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) specializing in Utilization Management (UM) seeking a rewarding travel healthcare assignment? We have an exciting opportunity in the picturesque town of North Conway, New Hampshire, awaiting your expertise. In this 13-week assignment, you will play a vital role in ensuring efficient utilization of healthcare resources, collaborating with interdisciplinary teams to optimize patient care pathways. Your responsibilities will include conducting utilization reviews, evaluating medical necessity, and coordinating with providers to deliver high-quality and cost-effective care. At TLC Nursing, we understand the unique needs of travel nurses like you. Founded by nurses, we offer round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing, providing you with the TLC Culture you deserve. Join us and enjoy a competitive weekly pay of $2433.47, along with a comprehensive benefits package that includes the best in the industry pay packages, a $25,000 life insurance policy effective from day one, and medical, dental, and vision insurance available starting the 1st of the month after hire. Additionally, you'll have access to paid time off, a 401(k) plan after one year of employment, Aflac options for purchase, a referral program with payouts for bringing in other healthcare professionals, and an Employee Assistance Program (EAP) offering free and confidential services for you and your household via Invest EAP. Don't miss this opportunity to embark on a fulfilling travel healthcare assignment in North Conway, New Hampshire. Take the next step in your career and apply today.