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 in Orono, Maine? TLC Nursing is looking for dedicated nurses like you to join our team for a 12-week opportunity in this picturesque New England town. In this role, you will play a crucial part in managing healthcare resources effectively, ensuring optimal patient care and efficient utilization of services. Your responsibilities will include collaborating with healthcare providers, analyzing data to make informed decisions, and implementing utilization strategies to enhance patient outcomes. As a travel nurse in Orono, Maine, you will have the chance to experience the charm of a vibrant community nestled amidst stunning natural landscapes. Explore the local culture, indulge in outdoor adventures, and savor the renowned seafood cuisine while making a difference in the lives of patients in need. At TLC Nursing, we prioritize your well-being and professional growth. Our nurse-founded agency offers round-the-clock recruiter support, personalized career guidance, assistance with housing, and licensing facilitation to ensure a seamless and rewarding experience throughout your assignment. Join us now and enjoy a competitive weekly pay of $2230.00, along with a comprehensive benefits package that includes: - 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 - 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 incredible opportunity to blend your passion for nursing with a memorable travel experience. Apply now and take the next step in your healthcare career with TLC Nursing.