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Insurance Utilization Review Jobs in Maine (NOW HIRING)

American Traveler

Travel Care Manager

Portland, ME · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ... life insurance beginning day one of your assignment, generous 401(k) match, substantial housing ...

American Traveler

Travel RN Care Manager

Portland, ME · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ... life insurance beginning day one of your assignment, generous 401(k) match, substantial housing ...

CVS Health

Case Manager, Registered Nurse

Sanford, ME · On-site

$54K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... self-insured clients. * Application and/or interpretation of applicable criteria and clinical ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

ChenMed

$118K - $168K/yr

... drug utilization review and patient counseling. The Incumbent will participate in Medication ... Knowledge of and experience with state and federal insurance programs. * Familiarity with ...

Gianteagle

$16.50 - $20.50/hr

Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices. * Alert pharmacists appropriately for drug utilization reviews ...

Reliant Rehabilitation

Director of Rehabilitation

East Orland, ME · On-site

$72K - $77K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...

Reliant Rehabilitation

Director of Rehabilitation

East Orland, ME · On-site

$72K - $77K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... paid life insurance • 401(k) with employer match • PTO Share and Buy-Back Programs • ... utilization review, quality assurance, resident care conferences, admissions, department head ...

Berkley

Senior Casualty Claims Specialist

Westbrook, ME

$120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As ... Control file-related expenses through efficient utilization and monitoring of "outside" vendors.

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Showing results 41-60

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 15, 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 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.

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 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 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 July 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

Travel Care Manager

American Traveler

Portland, ME • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Job description

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Portland, Maine.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 08/24/2026
  • Duration: 12 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Aug 24, 2026
  • Length: 12 weeks
  • Openings: 1
Description

American Traveler is hiring an RN Care Manager for a day shift travel position requiring 2+ years of experience and an active ME or compact RN license.

Details
  • Work in the Care Management department of a hospital setting
  • Day shift schedule from 7:30 AM to 4:00 PM
  • 12-week assignment length
  • Uses Epic EMR system
  • 25-mile float policy between facilities as needed
Requirements
  • Active RN license (Maine or Compact) required upon consideration
  • BLS certification required; non-AHA certifications accepted for consideration but AHA certification must be completed before start
  • Minimum 2 years of RN experience required
  • Driver's License required for consideration
  • 2 professional references required
Additional Information
  • Candidates residing within 90 miles of any MaineHealth facility (Maine or New Hampshire residents) are considered local, which may affect pay rate
  • Local travelers are not eligible for renewals or extensions
  • Candidates who have worked at any MaineHealth facility within the past 12 months should disclose this during consideration
  • RTO should be kept to a minimum, with 3-4 days considered reasonable for a 13-week contract at manager's discretion
  • Air pods, laptops, and cell phone usage are prohibited on the unit

American Traveler Job ID #P-742203. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

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