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Remote Utilization Review Rn Jobs in Maine (NOW HIRING)

... reviews of medical information. They are responsible for discussing and documenting an assessment ... Current & active Registered Nurse (RN) license in their state of residency required. BSN preferred.

Patient Service Representative

Lincoln, ME · Remote

$17 - $21.75/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Ellsworth, ME · Remote

$17.50 - $22.25/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Bangor, ME · Remote

$17.75 - $22.75/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Orono, ME · Remote

$18.25 - $23.25/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Lewiston, ME · Remote

$18.50 - $23.50/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Patient Service Representative

Newport, ME · Remote

$15.75 - $20.25/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

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Showing results 1-20

Remote Utilization Review Rn information

See Maine salary details

$20

$40

$66

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

As of May 30, 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 are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 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 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 cities in Maine are hiring for Remote Utilization Review Rn jobs? Cities in Maine with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Maine as of May 2026, with employment types broken down into 5% As Needed, 79% Full Time, and 16% Part Time. Highlights an 100% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.
Adjunct - Psychiatric/Mental Health Nurse Practitioner (PMHNP) Program

Adjunct - Psychiatric/Mental Health Nurse Practitioner (PMHNP) Program

Husson University

On-site, Remote

Part-time

Posted 23 days ago


Husson University rating

8.3

Company rating: 8.3 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

73rd of 529 rated colleges and universities


Job description

Salary: $0.00 Hourly
Location : REMOTE - WORK FROM HOME, ME
Job Type: Part-Time
Job Number: 00775
Department: Online Learning Instr (1350)
Division: Adjunct
Opening Date: 09/09/2025
Closing Date: 9/9/2026 12:00 AM Eastern
Academic Year: Yes
Description
Husson University is seeking experienced and passionate Psychiatric Mental Health Nurse Practitioners (PMHNPs) to join our team as Adjunct Faculty in the graduate nurse practitioner program. Adjunct faculty will contribute to the academic mission by teaching, mentoring, and supporting graduate nursing students in didactic or clinical in the online learning environments.
Example of Duties
  • Teach assigned courses within the PMHNP program in accordance with curriculum guidelines.
  • Provide clinical supervision and evaluation of graduate nursing students in psychiatric/mental health settings.
  • Foster a supportive, inclusive, and engaging learning environment.
  • Guide students in developing clinical reasoning, critical thinking, and professional practice skills.
  • Participate in course and program meetings, as needed.
  • Maintain current knowledge of psychiatric/mental health practice, education strategies, and accreditation standards.
  • Grading per University policies for 7 week and 15 week courses
  • Collaborate with the track faculty and program director as needed
  • Ensure compliance with university, state board of nursing, and accrediting body requirements
  • Foster a supportive, inclusive, and professional learning environment.

Qualifications
  • Doctor of Nursing Practice (DNP) or PhD in Nursing preferred; Master of Science in Nursing (MSN) required.
  • Current, unencumbered RN and APRN licensure.
  • National certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
  • At least 2 years of clinical experience as a practicing PMHNP.
  • Prior teaching or precepting experience is preferred.
  • Strong communication, organization, and collaboration skills.

Supplemental Information
Thank you for considering employment with Husson University. To apply and inquire about your application status, please use our online application system. We kindly request that applicants do not email or call to check on their application status.
Thank you for your understanding and adherence to our application process.
Husson University is an equal employment opportunity employer
#AD
We offer a comprehensive benefits package. Visit our website at for a complete list of benefits.