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) specializing in Utilization Management (UM)? Ready to take your skills on the road and immerse yourself in the charming town of Exeter, New Hampshire for an exciting 8-week travel healthcare assignment? In this role, you will be instrumental in optimizing patient care processes and ensuring efficient resource utilization in a healthcare setting. Your expertise in UM will be put to the test as you collaborate with interdisciplinary teams to streamline healthcare delivery and enhance patient outcomes. Picture yourself exploring the picturesque streets of Exeter, nestled in the heart of New Hampshire. From historic sites to scenic nature trails, this location offers the perfect blend of relaxation and adventure for your downtime between shifts. At TLC Nursing, we take pride in our nurse-founded approach, providing round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing. Your well-being and professional growth are our top priorities as you embark on this travel healthcare assignment. **Weekly Pay:** $2,165.74 Join us and unlock a world of benefits, including: - 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 Ready to elevate your career and make a difference in healthcare? Apply now and seize this opportunity to thrive in a dynamic environment while enjoying all that Exeter, New Hampshire has to offer.