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Remote Utilization Review Rn Jobs in South Portland, ME

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Remote Utilization Review Rn information

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in South Portland, ME is $43.45, according to ZipRecruiter salary data. Most workers in this role earn between $34.33 and $49.90 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 cities near South Portland, ME are hiring for Remote Utilization Review Rn jobs?

Cities near South Portland, 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 South Portland, ME as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $90,369 per year, or $43.4 per hour.

Endocrinology Physician (Remote)

Portland, ME • On-site, Remote

Form Health
See more jobs at Form Healthexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Obesity impacts more than 40% of the US adult population, and although historically only about 1% of patients received medical treatment for their disease, the field of Obesity Medicine is entering a period of rapid growth. Form Health provides high-quality expert care and leverages technology to enhance the patient experience. All Form Health patients work closely with their physician-led care team, which also includes advanced practice professionals and Registered Dietitians. Through our proprietary mobile app patients engage in regular video visits, as well as text messaging, photo journaling, digital data transmission, and customized educational materials. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect.
Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.
About the Role:
We are seeking Physicians specialized in Endocrinology and Obesity Medicine to join our innovative, multidisciplinary chronic disease management team. A valid medical license to practice and prescribe legally in any US state is required, and eligibility to obtain additional state licenses as needed is required.
This role is designed for an American Board of Internal Medicine (ABIM) certified Endocrinologist with demonstrated expertise in obesity medicine, comprehensive diabetes management, and a strong interest in working collaboratively with Endocrine Advanced Practice Providers (APPs) in providing high-quality patient care.
A critical aspect of this role is ensuring the safe and effective management of patients with complex co-morbidities, including Chronic Kidney Disease (CKD), End-Stage Renal Disease (ESRD), and Cardiovascular conditions. The physician will help enhance the consistency, safety, and effectiveness of patient care across the team, specifically integrating the use of Continuous Glucose Monitors (CGMs) and insulin pump therapy.
This is a fully remote W-2 position (US-based), with flexible scheduling options: 32 total hours per week, 36 total hours per week, or 40 total hours per week. From the total working hours, 80% will be clinical/patient-facing care, and 20% administrative time.
What You Will Do:
  • Provide direct patient care in a telemedicine clinical setting, focusing on evidence-based treatment for obesity and comprehensive diabetes management, including insulin titration and care of patients who may already be using insulin pumps and/or continuous glucose monitors (CGMs)
  • The role could involve having your own panel of patients, or collaborating with APPs and Registered Dietitians specializing in diabetes treatment, primarily Type 2 Diabetes. This role could involve APP collaboration and supervision, as needed
  • Review charts and conduct initial and return visits to ensure quality, continuity of care, and appropriate management of CKD/ESRD and CAD/CV conditions
  • Provide advanced treatment planning and medical management support for complex endocrinology cases, escalated concerns, and patients requiring specialized management protocols.
  • Prescribe non-controlled medications, including those for obesity and diabetes, for patients under both direct care and in coordination with APPs
  • Ensure clinical documentation, protocols, and treatment pathways are followed consistently within the team, with a focus on guidelines for managing complex diabetic populations
  • Assist in the professional development of colleagues by fostering clinical growth, offering feedback, and supporting continuing education in both endocrinology and obesity medicine
  • Participate in team-based care initiatives and contribute to a culture of collaboration and high-quality care
  • Attend relevant departmental meetings and contribute to quality improvement efforts within the diabetes and obesity medicine program

About You:
  • Must have an MD or DO degree
  • Required: Valid and current Board certification in Endocrinology by the American Board of Internal Medicine (ABIM)
  • Highly Preferred: Certification by the American Board of Obesity Medicine (ABOM)
  • 2 years of clinical experience and pharmacotherapy (older generation oral and newer injectable medications) in obesity medicine or endocrinology, post residency OR completed an accredited Fellowship program in Endocrinology or Obesity Medicine, in lieu of years of experience
  • Required: Active and unrestricted Medical State License in any US State, and eligibility to obtain additional state licenses (IMLC preferred, but not required)
  • Must be currently opted-in with Medicare
  • Demonstrated competency and comfort in managing patients with complex co-morbidities, including CKD, ESRD, and CAD/CV conditions
  • Expertise in advanced diabetes management, including the use of CGMs, insulin pumps, and complex insulin regimens
  • Interest in mentoring, teaching, and collaborating with Endocrine-Specialized APPs and Registered Dietitians specializing in diabetes, as needed
  • Demonstrated experience working with APPs, medical residents, or trainees in a clinical academic setting
  • Adherence to evidence-based treatments, behavioral interventions, nutrition, and pharmacotherapy for both endocrine disorders and obesity
  • Open to working one of the following W2 roles: 32hrs/week, 36hrs/week or 40hrs/week
  • Committed to delivering patient-centered, culturally competent care
  • Excellent communication and interpersonal skills
  • Experience providing synchronous patient care in a telehealth setting is preferred
  • Bilingual candidates with medical fluency in Spanish are desired, but not required

Form Health's benefits:
  • Competitive salary
  • Comprehensive health benefits. Medical, dental, vision: from day 1
  • 401k program
  • Flexible work schedules and paid time off
  • Paid parental leave
  • Ability to participate in Form4Form, Form Health's weight loss program available to all employees and their dependents

Form Health's commitment to building a diverse, equitable, and inclusive work environment:
Form Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.
Base Annual Salary
$210,000-$250,000 USD

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