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Utilization Management Jobs in Delaware (NOW HIRING)

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Utilization Management information

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$39K

$89.6K

$163.1K

How much do utilization management jobs pay per year?

As of Jul 24, 2026, the average yearly pay for utilization management in Delaware is $89,560.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,600.00 and $104,600.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

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 jobs in Delaware? For Utilization Management jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Delaware look for? The top searched job categories for Utilization Management jobs in Delaware are:
What cities in Delaware are hiring for Utilization Management jobs? Cities in Delaware with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Delaware as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $89,560 per year, or $43.1 per hour.

LPN - Shift Date: 02/16/2026 - 02/16/2026

Care Coordination Services LLC

Seaford, DE

$34 - $39/hr

Other

Posted 17 days ago

Job description

Job Description POSITION TITLE: Licensed Practical Nurse (LPN) DEPARTMENT: Nursing REPORTS TO: RN Nursing Supervisor/Unit Manager/Center Nurse Executive POSITION SUMMARY: Under the direction of a Registered Nurse (RN), the Licensed Practical Nurse 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. The LPN contributes to nursing assessments and care planning, provides direct patient care, and supervises patient care provided by unlicensed staff.

RESPONSIBILITIES/ACCOUNTABILITIES: Patient Evaluation: Collects, reports and documents objective and subjective data. Observes conditions and reports changes in condition to RN. Care Planning: Contributes to establishing individualized patient goals.

Assists in developing interventions to achieve goals. Implements the plan of care. Evaluates effectiveness of interventions to achieve patient goals and minimize re-hospitalizations.

Participate in review and revision of care plans. Provision of Direct Patient Care: Administers medications and performs treatments per physician orders. Communicates pertinent data to RN and/or physician.

Documents accurately and thoroughly. Consults and seeks guidance from the RN as necessary. At the direction of the RN, 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. Monitors patient care provided by unlicensed staff: Assigns duties as specified by State Nurse Practice Act, Genesis policy, and staff training. Communicates patient information with unlicensed staff during and between shifts.

Monitors, evaluates and follows up on assigned responsibilities of unlicensed staff. Ensures that assigned tasks are performed in accordance with policies and procedures. Uses Point Click Care (PCC) according to the Business Processes.

Performs drug count when beginning and ending shift and whenever necessary. Assists physician in rounds and examination of patients, as needed. Participates in shift-to-shift communication between incoming and outgoing nursing staff.

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.

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.

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