General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Cumberland, Maine) Date Thursday, June 25, 2026 City Cumberland Center State ME Country United States Working time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Cumberland, Maine) Date Thursday, June 25, 2026 City Cumberland Center State ME Country United States Working time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Westbrook, Maine) Date Thursday, June 4, 2026 City Westbrook State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Westbrook, Maine) Date Thursday, June 4, 2026 City Westbrook State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Brunswick, Maine) Date Thursday, June 25, 2026 City Brunswick State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Brunswick, Maine) Date Thursday, June 25, 2026 City Brunswick State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Portland, Maine) Date Thursday, June 4, 2026 City Portland State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Portland, Maine) Date Thursday, June 4, 2026 City Portland State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Cumberland County, Maine) Date Friday, April 10, 2026 City Portland State ME Country United States Working time Full-time ...
General information Job Posting Title RN Clinical Assessor - (Hybrid Remote - Cumberland County, Maine) Date Friday, April 10, 2026 City Portland State ME Country United States Working time Full-time ...
Board Certified Behavior Analyst (BCBA) - Remote
Portland, ME · Remote
$43 - $56/hr
Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with ... Participate in utilization review and authorization processes in coordination with ACT's billing ...
Quick apply
Board Certified Behavior Analyst (BCBA) - Remote
Portland, ME · Remote
$43 - $56/hr
Supervise and mentor Registered Behavior Technicians (RBTs) and BCaBA candidates in accordance with ... Participate in utilization review and authorization processes in coordination with ACT's billing ...
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.
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.
Pediatric Clinical Care Representative RN
Portland, ME · On-site +1
$33.34 - $48.31/hr
While this position offers the flexibility of remote work, it requires in-person training and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Pediatric Clinical Care Representative RN
Portland, ME · On-site +1
$33.34 - $48.31/hr
While this position offers the flexibility of remote work, it requires in-person training and ... For further information, please review the Know Your Rights notice from the Department of Labor.
Remote Care Support Specialist - Hybrid
Portland, ME · On-site +1
$21.97 - $29.28/hr
Description Nursing/Clinical Support Req #: 86842 The Remote Care Support Specialist is a hybrid ... utilization. This role is responsible for meeting with eligible patients in person at the hospital ...
Remote Care Support Specialist - Hybrid
Portland, ME · On-site +1
$21.97 - $29.28/hr
Description Nursing/Clinical Support Req #: 86842 The Remote Care Support Specialist is a hybrid ... utilization. This role is responsible for meeting with eligible patients in person at the hospital ...
Registered Dietitian (Part-Time) - Maine Licensed (Remote - US)
Portland, ME · On-site +1
$50/hr
Fully remote work with flexible scheduling * Competitive hourly wage based on experience and ... Uploading your resume first will auto-fill portions of the form, which you can review and edit ...
Registered Dietitian (Part-Time) - Maine Licensed (Remote - US)
Portland, ME · On-site +1
$50/hr
Fully remote work with flexible scheduling * Competitive hourly wage based on experience and ... Uploading your resume first will auto-fill portions of the form, which you can review and edit ...
This role is also responsible for reviewing clinical documentation to support HEDIS, and to ... Current RN license in good standing required * 5+ years' clinical experience, preferably in ...
This role is also responsible for reviewing clinical documentation to support HEDIS, and to ... Current RN license in good standing required * 5+ years' clinical experience, preferably in ...
This role is also responsible for reviewing clinical documentation to support HEDIS, and to ... Current RN license in good standing required * 5+ years' clinical experience, preferably in ...
This role is also responsible for reviewing clinical documentation to support HEDIS, and to ... Current RN license in good standing required * 5+ years' clinical experience, preferably in ...
Clinical Assurance Spec/RN
South Portland, ME · On-site +1
$32.65 - $50.11/hr
Reviews OASIS for completeness and accuracy on admissions, re-certifications, resumptions of care ... Current license to practice as a Registered Nurse, Physical Therapist, Occupational Therapist or ...
Clinical Assurance Spec/RN
South Portland, ME · On-site +1
$32.65 - $50.11/hr
Reviews OASIS for completeness and accuracy on admissions, re-certifications, resumptions of care ... Current license to practice as a Registered Nurse, Physical Therapist, Occupational Therapist or ...
Holistic Health Specialist - Work From Home
Portland, ME · Remote
$61K - $136K/yr
Registered Nurse (RN) with current, valid, unrestricted license in state of operations * 2 years of ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
Holistic Health Specialist - Work From Home
Portland, ME · Remote
$61K - $136K/yr
Registered Nurse (RN) with current, valid, unrestricted license in state of operations * 2 years of ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
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 ...
New
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 ...
New
Regional Director of Health Services
Portland, ME · On-site +1
$135K - $140K/yr
Holds current unencumbered license in the state the employee resides in as a Registered Nurse. BSN ... Conducts remote spot audits to ensure community compliance with follow-up and action items in place ...
Regional Director of Health Services
Portland, ME · On-site +1
$135K - $140K/yr
Holds current unencumbered license in the state the employee resides in as a Registered Nurse. BSN ... Conducts remote spot audits to ensure community compliance with follow-up and action items in place ...
THERAPIST
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 ...
THERAPIST
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 ...
Health Plan Clinical Pharmacist - Remote
Portland, ME · Remote
$137K - $170K/yr
Coordinates and participates in the implementation and review of drug prior authorizations and other pharmacy Utilization Management (UM) activities for various product lines including approval and ...
New
Health Plan Clinical Pharmacist - Remote
Portland, ME · Remote
$137K - $170K/yr
Coordinates and participates in the implementation and review of drug prior authorizations and other pharmacy Utilization Management (UM) activities for various product lines including approval and ...
New
Nurse Practitioner (Per Diem)
Cliff Island, ME · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Cliff Island, ME · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Cliff Island, ME · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Nurse Practitioner (Per Diem)
Cliff Island, ME · Remote
$2.4K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Remote Utilization Review Rn information
See Portland, ME salary details
$20.93 - $25.17
2% of jobs
$25.17 - $29.40
9% of jobs
$32.29 is the 25th percentile. Wages below this are outliers.
$29.40 - $33.63
21% of jobs
The median wage is $37.06 / hr.
$33.63 - $37.87
23% of jobs
$37.87 - $42.10
13% of jobs
$45.39 is the 75th percentile. Wages above this are outliers.
$42.10 - $46.33
10% of jobs
$46.33 - $50.57
8% of jobs
$50.57 - $54.80
5% of jobs
$54.80 - $59.03
5% of jobs
$59.03 - $63.27
2% of jobs
$63.27 - $67.50
2% of jobs
$20
$41
$67
How much do remote utilization review rn jobs pay per hour?
What is a remote utilization review RN?
What are the key skills and qualifications needed to thrive as a remote utilization review RN?
What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?
What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?
| Aspect | Remote Utilization Review Rn | Remote Case Manager Rn |
|---|---|---|
| Certifications | RN license, Utilization Review certification (e.g., URAC) | RN license, Case Management certification (e.g., CCM) |
| Work Environment | Reviewing medical records, insurance policies, telehealth platforms | Coordinating patient care, discharge planning, telehealth |
| Employer & Industry | Insurance companies, healthcare organizations | Hospitals, 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 Portland, ME?
For Remote Utilization Review Rn jobs in Portland, ME, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Portland, ME look for?
The top searched job categories for Remote Utilization Review Rn jobs in Portland, ME are:
What cities near Portland, ME are hiring for Remote Utilization Review Rn jobs?
Cities near Portland, ME with the most Remote Utilization Review Rn job openings:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 27 days ago
Maximus rating
6.8
Based on 301 frontline employees who took The Breakroom Quiz
295th of 495 rated business services
Job description
Job Posting Title
RN Clinical Assessor - (Hybrid Remote - Cumberland, Maine)
Date
Thursday, June 25, 2026
City
Cumberland Center
State
ME
Country
United States
Working time
Full-time
Description & Requirements
Maximus is seeking a Registered Nurse, Clinical Assessor to join our growing team. As a Nurse Assessor, you will conduct person-centered assessments in accordance with contract directives, company processes, and contract requirements.
You'll evaluate individuals in their homes, group homes, and care facilities to determine Long Term Care needs and appropriate placement options.
This position requires the ability to commute within and cover Cumberland county.
About the program: Maximus has been contracted to partner with the State of Maine's Department of Health and Human Services, through the Office of Aging and Disability (OADS), as manager of its Statewide Assessing Services. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- Competitive Compensation - Bonuses based on performance included!
- Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- Tuition Reimbursement - Invest in your ongoing education and development.
- Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements
- Performs other related duties as assigned.
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 1 year of clinical experience required
-Minimum two (2) years of post graduate nursing experience
Preferred Requirements
-Experience in long term care or home health care
-Experience with OASIS or MDS
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
*Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
*Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Hybrid
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Minimum Salary
$
30.00
Maximum Salary
$
35.00