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 a rewarding travel healthcare assignment in the picturesque town of Siler City, North Carolina? Look no further! In this 8-week opportunity, you will immerse yourself in the vibrant healthcare landscape of Siler City while making a tangible impact on patient outcomes through your utilization management skills. As a dedicated travel nurse, you will collaborate with interdisciplinary teams to assess, plan, implement, and evaluate the effectiveness of healthcare services, ensuring optimal resource utilization and quality care delivery. At TLC Nursing, we understand the unique needs of healthcare professionals like you. That's why we offer round-the-clock recruiter support, tailored career guidance, and assistance with housing and licensing to make your assignment seamless and rewarding. **Weekly Pay: $2266.0** Your responsibilities will include conducting utilization reviews, coordinating care with providers, and advocating for cost-effective treatment options—all while upholding the highest standards of patient care and compliance. Your expertise in UM will be instrumental in promoting efficient healthcare delivery and maximizing patient outcomes during this travel assignment. Join us in Siler City, nestled in the heart of North Carolina's rolling hills and close-knit communities. Explore local charm, savor Southern cuisine, and experience the warmth of Southern hospitality while advancing your nursing career in a dynamic setting. Are you ready to embark on this exciting travel healthcare assignment as a Registered Nurse (RN) specializing in Utilization Management (UM)? Apply now and seize the opportunity to make a difference while enjoying the benefits of our comprehensive package, including best-in-the-industry pay, life insurance, medical, dental, and vision coverage, paid time off, 401(k) options, and more. **Benefits:** - 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 grow both personally and professionally in a supportive environment that values your expertise and dedication. Apply today and take the next step in your nursing journey.