ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Norway, ME (NOW HIRING)

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Norway, ME

Remote Utilization Review Rn information

See Norway, ME salary details

$20

$39

$65

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

As of Aug 7, 2026, the average hourly pay for remote utilization review rn in Norway, ME is $39.86, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.77 per hour, depending on experience, location, and employer.

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 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 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 are popular job titles related to Remote Utilization Review Rn jobs in Norway, ME? For Remote Utilization Review Rn jobs in Norway, ME, the most frequently searched job titles are:
What cities near Norway, ME are hiring for Remote Utilization Review Rn jobs? Cities near Norway, ME 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 Norway, ME as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $82,903 per year, or $39.9 per hour.

Quality Manager - RN

Liberty Healthcare Corporation

Lewiston, ME • Remote

$90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

Nursing leaders are encouraged to consider a full-time Quality Manager position with Liberty Healthcare.

This is a key management role with new statewide initiative to improve the efficiency and effectiveness of a largescale critical incident, grievance and complaint management system for Home and Community-Based Services provided to older adults, vulnerable individuals, and people living with disabilities.

Program elements will include

  • Partnering with state agency teams
  • Creating an ideal experience for individuals who report complaints and grievances
  • Reviewing, triaging, processing reported incidents on a timely basis
  • Ensuring a high degree of consistency and quality of reviews
  • Data analysis and reporting
  • Providing technical assistance to HCBS providers
  • Preparing for future initiatives

Responsibilities

  • Hiring, training and supervising a team of 10 human services professionals
  • Quality oversight of incident management, grievance review and complaint resolution activities
  • Ensuring the efficient and effective processing of a high volume of cases
  • Providing clinical leadership
  • Consulting on complex cases
  • Data analysis and reporting
  • Supporting the program’s Director with various leadership activities
  • Leading with a focus on the best interests of the people we serve

Schedule

You will work primarily Monday through Friday during daytime hours.

This is a remote position which will allow you to work from your home and will occasionally require you to travel throughout Maine.

Salary and benefits

  • $90,000 per year
  • Health, dental, and vision insurance
  • 30 days of paid time off annually for holidays, vacation, sick, and personal leave
  • FSA, 401(k), and other perks

Full details on Liberty's benefits plan available at www.libertyhealthcare.com/upload/138.pdf

Apply