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Remote Utilization Review Rn Jobs in Delaware (NOW HIRING)

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... through reviews, proper project closure, KPI achievement (revenue, utilization, margin ...

... 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 ...

The role is a remote position; location base will be reviewed as this position covers all regions ... Enhance data utilization capabilities and enable stronger data led decision making in setting ...

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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 cities in Delaware are hiring for Remote Utilization Review Rn jobs? Cities in Delaware with the most Remote Utilization Review Rn job openings:
Senior Manager, Entegra Business Performance & Supplier Engagement

Senior Manager, Entegra Business Performance & Supplier Engagement

Sodexo

Wilmington, DE • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago


Key responsibilities

  • Support execution of Entegra's Supplier Engagement Strategy across National, Local, and Direct suppliers.

  • Partner with Supply Management to identify priority suppliers, top opportunities, at-risk suppliers, and utilization growth areas.

  • Coordinate supplier meetings, business reviews, top-to-top discussions, advisory board planning, and event participation.


Sodexo rating

6.3

Company rating: 6.3 out of 10

Based on 1,116 frontline employees who took The Breakroom Quiz

301st of 430 rated business services


Job description

Role Overview

Entegra has an exciting opportunity for a Senior Manager Business Performance -Supplier Engagementto join our team. TheSenior Manager, Business Performance - Supplier Engagementwill play a key role in driving a redesigned, data-driven supplier engagement strategy. This role supports the shift from activity-based supplier management to a more strategic, growth-focused model that delivers measurable value for suppliers, clients, Sodexo, and Entegra. In this role you will partner across Supplier Engagement, Supply Management, Marketing, Culinary, Finance, Legal, Technology, and Commercial teams to strengthen supplier relationships, activate growth opportunities, improve visibility, and track ROI.

This is a remote opportunity with candidate residing in one of the following locations,

Mid-Atlantic: Atlanta (GA); Charlotte (NC); Maryland; Orlando (FL); Washington, DC; Virginia.

Northeast: New York (NY); New Jersey (NJ); Pennsylvania (PA); Delaware (DE).

Midwest: Chicago (IL); Indianapolis (IN).

Southeast: Dallas (TX); Irving (TX); San Antonio (TX).

What You'll Do
  • Support execution of Entegra's Supplier Engagement Strategy across National, Local, and Direct suppliers.
  • Help operationalize a supplier engagement model focused on segmentation, growth planning, communication, and measurable outcomes.
  • Partner with Supply Management to identify priority suppliers, top opportunities, at-risk suppliers, and utilization growth areas.
  • Provide suppliers with actionable, data-based opportunities that connect their products, programs, and resources to client needs.
  • Coordinate supplier meetings, business reviews, top-to-top discussions, advisory board planning, and event participation.
  • Build and maintain supplier engagement tools, trackers, dashboards, templates, profiles, and reporting resources.
  • Support supplier business plans, activation calendars, communication plans, and follow-up actions.
  • Collaborate cross-functionally to align supplier engagement efforts with Entegra's business performance and client growth priorities.
  • Track activity, outcomes, and ROI to demonstrate the impact of supplier engagement initiatives.
  • Serve as a key contact for supplier inquiries and foundational engagement processes.
What We Offer

Compensation is fair and equitable, partially determined by a candidate's education level or years of relevant experience. Salary offers are based on a candidate's specific criteria, like experience, skills, education, and training. Sodexo offers a comprehensive benefits package that may include:

  • Medical, Dental, Vision Care and Wellness Programs
  • 401(k) Plan with Matching Contributions
  • Paid Time Off and Company Holidays
  • Career Growth Opportunities and Tuition Reimbursement

More extensive information is provided to new employees upon hire.

What You Bring
  • Strong project management, organization, and follow-through.
  • Experience with supplier engagement, foodservice, GPOs, supply chain, distribution, or related industries.
  • Ability to build trusted relationships with internal teams and external supplier partners.
  • Strong written and verbal communication skills with a polished, supplier-facing presence.
  • Comfort working with data, reporting, dashboards, trackers, and performance metrics.
  • Ability to translate supplier insights and data into clear actions and growth opportunities.
  • Collaborative mindset and ability to work across multiple functions and priorities.
  • Proficiency in Microsoft PowerPoint, Teams, Outlook, Excel, Forms, Word, and related tools.
  • Adaptability in a fast-paced, evolving environment.

Success in this role will be measured by the ability to:

  • Strengthen supplier engagement consistency and execution.
  • Increase supplier participation in Entegra programs, events, and client-facing opportunities.
  • Support measurable supplier growth and program utilization.
  • Improve cross-functional alignment around supplier priorities.
  • Provide clear tracking, reporting, and ROI visibility.
  • Help position Entegra as a preferred GPO partner for suppliers.
Who We Are

At Sodexo, our purpose is to create a better everyday for everyone and build a better life for all. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike. We do this by providing food service, catering, facilities management, and other integrated solutions worldwide.

Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you're happy at work. This is why we embrace diversity and inclusion as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you need assistance with the application process, please complete this form.

Qualifications & Requirements

Minimum Education Requirement - Bachelor's Degreeor equivalent experience
Minimum Management Experience - 5 years
Minimum Functional Experience - 5 years


    Employment Type: FULL_TIME

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