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 ...
Medical Review Coordinator I
$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 ...
Medical Review Coordinator I
$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 ...
Medical Review Coordinator I
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 ...
Medical Review Coordinator I
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 ...
Medical Review Coordinator I
$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 ...
Medical Review Coordinator I
$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 ...
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.
Quick apply
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.
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
Quick apply
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
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 ...
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 ...
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 ...
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 ...
Registered Nurse Case Manager
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
Registered Nurse Case Manager
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
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 ...
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 ...
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 ...
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 ...
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
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
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 ...
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 ...
Travel RN Utilization Management (RN UM)
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 ...
Quick apply
Travel RN Utilization Management (RN UM)
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 ...
Travel RN Case Manager
Biddeford, ME · On-site
Focus on Care Coordination, Discharge Planning, and Utilization Review * 40 hours per week on day shift, 7:30 AM to 4:00 PM * Every third weekend required * Uses Epic EMR * Floating required within a ...
Travel RN Case Manager
Biddeford, ME · On-site
Focus on Care Coordination, Discharge Planning, and Utilization Review * 40 hours per week on day shift, 7:30 AM to 4:00 PM * Every third weekend required * Uses Epic EMR * Floating required within a ...
Case Manager RN
$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 ...
Case Manager RN
$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 ...
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 ...
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 ...
Travel RN Case Manager - $2,509 per week
Biddeford, ME · On-site
$2.5K/wk
Focus on Care Coordination, Discharge Planning, and Utilization Review * 40 hours per week on day shift, 7:30 AM to 4:00 PM * Every third weekend required * Uses Epic EMR * Floating required within a ...
Travel RN Case Manager - $2,509 per week
Biddeford, ME · On-site
$2.5K/wk
Focus on Care Coordination, Discharge Planning, and Utilization Review * 40 hours per week on day shift, 7:30 AM to 4:00 PM * Every third weekend required * Uses Epic EMR * Floating required within a ...
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 ...
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 ...
Utilization Review information
See Maine salary details
$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
How much do utilization review jobs pay per hour?
As of Sep 1, 2026, the average hourly pay for utilization review 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?
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.
What does a utilization review do?
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.
What are the key skills and qualifications needed to thrive in utilization review?
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.
How do I get into a utilization review?
To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.
Is utilization review a stressful job?
Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.
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 jobs in Maine?
For Utilization Review jobs in Maine, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Maine look for?
The top searched job categories for Utilization Review jobs in Maine are:
- Utilization Review Manager
- Online Utilization Review
- Remote Utilization Review Nurse Practitioner
- Cigna Utilization Review Remote
- Nurse Practitioner Utilization Review
- Anthem Utilization Review Nurse
- Weekend Utilization Review
- Aetna Utilization Review Nurse
- Insurance Utilization Review
- Remote Occupational Therapy Utilization Review
What cities in Maine are hiring for Utilization Review jobs?
Cities in Maine with the most Utilization Review job openings:
Travel Nurse RN - Case Manager, Utilization Review - $2,150 per week
Biddeford, ME • On-site
$2.1K/wk
Other
Medical, Dental, Vision, Life, Retirement
Posted 6 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 CycleAMN 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