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

Seeking a skilled Registered Nurse (RN) with expertise in Utilization Management (UM) for an exciting travel healthcare assignment in the heart of Siler City, North Carolina. This 9-week opportunity offers a competitive weekly pay of $2166.0, ensuring you are fairly compensated for your dedication and professionalism. As a travel nurse in Siler City, North Carolina, you will immerse yourself in the local culture while providing top-notch care to patients in need. Your role in Utilization Management (UM) will involve assessing healthcare services for efficiency and quality, collaborating with multidisciplinary teams to optimize patient care plans, and ensuring resources are utilized effectively. At TLC Nursing, we pride ourselves on our nurse-founded approach, offering round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing. We understand the unique challenges of travel healthcare assignments and are here to support you every step of the way. In addition to the rewarding work you'll be doing, you'll also 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 (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 chance to make a difference in the lives of patients in Siler City, North Carolina, while advancing your career as a Registered Nurse specializing in Utilization Management. Apply now and take the next step towards a rewarding travel healthcare assignment.