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Utilization Case Manager Jobs in Saco, ME (NOW HIRING)

GQR Healthcare

Travel Care Manager

Portland, ME · On-site

$2.4K - $2.4K/wk

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

UnitedHealth Group

Care Manager RN - Per Diem

Portland, ME · On-site

$28.27 - $50.48/hr

Through clinical care coordination drives efficient utilization of resources to reduce length of ... Certified Case Manager (CCM) * 1+ years of Case management experience * Experience or exposure to ...

American Traveler

Travel Care Manager

Portland, ME · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

Unum UK

LTC Wellness Manager

Portland, ME · On-site +1

... case management tools. * Collaborate with wellness vendors and external partners to coordinate ... Monitor member engagement and follow through on referrals, recommendations, and service utilization ...

New

Elara Caring

Care Team Supervisor

South Portland, ME · On-site

$22 - $25/hr

Monitor systems to confirm authorizations align with scheduled services and Review utilization reports * Communicate professionally and effectively with caregivers, clients, case managers, and ...

Elara Caring

Care Team Supervisor

South Portland, ME · On-site

$22 - $25/hr

Monitor systems to confirm authorizations align with scheduled services and Review utilization reports * Communicate professionally and effectively with caregivers, clients, case managers, and ...

Easterseals NH

Community Health Nurse

Rochester, NH · On-site

$33 - $35/hr

... in case management. * Record client data utilizing computerized documentation systems in timely ... Participate in quality assurance/utilization review activities on a monthly basis. * Attend team ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME

$327K - $409K/yr

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

Dane Street

Board-Certified Neurologist

Portland, ME · On-site

$332K - $415K/yr

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

... utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams * Fully prepped cases, streamlined case flow, transcription services at no cost, and a user ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Saco, ME

Utilization Case Manager information

See Saco, ME salary details

$17

$38

$62

How much do utilization case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization case manager in Saco, ME is $38.20, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $40.29 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What job categories do people searching Utilization Case Manager jobs in Saco, ME look for?

The top searched job categories for Utilization Case Manager jobs in Saco, ME are:

Utilization Case Manager jobs near you

Travel Care Manager

GQR Healthcare

Portland, ME • On-site

$2.4K - $2.4K/wk

Contractor

Medical, Dental, Vision

Posted 9 days ago

Job description

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Portland, Maine.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Portland, Maine
Start Date: June 29, 2026
Profession: Registered Nurse (RN)
Facility: Hospital
Estimated Pay: $2402.4 - $2497.4
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

GQR Job ID #840396. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

About GQR Healthcare

GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

GQR Healthcare logo

About GQR Healthcare

Sourced by ZipRecruiter

Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Austin, TX, US

Year founded

2019

Social media

Facebook

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