Jobs in Elsmere Delaware

Registered Nurse (RN) - Utilization Management

FT Day Shift (Hrs.: 8a-4:30p) - On-site

Newark, DE

ChristianaCare Hospital in Newark, DE, is seeking a Utilization Management Nurse (RN) with experience with insurance providers such as Aetna and Cigna, along with a background in an acute care hospital. RN will work on-site at the Newark Hospital.

PRIMARY FUNCTION:

Responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.

UTILIZATION MANAGEMENT

• Performs admission and concurrent review to identify medical necessity, level of care, and appropriateness of setting using established criteria and clinical guidelines within 24 hours of admission.
• Reviews the admission assessment and collaborates with 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.
• Manages observation level of care and works with the attending physician and/or clinical provider caring for the patient to ensure observation status does not exceed 48 hours.
• Identifies system issues that serve as barriers to care.  Participates in the development and implementation of strategies to remove barriers and facilitate performance improvement measures.
• Monitors efficiencies in scheduling diagnostic procedures and coordination of treatments to facilitate the achievement of effective clinical, fiscal, quality, and patient satisfaction goals.
• Reports information generated from the utilization management referral process for LOS data and physician profile database.
• Collaborates with the unit medical director and/or physician advisor to facilitate achievement of clinical, quality, financial, and patient satisfaction goals.
• Notifies physician when a patient does not meet criteria for acute care hospitalization and pursues documentation to justify continued stay within 24 hours.
• Collaborates with the Physician Advisor to facilitate the achievement of clinical, quality, financial, and patient satisfaction goals.
• Presents “Letters of Non-Coverage (LON) to patients and/or families when the acute stay is no longer necessary (Third Party and/or Medicare).
• Communicates and secures continued stay authorization with Managed Care Organizations.
• Tracks all carve-outs and submits reason codes for data entry.
• Serves as a resource to nursing and ancillary staff, providing education on utilization review processes as needed.
• Trends potential barriers to patient advancement through the system intervene assertively and appropriately when necessary.
• Provides On-call support for the Transfer Center to evaluate medical necessity and appropriateness when a request is obtained from an outside facility for patient transfer to ChristianaCare
• Identifies the need for the patient to be evaluated by other members of the health care team and takes appropriate action to facilitate.
• ED UM works closely with ED providers to review medical necessity and/or collaborate with ED CM for discharge planning, as appropriate.
• Actively participates in department operational planning work groups.

Education & Experience Requirements:

• DE RN licensure or compact state RN licensure. 
• Bachelor’s degree in nursing Required.
• Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting. critical care experience is required.
• Minimum 3 years of Utilization Management experience required.
• Prior experience working with insurance providers is valuable.
• Completes a minimum of 8 continuing education credits (CEU’S) per year in Utilization and/or Case Management.

PHYSICAL DEMANDS:

Ability to ambulate within the hospital setting (walking, stairs, etc.).  Occasional sitting, standing, and lifting loads of 5-10 pounds.  Ability to utilize computer equipment/programs. Ability to sit or stand at a computer workstation and proficiently utilize computer equipment/programs for long periods of time.

WORKING CONDITIONS:

Occasional exposure to Office materials (i.e., White Out, Toner, etc.)

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.

• Pursuing opportunities at institutions such as Naval Postgraduate School (NPS) or Navy War College (NWC)
• Completing Joint Professional Military Education (JPME) at one of the various service colleges

PRIMARY FUNCTION:

To assist the physicians during neuro- interventional radiology procedures and process and store images created during procedure.

SHIFT:  Day Shift - M-F

This position does have On-Call

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Positions technical support for muscoskeletal procedures to include: discogram, aspirations, therapeutic injections, vertebroplasty, lumbar drains, and other related neuro interventional procedures.

Responsible for technical support for vascular interventional radiology procedures

Ensures proper safety standards are met for compliance with departmental policies, radiation safety standards, and joint commission regulations.

Operates required imaging equipment using established guidelines and imaging protocols.

Instructs students and residents and performs preceptor duties when necessary.

Performs quality assurance checks on equipment.

Demonstrates working knowledge of hospital information systems

Assists in maintaining supply inventory

Assists in departmental Performance Improvement assessments and initiatives

Serves as a technical resource to the full procedural team in support of the physician

Communicates appropriately with good interpersonal skills

Acts as a team member during procedures to assure a safe and efficient patient care on a daily basis.

Demonstrates compliance with Christiana Care and departmental policies and procedures

Completed mandatory education as required

Performs assigned work safely, adhering to established departmental safety rules and practices.  Reports to management, in a timely manner, any unsafe activities, conditions, and hazards, or safety violations that may cause injury to oneself, other employees, patients, and visitors.

Acts as a patient advocate during the procedure

Performs duties of a scrub assistant during a procedure, including;  controlling and manipulating guide wires and balloon catheters, and maintaining a sterile field.

Performs other related duties as required.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:

Frequent contact with physicians, nurses, allied health personnel, patients, visitors, both internal and external.

DIRECTION/SUPERVISION OF OTHERS:

None

DIRECTION/SUPERVISION RECEIVED:

Administrative and Medical Director

Manager or their designee

EDUCATION AND EXPERIENCE REQUIREMENTS:

Graduate of approved school of radiologic technology

A.R.R.T. registered

Board Certified A.R.R.T

BCLS

Interventional radiology procedural lab experience preferred

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:

Knowledge of anatomy and physiology.

Knowledge and ability to assess safe radiation practices for patients, employees, and physicians.

Knowledge of departmental and unit specific standards, procedures, protocols, and policies.

Ability to perform technical skills as outlined in procedures and protocols, demonstrating use of appropriate safety measures for patients, employees, and self.

Ability to use applicable equipment according to procedures.

Ability to work with computers, information systems, and learn new techniques.

Ability to instruct and teach co-workers and physicians on new techniques, protocols/procedures, equipment.

Ability to develop and maintain effective working relationships with patients and members of the health care team.

Ability to demonstrate effective oral and written communication skills.

SPECIAL REQUIREMENTS:

Current A.R.R.T registration

Current RTR Licensure with State of Delaware

PHYSICAL DEMANDS:

Frequent lifting, carrying, pushing, handling, reaching, twisting, walking, standing, and sitting.

Ability to lift/pull 50-100lbs.

Frequent standing for extended periods while wearing heavy protective clothing. Assisting with patient transporting via stretcher.

.

WORKING CONDITIONS:

Limited exposure to radiation, confined spaces, and blood borne pathogens.  Exposure to potential for cuts and/or punctures, and repetitive motion tasks.  Limited exposure to hazardous chemical solutions and odors.  Flexible day and evening hours.  Available for on call as required.

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.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

Job Title : Medical Assistant/Technician (Hospital Corpsman) Category / Component : Enlisted • Both Overview Hospital Corpsmen assist healthcare professionals and provide medical and dental care to Sailors, Marines, and their families across clinics, hospitals, ships, and field units, gaining broad clinical, technical, and operational experience.

Key Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties.

What to Expect Hands on patient care with shift work and possible on call duties; field training and deployments with Marine and expeditionary units and embarked medical departments on ships; continuous certification and recertification in areas such as basic life support, trauma care, and tactical combat casualty care; mix of clinic, ward, and field environments with rapid response in emergent situations and a strong emphasis on teamwork and readiness.

Work Environment Assignments in Navy hospitals and clinics, aboard aircraft carriers and other ships, with Marine units in garrison and field environments, and occasionally on submarines; work in exam rooms, wards, operating rooms, emergency departments, aid stations, and field medical sites; close integration with medical teams, line units, and joint or coalition partners.

Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.

Direct enlistment into the Hospital Corpsman rating from civilian life; in service conversion for qualified Sailors from other ratings who meet screening and performance criteria; Reserve accession for prior service Hospital Corpsmen and select civilian medical professionals when manning needs allow.

Qualifications All Navy jobs require meeting general enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United States citizenship or other legal residency and work status, depending on the program and current law and policy A high school diploma or equivalent for enlisted positions, and a bachelor's or qualifying professional degree for officer positions Meeting age limits that vary by program and are set in law and Navy policy.

Some communities have more restrictive age ranges Meeting medical, vision, and dental standards, including body composition and physical fitness requirements, with some jobs requiring more demanding standards Meeting character and conduct standards, including background screening Achieving required test scores for your program, such as the Armed Services Vocational Aptitude Battery for enlisted roles or officer qualification tests for officer programs Eligibility for a security clearance when required for your rating or designator Additional qualifications can include specific skills, education, licensure, or experience that are unique to a job or community and will be reviewed with you by a recruiter.

Additional qualifications for this job may include: United States citizenship or equivalent status as allowed by policy; high school diploma or equivalent; at least 17 years of age; interest in healthcare and willingness to work in clinical and field environments, potentially under stressful conditions; ability to meet medical, vision, and physical fitness standards required for medical and operational assignments.

Education Education benefits are available through standard Navy programs such as Tuition Assistance, the Post-9/11 GI Bill, ACE-recommended college credit for Navy training, Navy COOL-funded certifications, USMAP apprenticeships, and other Navy College Program opportunities.

Specific options depend on the Sailor's status, training, and current Navy policy.

Pay, Benefits & Service Pay, benefits, and service commitments follow standard Navy Active and/or Reserve policies for this type of role, including basic pay, allowances when eligible, health coverage, and retirement options.

Exact entitlements, special pays, and service obligations depend on program, component, years of service, and current law and Navy guidance.

Incentives Incentives such as bonuses, special pays, and loan repayment may be available at times for specific ratings or communities, but they change frequently and cannot be guaranteed.

Applicants must confirm current incentives and eligibility with an official Navy recruiter or authoritative Navy source.

Notes and Disclaimers This description is a general overview of typical duties, training, and opportunities in this community.

It does not replace official Navy instructions, policies, or contracts and does not guarantee specific assignments, training, incentives, or outcomes.

Actual opportunities depend on Navy needs, individual performance, screening results, and current law and policy.

CVOR Nurse Manager

Location: Wilmington, Delaware

Employment Type: Full-Time

Number of Openings: 1

Start Date: ASAP

Schedule: Standard OR schedule + limited on‑call rotation

About the Role

A nationally recognized pediatric healthcare system is seeking an experienced CVOR Nurse Manager to lead a high‑acuity Pediatric Cardiac Operating Room. This is a key nursing leadership position overseeing a busy cardiac surgical program performing approximately 360 cardiac procedures per year.

The CVOR Nurse Manager oversees day‑to‑day operations, staff development, and the overall clinical environment within the cardiac OR. This leader plays a critical role in patient safety, workflow efficiency, and fostering a culture of professional excellence in alignment with Magnet® principles.

This role is ideal for a nurse leader with a strong pediatric cardiac OR background and experience in both scrub and circulating roles, as well as leadership responsibilities.

Key Responsibilities

• Provide strategic, operational, and clinical leadership for the Pediatric Cardiac OR.
• Facilitate and coordinate patient care services to ensure the highest quality outcomes.
• Mentor, develop, and support clinical staff across the cardiac surgical suite.
• Oversee staffing, scheduling, and resource allocation to support optimal OR performance.
• Lead recruitment, retention, education, and professional development initiatives.
• Maintain compliance with organizational policies, Magnet® standards, and regulatory requirements.
• Manage budgeting, fiscal stewardship, and resource planning for the CVOR.
• Collaborate closely with multidisciplinary teams to ensure seamless patient care delivery.
• Foster a culture committed to quality improvement, LEAN methodology, change management, and shared governance.
• Support academic partnerships and serve as a preceptor site for nursing and allied health programs.
• Champion patient and family-centered care in all operational decisions.

Minimum Qualifications

• Master’s degree in Nursing or related field preferred.
• Five (5) years of clinical nursing experience required; at least one (1) year in pediatric CVOR.
• Previous nursing management or leadership experience required.
• Active RN license (Delaware or compact‑eligible).
• Knowledge of professional nursing practice, management theory, and clinical operations.
• Certification in nursing administration and/or CVOR preferred.
• Current American Heart Association (AHA) BLS/Healthcare Provider certification required.

Benefits:

• Health/ Dental/ Vision
• Retirement plan + employer contribution
• FSA plan
• Disability and Life Insurance
• Tuition Reimbursement
• PTO and VTO
• Paid Vacations
• Adoption Assistance
• Sign-on bonus

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals from staff to leadership with both clinical and non-clinical employers. Pivotal Placement Services is an Equal Opportunity Employer.

Pathologist Assistant – Full-Time | Wilmington, Delaware

We are seeking a Full-Time Pathologist’s Assistant to join a highly respected pediatric healthcare team, providing expert support in a busy anatomic pathology environment. This is a fully benefited position with opportunities for professional growth and internal advancement.

Position Overview

The Pathologist’s Assistant plays an essential role in the processing and gross analysis of surgical specimens while supporting pathologists in both surgical and autopsy pathology. The ideal candidate will have experience in pediatric pathology and thrive in a collaborative, quality‑driven laboratory setting.

Hours: Monday – Friday, 9:00 AM – 5:30 PM

Salary Range: $93,000 – $140,000 (commensurate with experience)

Relocation Assistance: Up to $5,000 available

Annual Volume: ~3,800 specimens (approx. 73 per week), including GI specimens

Case Mix: Balanced between complex and routine cases (tumor excisions, pull-throughs, appendices, gallbladders, etc.)

Essential Responsibilities

• Perform gross analyses of surgical specimens under the direction of the pathologist
• Accurately accession specimens and verify all labeling and related documentation
• Dictate specimen descriptions clearly and promptly
• Assist with autopsies, including gross dissections and eviscerations
• Support histology with specimen accessioning, tissue disposition, and sample delivery
• Prepare tissue specimens and frozen sections for diagnostic review
• Participate in training residents or medical students in surgical pathology
• Contribute to departmental quality management initiatives, including CAP compliance and inspections

Requirements

• Master of Science from a NAACLS-accredited Pathologists’ Assistant program (active enrollment may be considered; degree completion required within 12 months of hire)
• 1–3 years of experience preferred
• Background as a Histotechnologist or relevant clinical training from an accredited PA program is accepted
• Prior experience in pediatric pathology strongly preferred

Benefits

• Generous PTO and paid holidays
• Medical, dental, and vision insurance
• HSA, HRA, and FSA options
• Life and disability insurance plus voluntary benefits
• 401(k) with company match

What Candidates Say About Working With Us

“My recruiter helped secure my dream job opportunity. He helped me through each step of the way, making my résumé stand out and highlighting my unique strengths and abilities that aligned perfectly with the client’s requirements. He is the reason I now have a new career at a wonderful company.” — DO

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a national workforce solutions firm specializing in placing healthcare professionals across clinical and non‑clinical settings, from staff-level roles to senior leadership positions.

We are committed to diversity, inclusion, and equitable employment practices. Pivotal Placement Services is an Equal Opportunity Employer, considering all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other classification protected by law.