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Utilization Review Nurse

Community Care Partnership of Maine · Utilization Review Nurse · Case Management · Remote
RemoteFull-timeRemote
$76,800/yr~$37/hr
Posted 9/20/2026
Role summary

This fully remote role focuses on utilization management and medical necessity review for a Maine-based healthcare partnership. It requires clinical expertise to evaluate the appropriateness of healthcare services.

Work this role from any clinic, anywhere in the country — as long as your license, certifications and ID documents are current and valid for the employer's required state(s).

The Utilization Review Nurse will conduct reviews of medical services to ensure they meet clinical criteria and policy guidelines. This is a work-from-home position that involves collaboration with providers and insurance entities. A bachelor's degree is preferred for this role.

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