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Remote Utilization Review Manager Jobs in Ellsworth, ME

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...

Review documentation. Collaborate with teammates. Use AI to research, analyze, and challenge your ... Collaborate with Environment Specialists, Product Management, R&D, Professional Services, and ...

Review documentation. Collaborate with teammates. Use AI to research, analyze, and challenge your ... Collaborate with Environment Specialists, Product Management, R&D, Professional Services, and ...

Review documentation. Collaborate with teammates. Use AI to research, analyze, and challenge your ... Collaborate with Environment Specialists, Product Management, R&D, Professional Services, and ...

Proposal Coordinator

Bangor, ME ยท On-site +1

$26 - $30/hr

... remote in certain circumstances. The Proposal Coordinator reports to a Cohort Manager within ... Review proposal materials for formatting, consistency, completeness, responsiveness to requirements ...

Architectural Project Technician

Bangor, ME ยท On-site +1

$24.23 - $28.43/hr

... Manager. * Prepare accurate and coordinated construction documents using Revit * Produce plans ... Proficient at Bluebeam for plan review and collaboration * Ability to independently measure and ...

Architectural Project Technician

Bangor, ME ยท On-site +1

$24.23 - $28.43/hr

... Manager. * Prepare accurate and coordinated construction documents using Revit * Produce plans ... Proficient at Bluebeam for plan review and collaboration * Ability to independently measure and ...

Architectural CAD Technician

Bangor, ME ยท On-site +1

$24.23 - $28.43/hr

... Manager. * Prepare accurate and coordinated construction documents using Revit * Produce plans ... Proficient at Bluebeam for plan review and collaboration * Ability to independently measure and ...

Architectural CAD Technician

Bangor, ME ยท On-site +1

$24.23 - $28.43/hr

... Manager. * Prepare accurate and coordinated construction documents using Revit * Produce plans ... Proficient at Bluebeam for plan review and collaboration * Ability to independently measure and ...

Remote Utilization Review Manager information

See Ellsworth, ME salary details

$38.8K

$90.7K

$166.8K

How much do remote utilization review manager jobs pay per year?

As of Aug 27, 2026, the average yearly pay for remote utilization review manager in Ellsworth, ME is $90,656.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,300.00 and $109,100.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

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

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Ellsworth, ME?

For Remote Utilization Review Manager jobs in Ellsworth, ME, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Ellsworth, ME look for?

The top searched job categories for Remote Utilization Review Manager jobs in Ellsworth, ME are:

What cities near Ellsworth, ME are hiring for Remote Utilization Review Manager jobs?

Cities near Ellsworth, ME with the most Remote Utilization Review Manager job openings:

Virtual Care Veterinarian (Remote)

Bangor, ME โ€ข Remote

Dutch
11 - 50 employees

$50 - $80/hr

Contractor

Re-posted 4 days ago


Job description

Care when it counts - from wherever you practice.
At Dutch, we're on a mission to make high-quality veterinary care more accessible, affordable, and supportive - for both pets and the professionals who care for them. We believe care shouldn't be limited by clinic hours or commute distance.
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With Dutch, veterinarians can connect with clients for real advice, real prescriptions, and real impact - all from the comfort of home, supported by tools like our in-house EMR and AI-assisted SOAP notes that help you focus on patient care.
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Backed by leading investors, Dutch has the stability and resources to support our doctors in delivering the highest standard of care in telemedicine.
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We're currently seeking experienced veterinarians to join our growing telemedicine team as independent contractors. This is a flexible, remote opportunity ideal for veterinarians looking to pick up additional work, explore virtual care, and shape the future of veterinary medicine while maintaining clinical autonomy.
What You'll Do
  • Conduct virtual consultations with pet parents via video and asynchronous messaging
  • Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform
  • Establish a valid VCPR (when required) and determine whether telemedicine is appropriate for the case
  • Provide evidence-based treatment recommendations, including prescriptions when clinically appropriate
  • Communicate clearly, compassionately, and with care in every interaction
  • Document all encounters thoroughly using Dutch's EMR
  • Collaborate with Dutch's clinical leadership team as needed
What Makes This Role Unique
  • Flexible scheduling - Work from anywhere, with scheduling that fits your life
  • Remote-only - No commuting, no clinics, no shifts
  • Pay per consult - Average $50-$80/hour depending on appointment volume
  • Vet-designed platform - Built to support clinical focus, not increase admin burden
You'd Thrive in This Role If You Have:
  • Graduated from an AVMA-accredited veterinary school or completed requirements to practice in the United States
  • An active license in one or more of the states where Dutch operates*
  • A license in good standing with no malpractice or disciplinary actions
  • 3+ years post-graduate clinical experience
  • A quiet, professional space and reliable internet for video consults
  • Strong written and verbal communication skills
  • A collaborative, compassionate approach to care
  • Comfort using telehealth tools and managing consults independently
What to Expect
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This is a 1099 contractor role with no set hours - though vets who thrive here typically offer 10-15 hours/week, including some evening or weekend availability.
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You'll be supported by our Clinical Director, Vet Support team, and a streamlined platform that helps you focus on what you do best: providing excellent care to pets and peace of mind to their people.
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To prescribe medication, Dutch vets must be licensed in one or more of the following states: AL, AZ, AR, CA, CO, DE, FL, GA, ID, IL, IN, KS, LA, ME, MD, MA, MI, MS, MO, NE, NH, NJ, NY, OH, OK, OR, PA, RI, SD, TX, VT, VA, WA, WY. You'll be able to indicate your licensure in the application.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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