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Remote Utilization Review Nurse Jobs in Delaware

HHS LLC

Registered Dietitian

Wilmington, DE · On-site +1

$30 - $35/hr

Build relationships with physicians and nurses to support patient satisfaction and achieve quality ... Review and approve patients'/residents' daily menu, snack, and supplement programs * Communicate ...

Nouri

Registered Dietitian

Wilmington, DE · 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

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$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.

More about Remote Utilization Review Nurse jobs

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:

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

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The top searched job categories for Remote 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:

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, 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.

Registered Dietitian

HHS LLC

Wilmington, DE • On-site, Remote

$30 - $35/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Job description

Location:
Bayhealth - Kent - FNS
Pay Rate:
Salary - Salary Plan, 70,000.00 USD Annual
Work Shift:
Job Description
We're looking for a friendly, compassionate leader to join our culinary team!
Guide patients/residents, families, and facility staff on all aspects of medical nutrition therapy to create a healthy and healing environment. Build relationships with physicians and nurses to support patient satisfaction and achieve quality care that meets each patient's nutritional needs.
Responsibilities
Join the Registered Dietitian team at Bayhealth!
Registered Dietitian | Dover & Milford, DE Starting at $70,000 (Negotiable based on experience) + $3,000 RD sign-on bonus
Need a more flexible schedule? Part-Time hours available with up to 32 hours/wk (starting rate $30-$35/hr)
Hybrid-Remote schedule available!
Opportunity to work across a diverse group of settings, from inpatient acute care to bariatrics
Extra benefits include paid CDR and state licensure fees, and up to 18 FREE CEUs annually!
  • Complete nutritional assessments for all residents to create care plans with nutritional goals
  • Provide education to patients/residents, families, nursing, dietary service, and other community staff on issues regarding special diets and patient/resident dining needs
  • Document assessment of patients/residents with nutritional goals and interventions in the medical record
  • Review and approve patients'/residents' daily menu, snack, and supplement programs
  • Communicate with physicians and clinical staff on patients'/ residents' nutritional status
  • Attend resident rounds and nutrition meetings, and maintain clinical nutrition policies to support regulatory compliance

Skills
  • Interpersonal Skills: Ability to interact with individuals of all backgrounds
  • Communication: Effective written, spoken, and non-verbal communication
  • Customer Service: Service-oriented mentality with a focus on exceeding expectations
  • Professionalism: Maintain a positive and professional demeanor
  • Proactivity: Self-motivated with the ability to effectively prioritize projects and needs
  • Team Player: Willingness to provide support where needed to achieve outcomes
  • Business Ethics: Demonstrate integrity, respect, and discretion in all business dealings
  • Organization: Attention to detail and ability to effectively manage tasks in a fast-paced environment

Requirements
  • Registered Dietitian with the Commission of Dietetic Registration and licensed dietitian as required per state regulations
  • Bachelor's or Master's degree in Nutrition & Dietetics or related field
  • Knowledge of regulatory standards
  • Computer experience with word processing, spreadsheets, and various software

What We Offer
  • Paid time off (vacation and sick)
  • Medical, dental, and vision insurance
  • 401(k) with employer match
  • Employee Assistance Program (EAP)
  • Career development and ongoing training

Important to Know
  • Many healthcare facilities require employees to be fully vaccinated against COVID-19 or have an approved exemption in place.
  • Veterans and candidates with military experience are encouraged to apply.
  • HHS is an Equal Employment Opportunity Employer committed to workplace diversity and inclusion.

Who is HHS
HHS is a private, family-owned business dedicated to caring for its team members and providing honest, quality-driven customer service. Founded in 1975 as Hospital Housekeeping Systems, today HHS provides services including housekeeping, dietary services, and facility management to nearly 1,000 customers across six industries.
We are growing rapidly and seeking motivated leaders to join us for the next stage of our journey. We support and encourage growth from within and believe that we have countless future leaders in our organization who are waiting for their next opportunity. Our Diversity, Equity, and Inclusion (DEI) Team supports a work environment where individuals of all backgrounds are heard, respected, and encouraged to grow.
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