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Utilization Manager Jobs in Delaware (NOW HIRING)

Christiana Care Health Services

$30.34 - $48.55/hr

Utilization Management - review patient status for appropriateness and anticipated payer coverage. * THE CARE MANAGEMENT MODEL: Our Care Management Triad Team Model is a collaboration between the ...

Christiana Care Health Services

$30.34 - $48.55/hr

Utilization Management - review patient status for appropriateness and anticipated payer coverage. * THE CARE MANAGEMENT MODEL: Our Care Management Triad Team Model is a collaboration between the ...

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Utilization Manager information

See Delaware salary details

$39K

$91.1K

$167.6K

How much do utilization manager jobs pay per year?

As of May 31, 2026, the average yearly pay for utilization manager in Delaware is $91,090.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,600.00 and $109,600.00 per year, depending on experience, location, and employer.

What Is a Utilization Manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by Utilization Managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What does a Utilization Manager do?

A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Delaware? The most popular types of Utilization jobs in Delaware are:
What are popular job titles related to Utilization Manager jobs in Delaware? For Utilization Manager jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Delaware look for? The top searched job categories for Utilization Manager jobs in Delaware are:
What cities in Delaware are hiring for Utilization Manager jobs? Cities in Delaware with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in DE? For Utilization Manager jobs in DE, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Delaware as of May 2026, with employment types broken down into 82% Full Time, 16% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 2% Hybrid, and 1% Remote job distribution, with an average salary of $91,090 per year, or $43.8 per hour.

RN Case Manager - Weekend - Day Shift

Christiana Care Health System

Newark, DE

$40/hr

Other

Medical, Retirement, PTO

Posted 19 days ago

Job description

Job Details

RN Case Manager - Weekend Incentive Program (WIP) - Day Shift

Saturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p).

Newark, DE

External Candidates are Eligible for a 10K Sign-on Bonus!

Join the Care Management Team at ChristianaCare!

ChristianaCare - Newark Hospital is looking for enthusiastic RN Case Managers for Weekenders. If you are passionate about making a difference in patient care and have experience in Transition Care or Discharge Planning, along with a background in an acute care hospital setting, we would love to hear from you.

As part of our Weekender Incentive Program (WIP), you are required to work 3 out of 4 weekends in a four-week schedule. This consists of a 12-hour day shift on Saturdays and Sundays, along with one rotating Friday evening shift from 4 to 8 p.m. Additionally, there will be an alternating holiday shift every other year.

Weekend Incentive Program Include: Special rate of pay and full benefits, except for Paid Time Off (PTO).

The RN Case Manager will be responsible formanaging patient care, driving patient progression, and establishing a discharge plan. This includes functioning as a member of the interdisciplinary team, creating, implementing, and monitoring treatment plans to ensure safe, timely, and effective transitions throughout the care continuum and discharge planning.

The Care Management Model:

Our Care Management Triad Team Model is a collaboration between the following:

  • RN Case Manager - Manages patient care, drives patient progression, and establishes a discharge plan.

  • Social Worker - Resolves psycho-social barriers and supports discharge needs.

  • Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage.

CARE MANAGEMENT:

  • Identify patients who have post-acute care, placement, and complex discharge planning needs based on a comprehensive assessment that includes physical, as well as psycho-social factors/needs.

  • Anticipate, initiate, and establish a discharge plan for patients with post-acute care needs, collaborating with the physician, nurse, and other health care providers, the patient, their family/primary caregiver(s), third-party payers, and employer following established clinical guidelines, standards, and pathways.

  • Review the admission assessment and collaborate with the primary nurse and other health care providers to ensure a multidisciplinary care plan is in place to meet identified patient care needs and desired outcomes.

  • Identify system issues that serve as barriers to care. Participates in the development and implementation of strategies to remove barriers and facilitate patient progression.

About Us

ChristianaCare is located in Delaware and is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs.

Education & Requirements

  • An active RN license in DE or Compact State is required.
  • BSN required.
  • Minimum of 2 years of Acute Care Hospital setting required.
  • Minimum of 1 year of experience as an Acute Care RN Case Manager or RN Utilization Management required.
  • RN with experience in Case Management, Transitional Care, or Discharge Planning in an inpatient hospital are required.
  • BLS preferred.
  • Case Management Certification (CCM) required within 18 months of eligibility.
This is a flat-rate position. With benefits, the WIP rate is $35 plus a $10 shift differential. Without benefits, the rate is $40 plus a $20 shift differential. 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

Jun 30, 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 visithttps://careers.christianacare.org/benefits-compensation/

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