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Utilization Management Assistant Jobs in Delaware

Long Term Care

Assistant Director of Nursing

Wilmington, DE

$73K - $98K/yr

... utilization * Working closely with the Director of Nursing regarding the management of clinical policies and procedures Qualifications for the Assistant Director of Nursing (ADON) position: The ...

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Utilization Management Assistant information

See Delaware salary details

$29K

$48.4K

$69.6K

How much do utilization management assistant jobs pay per year?

As of Aug 11, 2026, the average yearly pay for utilization management assistant in Delaware is $48,438.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $48,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What skills do you need for utilization management assistant?

A utilization management assistant needs strong organizational skills, attention to detail, and knowledge of healthcare policies and insurance procedures. Good communication skills and proficiency with electronic health records (EHR) systems are also important for coordinating patient information and supporting case reviews.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Delaware? The most popular types of Utilization Management jobs in Delaware are:
What cities in Delaware are hiring for Utilization Management Assistant jobs? Cities in Delaware with the most Utilization Management Assistant job openings:
Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, and 4% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $48,438 per year, or $23.3 per hour.

RN - Shift Date: 02/11/2026 - 02/11/2026

Care Coordination Services LLC

Milford, DE • On-site

$40 - $47/hr

Full-time

Re-posted 29 days ago

Job description

Job Description POSITION TITLE: Registered Nurse (job code NRN1) OCCUPATIONAL EXPOSURE: Category I DEPARTMENT: Nursing REPORTS TO: RN Nurse Supervisor/Unit Manager/ADON/ADON-Unit/Center Nurse Executive POSITION SUMMARY: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON - Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice. The RN manages patient care by performing nursing assessments and collaborating with the nursing team and other disciplines, patients and families to develop effective plans of care.

RESPONSIBILITIES/ACCOUNTABILITIES: Assessment: Collects, validates, synthesizes, and records objective and subjective data; Prioritizes data collection based on patient needs; Analyzes all data; Identifies actual or potential problems or needs based on data analysis; Care Planning: Establishes realistic and measurable short and long term goals for the identified health problems and needs; Develops individualized interventions to achieve goals; Determines timelines within the care plan; Conducts a systematic and ongoing evaluation of patient outcomes; Reviews and revises plan of care as indicated; Implementing Care: Performs nursing functions and provides care within scope of practice; Coordinates and delegates care as appropriate; Verifies that medical orders are accurately transcribed; Administers medications and performs treatments per physician orders; Communicates and documents interventions and patient response; Managing patient care: Delegates care responsibilities to staff considering: Complexity of care; Competency of staff; Center policies; State's practice act; Supervises staff to ensure that delegated tasks and interventions are implemented appropriately and per policy; Evaluates and adjusts the plan of care to achieve patient goals and minimize re-hospitalizations; Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning: Communicates team's recommendations for discharge to the attending physician, patient and family; Prepares patient/family for discharge including patient and family education; Communicates patient information with assigned staff during and between shifts; Participates in shift-to-shift communication between incoming and outgoing nursing staff; Uses Point Click Care (PCC) according to the Business Processes; Performs drug count when beginning and ending shift and whenever necessary; Collaborates with physicians in rounds and examination of patients, as needed; Collaborates and coordinates with other departments to provide timely effective care consistent with individual's needs, choices and preferences; Contributes to an environment that is respectful, team-oriented, and responsive to the concerns of staff, patients and families; Enhances nursing practice by attending all mandated in-service programs and other GHC and outside professional education programs; Assists with the orientation of newly hired nursing staff; Promotes a culture of safety to ensure a healthy practice and living environment; Maintains confidentiality and protects sensitive Protected Health Information (PHI) at all times; Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of patients; Performs other duties as requested.

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