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) seeking a rewarding Utilization Management (UM) opportunity in the picturesque town of Falmouth, Maine? TLC Nursing is offering a captivating 13-week travel healthcare assignment with a remarkable weekly pay of $2202.0. In this role, you will immerse yourself in the dynamic world of Utilization Management, where your expertise as a Registered Nurse (RN) will be instrumental in ensuring optimal healthcare resource allocation and utilization. Your days will be filled with assessing patient care plans, coordinating with healthcare providers, and advocating for efficient and effective healthcare delivery. Falmouth, Maine, known for its charming coastal beauty and vibrant community, sets the perfect backdrop for your next adventure as a travel nurse. Embrace the local culture, indulge in fresh seafood, and explore the historic landmarks during your downtime. At TLC Nursing, we pride ourselves on our nurse-founded approach, providing round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing. We prioritize your professional growth and well-being, ensuring a seamless and enriching experience throughout your assignment. Join us in Falmouth, Maine, and unlock a world of possibilities as a travel healthcare professional. Take advantage of our Best in the Industry Pay Packages, $25,000 Life Insurance Policy effective from Day One, and comprehensive benefits including medical, dental, and vision insurance. Enjoy the flexibility of Paid Time Off, a 401(k) plan, Aflac options, and a Referral Program that rewards you for connecting us with other healthcare professionals. Additionally, access free, confidential services for you and your household through our Employee Assistance Program (EAP). Ready to embark on this exciting journey? Apply now and let TLC Nursing pave the way for your success in the world of travel healthcare assignments.