ZipRecruiter

Log In

2

Remote Non Clinical Rn Jobs in Alfred, ME (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Portland, ME · On-site +1

$57.75 - $70.50/hr

... clinical rationales to support appeal determinations. * Collaborate with physicians, nurses, and ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

next page

Showing results 1-20

All JobsNon Clinical Rn JobsRemote Non Clinical Rn JobsRemote Non Clinical Rn Jobs in Alfred, ME

Remote Non Clinical Rn information

See Alfred, ME salary details

$19

$45

$71

How much do remote non clinical rn jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote non clinical rn in Alfred, ME is $45.64, according to ZipRecruiter salary data. Most workers in this role earn between $33.89 and $54.47 per hour, depending on experience, location, and employer.

What does a typical day look like for a Remote Non Clinical RN?

A typical day for a Remote Non Clinical RN may include reviewing patient charts, conducting telephonic health assessments, collaborating with physicians or care coordinators, and documenting interactions in electronic health record systems. You might also educate patients or their families about care plans, coordinate discharge planning, or evaluate insurance authorizations and medical necessity for services. Most work is independent but involves regular virtual meetings with a multidisciplinary team, ensuring coordinated and seamless patient care. This structure offers flexibility and autonomy while maintaining a strong connection to the broader healthcare team.

What is a Remote Non Clinical RN job?

A Remote Non-Clinical RN job allows registered nurses to work from home or other remote locations without direct patient care. These roles typically involve case management, utilization review, telehealth, clinical documentation review, or patient education. Nurses in these positions use their clinical expertise to support healthcare providers, insurance companies, or patients in an administrative or advisory capacity. This job is ideal for those seeking to leverage their nursing skills outside of traditional bedside care while maintaining flexibility and work-life balance.

What are the key skills and qualifications needed to thrive in the Remote Non Clinical Rn position, and why are they important?

To thrive as a Remote Non Clinical RN, you need a valid RN license, thorough understanding of healthcare processes, and experience in areas like case management, utilization review, or patient education. Familiarity with digital communication platforms, electronic health record (EHR) systems, and telehealth tools is often essential. Excellent organizational skills, self-motivation, and effective written and verbal communication distinguish top performers in remote settings. These skills are crucial for ensuring accurate, efficient support and coordination across virtual healthcare teams while working independently.

What cities near Alfred, ME are hiring for Remote Non Clinical Rn jobs? Cities near Alfred, ME with the most Remote Non Clinical Rn job openings:
Remote Non Clinical Rn jobs near you
Infographic showing various Remote Non Clinical Rn job openings in Alfred, ME as of June 2026, with employment types broken down into 71% Full Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $94,941 per year, or $45.6 per hour.
Remote Utilization Review Nurse - Flexible 4 or 5 Day Schedule, Saturday Required

Remote Utilization Review Nurse - Flexible 4 or 5 Day Schedule, Saturday Required

Martin's Point Health Care

Portland, ME • On-site, Remote

Full-time

Posted yesterday

Martin’s Point Health Care rating

7.4

Company rating: 7.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
Position Summary
The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes.
The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/ criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate.
Job Description
Key Outcomes:
  • Review prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review.
  • Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical necessity reviews.
  • Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues
  • Collaborates with other members of the team, the MPHC Medical Directors, healthcare providers, and members to promote effective utilization of resources. This collaboration includes timely communications with in and out of network hospitals, post-acute care facilities, other providers, and internal departments to authorize services, establish discharge plans, assist to coordinate effective, efficient transitions of care.
  • Coordinates referrals to Care Management, as appropriate.
  • Manages health care within the benefits structures per line of business and performs functions within compliance, contractual and accreditation regulations, e.g. Department of Defense, Centers for Medicaid and Medicare, NCQA, Employer contracts and state insurance regulations, as applicable. Maintains knowledge of applicable regulatory guidelines.
  • Completes all documentation of reviews and decisions, in appropriate systems, according to process/ compliance requirements and within timeliness standards.
  • Participates as a member of an interdisciplinary team in the Health Management Department
  • May be responsible for maintaining a caseload for concurrent cases/ assisting in caseload coverage for the team
  • Establishes and maintains strong professional relationships with community providers.
  • Acts as a liaison to ensure the member is receiving the appropriate level of care at the appropriate place and time
  • Mentors new staff as assigned.
  • Maintains quality audit scores within department standards.
  • Maintains productivity within department standards.
  • Assists in creation and updating of department policies and procedures.
  • Participates in quality initiatives, committees, work groups, projects, and process improvements that reinforce best practice medical management programming and offerings.
  • Participates in the review and analysis of population data and metrics to inform development of programs and improved health outcomes.
  • Demonstrates flexibility and agility in working in a fast-paced, team-oriented environment, able to multi-task from one case type to another.
  • Assumes extra duties as assigned based on business needs, including weekend rotations

Education/Experience:
  • 3+ years of clinical nursing experience as an RN, preferably in a hospital setting
  • Utilization management experience in a health plan UM department

Required License(s) and/or Certification(s):
  • Compact RN License
  • Certification in managed care nursing or care management desired (CMCN or CCM)

Skills/Knowledge/Competencies (Behaviors):
  • Demonstrates an understanding of and alignment with Martin's Point Values.
  • Maintains current licensure and practices within scope of license for current state of residence.
  • Maintains knowledge of Scope of Nursing Practice in states where licensed.
  • Maintains contemporary knowledge of evidence-based guidelines and applies them consistently and appropriately.
  • Ability to analyze data metrics, outcomes, and trends.
  • Excellent interpersonal, verbal, and written communication skills.
  • Critical thinking: can identify root causes and understands coordination of medical and clinical information.
  • Ability to prioritize time and tasks efficiently and effectively.
  • Ability to manage multiple demands.
  • Ability to function independently.
  • Computer proficiency in Microsoft Office products including Word, Excel, and Outlook.

There are additional competencies linked to individual contributor, provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org

Apply