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Utilization Review Manager Jobs in Maine (NOW HIRING)

Business Integra LLC

RN Unit Manager

Falmouth, ME · On-site

$39 - $51.25/hr

Perform utilization management and review functions to ensure appropriate care levels and resource use. * Evaluate medical necessity and level of care based on clinical criteria and payer guidelines.

GQR Global Markets

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 ...

Generis Tek Inc

RN Care Manager

York, ME · On-site

Certification by a nationally recognized case management or utilization review organization preferred. * Must have active BLS. CCM or ACM preferred. Minimum Guaranteed Hours: 3

GQR

RN - Case Manager

Portland, ME · On-site

$2.4K - $2.4K/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 ...

GQR

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 ...

GQR Global Markets

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 ...

York Hospital

RN - Other

York, ME · On-site

Must have utilization review and discharge planning experience. * Certification by a nationally recognized case management or utilization review organization preferred. * Must have active BLS. CCM or ...

UnitedHealth Group

Case Manager RN

Bangor, ME

$60K - $107K/yr

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...

UnitedHealth Group

Case Manager RN

Bangor, ME · On-site

$60K - $107K/yr

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...

UnitedHealth Group

Case Manager RN

Bangor, ME · On-site

$60K - $107K/yr

Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

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All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Maine

Utilization Review Manager information

See Maine salary details

$37.8K

$88.1K

$162.2K

How much do utilization review manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization review manager in Maine is $88,117.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,600.00 and $106,000.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

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

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

What are the most commonly searched types of Utilization Review jobs in Maine?

The most popular types of Utilization Review jobs in Maine are:

What are popular job titles related to Utilization Review Manager jobs in Maine?

For Utilization Review Manager jobs in Maine, the most frequently searched job titles are:

What job categories do people searching Utilization Review Manager jobs in Maine look for?

The top searched job categories for Utilization Review Manager jobs in Maine are:

What cities in Maine are hiring for Utilization Review Manager jobs?

Cities in Maine with the most Utilization Review Manager job openings:

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $88,117 per year, or $42.4 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,150 per week

AMN Healthcare Revenue Cycle

Biddeford, ME • On-site

$2.1K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Biddeford, Maine.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 08/31/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/31/2026 Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY – RN Case Manager

POSITION DUTIES – Coordinates patient care across the continuum, conducts utilization review to ensure appropriate level of care and resource use, and facilitates safe, timely discharge planning by collaborating with patients, families, physicians, and the interdisciplinary healthcare team.

MINIMUM REQUIRED QUALIFICATIONS –

  • ME/compact RN license
  • BLS
  • 4-5 years RN experience
  • 3+ years of acute clinical experience, not just Case Management experience
  • Prior completed travel assignments
  • 2-3 prior Case Management travel assignments completed
  • Care Coordination, Discharge Planning, and Utilization Review experience

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – 7:30-4:00p. Every third weekend 7:30-4:00. 40hrs/wk.

START DATE – ASAP


Facility Location
One of Maine's up-and-coming business centers, Biddeford features some of the most diverse geography in the state, with rolling hillside scenery and urban sprawl nestled within a coastal landscape. Biddeford is a mere fifteen miles from Portland, Maine's largest city, and just a couple hours' drive from NYC. This affords residents the ability to enjoy the natural beauty and small-town way of life that Maine is known for without being too isolated from the bustle of larger cities.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:
  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3558309. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

Apply