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Utilization Manager Jobs in Delaware (NOW HIRING)

Vivian Health

RN Case Manager in Newark, DE

Newark, DE

$41.28 - $66.05/hr

Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage. CARE MANAGEMENT : * Identify patients who have post-acute care, placement, and complex discharge ...

Vivian Health

RN Case Manager in Newark, DE

Newark, DE

$41.28 - $66.05/hr

Utilization Management - Reviews patient status for appropriateness and anticipated payer coverage. CARE MANAGEMENT : * Identify patients who have post-acute care, placement, and complex discharge ...

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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 - Acute Care - Weekender - Day Shift - Sign-on Bonus

RN Case Manager - Acute Care - Weekender - Day Shift - Sign-on Bonus

Christiana Care

Newark, DE

$40/hr

Full-time

PTO

Posted 19 days ago

ChristianaCare rating

7.8

Company rating: 7.8 out of 10

Based on 123 frontline employees who took The Breakroom Quiz

131st of 864 rated healthcare providers

Job description

Job Details
RN Case Manager - Weekend Incentive Program (WIP) - Day Shift.
Sat & Sun (Hours: 8:00 AM - 8:30 PM) plus one rotating Friday shift (4:00 PM - 8:00 PM).
Location: Newark, DE.
External Candidates are Eligible for a 10K Sign-on Bonus!
Christiana Care's Newark Hospital is currently recruiting a Weekend RN Case Manager with experience in Transitional Care or Discharge Planning within an Acute Care Hospital setting.
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 for managing patient care and drive patient progression and establishing 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 Unit Information:
Our Case Management Triad Team Model is a collaboration between the following:
  • RN Care Manager - manage patient care and drive patient progression and establish a discharge plan.
  • Social Worker - resolve psycho-social barriers and support discharge needs.
  • Utilization Management - reviews patient status for appropriateness and anticipated payer coverage.
CASE 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 plan of care 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 performance improvement measures.
PERFORMANCE IMPROVEMENT:
  • Review patients' progress with members of the health care team. Monitors use of clinical pathways, verifying appropriate use and progress toward identified patient care outcomes. Monitors compliance with National Patient Safety Goals within the assigned unit.
  • Participate in monthly unit-based PI meetings to improve compliance with National Patient Safety Goals and JCAHO ongoing readiness efforts.
  • Assist with data collection and implementation of action plans for CMS, JCAHO, and AHA Quality Initiatives as well as CCHS-defined measures.
About Us
Christiana Care 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. Christiana Care 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, 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.
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.
  • Must have a minimum of 1 year of experience as an Acute Care RN Case Manager or Utilization RN 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
May 31, 2026
EEO Posting Statement

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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

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