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Weekend Utilization Review Jobs in Delaware (NOW HIRING)

Christiana Care Health Services

Must be willing and able to work all shifts (day, evening, and overnight), including weekends and ... review by residency coordinators Offers to be made once all scheduled interviews are completed.

Acadia Healthcare

RN Admissions Part Time

New Castle, DE

$39.53 - $43.66/hr

Available Shifts and Hours: * Part Time - Weekends only - Evenings 3p-11p Are you ready to take the ... utilization review processes to assure continuity for the most appropriate level of care for ...

Acadia Healthcare

RN Admissions Part Time

New Castle, DE · On-site

$39.53 - $43.66/hr

Available Shifts and Hours: * Part Time - Weekends only - Evenings 3p-11p Are you ready to take the ... utilization review processes to assure continuity for the most appropriate level of care for ...

Four Seasons

... getaway weekend will delight in the thoughtful services and exceptional amenities for which Four ... Review all function space with banquet manager and when required head house attendant. Ensure ...

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Weekend Utilization Review information

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$21

$42

$69

How much do weekend utilization review jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for weekend utilization review in Delaware is $42.32, according to ZipRecruiter salary data. Most workers in this role earn between $33.46 and $48.61 per hour, depending on experience, location, and employer.

What does a typical weekend shift look like for a Utilization Review professional?

Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.

What is a Weekend Utilization Review job?

A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.

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

Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.

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 Weekend Utilization Review jobs in Delaware? For Weekend Utilization Review jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Weekend Utilization Review jobs in Delaware look for? The top searched job categories for Weekend Utilization Review jobs in Delaware are:
What cities in Delaware are hiring for Weekend Utilization Review jobs? Cities in Delaware with the most Weekend Utilization Review job openings:
Weekend Utilization Review jobs near you
Infographic showing various Weekend Utilization Review job openings in Delaware as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.
Utilization Management Nurse

Utilization Management Nurse

Nemours Children's Health

Wilmington, DE • On-site

Full-time

Posted 21 days ago

Nemours Children's Health rating

8.1

Company rating: 8.1 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

68th of 888 rated healthcare providers

Job description


Nemours is seeking a Full-Time Utilization Management RN to join our team in Wilmington, DE! The Utilization Management Nurse is responsible for the monitoring patient plan of care for timely completion and efficient use of resources by facilitating diagnostic and treatment services, tests, consultations and procedures. Oversees appropriateness of care using pre-established, health industry standards ensuring the appropriate allocation and use of hospital resources. Facilitates patient flow during the inpatient stay, identifies and proactively addresses potential denials of payment. Ensures timely and efficient patient throughput of assigned patient populations. Identifies barriers and works collaboratively with the medical and ancillary teams to resolve and expedite safe discharge. Ensures all regulatory requirements related Delaware, New Jersey, Pennsylvania, Maryland and other state agencies are met/updated; further guarantees that care is aligned with:
  • The Joint Commission (TJC)
  • Centers for Medicare/Medicaid Services
  • American Case Management Association Standards of Practice and Scope of Services (ACMA)

The Utilization Management Nurse is accountable for adherence to policies and procedures of Nemours Children's Hospital, Delaware Valley, and other affiliated hospitals to which Nemours-delegated patients are admitted/seek care. The Utilization and Nurse Case Management Manager is expected to maintain all state and federal clearances for DE.
Essential Functions:
  1. Conducts initial clinical reviews within 24 hours of patient admission. All reviews are to follow unit standards as per UM concurrent review guidelines.
  2. Provides concurrent admission, continued stay and retrospective review to insurance company staff as contractually required.
  3. Communicates anticipated Length of Stay and insurance review results to interdisciplinary team. Participates in interdisciplinary rounds as indicated.
  4. Identifies patients who do not meet current patient class criteria and takes action to communicate and change to appropriate level of care as indicated with attending physician and interdisciplinary team.
  5. Converts observation to admission and, conversely, admission to observation status; communicates change to team and others as needed.
  6. Mediates between physicians and insurance companies to avoid denials by monitoring patient plan of care and intervening as needed to assure timely completion of care at appropriate level of care.
  7. Facilitates the timely completion of diagnostic tests, procedures and treatment services, consultations and discharge planning activities in collaboration with the case management staff.
  8. Monitors payer authorization for continued stay
  9. Collaborates with patient care team to ensure efficient patient throughput. Communicates length of stay authorizations and barriers to discharge to unit based team daily; working within the team to identify and resolve issues.
  10. Monitors and facilitates correct patient class and accommodation codes via the EMR for every patient.

11. Adheres to and participates in revisions to all policies and procedures within the department.
Qualifications:
  1. BSN Degree required
  2. RN licensure in the state of DE required
  3. 5+ years of related experience

About Us
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org.

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About Nemours Children's Health

Sourced by ZipRecruiter

Nemours Children’s Health, situated in Rockland, Delaware, US, operates within the healthcare industry. The company is a prominent health system offering pediatric care in Delaware, New Jersey, Pennsylvania, and Florida. It was founded in 1936 by Alfred I duPont, philanthropist and industrialist, to improve the health of children. The core values of Nemours include quality, accountability, respect, and teamwork. Its mission is to provide leadership, institutions, and services to restore and foster a healthy tomorrow for children. The non-profit organization is unique in that its primary focus is on patient families, ensuring the highest standards of pediatric care. Notably, Nemours is consistently ranked among the top children's hospitals in the US and has its own renowned research center, the Nemours Biomedical Research.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Rockland, DE, US

Year founded

1936

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