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Remote Utilization Review Rn Jobs in Delaware (NOW HIRING)

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Remote Utilization Review Rn information

See Delaware salary details

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$42

$69

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

As of Jul 22, 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 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 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.

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 cities in Delaware are hiring for Remote Utilization Review Rn jobs? Cities in Delaware with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Delaware as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, and 4% Contract. Highlights an 60% Physical, 4% Hybrid, and 36% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Family Practice - Without OB Physician

Voll Recruiting

Wilmington, DE โ€ข Remote

$86.54 - $105.77/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 17 days ago


Job description

Work From Home Family Medicine Physician - Delaware (IMLC) Full-Time Monday-Friday $180,000-$220,000

About the Opportunity

A Delaware license through the IMLC qualifies you for this fully virtual panel, staffed from home in Wilmington, Dover, or at the beaches. The shift runs afternoons and evenings only, 1:00 PM to 9:00 PM Eastern.

My client is a leading virtual healthcare organization transforming the delivery of primary and urgent care through an innovative employer-sponsored telehealth model. As they continue to grow, they are seeking a compassionate Family Medicine Physician to join their established clinical team. This is an exceptional opportunity to practice medicine in a fully remote, collaborative environment where physicians are supported by experienced clinical colleagues, dedicated nursing staff, and streamlined technology that allows them to focus on patient care, not administrative burden. The physician will provide comprehensive virtual primary and urgent care to patients nationwide through secure video visits and messaging while delivering a high-quality, relationship-centered care experience.

Why Physicians Love This Opportunity

  • 100% remote position
  • Monday-Friday schedule No weekends or overnight call
  • Four weeks (20 days) of paid time off
  • Collaborative, physician-led culture with excellent work-life balance
  • Dedicated onsite nursing support for care coordination
  • Modern technology with optional AI-assisted documentation
  • Comprehensive medical and dental insurance
  • Malpractice insurance provided
  • 401(k)
  • Reimbursement for additional state medical licenses

Responsibilities

  • Deliver friendly, high-quality, patient-centered primary and urgent care rooted in respect for patients and a passion for helping others.
  • Diagnose, treat, and manage acute and chronic primary care and urgent care conditions, including ordering and interpreting diagnostic tests, developing treatment plans, and coordinating follow-up care.
  • Collaborate with a multidisciplinary care team consisting of Physicians, Nurse Practitioners, Registered Nurses, and Licensed Practical Nurses.
  • Partner with the clinical team to develop and enhance technology that improves patient care and the provider experience.
  • Support clinical education and marketing initiatives as needed.

Qualifications (Required)

  • MD or DO with an active, unrestricted medical license in an Interstate Medical Licensure Compact (IMLC) state.
  • Minimum of one year of outpatient clinical practice as a Family Medicine or Primary Care Physician.
  • Available to work Monday through Friday, 10:00 AM-6:00 PM PT (12:00 PM-8:00 PM CT / 1:00 PM-9:00 PM ET).
  • Comfortable utilizing telehealth technology and electronic medical records.
  • Excellent communication, customer service, and patient engagement skills.
  • A compassionate, empathetic, and patient-centered approach to care.

Qualifications (Preferred)

  • Current participation in the IMLC or active medical licenses in multiple states.
  • Spanish bilingual.
  • Previous telemedicine experience.

Licensure: One IMLC State Is Enough

You only need to be licensed in one participating State of Principal License (SPL) under the Interstate Medical Licensure Compact. As long as you hold a full, unrestricted medical license in an eligible SPL and meet the IMLC requirements, you can use the compact's expedited process to obtain licensure in additional participating states, and additional state licenses are reimbursed. Participating states: Alabama, Arizona, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Washington, West Virginia, Wisconsin, and Wyoming.

If You're Interested

If you're looking for a fully remote opportunity where you can build meaningful patient relationships, collaborate with an exceptional clinical team, and enjoy outstanding work-life balance while practicing high-quality virtual medicine, I'd love to share more about this opportunity. Qualified candidates are encouraged to apply for confidential consideration.