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Remote Utilization Review Rn Jobs in Delaware (NOW HIRING)

ChristianaCare

Coding Coordinator IV - (Remote)

Newark, DE · 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 ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Delaware

Remote Utilization Review Rn information

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

As of Jun 29, 2026, the average hourly pay for remote utilization review rn 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 the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are popular job titles related to Remote Utilization Review Rn jobs in Delaware? For Remote Utilization Review Rn jobs in Delaware, the most frequently searched job titles are:
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What cities in Delaware are hiring for Remote Utilization Review Rn jobs? Cities in Delaware with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you

Obesity Medicine Advanced Practitioner (NP)

Accomplish Health Services, LL

Wilmington, DE • Remote

Full-time

Posted 8 days ago

Job description

ABOUT ACCOMPLISH

Accomplish Health is a telehealth obesity medicine practice providing science based, stigma free personalized care. By first treating the underlying metabolic conditions including insulin resistance, type 2 diabetes, and obesity we help people to build sustainable, healthy habits while maximizing the affordability and accessibility of the care each person needs. 

 

Accomplish Health is a data-centric, objective focused, collaborative, and iterative culture where feedback and open communication are encouraged. We're building experiences and creating clinical tools that help healthcare professionals personalize the experience for each patient. Our clinical model leverages pharmacotherapy, nutrition therapy, health coaching, and connected devices in a virtual care environment. 

 

KEY RESPONSIBILITIES
  • Consistently provide confidential high quality, stigma free, person-centric clinical care and a superior user experience.
  • Review patient intake and provide the initial patient interaction, assess and diagnose relevant disorders, and provide care plan, including the discussion of the scientific principles of obesity, the prescription of appropriate weight loss therapy based on Accomplish Health's scientifically-based clinical protocols.
  • Review and manage daily tasks, patient communications, lab results. Oversee patient progress including remote physiological monitoring data.  
  • Experience working in a team of healthcare professionals (including dieticians and health coaches) and collaborating with them to ensure positive, effective patient experiences with our organization.
  • Record complete, timely and legible medical records, providing appropriate encounter-related billing services.
  • Utilize and support a detailed software enabled clinical model leveraging pharmacotherapy, nutrition therapy, health coaching and remote physiological monitoring to support patients with obesity and other metabolic conditions to achieve their weight loss and wellness goals.
  • This role can be part-time or full-time.

BACKGROUND AND EXPERIENCE

  • The ideal candidate will be a board certified Nurse Practitioner with at least 2-3 years of experience in bariatric medicine, endocrinology, primary care and/or related fields
  • Certification in obesity medicine a plus
  • Must have experience with using anti-obesity pharmacotherapy
  • Active, unrestricted license to practice medicine in New York or California with additional state licenses a plus.  
  • Demonstrated excellent written/verbal communication skills. 
  • Competency in the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity and a thorough understanding of the treatment of obesity.
  • Competence with non-surgical therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy, and in providing peri- and post-surgical care of endoscopic, metabolic and bariatric surgery patients

ADDITIONAL DETAILS:

  • Market-based compensation commensurate with experience.
  • Malpractice coverage will be provided 
  • Flexibility to deliver care at your convenience
  • Quality initiatives that guide the highest standards of evidence-based, compassionate care
IDEAL QUALITIES:
  • A non-stigmatizing, empathetic demeanor and virtual "bedside" manner.
  • Excellent at collaborating and forming respectful relationships with colleagues regardless of function or level of seniority.
  • Enthusiasm for innovation in healthcare and leveraging software to improve patient outcomes.
  • Creative and flexible, but always puts the patient first
  • You will need superior communication skills and excellent technical abilities. You must be comfortable interacting with patients over telehealth communication.  

WHAT TO EXPECT AT ACCOMPLISH HEALTH:

  • We are a remote-first, progressive, and technology focused workplace
  • We are a mission-driven organization made up of veteran entrepreneurs and healthcare professionals passionate about treating obesity and related metabolic conditions.
  • We care about the well being and growth of our patients, employees, and community.
  • We are an equal opportunity employer that values diversity at our company.
  • We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
  • We are backed by top venture capitalists and entrepreneurs who have invested in or founded billion dollar startups

Apply