Travel RN Case Manager
Biddeford, ME · On-site
Position based in the Case Management department of a medical center ... Focus on care coordination, discharge planning, and utilization review * Day shift schedule, 40 ...
New
Travel RN Case Manager
Biddeford, ME · On-site
Position based in the Case Management department of a medical center ... Focus on care coordination, discharge planning, and utilization review * Day shift schedule, 40 ...
New
Travel RN Case Manager - $2,509 per week
Biddeford, ME · On-site
$2.5K/wk
Position based in the Case Management department of a medical center ... Focus on care coordination, discharge planning, and utilization review * Day shift schedule, 40 ...
New
Travel RN Case Manager - $2,509 per week
Biddeford, ME · On-site
$2.5K/wk
Position based in the Case Management department of a medical center ... Focus on care coordination, discharge planning, and utilization review * Day shift schedule, 40 ...
New
Collaborate with physicians, case managers, and other healthcare professionals to ensure that ... Ensure that utilization review practices comply with regulatory standards, including The Joint ...
Collaborate with physicians, case managers, and other healthcare professionals to ensure that ... Ensure that utilization review practices comply with regulatory standards, including The Joint ...
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine. & Requirements * Specialty: Utilization Review * Discipline ...
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine. & Requirements * Specialty: Utilization Review * Discipline ...
AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine. & Requirements * Specialty: Utilization Review * Discipline: RN * ...
AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Maine. & Requirements * Specialty: Utilization Review * Discipline: RN * ...
Travel RN Case Manager
Biddeford, ME · On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
Travel RN Case Manager
Biddeford, ME · On-site
Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...
RN - Case Management
Biddeford, ME · On-site
$2.3K/wk
We are seeking an experienced Registered Nurse Case Manager to focus on Care Coordination and Discharge Planning, in addition to Utilization Review. The ideal candidate will possess strong clinical ...
New
RN - Case Management
Biddeford, ME · On-site
$2.3K/wk
We are seeking an experienced Registered Nurse Case Manager to focus on Care Coordination and Discharge Planning, in addition to Utilization Review. The ideal candidate will possess strong clinical ...
New
RN Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Biddeford, Maine Start Date: May 11, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2234.88 ...
New
RN Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Biddeford, Maine Start Date: May 11, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2234.88 ...
New
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 ...
New
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 ...
New
Medical Review Coordinator I
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
New
Medical Review Coordinator I
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
New
Case Manager
$20.50 - $26.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
$20.50 - $26.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
$20.50 - $26.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:
Case Manager
$20.50 - $26.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:
Case Manager
Portland, ME · On-site
$20.25 - $26/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Portland, ME · On-site
$20.25 - $26/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
RN - Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Biddeford, Maine Start Date: May 11, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2234.88 ...
New
RN - Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Biddeford, Maine Start Date: May 11, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2234.88 ...
New
RN - Case Manager
Portland, ME · On-site
$2.2K - $2.3K/wk
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 ...
RN - Case Manager
Portland, ME · On-site
$2.2K - $2.3K/wk
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 ...
Medical Review Coordinator I
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
Medical Review Coordinator I
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
Medical Review Coordinator I
Lewiston, ME · On-site
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
Medical Review Coordinator I
Lewiston, ME · On-site
$28 - $43.41/hr
... Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care ...
RN Case Manager
Portland, ME · On-site
$2.2K - $2.3K/wk
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 ...
New
RN Case Manager
Portland, ME · On-site
$2.2K - $2.3K/wk
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 ...
New
Travel RN UM - $2,566 per week
Orono, ME · On-site
$2.5K/wk
Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orono, Maine. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 08/24 ...
Travel RN UM - $2,566 per week
Orono, ME · On-site
$2.5K/wk
Care Career is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orono, Maine. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 08/24 ...
Travel RN Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/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 ...
New
Travel RN Case Manager
Biddeford, ME · On-site
$2.2K - $2.3K/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 ...
New
Utilization Review Case Manager information
See Maine salary details
$16.06 - $19.89
3% of jobs
$19.89 - $23.72
1% of jobs
$23.72 - $27.55
6% of jobs
$29.40 is the 25th percentile. Wages below this are outliers.
$27.55 - $31.38
30% of jobs
The median wage is $32.76 / hr.
$31.38 - $35.21
26% of jobs
$36.67 is the 75th percentile. Wages above this are outliers.
$35.21 - $39.04
22% of jobs
$39.04 - $42.87
3% of jobs
$42.87 - $46.70
0% of jobs
$46.70 - $50.53
5% of jobs
$50.53 - $54.36
2% of jobs
$54.36 - $58.19
1% of jobs
$16
$35
$58
How much do utilization review case manager jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for utilization review case manager in Maine is $35.33, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $37.26 per hour, depending on experience, location, and employer.
What are some common challenges utilization review case managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What is a utilization review case manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Maine?
For Utilization Review Case Manager jobs in Maine, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Maine look for?
The top searched job categories for Utilization Review Case Manager jobs in Maine are:
What cities in Maine are hiring for Utilization Review Case Manager jobs?
Cities in Maine with the most Utilization Review Case Manager job openings:
Contractor
Medical, Dental, Vision, Life, Retirement
Posted 3 days ago
New
Job description
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Biddeford, 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
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: May 11, 2026
- Length: 13 weeks
- Openings: 1
American Traveler is seeking an experienced RN Case Manager for a 13-week travel assignment focused on care coordination, discharge planning, and utilization review, requiring prior travel Case Management experience.
Details- Position based in the Case Management department of a medical center
- Focus on care coordination, discharge planning, and utilization review
- Day shift schedule, 40 hours per week, 7:30 AM - 4:00 PM
- Every third weekend required, 7:30 AM - 4:00 PM
- 13-week contract assignment
- Uses Epic EMR
- Float policy of 25 miles between facilities as needed
- Active RN license (Maine or Compact) required
- BLS or other AHA certifications required by start date if not already held
- Minimum 4-5 years of RN experience required
- At least 3 years of acute clinical experience required, in addition to Case Management experience
- Prior travel assignment experience required; this is not suitable for first-time travelers
- 2-3 prior Case Management travel assignments preferred
- Driver's License required for consideration
- 2 professional references required
- Responsible for care coordination, discharge planning, and utilization review for assigned patient caseload
- Local candidates within 90 miles of any MaineHealth facility will be considered local, with adjusted bill rate
- Local travelers are not eligible for renewals or extensions
- Candidates who have worked at any MaineHealth facility within the past 12 months should disclose this during consideration
- RTO should be kept to a minimum, with 3-4 days considered reasonable for the 13-week contract at manager's discretion
- Air pods, laptops, and cell phone usage are prohibited on the unit
American Traveler Job ID #P-702150. 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: Travel RN - Case Management/Utilization Review - Case Management
About American TravelerWith over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.