ZipRecruiter

Log In

2

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 ...

ABB

Data Center COE Project Management Leader

DE · Remote

$119K - $190K/yr

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 ...

Danaher

Sales Representative Medical Device

Wilmington, DE · 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 ...

ITW

National Sales Manager

DE · Remote

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 ...

next page

Showing results 1-20

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

Remote Utilization Review Rn information

See Delaware salary details

$21

$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 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:
What job categories do people searching Remote Utilization Review Rn jobs in Delaware look for? The top searched job categories for Remote Utilization Review Rn jobs in Delaware are:
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
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.
Coding Coordinator IV - (Remote)

Coding Coordinator IV - (Remote)

ChristianaCare

Newark, DE • On-site, Remote

$32.77 - $52.43/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

ChristianaCare rating

7.8

Company rating: 7.8 out of 10

Based on 126 frontline employees who took The Breakroom Quiz

132nd of 888 rated healthcare providers

Job description

Job Details
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.
Primary Function:
ChristianaCare is currently seeking a full-time Inpatient Coding Coordinator IV who will be responsible for the timely and accurate coding for reimbursement and data collection purposes. Coordinates daily responsibilities of coding and support staff.
Principal Duties and Responsibilities:
  • Timely prebill review and audit patient medical records (inpatient primarily) and correctly capture of final DRG for each review.
  • Analyze clinical data of inpatients, current treatment, past medical history and identifies potential gaps in physician documentation.
  • Analyze and report trends for improvement opportunities in coding and documentation.
  • Verify coding and abstracting accuracy by performing quantities and qualitative reviews.

  • Communicate with physicians or other providers to validate diagnoses, clinical indicators and appropriately prompts for documentation utilization AHIMA/ACDIS best practice query principles, if necessary, either verbally or written.
  • Follow industry best practice coding standards in accordance with CMS, AHIMA, AHA, AAPC, and AMA guidelines.
  • Create educational material and educate physicians, coders, and other key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
  • Train and audit entry level coders or coders who are being trained in a new discipline.

Candidates must meet the following requirements:
  • RHIA, RHIT or CCS certification or equivalent certification/degree.

  • College credits in medical terminology, anatomy, and physiology.
  • Three years coding experience in a Health Information Management Department or equivalent.
  • Experience with implementing and maintaining computer systems.

Christianacare Offers:
  • Full Medical, Dental, Vision, Life Insurance, etc.
  • 403(b) with company match.
  • Generous paid time off.
  • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Hourly Pay Range: $32.77 - $52.43
This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Aug 1, 2026
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/

What ChristianaCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

ChristianaCare logo

About ChristianaCare

Sourced by ZipRecruiter

ChristianaCare is one of the country's most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as a Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

Industry

Outpatient health care

Company size

10,000+ Employees

Headquarters location

Wilmington, DE, US

Year founded

1888

View All ChristianaCare Jobs

Apply