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 an exciting travel healthcare assignment in scenic Falmouth, Maine? TLC Nursing has the perfect opportunity for you! In this 13-week assignment, you will play a crucial role in optimizing healthcare resources and ensuring efficient patient care delivery. Your responsibilities will include conducting utilization reviews, collaborating with interdisciplinary teams to develop care plans, and evaluating the necessity and appropriateness of medical services. At TLC Nursing, we understand the unique challenges of being a travel nurse. That's why we offer round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing to ensure your assignment in Falmouth is smooth and rewarding. Join us for this travel healthcare assignment and enjoy a competitive weekly pay of $2,184.00 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 (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 out on this incredible opportunity to enhance your nursing career while exploring the beauty of Falmouth, Maine. Apply now and take the next step towards a fulfilling travel nursing experience with TLC Nursing!