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Utilization Review Rn Jobs in Maine (NOW HIRING)

Business Integra LLC

RN Unit Manager

Falmouth, ME · On-site

$39 - $51.25/hr

Registered Nurse - Utilization Management (RN UM) | Day Shift | Travel Contract Location: Falmouth ... Perform utilization management and review functions to ensure appropriate care levels and resource ...

State of Maine

Hospital Nurse III - UM Nurse

Augusta, ME · On-site

$37.38 - $47.10/hr

The Utilization Review Nurse main duties consist of: * Monitoring medical necessity through the ... A license as a Registered Nurse as issued by the Maine State Board of Nursing. Agency information:

York Hospital

RN Care Manager

York, ME · On-site

The RN Care Manager will coordinate concurrent utilization management activities house-wide and is ... Certification by a nationally recognized case management or utilization review organization YORK ...

York Hospital

RN Care Manager

York, ME

The RN Care Manager will coordinate concurrent utilization management activities house-wide and is ... Certification by a nationally recognized case management or utilization review organization YORK ...

ARMS Staffing

RN - Case Management

Biddeford, ME

Registered Nurse Case Manager This is a 13-week contract position. Shift: 7:30 AM - 4:00 PM, with ... Conduct Utilization Review activities. * Manage a caseload effectively to ensure efficiency in ...

Optum

Care Manager RN - Per Diem

Portland, ME

$28.27 - $50.48/hr

Maintains a working knowledge of care management, care coordination changes, utilization review ... Current, unrestricted RN license in the state of employment * 1+ years of experience in a hospital ...

UnitedHealth Group

Care Manager RN - Per Diem

Portland, ME · On-site

$28.27 - $50.48/hr

The Care Manager RN - Per Diem provides leadership in the coordination of patient-centered care ... Maintains a working knowledge of care management, care coordination changes, utilization review ...

CVS Health

Case Manager, Registered Nurse

Augusta, ME · Remote

$54K - $155K/yr

A RN who resides in a compact state is required to have an active multistate license through the ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Maine

Hospital Nurse III - UM Nurse

Augusta, ME

$37.38 - $47.10/hr

The Utilization Review Nurse main duties consist of: * Monitoring medical necessity through the ... A license as a Registered Nurse as issued by the Maine State Board of Nursing. Agency information:

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Maine

Utilization Review Rn information

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$66

How much do utilization review rn jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for utilization review rn in Maine is $40.94, according to ZipRecruiter salary data. Most workers in this role earn between $32.36 and $47.02 per hour, depending on experience, location, and employer.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Maine? The most popular types of Utilization Review Rn jobs in Maine are:
What are popular job titles related to Utilization Review Rn jobs in Maine? For Utilization Review Rn jobs in Maine, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Maine look for? The top searched job categories for Utilization Review Rn jobs in Maine are:
What are popular job titles related to Utilization Review Rn jobs in ME? For Utilization Review Rn jobs in ME, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Maine as of June 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.
Travel Utilization Management Nurse

Travel Utilization Management Nurse

Solomon Page

Orono, ME • On-site

Contractor

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Solomon Page is seeking a travel nurse RN Long Term Care (LTC) Case Manager, Utilization Review for a travel nursing job in Orono, Maine.

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

Our client is looking to add a Registered Nurse to their team.

Job Details:

  • Location: Orono, Maine
  • Duration: 13 Weeks
  • Start Date: 05/29/2026
  • Shift: 5x8 Days

Qualifications:

  • Current Maine license
  • Excellent interpersonal skills including patience, empathy, and compassion
  • Effective communication skills, including active listening, writing, speaking and reading comprehension
  • Fast and adaptive problem-solving abilities
  • Ability to stand for long periods of time

If you meet the required qualifications and are interested in this role, please apply today.

Why Work with Us

The success of Solomon Page is defined by our people. Offering a comprehensive benefits package, travel nurses have immediate access to medical coverage and ReviveHealth virtual care. Additionally, you are offered access to dental and vision coverage, commuter benefits, a 401(k) plan, flexible spending, referral bonuses, ongoing training, and more. As an ESOP company, Solomon Page offers an employee stock ownership plan to all consultants. As a member of our traveler community, you will join a nurturing culture that fosters your career goals. Solomon Page can connect you with your next opportunity – whether it is in your hometown, or you are looking to travel to a new destination.

About Solomon Page Healthcare & Medical Staffing

Accredited by the Joint Commission with the Gold Seal of Approval, Solomon Page prides ourselves in developing long-term relationships with healthcare providers based on trust and respect. Our experienced Healthcare and Medical Staffing experts are committed to providing safe and quality patient care through our wide network of travel nurses, locum tenens, and allied resources. For more information and additional healthcare opportunities, visit: solomonpage.com and connect with Solomon Page on Instagram, Facebook, Twitter, LinkedIn, and TikTok.

449294

Solomon Page Job ID #449294. 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: rn - ltc - manager | orono, maine

About Solomon Page

Founded in 1990, Solomon Page has grown to be a leader in the staffing industry. As a member of our healthcare provider community, you will join a nurturing culture that fosters your career goals. We have the network and resources to connect you with your next opportunity – whether it is in your hometown, or you are looking to travel to a new destination. Accredited by the Joint Commission with the Gold Seal of Approval, Solomon Page prides itself in developing long-term relationships with healthcare providers based on trust and respect. Headquartered in New York with offices throughout the United States our experienced healthcare and medical staffing experts are committed to providing safe and quality patient care through our wide network of travel nurses, locum tenens, and allied resources. For more information and additional healthcare opportunities, visit: solomonpage.com/healthcare and connect with us on Facebook, Twitter, Instagram, Tik Tok, and LinkedIn. 


  • ReviveHealth Virtual Care: Available immediately. Receive free, 100% company paid, virtual care access. Upon commencement of your employment, Solomon Page offers automatic enrollment into ReviveHealth, which offers concierge, membership-based access to virtual primary care, urgent care, mental health therapy, a vision program, and prescription medications. 
  • Medical Coverage: Available immediately. Whether you are looking to enroll in single or family insurance, you have immediate access to quality coverage.
  • Dental Coverage: Available the 1st of the month after your hire date. We offer dental insurance to you and your dependents.
  • Vision Coverage: Available the 1st of the month after your hire date. We offer vision insurance to you and your dependents.
  • Commuter Benefits: Available the 1st of the month after your hire date. Set aside pre-tax money to pay for public transportation. 
  • 401K Plan: Associates can enroll in the 401K plan after they have worked 1000 hours. 
  • ESOP Benefits: As an ESOP company, Solomon Page offers an employee stock ownership plan. 
  • Referral Bonus: A cash bonus is offered for referring a candidate to Solomon Page who gets placed.
  • Training & Support: Training programs and ongoing career coaching and support is offered to consultants.
Benefits
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Referral bonus

Apply