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

Are you a skilled Registered Nurse (RN) with expertise in Utilization Management (UM) seeking an exciting travel healthcare assignment? TLC Nursing has a rewarding opportunity for you in Rio Rancho, New Mexico. In this 8-week assignment, you will immerse yourself in the vibrant healthcare landscape of Rio Rancho, New Mexico, known for its rich culture and stunning landscapes. As a travel nurse specializing in Utilization Management (UM), you will play a crucial role in ensuring efficient healthcare delivery by evaluating the necessity and appropriateness of medical services. Your responsibilities will include conducting utilization reviews, collaborating with healthcare providers to optimize patient care plans, and advocating for cost-effective treatment options. By leveraging your expertise as a Registered Nurse (RN) in UM, you will contribute to enhancing patient outcomes and streamlining healthcare processes in this dynamic setting. Join us at TLC Nursing, where our nurse-founded organization prioritizes your success. Benefit from 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing. We are committed to your professional growth and well-being, providing a supportive environment for you to thrive in your role. **Weekly Pay: $2266.0** **Guaranteed Hours: 40.0** In addition to this exciting opportunity, TLC Nursing offers a comprehensive benefits package: - 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 (unless required earlier by state law) - 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 Don't miss this opportunity to make a difference in healthcare while exploring the beauty of Rio Rancho, New Mexico. Apply now and take the next step in your travel healthcare career with TLC Nursing.