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Utilization Review Manager Jobs in Denmark, ME (NOW HIRING)

This role manages surgical instrument inventory and departmental supplies, serves as the subject ... Review, revise, and update departmental policies annually as needed.Maintain all documentation and ...

Is knowledgeable of Utilization Management procedures, Critical Access Hospital rules and manages ... workshops; reviewing professional publications; establishing personal networks; and/or ...

Optometric Technician

East Waterboro, ME · On-site

$16 - $20/hr

Discusses Lasik with patients and identifies patients interested in Lasik by reviewing patient ... Ensures that maximum OD utilization occurs through pre-appointment confirmation, daily appointment ...

Optometric Technician

East Waterboro, ME · On-site

$16 - $20/hr

Discusses Lasik with patients and identifies patients interested in Lasik by reviewing patient ... Ensures that maximum OD utilization occurs through pre-appointment confirmation, daily appointment ...

Review and analyze facility activities and data to aid planning and cash and risk management and to improve service utilization. * Prepare activity reports to inform management of the status and ...

Sales Associate - Chico's

East Wakefield, NH · On-site

$13.75 - $18.75/hr

The Sales Associate is responsible for supporting Management in in promoting a customer and product ... When we do have an open position, we will review your application to determine if your ...

Sales Associate - Chico's

Conway, NH · On-site

$13.75 - $18.75/hr

The Sales Associate is responsible for supporting Management in in promoting a customer and product ... When we do have an open position, we will review your application to determine if your ...

Gynecologist

Wolfeboro, NH · On-site

$254K - $274K/yr

Record Utilization: • Utilizes the current Electronic Medical Record to complete the documented ... For further information, please review the Know Your Rights notice from the Department of Labor.

The Sales Lead is responsible for supporting Management in in promoting a customer and product ... Ensures team maintains consistent client communication through utilization of customer book ...

Chief of Hospital Medicine

Lewiston, ME · On-site

$355K - $384K/yr

Partner with Medical Staff leadership and Human Resources on performance management, peer review ... Support budget development, productivity expectations, and resource utilization for Hospital ...

Utility Sales Support

Auburn, ME · Remote

$17.75 - $23.25/hr

Must have knowledge and skill in utilization of computer databases; empower experience preferred ... ABB Installation Products Division (formerly Thomas & Betts), helps manage the connection ...

Showing results 41-60

Utilization Review Manager information

See Denmark, ME salary details

$40.4K

$94.2K

$173.4K

How much do utilization review manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization review manager in Denmark, ME is $94,225.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,600.00 and $113,400.00 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 Denmark, ME?

The most popular types of Utilization Review jobs in Denmark, ME are:

What job categories do people searching Utilization Review Manager jobs in Denmark, ME look for?

The top searched job categories for Utilization Review Manager jobs in Denmark, ME are:

What cities near Denmark, ME are hiring for Utilization Review Manager jobs?

Cities near Denmark, ME with the most Utilization Review Manager job openings:

Infographic showing various Utilization Review Manager job openings in Denmark, ME as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $94,225 per year, or $45.3 per hour.

Sterile Processing Supervisor

MP RPO

Wolfeboro, NH • On-site

$25 - $35/hr

Full-time

Posted 5 days ago


Job description

Sterile Processing SupervisorPosition SummaryUnder the general supervision of the Director of Surgical Services, the Sterile Processing Manager is responsible for overseeing all Sterile Processing Department (SPD) operations, ensuring the safe and efficient reprocessing of patient care equipment and surgical instrumentation. Responsibilities include the collection, decontamination, assembly, sterilization, high-level disinfection, and distribution of surgical instruments and equipment.This role manages surgical instrument inventory and departmental supplies, serves as the subject matter expert for product reprocessing, and ensures compliance with all applicable regulatory and professional standards, including AAMI, AORN, APIC, and CMS guidelines. The Sterile Processing Manager is responsible for departmental budgeting, staff leadership, equipment oversight, and collaborating with clinical departments to ensure timely instrument availability while maintaining the highest standards of quality, safety, and customer service.Key ResponsibilitiesOperational Standards & Regulatory ComplianceEnsure departmental policies and procedures comply with all applicable regulatory and professional standards, including CMS, AAMI, AORN, and APIC.Review, revise, and update departmental policies annually as needed.Maintain all documentation and records required for regulatory compliance, including Instructions for Use (IFUs) for surgical instruments and equipment.Collaborate with Facilities Maintenance to establish and maintain preventive maintenance programs for Sterile Processing equipment.Ensure all sterilizers, instrument washers, ultrasonic cleaners, and related equipment are maintained according to manufacturer specifications.Anticipate and respond proactively to equipment issues.Schedule staff and workflow to ensure surgical cases have the necessary instruments and equipment available.Monitor labor utilization and departmental expenses while maintaining performance and attendance records.Financial Stewardship & Quality ImprovementDemonstrate proficiency with instrument tracking systems, case cart management, patient charging, materials management, and departmental budgeting.Collaborate with Surgical Services leadership and Finance to develop departmental budgets and capital equipment plans.Maintain fiscally responsible practices while meeting departmental budget goals.Follow established industry best practices and infection prevention standards.Serve as a liaison between Sterile Processing and other departments regarding processing, sterilization, and linen handling procedures.Lead quality improvement and Lean initiatives to improve departmental workflow, efficiency, and patient safety.Participate in organizational quality improvement initiatives.Team Leadership & Staff DevelopmentRecruit, interview, hire, and onboard Sterile Processing personnel.Provide coaching, ongoing feedback, and performance evaluations.Develop and maintain comprehensive orientation programs for new employees.Coordinate staff training, competency validation, and continuing education.Ensure work is performed according to technical, safety, and regulatory standards.Coordinate education related to new products, procedures, and equipment.Ensure staff complete all required mandatory and technical education.Sterile Processing OperationsProvide hands-on leadership while supervising daily Sterile Processing operations.Manage multiple priorities in a fast-paced environment while maintaining operational excellence.Organize and direct daily departmental activities to provide exceptional service while minimizing infection risk.Oversee all aspects of:DecontaminationInstrument assemblyHigh-level disinfectionSterilizationPrep and packDistributionSterile storageInventory managementSterilization documentationEnsure readiness for scheduled and emergent surgical procedures.Monitor Sterile Processing quality assurance and quality control activities.Track equipment performance and recommend upgrades or replacements to meet manufacturer IFU requirements.Organizational ExpectationsMaintain regular, reliable attendance and punctuality.Protect patient confidentiality and comply with HIPAA regulations.Foster a culture of teamwork, service excellence, and effective communication.Maintain professional relationships with patients, visitors, physicians, and staff.Follow all workplace safety policies and procedures.Employee EngagementParticipate in organizational Service Excellence initiatives and required training.Attend at least 50% of departmental staff meetings and review all meeting minutes.Complete all required annual education by assigned deadlines.Knowledge, Skills & AbilitiesAbility to lift up to 25 pounds occasionally.Ability to stand, bend, stoop, and perform repetitive hand movements.Ability to work effectively under pressure in a fast-paced healthcare environment.Strong verbal and written communication skills.Ability to work collaboratively with multidisciplinary teams.Proficiency with computers and standard business software.QualificationsRequired:Minimum of 2 years of Sterile Processing supervisory experience.Minimum of 5 years of Sterile Processing experience.Proficiency with Microsoft Office (Word, Excel, PowerPoint).Demonstrated knowledge of:Project ManagementLean methodologiesOrganizational BehaviorChange ManagementCertified Sterile Processing Technician (CSPDT) certification.Endoscopy Certification.Instrument Specialist Certification.CHL Leadership Certification.