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 an experienced Registered Nurse (RN) seeking a rewarding travel healthcare assignment in Utilization Management (UM)? TLC Nursing is currently offering a captivating opportunity in Exeter, New Hampshire for an 8-week assignment, providing you with a chance to explore a new location while utilizing your specialized skills in UM. In this role, you will dive into the dynamic world of Utilization Management, collaborating with interdisciplinary teams to ensure optimal healthcare resource utilization. Your responsibilities will include conducting reviews, analyzing data, and implementing strategies to enhance the quality and efficiency of healthcare delivery. As a travel nurse in Exeter, New Hampshire, you will have the opportunity to immerse yourself in the charming New England setting, known for its historic charm and natural beauty. Enjoy the scenic landscapes, vibrant arts scene, and access to outdoor adventures while making a difference in healthcare delivery. At TLC Nursing, we take pride in our nurse-founded organization that prioritizes your success. With 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, we are committed to providing you with the support you need to thrive in your assignment. Join us for this exciting travel healthcare assignment and benefit from our Best in the Industry Pay Package, including a competitive weekly pay of $2264.75. Additionally, take advantage of our comprehensive benefits package, which includes a $25,000 Life Insurance Policy effective from day one, medical, dental, and vision insurance, paid time off, 401(k) options, Aflac coverage, and more. If you are ready to embark on this journey and make a difference in healthcare while exploring Exeter, New Hampshire, apply now and take the next step in your nursing career with TLC Nursing.