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Remote Utilization Review Rn Jobs in Maine (NOW HIRING)

InterMed

Clinical Care Rep RN

South Portland, ME · 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.

Unum UK

LTC Wellness Manager

Portland, ME · On-site +1

Review claims history, intake information, engagement signals, and other available data to identify ... Licensure or certification in a clinical discipline (such as OT, RN, LCSW, or CCM) preferred, but ...

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Remote Utilization Review Rn information

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$66

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

As of Sep 10, 2026, the average hourly pay for remote utilization review rn 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 utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Maine?

For Remote Utilization Review Rn jobs in Maine, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Maine look for?

The top searched job categories for Remote Utilization Review Rn jobs in Maine are:

What cities in Maine are hiring for Remote Utilization Review Rn jobs?

Cities in Maine with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Maine as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

Registered Nurse (RN) - Virtual Nursing

Portland, ME • On-site, Remote

Maine Medical Center
See more jobs at Maine Medical Centerexternal

$37.09 - $50.17/hr

Full-time

Posted 11 days ago

Maine Medical Center rating

6.9

Company rating: 6.9 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

Job description

Description
MaineHealth Corporate
Nursing
Req #: 90444
Full Time (Monday through Friday 1130-2000)
MaineHealth's Virtual Nursing team is seeking a Full Time Registered Nurse (RN) to join our innovative virtual care program. This hybrid role provides virtual discharge education and support to patients, ensuring a smooth and safe transition from hospital to home. The RN will collaborate with the interdisciplinary team, review discharge instructions and medications, and use telehealth technology to deliver high-quality patient education. Ideal candidates have an active Maine RN license, acute care experience, strong communication skills, and comfort with technology. Join us in advancing patient-centered care through virtual innovation.
Summary:
The Virtual Nurse will be a member of a new team at MaineHealth responsible for supporting hospital-based care teams, focused on improving quality, patient and family experience, bedside care team experience, and improving hospital efficiency of care. The Virtual Nurse will use virtual communication channels including synchronous video conferencing, secure asynchronous chat, and telephonic tools to interact with patients admitted to a MaineHealth hospital. The Virtual Nurse is also responsible for providing patients with virtual health assessments and treatment solutions through virtual rounds. This position requires collaboration with clinical staff and other care team members across MaineHealth to meet the diverse and continually changing challenges of the healthcare environment.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
  • Education Bachelor of Science Degree in Nursing (BSN) preferred. Must matriculate to a BSN program within 1 year of hire with completion attained within 5 years of hire. Evidence of 10 hours of ongoing education per year.
  • License/Certifications: Current license to practice as a Registered Professional Nurse in the State of Maine. BLS certification is also required.
  • Experience: At least 5 years of Acute Care RN work experience.
  • Additional Skills/Requirements Required: Demonstrates the skills necessary to interact effectively with patients, families, and healthcare team members.
  • Additional Skills/Requirements Preferred: Proficiency in the use of ACLS, PALS , and EPIC systems.

Additional Information
MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.
We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.
The pay range for this position is $37.09 to $50.17 per hour.
Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).
In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives.
If you have questions about this role, please contact [email protected]
Hiring Scam Alert
MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [email protected] .
Notice Regarding Maine Employer Surveillance Statute: Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.
Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.

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