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Remote Utilization Review Rn Jobs in West Enfield, ME

Remote Utilization Review Rn information

See West Enfield, ME salary details

$19

$38

$62

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

As of Sep 11, 2026, the average hourly pay for remote utilization review rn in West Enfield, ME is $38.48, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 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 West Enfield, ME are hiring for Remote Utilization Review Rn jobs?

Cities near West Enfield, ME with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in West Enfield, ME as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $80,028 per year, or $38.5 per hour.

Hybrid Lead Family Nurse Practitioner (FNP) - Urgent Care & Virtual Care

Bangor, ME • On-site, Remote

ConvenientMD
Health Care and Social Assistance • 1 - 5K employees

$112K - $142K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 17 days ago


ConvenientMD rating

5.8

Company rating: 5.8 out of 10

Based on 25 frontline employees who took The Breakroom Quiz


Job description

At ConvenientMD, we're on a mission to make good health more convenient for all - working to improve how patients and providers experience healthcare in New England. To support this belief, we're building a team of dedicated professionals who genuinely care about improving lives, are passionate about work that can make a difference, and are driven to learn from one another.
The Opportunity
We're seeking a compassionate and experienced Family Nurse Practitioner (FNP) to join our team as a Hybrid Lead Provider, supporting both our Pittsfield urgent care clinic and virtual urgent care operations.
This is a unique full-time hybrid opportunity designed for a high-caliber Family Nurse Practitioner (FNP) who thrives in both collaborative in-person environments and innovative telemedicine care delivery.
In this role, you'll serve as a clinical leader and mentor within our Bangor clinic while also extending access to care through scheduled virtual urgent care shifts. The ideal candidate is based in or near Bangor, Maine and able to work onsite in Bangor as well as remotely from home.
This role is perfect for a provider who values mentorship, clinical excellence, operational flexibility, and patient-centered care across multiple care settings.
Shift Structure
  • Full-time hybrid role
  • Schedule consists of three 12.5-hour shifts per week (remote or onsite, depending on operational needs)
  • Weekend rotation expectations apply
  • Must be able to remain patient-facing for up to 12.5 hours per shift in a fast-paced clinical environment, including but not limited to standing, walking, and moving throughout the clinic

Your Impact
  • Provide Exceptional Patient Care
    • Conduct health assessments, physical exams, and review medical histories to address short- and long-term patient needs while remaining committed to high-quality, efficient care.
    • Assess patient health by interviewing patients, performing physical examinations, and obtaining and updating medical histories.
    • Determine abnormal conditions by administering or ordering diagnostic tests (e.g., x-rays, electrocardiograms, laboratory studies) and interpreting results.
    • Perform therapeutic procedures including injections, immunizations, suturing, and management of wounds and infections.
    • Deliver patient-focused care through both in-person and telemedicine visits, treating a broad range of urgent care illnesses and injuries.

    Lead Clinical Operations & Team Development
    • Act as a clinical leader for providers and clinic staff, especially when the Practice Manager is not onsite.
    • Mentor and support new graduate providers as well as allied healthcare professionals.
    • Serve as a preceptor for new provider staff, creating educational and experiential growth opportunities.
    • Help foster a collaborative, accountable, and patient-centered clinic culture.

    Support Virtual Care & Access
    • Help load-balance patient volume between in-clinic and telemedicine services to support timely patient access.
    • Deliver high-quality virtual urgent care visits while maintaining strong clinical judgment and patient engagement.
    • Adapt care delivery appropriately across both onsite and remote settings.

    Educate & Empower Patients
    • Counsel patients on therapeutic regimens, wellness, preventative care, family planning, and health maintenance.
    • Support patients through compassionate communication and thoughtful guidance.

    Documentation & Compliance
    • Maintain clear, complete, accurate, and timely medical records within the EMR system.
    • Ensure compliance with company policies, HIPAA, OSHA, and applicable state and federal regulations.
    • Maintain a safe and clean working environment while adhering to infection-control standards and clinical protocols.

    Continuing Education & Professional Development
    • Maintain professional and technical knowledge through workshops, publications, professional societies, and continuing education opportunities.
    • Stay informed on emerging industry standards, clinical best practices, and legislative updates.

Who You Are
  • Education, Licensure, & Certifications
    • Master's degree and certification by Physician Assistant (PA) or Family Nurse Practitioner (FNP) certifying body.
    • Must have and maintain a DEA license in Massachusetts with no restrictions.
    • Basic Life Support (BLS) certification through the American Heart Association or American Red Cross. (CPR, ACLS, and online-only certifications are not accepted.)

    Experience & Leadership
    • Clinical experience in emergency medicine, urgent care, ambulatory care, and/or telemedicine strongly preferred.
    • Demonstrated leadership ability with a passion for mentorship and team development.
    • Comfortable balancing both onsite and remote clinical responsibilities.

    Skills & Attributes
    • Excellent collaborator who enjoys working within a strong team environment.
    • Proactive and confident communicator, both written and verbal.
    • Compassionate, authentic, and deeply patient-focused.
    • Technically savvy and comfortable navigating EMR systems and virtual care platforms.

    Additional Requirements
    • Must reside in or near Bangor, Maine and be able to reliably commute to Bangor, ME for onsite clinical shifts.
    • Ability to work a hybrid schedule consisting of onsite urgent care shifts and remote virtual urgent care coverage.

Why You'll Love Working With Us
  • Collaborative team environment that encourages professional growth
  • Urgent care services at no cost to our team members and their families
  • Extensive benefit offerings including health, dental, and vision coverage, company paid short-term disability, and optional pet insurance
  • 401k match after one year of service
  • Access to our primary care (depending on location)
  • Educational Alliance with Purdue University Global and reduced tuition rates for team members and their families
  • Employer rewards and access to discounts offered on services and products such as hotels, travel, entertainment, restaurants, and more

There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants rarely meet every single job requirement, and we appreciate that many skills and backgrounds can make people successful in this role. We are committed to creating a strong sense of belonging for all team members, and our process is designed to prevent discrimination against applicants regardless of gender identity, sexual orientation, religion, ethnicity, age, disability status, or any other aspect which makes you unique. If you're looking for a great next step, and want to feel good about what you do, we'd love to hear from you.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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