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Utilization Review Coordinator Jobs in Delaware (NOW HIRING)

UHS

PRN Utilization Management Coordinator

Dover, DE · On-site

... Diem Utilization Management Coordinator position. In this role, you will proactively monitor ... Conduct admission reviews working with Assessment and Referral Services to stay abreast of ...

UHS

Lead UR Coordinator

Dover, DE · On-site

Perform internal utilization reviews as indicated. * Identify, document, and report any and all ... One (1) year experience as a Utilization Management Coordinator at a long-term care facility About ...

UHS

Lead UR Coordinator

Dover, DE · On-site

Perform internal utilization reviews as indicated. * Identify, document, and report any and all ... One (1) year experience as a Utilization Management Coordinator at a long-term care facility About ...

Bayhealth

Care Manager

Dover, DE · On-site

Performs concurrent and retrospective patient reviews based on accepted quality, utilization ... in coordinating a comprehensive plan of care using a concurrent integrated review process to ...

ModernControls Inc.

Service Coordinator

New Castle, DE · On-site

$70K - $80K/yr

Review work orders for accuracy, completeness, and alignment with scope * Ensure all required ... Support reporting on key service metrics including utilization, response time, and backlog ...

MODERNCONTROLS LLC.

Service Coordinator

New Castle, DE · On-site

$70K - $80K/yr

Review work orders for accuracy, completeness, and alignment with scope * Ensure all required ... Support reporting on key service metrics including utilization, response time, and backlog ...

ModernControls LLC

Service Coordinator

New Castle, DE · On-site

$70K - $80K/yr

Review work orders for accuracy, completeness, and alignment with scope * Ensure all required ... Support reporting on key service metrics including utilization, response time, and backlog ...

MODERNCONTROLS LLC.

Service Coordinator

New Castle, DE · On-site

$70K - $80K/yr

Review work orders for accuracy, completeness, and alignment with scope * Ensure all required ... Support reporting on key service metrics including utilization, response time, and backlog ...

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Utilization Review Coordinator information

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$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review 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 Review Coordinator, and why are they important?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

How does a Utilization Review Coordinator typically collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

What does a Utilization Review Coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

What are the most commonly searched types of Utilization Review jobs in Delaware? The most popular types of Utilization Review jobs in Delaware are:
What are popular job titles related to Utilization Review Coordinator jobs in Delaware? For Utilization Review Coordinator jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Utilization Review Coordinator jobs in Delaware look for? The top searched job categories for Utilization Review Coordinator jobs in Delaware are:
What cities in Delaware are hiring for Utilization Review Coordinator jobs? Cities in Delaware with the most Utilization Review Coordinator job openings:
Utilization Review Coordinator jobs near you
Infographic showing various Utilization Review Coordinator job openings in Delaware as of May 2026, with employment types broken down into 82% Full Time, 17% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% 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

Per diem

Posted 20 days ago

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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