highly effective clinical decision support tool for prescribing.

Who Were Hiring:

Were seeking forward-thinking and experienced Psychiatric Nurse Practitioners who understand the magnitude of the need and want to be part of the solution. Working with Brightside means the ability to practice with clinical autonomy alongside Psychiatrist support while creating a flexible work schedule. Our providers use the latest tools, including a custom-built practice management EMR, and clinical decision support, all truly designed to be easy to use.

Benefits:

  • 100% remote, telehealth position

  • 1099 contract agreement

  • Autonomy to create your own schedule

  • No on-call or after-hours work

  • Collaborating psychiatrists covered for all psychiatric nurse practitioners (nationwide)

  • Malpractice insurance covered

  • Ongoing collaboration and camaraderie with other Brightside providers

  • State-of-the-art tools and customizable EMR, integrated with artificial intelligence to prompt check-ins, follow-ups, and much more with your patients

Responsibilities:

  • Maintain all appropriate licensure to prescribe and dispense medications under applicable state and federal laws

  • Have excellent grammar, attention to detail, and proficient at writing medical information at a patient level

  • Must be technology savvy and excited about how technology can improve medical care

  • Be pleasant, responsive, and willing to collaborate with our team

  • Provide direct patient care via telemedicine (remote); including synchronous video consultations and asynchronous messaging

  • Consistently responsive to clinical leadership team and highly reliable to our members

  • Evaluate patient records, make prescribing decisions, and provide medication-related counseling as needed in a timely manner

  • Successful completion of charting within 48 hours of session

  • Support a 72-hour messaging response window for patients

Requirements:

  • Active and clear APRN license

  • Licensed Nurse Practitioner - Certified in Psychiatric & Mental Health (PMHNP Required)

  • At least 2 years of autonomous experience practicing as a PMHNP, post-graduate

  • Previous experience working in an outpatient setting

  • Telehealth experience and a high comfort level of working with technology

  • Must be licensed in 4+ states (the more the merrier)

  • 8+ hours of availability per week

  • Experience working with adolescents is strongly preferred

  • Opted in to Medicare/Medicaid

We know that diversity makes for the best problem-solving and creative thinking, and are committed to equity and inclusion. We are dedicated to adding new perspectives to the team and encourage everyone to apply if your experience is close to what we are looking for. Were an Equal Opportunity Employer and do not discriminate against candidates or patients on the basis of race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.