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Utilization Review Jobs in Maine (NOW HIRING)

GQR Healthcare

Travel RN UM - $2,040 per week

Orono, ME · On-site

$2.0K/wk

Utilization Review * Discipline: RN * Start Date: 08/24/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Contract - W2 Nurse Manager Job Location: Orono ...

GQR Healthcare

Travel Care Manager

Portland, ME · On-site

$2.4K - $2.4K/wk

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

GQR Healthcare

Travel RN Case Manager

Biddeford, ME · On-site

$2.2K - $2.3K/wk

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Dane Street, LLC

Board-Certified Neurologist

Portland, ME · On-site

$327K - $409K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

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All JobsUtilization Review JobsUtilization Review Jobs in Maine

Utilization Review information

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$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:

What cities in Maine are hiring for Utilization Review jobs?

Cities in Maine with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Maine as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $85,150 per year, or $40.9 per hour.

Hospitalist job in Lewiston ME

Inspire Healthcare

Lewiston, ME

$130.75 - $172.75/hr

Full-time

Medical, Retirement, PTO

Re-posted 15 days ago

Job description

  • Board Certified or Board Eligible in Internal Medicine or related field

  • Full-time employed Case Management Physician role

  • Inpatient setting focused on utilization review and care coordination

  • 156 hours per month; approximately 15"16 shifts

  • Majority 10-hour day shifts (7:00 AM " 5:00 PM); occasional 12-hour shifts

  • Round on inpatient census of 15"17 patients; max 22

  • Average 12 patient encounters per day

  • Perform admissions from 7:00 AM " 4:00 PM

  • Collaborate with hospitalists, nursing, and case management teams

  • Support medical necessity reviews and level-of-care determinations

  • Assist with discharge planning and length-of-stay management

  • Competitive compensation with sign-on bonus

  • Comprehensive benefits package including malpractice, CME, retirement, and PTO

  • Located near attractions including Rangeley Lakes region, Sugarloaf Mountain, and Androscoggin Riverlands State Park

  • Approximately 35 miles (~40 minutes) to Portland and 140 miles (~2.5 hours) to Boston

Inspire Healthcare logo

About Inspire Healthcare

Sourced by ZipRecruiter

Inspire Healthcare, based in Boynton Beach, FL, US, is a dynamic firm in the healthcare staffing industry. Established with the dedication to provide a quality recruitment service to the healthcare sector, it is dedicated to assisting healthcare providers with their staffing needs. Its official website, ihcrecruiting.com, presents a comprehensive portfolio of services that cater to diverse healthcare facilities and positions. Its mission is firmly rooted in delivering professional healthcare staffing services that fulfill clients' needs efficiently and effectively, while also creating prosperous opportunities for healthcare professionals. A notable achievement of the company is its breadth of service, extending its recruiting coverage all across the country.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Boynton Beach, FL, US

Social media

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