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 seasoned Registered Nurse (RN) with a passion for Utilization Management (UM)? TLC Nursing is offering a unique opportunity for a travel healthcare assignment in the picturesque town of Franklin, nestled in the heart of New Hampshire. In this 13-week assignment, you will not only explore the beauty of Franklin but also utilize your expertise in UM to ensure optimal healthcare resource allocation and patient care coordination. Your role will involve collaborating with interdisciplinary teams, conducting utilization reviews, and implementing strategies to enhance quality and cost-effectiveness in healthcare delivery. At TLC Nursing, we understand the importance of supporting our healthcare professionals. That's why we offer best-in-the-industry pay packages, including a competitive weekly pay of $2376.0. Additionally, you will be covered by a $25,000 life insurance policy effective from day one, with medical, dental, and vision insurance available starting the 1st of the month after hire. Join our team and enjoy accruing paid time off from day one, becoming eligible after 1 year of employment. Take advantage of our 401(k) plan, available after 1 year and fully vested after 5 years, ensuring your financial security in the long run. Our Aflac options, referral program, and Employee Assistance Program (EAP) further demonstrate our commitment to your well-being and professional development. At TLC Nursing, our culture is built on TLC — Trust, Loyalty, and Care. Founded by nurses, we provide 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing to ensure a seamless experience for our healthcare professionals. If you are ready to embark on a fulfilling travel nurse adventure in Franklin, New Hampshire, and make a real impact in UM, apply now and let your nursing skills shine in a supportive and rewarding environment. Let TLC Nursing be your partner in success. Apply today and take the next step in your travel healthcare journey.