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Remote Utilization Review Rn Jobs in Maine (NOW HIRING)

Guardian Recovery

THERAPIST

South Portland, ME · On-site +1

$55K - $86K/yr

Registered Nurse certified as a Psychiatric Nurse, b. Advanced Practice Registered Nurse (APRN) ... C. 10:161A-1.9 employment, with progress towards certification or licensing on file, reviewed by ...

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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 May 29, 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 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 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.
THERAPIST

THERAPIST

Guardian Recovery

South Portland, ME • On-site, Remote

$55K - $86K/yr

Full-time

Posted 4 days ago

Job description

POSITION PURPOSE:
The Therapist is responsible for performing client care activities as directed by the attending physician, Medical Director, Executive Director, and Clinical Director. He/she will provide group therapy as ordered by the Clinical Director. Collaborates with the Treatment Team in the formulation of the Master Treatment Plan and assists in coordinating discharge planning.
POSITION REQUIREMENTS/QUALIFICATIONS
EDUCATION:
Preferred Graduate degree from an accredited college or university with a minimum of bachelor's degree in Psychology, Social Work, Counseling, or health-related field.
SUD Maine Only:
Minimum of High School Diploma or GED if a Licensed Alcohol and Drug Counselor (LADC) and/or a Certified Alcohol and Drug Counselor (CADC) with clear and active license
EXPERIENCE:
A minimum of 2 years' experience the behavioral health field
LICENSURE/CERTIFICATION:
If licensed, and do not currently have CAQH or NPI, obtain a CAQH and/or NPI within two weeks of start date OR obtain within two weeks of receipt date if licensure is received after start date. CPR Certification preferred
Valid motor vehicles license required if transporting clients or to client homes
CPR Certification preferred
Florida Requirement:
Mental Health
A Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC) or Licensed Marriage and Family Therapist (LMFT)
Substance Use
CRSS certification and above (preferred or willing/able to obtain). CAC, CAP, LMHC, LCSW or Registered Intern with active clear license or certification in good standing. Experience may
substitute except where license or certification is required by licensing standards.
New Hampshire Requirement:
Substance Use
Master's degree (preferred) or a minimum of a bachelor's degree from an accredited college or university in Psychology, Social Work, Clinical Mental Health Counseling, Substance Use or health-related field. LCMHC, MLADC, LADC, LICSW, LMFT certification/licensure desired but not required.
Mental Health
Licensed Clinical Mental Health Counselor (LCMHC), Licensed Independent Clinical Social Worker (LICSW), Master Licensed Alcohol and Drug Counselor (MLADC), Licensed Alcohol and Drug Counselor (LADC) or Licensed Marriage and Family Therapist (LMFT)
Maine Requirement:
Substance Use
1. A Licensed Alcohol and Drug Counselor (LADC) and a Certified Alcohol and Drug Counselor (CADC), or a(n):
a. Registered Nurse certified as a Psychiatric Nurse,
b. Advanced Practice Registered Nurse (APRN) with appropriate specialization certification,
c. Medical Doctor (M.D.),
d. Doctor of Osteopathy (D.O.),
e. Licensed Clinical Psychologist,
f. Licensed Clinical Social Worker (LCSW),
g. Licensed Clinical Professional Counselor (LCPC), or a
h. Licensed Marriage and Family Therapist (LMFT).
2. Any individual with a credential listed in Section J (1) (a-h) above may be employed as clinical staff in a substance use disorder program only when that individual has completed one (1) year clinical experience in substance abuse treatment and a minimum of sixty (60) hours of alcohol and drug education within the last five (5) years.
3. Education accepted by the Department includes, but is not limited to, training and continuing education approved by the Maine State Board of Alcohol and Drug Counselors, 02-384 CMR Chapters 1-9.
4. Any of the credentials listed in Section J (1) (a-h) above may forego additional education hours and experience if they possess a Certified Clinical Supervisor (CCS) credential.
Mental Health
Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC) or Licensed Marriage and Family Therapist (LMFT)
New Jersey Requirement:
Substance Use
Each substance abuse counselor shall be either an LCADC or CADC or another licensed health professional doing work of an alcohol and drug counseling nature within their scope of practice. I. A CADC must work under the supervision of an LCADC, or another New Jersey licensed clinical professional designated as a qualified clinical supervisor per N.J.A.C. 13:34C-6.2. ii. A CADC cannot diagnose substance abuse. 2.Substance abuse counseling staff without an LCADC or CADC status or who do not possess another New Jersey clinical professional license that includes work of an alcohol or drug counseling nature within their scope of practice shall function as alcohol and drug counselor-interns or credential-interns and shall: I. Be enrolled in a course of study leading to a CADC or LCADC, or another New Jersey clinical professional license that includes work of an alcohol and drug counseling nature within its scope of practice, without regard to changes in N.J.A.C. 10:161A-1.9 employment, with progress towards certification or licensing on file, reviewed by the facility at least semi-annually and documented; and ii. Be trained, evaluated and receive continuing formal clinical supervision by the director of substance abuse counseling or designee, pursuant to the clinical supervision rules of the State health professional licensing board for the course of study in which they are enrolled:
(1) The State Board of Marriage and Family Therapy Examiners for licensed marriage and family therapists.
(2) The State Board of Marriage and Family Therapy Examiners' Professional Counselor Examiners Committee for licensed professional counselors and licensed associate counselors.
(3) The State Board of Marriage and Family Therapy Examiners Alcohol and Drug Counselor Committee for LCADCs and CADCs.
(4) The State Board of Psychological Examiners for licensed psychologists; and
(5) The State Board of Social Work Examiners for licensed clinical social workers and licensed social workers.
(b) Counseling staff employed in a residential substance use disorders treatment facility after July 15, 2013, shall have three years from the date of employment to become certified as an LCADC or CADC, or another clinical licensed professional that includes the work of an alcohol and drug counseling nature within its scope of practice.
(c) Only staff possessing the appropriate clinical background and educational qualifications from the appropriate clinical discipline may provide the diagnosis, assessment, and treatment of clients with co-occurring disorders.
Mental Health:
Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Associate Counselor (LAC) (supervised), Licensed Marriage and Family Therapist (LMFT)
Colorado Requirements:
Substance Use:
A Licensed Addiction Counselor (LAC) or certified as a Certified Addiction Counselor (CAC) with an active clear license or certification in good standing.
Mental Health:
A Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW) or a Licensed Marriage and Family Therapist (LMFT)
Texas Requirements:
Substance Use
A Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW) or a Licensed Marriage and Family Therapist (LMFT) with an active and clear license.
Mental Health:
A Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW) or a Licensed Marriage and Family Therapist (LMFT)
Wisconsin Requirements:
Substance Use
A Licensed Professional Counselor (LPC) or a Licensed Clinical Substance Abuse Counselor (LCAC) with an active and clear license. May potentially work under a Professional Counselor Training License (LPC-IT) depending on experience or supervision requirements.
Mental Health:
A Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW) or a Licensed Marriage and Family Therapist (LMFT)
Pennsylvania Requirements:
Substance Use
A Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT) with an active and unrestricted license.
Mental Health:
A Licensed Professional Counselor (LPC), a Licensed Clinical Social Worker (LCSW) or a Licensed Marriage and Family Therapist (LMFT)
New Mexico Requirements:
Substance Use
Licensed Alcohol and Drug Abuse Counselors (LADAC), Certified Alcohol and Drug Abuse Counselors (CADC), Certified Peer Support Workers (CPSW); Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), Licensed Psychologist, Psychiatric Nurse Practitioner (PMHNP) or Licensed Mental Health Counselor (LMHC)
Mental Health:
Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), Licensed Psychologist or Licensed Psychologist
Nebraska Requirements:
Substance Use:
Active and unrestricted Nebraska Licensed Alcohol and Drug Counselor (LADC) credential.
Mental Health:
Active and unrestricted Nebraska Licensed Mental Health Practitioner (LMHP) or Licensed Independent Mental Health Practitioner (LIMHP) credential.
Utah Requirements:
Substance Use:
Substance Use Disorder Counselor (SUDC), Advanced Substance Use Disorder Counselor (ASUDC), Master Addictions Counselor (MAC), Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC) or Licensed Marriage and Family Therapist (LMFT)
Mental Health:
Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Marriage and Family Therapist (LMFT)
Vermont Requirements:
Substance Use:
Must obtain an LADC or CADC license, requiring a master's degree (or lower for CADC), supervised practice, and passing the IC&RC exam.
Mental Health:
Vermont LCMHC (Clinical Mental Health Counselor), LICSW (Clinical Social Worker), psychologist, psychiatrist, or equivalent
Georgia Requirements:
Substance Use:
Certification such as Certified Alcohol & Drug Counselor (CADC) or Certified Advanced Alcohol & Drug Counselor (CAADC), overseen by the Alcohol & Drug Abuse Certification Board of Georgia (ADACBGA).
Mental Health:
A Licensed Professional Counselor (LPC), Licensed Clinical Social Worker (LCSW), or Licensed Marriage and Family Therapist (LMFT).
SPECIFIC AREAS OF RESPONSIBILITY TO POSITION
  1. Actively participate in Interdisciplinary Treatment Plan meetings.
  2. Share pertinent information with the team as obtained from the client's family, or others as indicated throughout the program.
  3. Attend daily and weekly staff meetings according to the schedule.
  4. Evaluate the impact of therapeutic interventions upon the therapeutic milieu
  5. Facilitate group therapy.
  6. Perform individual therapy with client/family.
  7. Document the assessment of client progress/regress and interventions provided in the medical record, on an ongoing basis.
  8. Recognize, respond to and assist in psychiatric crisis situations and provide the necessary intervention.
  9. Respond and assist in medical emergency situations as directed and needed.
  10. Communicate effectively with clients, staff and physicians.
  11. Provide clients with education and instruction on Advance Directives.
  12. Attend and participate in monthly Program Staff meetings as scheduled.
  13. Adhere to policies and procedures.
  14. Perform other duties assigned.
  15. Protect the privacy of all client information in accordance with GRNH, LLC's privacy policies, procedures and practices, as required by federal and state law, and in accordance with general principle of professionalism as a healthcare provider. Failure to comply with the company's policies and procedures on client privacy may result in disciplinary action up to and including termination of employment.
  16. May access protected health information (PHI) and other patent information only to the extent that is necessary to complete your job duties. The incumbent may only share such information with those who have a need-to-know specific client information you have in your possession to complete their job responsibilities related to treatment, payment or other GRNH, LLC operations.
  17. Expected to report, without the threat of retaliation, any concerns regarding GRNH, LLC's policies and procedures on client privacy and any observed practices in violation of the policy to their supervisor.

Texas Only:
  1. Ability to recognize signs of withdrawal
  2. Client observation and monitoring skills/ procedures
  3. Knowledge of pregnancy related complications
  4. Knowledge of complications requiring transfers
  5. Knowledge of appropriate interventions
  6. Knowledge of frequently used medications including purpose, precautions, and side effects

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