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Remote Rn Utilization Review Nurse Jobs in Maine

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

Clinical Care Rep RN

South Portland, ME ยท On-site +1

$33.34 - $48.31/hr

Unencumbered active registered nurse or LPN licensure in state of Maine * Previous experience in a ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Showing results 1-20

Remote Rn Utilization Review Nurse information

See Maine salary details

$20

$40

$66

How much do remote rn utilization review nurse jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote rn utilization review nurse 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 a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.

What is the difference between Remote Rn Utilization Review Nurse vs Remote Rn Case Manager?

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

Infographic showing various Remote Rn Utilization Review Nurse job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, 3% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

GI- Nurse Practitioner

Portland, ME โ€ข Remote

Oshi Health
Health Care and Social Assistanceย โ€ขย 11 - 50 employees

Full-time

Re-posted 17 days ago


Job description

GI Expert Nurse Practitioner — Clinical

Reports To: APP Pod Lead

Licenses Currently Held: Preferred RN compact License

Required Location: We are only hiring from the following states: Arizona, Arkansas, Colorado, Connecticut, Florida, Louisiana, Maine, Maryland, Michigan, Missouri, New Jersey, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Virginia, and Wisconsin

Employment Type: Full-Time

Role Overview

As a GI Expert Nurse Practitioner at Oshi Health, you'll deliver high-quality, virtual-first gastrointestinal care to adults with complex digestive conditions through our telemedicine platform. You'll work alongside a collaborative, multidisciplinary team with dietitians, and behavioral health specialists to provide coordinated, whole-person care that helps patients achieve lasting digestive health improvements. This role is at the heart of our mission — and your clinical expertise will directly change lives.

What You'll Do — Key Responsibilities
  • Deliver virtual patient care in alignment with Oshi's evidence-based care model, including assessment, diagnosis, and treatment planning for GI conditions with a focus on DGBIs, GERD, and IBD via video visits and chat messaging
  • Collaborate with a multidisciplinary team (GI physicians, dietitians, behavioral health specialists, and care coordinators) to implement coordinated, comprehensive care plans
  • Adhere to clinical protocols including ROME IV criteria and AGA and ACG guidelines to ensure high-quality, evidence-based care delivery
  • Document patient interactions accurately and timely within the EHR, maintaining thorough and compliant records
  • Allocate approximately 30 hours per week to direct patient care and 10 hours to documentation, meetings, and administrative responsibilities
  • This is not a traditional 9-5 role — scheduling includes a mix of early morning, evening, and weekend hours to meet patient access needs. Flexibility and willingness to work outside standard business hours is essential
  • Participate in quality improvement, clinical program development, and professional training to stay current in the field of gastrointestinal care
  • Pursue cross-licensure opportunities and maintain good standing with all relevant licenses and certifications
What We're Looking For — Qualifications & Requirements

Required

  • Current licensure as a Certified Registered Nurse Practitioner (CRNP) or Advanced Practice Registered Nurse (APRN) with a Master's or Doctoral degree in Nursing
  • Current certification by ANCC, AANP, or other qualifying agency as an Adult or Family Nurse Practitioner
  • Minimum of 3 years of experience in gastroenterology specialty in an outpatient setting
  • Ability to communicate and collaborate effectively with multidisciplinary care providers including physicians, psychologists, and registered dietitians

Preferred

  • Licensure in 2 additional states desired — candidates must be willing and able to obtain within 60 days of hire
  • Experience with or willingness to learn common administrative and clinical technologies (Zoom, Google Suite, Salesforce, Athena, or equivalent)
  • Prior experience with telehealth platforms
  • Comfort operating in an entrepreneurial or start-up environment with evolving workflows and ambiguity
Compensation & Benefits
  • Salary Range: Competitive, commensurate with experience, with annual bonus eligibility
  • Health Benefits: 90% employee premiums paid for medical, dental, and vision coverage
  • Time Off: 3 weeks paid PTO + 11 paid holidays + 1 floating holiday
  • Retirement: Eligibility to contribute to 401(k)
  • Work Style: Remote-first — work from home anywhere in the US within our approved states
  • Growth: Advanced training by GI-specialized clinicians and professional development support as we scale
  • Licensure: Cross-licensure support and reimbursement opportunities
  • Life Concierge: Dedicated personal support through Overalls
About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team — and a mission — that's changing what great healthcare looks like.

Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions.

We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

  • Genuine passion for improving patient lives and transforming GI care
  • Strong communication skills and emotional intelligence
  • Comfort in a fast-paced, remote-first, mission-driven environment
Compensation Range
$125,000—$125,000 USD

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.
Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com

Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to careers@oshihealth.com, and we'll confirm whether you're engaging with one of our Oshi teammates!