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Chart Utilization Review Jobs in Maine (NOW HIRING)

Wayward Medical

Travel RN: Utilization Review

Orono, ME · On-site

We're built for travelers who want to be treated like humans, not chart numbers. That means we stay with you through the full assignment, help you navigate the messy parts, and start thinking about ...

UnitedHealth Group

Case Manager RN

Bangor, ME

$60K - $107K/yr

Interviews and collects patient specified data and chart review related to readmission and ... Experience in utilization review, concurrent review or risk management * Previous experience in a ...

UnitedHealth Group

Case Manager RN

Bangor, ME · On-site

$60K - $107K/yr

Interviews and collects patient specified data and chart review related to readmission and ... Experience in utilization review, concurrent review or risk management * Previous experience in a ...

UnitedHealth Group

Case Manager RN

Bangor, ME

$60K - $107K/yr

Interviews and collects patient specified data and chart review related to readmission and ... Experience in utilization review, concurrent review or risk management * Previous experience in a ...

UnitedHealth Group

Care Manager RN - Per Diem

Portland, ME · On-site

$28.27 - $50.48/hr

Through clinical care coordination drives efficient utilization of resources to reduce length of ... Interviews and collects patient specified data and chart review related to readmission and ...

Clay Consulting

Nurse Practitioner (32639)

Bangor, ME · On-site

$65 - $72/hr

Participate in chart reviews, quality improvement initiatives, utilization review activities, and operational workflow improvements. * Demonstrate awareness of and sensitivity to claimant rights ...

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Chart Utilization Review information

What is chart utilization review?

Chart Utilization Review is a process commonly used in healthcare settings to assess the necessity, appropriateness, and efficiency of medical services provided to patients. It involves reviewing patient charts and medical records to ensure that treatments and procedures are justified according to established guidelines and policies. This process helps in improving patient care, managing costs, and ensuring compliance with regulatory requirements. Utilization review professionals work closely with medical staff, insurance companies, and regulatory agencies to support quality and cost-effective care.

What are some common challenges faced by professionals in chart utilization review, and how can they be addressed?

Professionals in Chart Utilization Review often encounter challenges such as navigating incomplete or inconsistent medical documentation, staying current with ever-evolving healthcare regulations, and balancing productivity with accuracy. To address these challenges, it is important to maintain open communication with clinical staff, participate in ongoing training, and utilize robust electronic health record systems. Additionally, collaborating closely with interdisciplinary teams can help clarify documentation and ensure compliance with regulatory standards.

What are the key skills and qualifications needed to thrive as a chart utilization review specialist, and why are they important?

To thrive as a Chart Utilization Review specialist, you need a background in healthcare, strong knowledge of medical terminology, and experience with patient care documentation, often supported by an RN or LPN license. Familiarity with utilization management software, electronic health records (EHR), and relevant certifications such as Certified Professional in Utilization Review (CPUR) are typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately reviewing charts and collaborating with healthcare providers. These abilities ensure compliance, optimize patient care, and support cost-effective healthcare delivery.

What is the difference between Chart Utilization Review vs Chart Review Specialist?

AspectChart Utilization ReviewChart Review Specialist
CredentialsTypically requires healthcare or insurance-related certificationsOften requires medical or coding certifications
Work EnvironmentHealthcare facilities, insurance companies, utilization management teamsMedical offices, insurance companies, coding firms
Employer & IndustryHospitals, insurance providers, healthcare organizationsMedical billing companies, insurance firms, healthcare providers
Primary FocusAssessing medical necessity and appropriateness of servicesReviewing medical records for coding accuracy and completeness

While both roles involve reviewing medical information, Chart Utilization Review focuses on evaluating the necessity of healthcare services, whereas Chart Review Specialists primarily verify medical documentation for coding and billing accuracy. Understanding these distinctions helps professionals choose the right career path or job search focus.

What are popular job titles related to Chart Utilization Review jobs in Maine?

For Chart Utilization Review jobs in Maine, the most frequently searched job titles are:

What job categories do people searching Chart Utilization Review jobs in Maine look for?

The top searched job categories for Chart Utilization Review jobs in Maine are:

What cities in Maine are hiring for Chart Utilization Review jobs?

Cities in Maine with the most Chart Utilization Review job openings:

Chart Utilization Review jobs near you
Infographic showing various Chart Utilization Review job openings in Maine as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Travel RN: Utilization Review

Wayward Medical

Orono, ME • On-site

Other

Posted 23 days ago

Job description

Job Description
There are a lot of travel nursing agencies.
Most of them can submit you to a job.
The difference is what happens after you click apply.
At Wayward Medical Staffing, you get one point of contact, straight answers, permission before submission, and real check ins that are not just disguised extension calls.
We do the boring stuff well.
We answer fast.
We tell the truth.
We get your permission before putting your name in front of a facility.
And when something gets weird on assignment, we pick up the phone.
We're not a billion-dollar staffing machine with five departments and four handoffs before someone learns your name.
We're a Mom and Pop shop who puts relationships first. We're built for travelers who want to be treated like humans, not chart numbers.
That means we stay with you through the full assignment, help you navigate the messy parts, and start thinking about your next contract before this one ends.
Our rule is simple:
No one gets burned.
If you want an agency that communicates clearly, follows through, and actually sticks around after you start, apply with Wayward.
We'll walk you through the details and help you decide if this assignment is the right fit.
Wayward Medical: Because You're More Than a Chart Number
At Wayward Medical Staffing, we're not just about jobs-we're about journeys. We get it: life's too short for boring gigs or recruiters who ghost you. That's why we've built a company that puts YOU first, with perks so good, you'll think you hit the travel nurse jackpot.
Here's Why We're Your Ride-or-Die in Travel Nursing:
  1. We're Basically Your Work BFFs.
    Need career advice, assignment updates, or someone to listen to your wild on-the-job stories? Call us. Text us. Heck, send us a meme at 2 a.m. We're here for it.
  2. Paperwork? Consider It Handled.
    We love admin work (weird, right?), so you don't have to. Licenses, credentials, compliance-we've got it down to a science. You just focus on saving lives and looking awesome doing it.
  3. Certified Legit.
    We're Joint Commission Certified (fancy, huh?) and a 2023 Certified Great Place to Work. That means we don't just meet standards-we crush them.
  4. Transparency Like You've Never Seen.
    No bait-and-switch nonsense. No recruiter drama. Just honest conversations about pay, assignments, and what to expect. Refreshing, right?
  5. Fun, Laughter, and All the Good Vibes.
    We believe life's better when you're laughing. Whether it's our banter or the ridiculous situations you'll find yourself in on assignment, we're here to make it memorable.

Ready to Make a Difference?
Join the Wayward crew and experience travel nursing the way it was meant to be: rewarding, adventurous, and-dare we say it-fun. Apply now, and let's get you on the road to your next great assignment.
P.S. If you're wondering, yes, this counts as your sign to finally make that career move you've been dreaming about. Wayward's got your back. Let's do this.

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