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Remote Rn Insurance Jobs in Portland, ME (NOW HIRING)

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Remote Rn Insurance information

See Portland, ME salary details

$7

$43

$74

How much do remote rn insurance jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for remote rn insurance in Portland, ME is $43.83, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $51.88 per hour, depending on experience, location, and employer.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What are popular job titles related to Remote Rn Insurance jobs in Portland, ME?

For Remote Rn Insurance jobs in Portland, ME, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Portland, ME look for?

The top searched job categories for Remote Rn Insurance jobs in Portland, ME are:

What cities near Portland, ME are hiring for Remote Rn Insurance jobs?

Cities near Portland, ME with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Portland, ME as of September 2026, with employment types broken down into 2% As Needed, 64% Full Time, 20% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,173 per year, or $43.8 per hour.

RN Clinical Assessor - (Hybrid Remote - Cumberland/York, Maine)

Cumberland, ME • On-site, Remote

Maximus
See more jobs at Maximusexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Maximus rating

6.8

Company rating: 6.8 out of 10

Based on 304 frontline employees who took The Breakroom Quiz

Job description

General information
Job Posting Title
RN Clinical Assessor - (Hybrid Remote - Cumberland/York, Maine)
Date
Friday, August 21, 2026
City
Cumberland Center
State
ME
Country
United States
Working time
Full-time
Description & Requirements
Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements.
You'll evaluate individuals in their homes, group homes, and care facilities to determine Long Term Care needs and appropriate placement options.
This position requires the ability to commute within and cover Cumberland & York County.
About the program: Maximus has been contracted to partner with the State of Maine's Department of Health and Human Services, through the Office of Aging and Disability (OADS), as manager of its Statewide Assessing Services. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- Competitive Compensation - Bonuses based on performance included!
- Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- Tuition Reimbursement - Invest in your ongoing education and development.
- Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Complete medical and/or behavioral health assessments that are typically routine using standardized tools and criteria in accordance with contract requirements; escalate complex or non-standard cases that fall outside defined protocols.
- Conduct on-site, video, and/or telephonic assessments based on program requirements to determine an individual's needs for services and supports, eligibility, and level of care based on established guidelines, seeking guidance from senior staff as needed.
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies; ensure accurate and consistent documentation of assessment outcomes.
- Travel to client, consumer or program locations to perform in-person assessments exceeding 50% of the workweek in support of program delivery.
Minimum Requirements
- Specific clinical license and experience requirements based on contract requirements.
- Travel on-site to client, consumer or program locations for more than 50% per workweek required; specific travel requirements based on program contract requirements.
-Minimum two (2) years of post-graduate nursing experience
Preferred Requirements
-Experience in long term care or home health care
-Experience with OASIS or MDS
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
*Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
*Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Hybrid #maxPriority #HotJobs0908LI #HotJobs0908FB #HotJobs0908X #HotJobs0908TH #TrendingJobs #c0rejobs #CoreHealth
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Minimum Salary
$
30.00
Maximum Salary
$
35.00

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