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Weekend Utilization Review Jobs in Delaware (NOW HIRING)

ENSTRUCTURE LLC

Inventory Coordinator

Wilmington, DE · On-site

$17.75 - $23.25/hr

Directs and consolidates inventory for maximum storage and utilization of space. The role reports ... Review orders and receiving documents and ensure accuracy and proper documentation. * Research ...

F.H. Furr

Call Center Manager (On-Site)

Georgetown, DE · On-site

$70K - $100K/yr

Review customer feedback, surveys, and membership-related interactions to enhance the overall ... Serve as a key escalation resource during evenings, weekends, and after-hours operations when ...

F.H. Furr

Call Center Manager (On-Site)

Georgetown, DE · On-site

$100K/yr

Review customer feedback, surveys, and membership-related interactions to enhance the overall ... Serve as a key escalation resource during evenings, weekends, and after-hours operations when ...

F.H. Furr

Call Center Manager (On-Site)

Georgetown, DE · On-site

$70K - $100K/yr

Review customer feedback, surveys, and membership-related interactions to enhance the overall ... Serve as a key escalation resource during evenings, weekends, and after-hours operations when ...

chicosfas

$13.50 - $18.50/hr

Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...

chicosfas

$13.50 - $18.50/hr

Ability to work a flexible work schedule, including nights, weekends, and holidays is required ... When we do have an open position, we will review your application to determine if your ...

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All JobsUtilization Review JobsWeekend Utilization Review JobsWeekend Utilization Review Jobs in Delaware

Weekend Utilization Review information

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$21

$42

$69

How much do weekend utilization review jobs pay per hour?

As of Sep 1, 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 is a weekend utilization review?

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 does a weekend utilization review professional do?

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 are the key skills and qualifications needed to thrive in the weekend utilization review position?

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 August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $88,022 per year, or $42.3 per hour.

Case Management RN

Nemours Children's Health

Wilmington, DE • On-site

Full-time

Re-posted 5 days ago

Nemours Children's Health rating

8.1

Company rating: 8.1 out of 10

Based on 87 frontline employees who took The Breakroom Quiz

66th of 898 rated healthcare providers

Job description


Nemours is hiring a Nurse Case Manager. The Nurse Case Manager (NCM)/Case Management RN is responsible for the coordination of care of individual patients in the Inpatient and Emergency Department acute care environment. Through the use of the nursing process, patient care will be assessed, planned, implemented and evaluated with consideration to the appropriate use of resources, anticipatory discharge and timely progression of care. The NCM will manage care with a focus on designated clinical, operational, and financial outcomes for aggregate patient populations. In collaboration with the interdisciplinary team and a family-centered process, the NCM will work to improve outcomes as measured by timely discharge from acute inpatient care, connection to post-discharge care/appointments, family/caregiver access to needed supplies, reduced readmission rates, and improved patient/family satisfaction. Discharge planning, transitions of care and outpatient care of patients within the continuum of care will be aligned with:
  • American Case Management Association Standards of Practice and Scope of Services (ACMA)
  • American Case Management Association Transitions of Care (ACMA)
  • Case Management Society of America Standards of Practice (CMSA)

The NCM is accountable for adherence to policies and procedures of Nemours Children's Hospital, Delaware, and other affiliated hospitals to which Nemours-delegated patients are admitted/seek care.
The NCM is expected to maintain all state and federal clearances for DE.
Qualifications:
  • Diploma/AD required; BSN preferred
  • Active Registered Nurse license in the applicable state(s) (required)
  • Case management or utilization management certification (preferred)
  • Minimum of five (5) years of progressive clinical experience, including utilization management, case management, or related healthcare operations

Primary Responsibilities:
  1. Assesses inpatient and Emergency Department patients for discharge planning needs, social drivers of health, gaps in care, and access to post-acute services and supplies (e.g., DME, home nursing).
  2. Collaborates with providers, social work, and the interdisciplinary team to develop and implement patient-centered plans of care and discharge plans, with a clear timeline and estimated discharge date.
  3. Monitors clinical progression and barriers to discharge; escalates issues to support appropriate level of care, length of stay, and resource utilization.
  4. Partners with Utilization Management to support medical necessity and correct patient status (inpatient vs. observation/OPER); supports denial prevention and appeals through timely, complete clinical documentation, educating providers around medical necessity/denials, and support for peer to peer reviews.
  5. Identifies patients at risk for unsafe transitions, high ED utilization, or readmission; completes transition assessments and coordinates follow-up care and appointments.
  6. Communicates with patients/families and the care team to address barriers, coordinate services, and adapt plans based on changes in clinical status or goals of care.
  7. Provides patient/family education on the discharge process, including follow-up needs, and medications/supplies; confirms understanding and documents education as appropriate.
  8. Initiates and coordinates referrals to internal and community resources to support discharge needs (e.g., home health, DME, transportation, pharmacy). Ensure timely and accurate delivery and fulfillment of discharge resources.
  9. Coordinates transitions of care with outside hospital/facility case management and care coordination teams, including discharge to home, transfer to another acute care facility, home services, or skilled nursing facility

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.

What Nemours Children's Health employees say

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About Nemours

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As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics, primary care practices, and school-based health centers in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts.

Industry

Health care and social assistance and hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Jacksonville, FL, US

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