Camden, ME · On-site
$18/hr
Travel Offering Nursing Profession Nursing Profession RN Specialty Utilization Review Regular Pay Rate $18 Shift Details Shift 12 hour days Job Order Details Start Date 08/01/2026 End Date 09/03/2026 ...
Camden, ME · On-site
$18/hr
Travel Offering Nursing Profession Nursing Profession RN Specialty Utilization Review Regular Pay Rate $18 Shift Details Shift 12 hour days Job Order Details Start Date 08/01/2026 End Date 09/03/2026 ...
Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Magnet Medical Pay: $975 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 5 Weeks Start Date: ASAP About ...
Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Magnet Medical Pay: $975 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 5 Weeks Start Date: ASAP About ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel & Requirements RN Case Manager StartDate: 8/31/2026 ...
$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 ...
$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 ...
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 ...
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 ...
$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 ...
$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 ...
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.
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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.
... and experience with concurrent and preservice review. This role offers the opportunity to ... utilization management platform.
... and experience with concurrent and preservice review. This role offers the opportunity to ... utilization management platform.
Biddeford, ME · On-site
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 ...
Biddeford, ME · On-site
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 ...
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 ...
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 ...
Rumford, ME · On-site
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers. Requirements
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Rumford, ME · On-site
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers. Requirements
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 ...
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 ...
Rumford, ME · On-site
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers. Requirements
Rumford, ME · On-site
Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers. Requirements
Biddeford, ME · On-site
$2.5K/wk
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 ...
Biddeford, ME · On-site
$2.5K/wk
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 ...
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 ...
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, 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
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
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an ...
Camden, ME · On-site
$5.3K - $6.2K/wk
This position blends clinical review and coordination with on‑unit presence, ensuring residents ... Perform utilization management and review for SNF and rehab patients to ensure appropriate level of ...
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Camden, ME · On-site
$5.3K - $6.2K/wk
This position blends clinical review and coordination with on‑unit presence, ensuring residents ... Perform utilization management and review for SNF and rehab patients to ensure appropriate level of ...
$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 ...
$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 ...
$20.71 - $24.90
2% of jobs
$24.90 - $29.09
9% of jobs
$31.96 is the 25th percentile. Wages below this are outliers.
$29.09 - $33.28
21% of jobs
The median wage is $36.67 / hr.
$33.28 - $37.47
23% of jobs
$37.47 - $41.66
13% of jobs
$44.92 is the 75th percentile. Wages above this are outliers.
$41.66 - $45.85
10% of jobs
$45.85 - $50.04
8% of jobs
$50.04 - $54.23
5% of jobs
$54.23 - $58.42
5% of jobs
$58.42 - $62.61
2% of jobs
$62.61 - $66.80
2% of jobs
$20
$40
$66
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Maine are:
For Utilization Review jobs in Maine, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Maine are:
Cities in Maine with the most Utilization Review job openings:
$18/hr
Other
Posted 14 days ago
Nursing Profession RN Specialty Utilization Review Regular Pay Rate $18 Shift Details Shift 12 hour days Job Order Details Start Date 08/01/2026 End Date 09/03/2026 Duration 5 Week(s) Client Details City Camden State ME
