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 seeking an exciting travel healthcare assignment? TLC Nursing is currently offering an 8-week opportunity in the picturesque town of North Conway, New Hampshire. In this unique role, you will play a pivotal part in managing healthcare resources efficiently, ensuring optimal patient care while controlling costs. As a travel nurse specializing in Utilization Management, you will collaborate with interdisciplinary teams to review medical records, assess patient needs, and develop care plans that meet quality standards. This assignment in North Conway presents an ideal setting to apply your nursing skills in a charming New England community known for its stunning natural beauty and outdoor recreational opportunities. As a travel healthcare professional, you'll have the chance to explore the White Mountain National Forest, enjoy scenic drives along the Kancamagus Highway, and experience the quaint local shops and eateries. Join our team and benefit from our TLC Culture, which includes nurse-founded roots, 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing. At TLC Nursing, we prioritize your success and well-being, providing the support you need to thrive in your role. **Weekly Pay: $2280.75** As part of our commitment to our healthcare professionals, we offer a range of benefits, 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 If you are ready to take on this exciting travel healthcare assignment in North Conway, New Hampshire, and make a meaningful impact in Utilization Management, apply now and take the next step in your nursing career with TLC Nursing.