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Utilization Management Coordinator Jobs in Delaware

UHS

PRN Utilization Management Coordinator

Dover, DE · On-site

Dover Behavioral Health system is seeking qualified candidates for our Per Diem Utilization Management Coordinator position. In this role, you will proactively monitor utilization of continuum ...

UHS

PRN Utilization Management Coordinator

Dover, DE · On-site

Dover Behavioral Health system is seeking qualified candidates for our Per Diem Utilization Management Coordinator position. In this role, you will proactively monitor utilization of continuum ...

UHS

Lead UR Coordinator

Dover, DE · On-site

Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator position. In this role, you will proactively monitor utilization of continuum services and ...

UHS

Lead UR Coordinator

Dover, DE · On-site

Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator position. In this role, you will proactively monitor utilization of continuum services and ...

Bayhealth

Care Manager

Dover, DE · On-site

Responsibilities: 1. Applies utilization management criteria for the review process, distinguishing ... in coordinating a comprehensive plan of care using a concurrent integrated review process to ...

Christiana Care Health Services

$30.34 - $48.55/hr

... care coordination and who is seeking a work environment filled with Love and Excellence ... Utilization Management - review patient status for appropriateness and anticipated payer coverage.

ChristianaCare

RN Case Manager - Outpatient

Wilmington, DE · On-site

$41.28 - $66.05/hr

Case Manager (RN) is responsible for the coordination of care for a complex patient population with ... Registered Nurse with BSN required or relevant experience in Utilization Management or Case ...

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$15

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$46

How much do utilization management coordinator jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization management coordinator in Delaware is $29.63, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.66 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Coordinator, and why are they important?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a Utilization Management Coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What does a Utilization Management Coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.
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 are popular job titles related to Utilization Management Coordinator jobs in Delaware? For Utilization Management Coordinator jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Management Coordinator jobs in Delaware look for? The top searched job categories for Utilization Management Coordinator jobs in Delaware are:
Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Delaware as of May 2026, with employment types broken down into 6% As Needed, and 94% Full Time. Highlights an 63% In-person, 7% Hybrid, and 30% Remote job distribution, with an average salary of $61,638 per year, or $29.6 per hour.

PRN Utilization Management Coordinator

Alan B. Miller Medical Center

Dover, DE • On-site

Per diem

This job post has expired today. Applications are no longer accepted.

Job description

Per Diem Utilization Management Coordinator

Dover Behavioral Health System is a 104-bed, acute care psychiatric hospital located in the beautiful Dover, Delaware area. Dover Behavioral Health System features individual units for adolescents and adults and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Dover Behavioral Health System. This opportunity offers working at a hospital known for its outstanding patient satisfaction, including ranking 6th for highest patient satisfaction in 2020 compared to over 200+ psychiatric hospitals. We attribute this success to our talented and dedicated staff. Dover Behavioral Health system is seeking qualified candidates for our Per Diem Utilization Management Coordinator position. In this role, you will proactively monitor utilization of continuum services and optimize reimbursement. Responsibilities will include:

  • Conduct admission reviews working with Assessment and Referral Services to stay abreast of admissions.
  • Conduct concurrent and extended stay reviews on appropriate day and/or specified time.
  • Prepare and submit appeals to third party payors, effectively coordinating collection of all pertinent data to support the hospital and patient's position.
  • Call/fax discharge information to insurance companies within 24 hours of discharge to ensure the facility is paid for the hospital stay.
  • Maintain and update logs of review and maintain other appropriate records of the Utilization Review department.
  • Communicate pertinent third party payors issues to doctor and treatment team.
  • Attend daily treatment team meetings to discuss acuity issues, third party payors needs and gather information for reviews.
  • Work independently in gathering information for reviews from the patient record, taking the initiative to seek information from members of the treatment team.
  • Understand and communicate insurance information to team members, including benefits and levels of care offered.
  • Perform internal utilization reviews as indicated.
  • Identify, document, and report any and all instances of adult or child abuse and neglect to the appropriate parties including a member of management, the police, and state agencies

Qualifications Minimum: MSW or MS in a recognized mental health field or a Registered Nursing License One (1) year experience in case management and/or hospital experience Preferred: One (1) year experience as a Utilization Management Coordinator at a long-term care facility

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