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Insurance Utilization Review Jobs in Maine (NOW HIRING)

GQR Global Markets

RN Case Manager

Biddeford, ME · On-site

$2.2K - $2.3K/wk

Case Management/Utilization Review Shift: Day Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed for each assignment

Business Integra LLC

RN Unit Manager

Falmouth, ME · On-site

$39 - $51.25/hr

Perform utilization management and review functions to ensure appropriate care levels and resource ... Communicate with insurance providers and case managers regarding clinical updates and coverage ...

York Hospital

RN - Other

York, ME · On-site

Ability to work with community organizations to secure durable medical equipment, health insurance ... Must have utilization review and discharge planning experience. * Certification by a nationally ...

GQR

RN - Case Manager

Portland, ME · On-site

$2.4K - $2.4K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR

RN - Case Manager

Biddeford, ME · On-site

$2.2K - $2.3K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Biddeford ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR Global Markets

RN Case Manager

Portland, ME · On-site

$2.2K - $2.3K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

Generis Tek Inc

RN Care Manager

York, ME · On-site

Ability to work with community organizations to secure durable medical equipment, health insurance ... Certification by a nationally recognized case management or utilization review organization ...

American Traveler

Travel RN Case Manager

Biddeford, ME · On-site

Focus on Care Coordination, Discharge Planning, and Utilization Review * 40 hours per week on day ... life insurance beginning day one of your assignment, generous 401(k) match, substantial housing ...

GQR Healthcare

Travel RN UM - $2,040 per week

Orono, ME · On-site

$2.0K/wk

Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

New

GQR Healthcare

Travel Care Manager

Portland, ME · On-site

$2.4K - $2.4K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

GQR Healthcare

Travel RN Case Manager

Biddeford, ME · On-site

$2.2K - $2.3K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...

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All JobsInsurance Utilization Review JobsInsurance Utilization Review Jobs in Maine

Insurance Utilization Review information

See Maine salary details

$20

$40

$66

How much do insurance utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for insurance utilization review in Maine is $40.94, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $47.02 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

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

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

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

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

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 20% Part Time, 3% Temporary, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,250 per week

AMN Healthcare Revenue Cycle

Portland, ME • On-site

$2.2K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 13 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/31/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/31/2026 Pay Rate: $1800.00 - $2700.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Coordinate patient care from admission through discharge, ensuring that treatments, services, and resources align with each patient’s medical needs and recovery goals. Collaborate closely with physicians, nurses, and external providers to remove barriers to care, streamline transitions, and support safe, efficient discharge planning.

MINIMUM REQUIRED QUALIFICATIONS –

  • ME/compact RN license
  • BLS
  • 2+ years recent case management experience in an acute hospital setting
  • Skilled experience in discharge planning and care coordination

PREFERRED QUALIFICATIONS – 5+ years recent case management experience in an acute hospital setting

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 7:30a-4p or 8a-4:30p.  Occasional weekend hours available but not required.

SYSTEMS – Epic

START DATE – ASAP


Facility Location
With its scenic coastline, sea-battered lighthouses and quaint seaside neighborhoods, Portland has it all. Whether you want to indulge in freshly caught lobster, visit historic inns, explore secluded bays and harbors, or simply walk along a seaside cliff and feel the salty ocean breeze in your hair, Portland can make it all happen.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3556954. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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