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Utilization Review Rn Jobs in Maine (NOW HIRING)

TalentBurst, Inc.

Registered Nurse

Camden, ME

Reviews and revises plan of care as indicated; 3. Implementing Care: * Performs nursing functions ... Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to ...

TalentBurst, Inc.

Registered Nurse

Orono, ME · On-site

Reviews and revises plan of care as indicated; 3. Implementing Care: * Performs nursing functions ... Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to ...

Coastal Manor

Registered Nurse RN

Yarmouth, ME · On-site

$44 - $51/hr

Collaborate with a team to develop, implement, and review personalized care plans for residents ... Current Maine RN * Experience working within a nursing home, assisted living, or hospital ...

Northern Light Health

Value Analysis RN

Brewer, ME · On-site

$61.04/hr

... review, trials and transition to new products/equipment across system. Supports strategic planning ... utilization. * Oversight of new product trials. * Ensuring incorporation of clinical data for ...

Northern Light Health

Registered Nurse II

Waterville, ME · On-site

$32.65 - $50.11/hr

Resource Management - Identifies opportunities to improve utilization of resources. * Professional ... Actively participates in the peer review process. * Performance Improvement - Demonstrates ...

Northern Light Health

Registered Nurse II

Waterville, ME · On-site

$50.11/hr

Resource Management - Identifies opportunities to improve utilization of resources. * Professional ... Actively participates in the peer review process. * Performance Improvement - Demonstrates ...

BrightSpring

Registered Nurse

Brewer, ME · On-site

$50/hr

Reviewing medication records and helping ensure appropriate medication management practices ... Holds an active Registered Nurse license in Maine * Is comfortable working independently and ...

New

TalentBurst, Inc

Travel Nurse RN - Manager

Camden, ME · On-site

Reviews and revises plan of care as indicated; 3. Implementing Care: * Performs nursing functions ... Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to ...

Coastal Manor

Registered Nurse RN

Yarmouth, ME · On-site

$44 - $51/hr

Collaborate with a team to develop, implement, and review personalized care plans for residents ... Current Maine RN * Experience working within a nursing home, assisted living, or hospital ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Maine

Utilization Review Rn information

See Maine salary details

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$66

How much do utilization review rn jobs pay per hour?

As of Sep 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.

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.

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.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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 August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, 3% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

Travel Nurse RN - ICU - Intensive Care Unit - $2,269 per week

Damariscotta, ME • On-site

TNAA TotalMed RN
Recruiting and Staffing Services • 201 - 500 employees
Learn more about TNAA TotalMed RNexternal

$2.2K/wk

Other

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

TNAA TotalMed RN is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Damariscotta, Maine.

Job Description & Requirements
  • Specialty: ICU - Intensive Care Unit
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel

Looking for a great Travel ICU - Intensive Care Unit Nursing Job in Damariscotta, Maine? TNAA TotalMed RN posted this Travel Nursing Job that offers 36 hours a week for 13 weeks in Damariscotta, Maine.

Vivian Health provides transparent Travel ICU - Intensive Care Unit Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so you can compare travel opportunities matching your desired criteria.

With Vivian, you can chat directly with recruiters and apply to staffing agencies with a Single Reusable Profile to find your ideal job faster and easier than ever.

The details for this Travel ICU - Intensive Care Unit Nursing Job are:

  • Specialty: ICU - Intensive Care Unit
  • Job Location: Damariscotta, Maine
  • Travel Nurse Salary: $2,269/week
  • Start Date: 09/21/2026
  • Assignment Length: 13 weeks
  • Total Hours Per Week: 36 weekly
  • Shift Breakdown: 3x12 hrs
  • Shift: 12 hours, nights
About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.

TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1
Travel Nurse Across America logo

About Travel Nurse Across America

Sourced by ZipRecruiter

Travel Nurse Across America (TNAA) is a leading healthcare staffing firm headquartered in North Little Rock, Arkansas, USA. Their primary focus lies within the healthcare industry, specializing in providing travel nurses for medical facilities across the country. Founded in 1999, TNAA has thrived over the years by maintaining an unwavering dedication to quality service, reliability, and personalized care for both the clients and the teams they contract. Their mission is driven by their commitment to improve the lives of the patients they serve by ensuring they're provided with the most highly skilled, caring, and dedicated healthcare professionals.

Industry

Recruiting and staffing services and health care and social assistance

Company size

201 - 500 Employees

Headquarters location

North Little Rock, AR, US

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