Travel Registered Nurse Utilization Management Job

Job Overview

TLC Nursing Associates, Inc. is seeking a skilled and detail-oriented Registered Nurse – Utilization Management (UM) to review healthcare services, ensure clinical appropriateness, and coordinate effective patient care within regulatory guidelines.

Responsibilities

• Review patient medical records, treatment plans, and diagnostic information to assess the necessity and appropriateness of care.
• Collaborate with healthcare providers, insurance companies, and case managers to facilitate approval of services.
• Ensure compliance with clinical guidelines, payer policies, and regulatory standards.
• Analyze utilization data and identify opportunities for care improvement and cost containment.
• Communicate utilization decisions and provide education to providers and patients regarding coverage and care options.
• Document all review activities accurately and maintain patient confidentiality.
• Support quality assurance initiatives related to utilization management processes.

Qualifications

• Current Registered Nurse (RN) license in the state of practice.
• Experience in utilization management, case management, or clinical review preferred.
• Strong clinical assessment, critical thinking, and decision-making skills.
• Knowledge of healthcare regulations, insurance processes, and clinical guidelines.
• Excellent communication, organizational, and interpersonal skills.
• Ability to work independently and as part of a multidisciplinary team.

Benefits

• Competitive pay and flexible contract options.
• Comprehensive medical, dental, and vision insurance plans.
• Opportunities for professional growth and continuing education.
• Supportive work environment with 24/7 access to a dedicated staffing and clinical liaison team.

Job Description

Calling all adventurous Registered Nurses (RNs) with a passion for Utilization Management (UM)! Are you ready to explore the picturesque coastal town of Camden, Maine on a thrilling 8-week travel healthcare assignment? As a travel nurse specializing in UM, you will play a crucial role in optimizing healthcare resources and ensuring quality patient care. Dive into a unique work environment in Camden, where the charm of New England meets the tranquility of the Atlantic coast. In this assignment, you will leverage your expertise as an RN to assess healthcare utilization, coordinate services, and streamline patient care processes. Your critical thinking and communication skills will be put to the test as you collaborate with multidisciplinary teams to enhance efficiency and patient outcomes. At TLC Nursing, founded by nurses for nurses, you can expect unparalleled support throughout your assignment. Our 24/7 recruiter assistance, personalized career guidance, and assistance with housing and licensing will ensure a seamless and rewarding experience. **Weekly Pay: $2,164.0** Join us and enjoy a comprehensive benefits package, including: - Best in the Industry Pay Packages - $25,000 Life Insurance Policy – Effective from Day One - Medical, Dental, and Vision Insurance – available the 1st of the month after hire - Paid Time Off – Accrued Day 1, eligible after 1 year of employment - 401(k) – Available after 1 year of employment; fully vested after 5 years - Aflac – Available for employee purchase - Referral Program – Payouts for referring other healthcare professionals - EAP – Free, confidential services for employees and their households via Invest EAP Ready to elevate your career with a fulfilling travel healthcare assignment in Camden, Maine? Apply now and seize this incredible opportunity to grow both personally and professionally.