96 utilization jobs at 57 companies in Delaware

3w
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Utilization Management Nurse
Wilmington, Delaware, United States
HybridFull Time
Nemours Children's Health
Nemours Children's Health: Pediatric health system providing clinical care, research, and education.
5+ YOEBSN and active DE RN license required, 5+ years related experience, conducts concurrent utilization reviews, ensures regulatory compliance and coordinates interdisciplinary care using EMR.
EMR
1mo
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Utilization Management Nurse Consultant
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
2d
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Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yr RemoteFull Time
Humana
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
3d
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RN Utilization Management - Day Shift
Newark, Delaware, United States
$86k-$137k/yr OnsiteFull Time
ChristianaCare
ChristianaCare: Provides hospital care and outpatient medical services.
3+ YOEDE or compact RN license, Bachelor’s in Nursing required, minimum 3 years acute care RN and 3 years utilization management, denial management and insurer experience, 8 CEUs/year in utilization/case management.
1w
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RN I- Utilization Management
Hopewell or Newark or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$71k-$94k/yr RemoteFull Time
Horizon Blue Cross Blue Shield of New Jersey
Horizon Blue Cross Blue Shield of New Jersey: Provides health insurance and managed care products in New Jersey.
2+ YOEAssociate/bachelor/diploma in nursing, active unrestricted NJ RN license, minimum 2 years clinical experience, knowledge of utilization/case management, proficiency with MS Office and Windows, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Windows, intranet, internet
3mo
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Utility Worker III
Dover, Delaware, United States
$37k-$55k/yr OnsiteFull Time
Middlesex Water Company
Middlesex Water CompanyNASDAQ: MSEX: Provides water and wastewater utility services to communities.
Assist with maintenance, repair, and inspection of water distribution systems, operate equipment, perform physical labor, possess valid driver’s license and obtain Class A CDL within one year.
6d
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Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
2mo
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Chesapeake - Utility Construction Helper
Odessa or Frankford
OnsiteFull Time
Chesapeake Home Services
Chesapeake Home Services: Provides residential and commercial plumbing, HVAC, and fire services.
Assist sewer and water/utility construction; strong organizational skills; flexible schedule; ability to work Saturdays; detail-oriented; proactive problem-solver.
1mo
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Utility Construction Management Associate 2
Irving or Delaware
HybridPart Time
RailPros
RailPros: Engineering and safety services for the rail industry.
5+ YOEKnowledge of AREMA standards; general construction practices; proficiency with electronic communications; High School Diploma; 5-7 years railroad/utility experience.
1w
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Nurse Reviewer 1
Grand Prairie or Atlanta or Tampa or Mason or Miami or Wilmington
HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEAS in nursing and current unrestricted RN license, minimum 3 years clinical nursing (or 1 year utilization/medical management), familiarity with utilization management, ICD-10/CPT-4 coding preferred.
ICD-10, CPT-4
1mo
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A&G Clinical Specialist
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yr RemoteFull Time
Healthfirst
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual
3d
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Utility Foreman
Dover, Delaware, United States
OnsiteFull Time
Costello Construction
Costello Construction: General contractor specializing in commercial construction and renovation services.
3+ YOE3–5 years utility construction experience, supervisory experience preferred, ability to read plans, operate/ work around heavy equipment, enforce OSHA safety, valid driver's license, strong communication and organizational skills.
1mo
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Utility Construction Management Associate 2
Delaware, United States
OnsitePart Time
RailPros
RailPros: Provides engineering and safety services to the railroad industry.
5+ YOEHigh School diploma; 5-7 years railroad or utility experience; valid driver’s license; ability to rent/operate rental cars; AREMA knowledge; proficient in electronic communications.
Tablet, Email, Text messaging, AREMA standards
4w
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Senior Project Engineer
Wilmington, Delaware, United States
$120k-$150k/yr HybridFull Time
Mantis Innovation
Mantis Innovation: Provides managed facility services and energy procurement solutions.
5+ YOEBachelor's in engineering, 5+ years experience in utility system modernization or energy efficiency, industrial/commercial project experience, technical HVAC/utility expertise, ability to lead engineering design, perform site surveys, and deliver investment-grade recommendations.
HVAC, BMS/BAS
1mo
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General Utility Worker Lead (Newark, DE, US, 19716)
Newark, Delaware, United States
OnsiteFull Time
Aramark
AramarkNYSE: ARMK: Provides food and facility management services to diverse organizations.
Experience in utility or dishroom roles, ability to train staff, knowledge of sanitation and kitchen equipment cleaning, independent judgment, and ability to perform physical tasks (lifting, bending, standing).
3mo
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Certified Case Manager
Middletown, Delaware, United States
OnsiteFull Time
Encompass Health
Encompass HealthNYSE: EHC: Operates a national network of inpatient rehabilitation hospitals.
Experience as a case manager in rehabilitation; coordinate care, discharge planning, utilization review, and liaison with payors.
1mo
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Experienced Locate Technician - Eastern Shore Maryland and Surrounding Cities in Delaware
Vienna or Maryland or Delaware
FieldFull Time
Stake Center Locating
Stake Center Locating: Identifies and marks underground utility lines for excavation safety.
Experienced utility locator with strong problem-solving, independence, and ability to operate locating equipment; reliable and safety-minded.
1mo
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Thermal Plant / Central Utility Plant Subject Matter Expert   – Aviation & Infrastructure – PA/MD/NJ/DE* 
Philadelphia or Pennsylvania or Maryland or New Jersey or Delaware
$135k-$150k/yr OnsiteFull Time
CMTS
CMTS: Professional construction management services for large-scale public infrastructure projects.
15+ YOE15+ years in central utility plant/thermal systems design, construction, and commissioning; PE preferred; expertise with chilled water, boilers, BAS integration, load analysis, resiliency, and commissioning.
Procore, e-Builder, Microsoft 365, Autodesk Construction Cloud, BIM 360, Bluebeam Revu
2mo
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Senior Distribution Engineer 2 - Grid
Wilmington, Delaware, United States
$100k-$153k/yr HybridFull Time
Sargent & Lundy
Sargent & Lundy: Engineering and consulting services for the power industry.
7+ YOE2+ MgmtABET-accredited degree; 7+ years in electric utility distribution design; strong leadership, communication; proficient in distribution software.
AutoCAD, ArcGIS, PoleForeman, PLS CADD, GIS
2mo
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Training Supervisor
Newark, Delaware, United States
$97k-$145k/yr OnsiteFull Time
Delmarva Power
Delmarva PowerNasdaq: EXC: Delivers electricity and natural gas to Delaware and Maryland.
4+ YOE4+ years utility or equivalent experience, supervisory experience preferred or assessed; leadership, training program management, union relations, and organizational skills required.