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Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2275.30

5x8.00 Days

13 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2275.30

Schedule: 5x8.00 Days

Assignment Length: 13 week

Start date - ASAP

Float Required - NO

Job Overview

TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance with insurance guidelines, and collaborating with healthcare providers to optimize resource utilization.

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with expertise in Utilization Review seeking an exciting travel healthcare assignment in the picturesque city of Everett, Washington? In this 13-week opportunity, you'll immerse yourself in a dynamic healthcare environment while enjoying a competitive weekly pay of $2275.3. As a travel nurse in Everett, Washington, you'll have the chance to explore the stunning Pacific Northwest landscapes and vibrant local culture during your off-duty hours. Your role as a Utilization Review RN will involve collaborating with interdisciplinary teams to assess healthcare services' efficiency and quality, ensuring optimal patient outcomes and cost-effective care delivery. Your critical thinking skills and clinical expertise will be instrumental in evaluating medical records, conducting utilization reviews, and implementing evidence-based care protocols. Joining this travel healthcare assignment not only offers a fulfilling professional experience but also a range of enticing benefits, including Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from Day One, and comprehensive Medical, Dental, and Vision Insurance starting the 1st of the month after hire. Additionally, you'll enjoy Paid Time Off from day one, eligibility for 401(k) after 1 year of employment, and access to Aflac for supplemental coverage. At TLC Nursing, a nurse-founded agency, you'll benefit from 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing needs. Our commitment to your well-being extends beyond the workplace through our Employee Assistance Program (EAP), providing free and confidential services for you and your household. Don't miss this opportunity to elevate your career as a travel nurse in Everett, Washington. Apply now to embark on a rewarding journey with TLC Nursing and make a meaningful impact in healthcare. Ready to take the next step? Apply today and let your nursing expertise shine in this exciting travel healthcare assignment.

Apply now

Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2275.30

5x8.00 Days

13 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2275.30

Schedule: 5x8.00 Days

Assignment Length: 13 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) specializing in Utilization Review seeking a thrilling opportunity in the picturesque city of Everett, Washington? We have a captivating 13-week travel healthcare assignment awaiting you, offering a competitive weekly pay of $2275.3. In this role, you will be responsible for conducting comprehensive Utilization Review assessments to ensure the efficient and effective use of healthcare resources. Your expertise will play a crucial role in optimizing patient care outcomes, streamlining processes, and enhancing overall quality within the healthcare facility. At TLC Nursing, we pride ourselves on our nurse-founded organization, providing round-the-clock recruiter support, tailored career advice, and assistance with accommodation and licensing needs. Join us in our commitment to delivering exceptional patient care while advancing your career in a supportive and dynamic environment. If you are ready to embark on this exciting travel nurse opportunity in Everett, Washington, don't hesitate to apply and take advantage of our industry-leading benefits package, including a $25,000 Life Insurance Policy effective from day one, comprehensive medical, dental, and vision insurance, generous paid time off, 401(k) options, Aflac coverage, a rewarding referral program, and access to free, confidential EAP services for you and your loved ones. Seize this chance to elevate your nursing career and make a meaningful impact in the healthcare industry. Apply now and let your journey begin with TLC Nursing.

Apply now

Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2269.68

5x8.00 Days

13 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Everett, WA

Weekly Pay: $2269.68

Schedule: 5x8.00 Days

Assignment Length: 13 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) with expertise in Utilization Review seeking an exciting travel healthcare assignment in Everett, Washington? TLC Nursing has a fantastic opportunity for you! In this 13-week assignment, you will step into the vibrant healthcare landscape of Everett, Washington, where you'll be immersed in a dynamic clinical setting. As a travel nurse specializing in Utilization Review, you will play a crucial role in evaluating the efficiency and quality of healthcare services provided, ensuring optimal patient outcomes and resource utilization. Your responsibilities will include conducting comprehensive reviews of patient cases, collaborating with interdisciplinary teams to develop care plans, and optimizing healthcare delivery processes. By leveraging your expertise in Utilization Review, you will contribute to enhancing the overall quality of care provided to patients in this bustling Washington community. Join TLC Nursing, a nurse-founded agency that prioritizes your success. Benefit from best-in-the-industry pay packages, a $25,000 life insurance policy effective from day one, and comprehensive medical, dental, and vision insurance available from the 1st of the month after hire. Enjoy paid time off accrued from day one, eligibility for 401(k) after 1 year of employment, and access to Aflac for additional coverage. Take advantage of our referral program for exciting payouts and our Employee Assistance Program (EAP) for free, confidential services. At TLC Nursing, we pride ourselves on our TLC Culture. As a nurse-founded agency, we provide 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, ensuring you have the support you need to thrive in your travel healthcare assignment. Are you ready to elevate your career as a Registered Nurse (RN) specializing in Utilization Review in Everett, Washington? Apply now to embark on this rewarding journey with TLC Nursing!

Apply now

Brittney and the staff are great to work with. My contract is going exactly as I expected and the process to renew my contract was easy thanks to the TLC staff. I look forward to my next assignment. Additional for today.

Keith Mulligan, MNT

Travel Registered Nurse Utilization Review Job

Arcata, CA

Weekly Pay: $2193.00

5x8.00 Days

13 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Arcata, CA

Weekly Pay: $2193.00

Schedule: 5x8.00 Days

Assignment Length: 13 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with expertise in Utilization Review seeking a thrilling travel healthcare assignment in the picturesque city of Arcata, California? Look no further! In this 13-week opportunity, you will immerse yourself in the vibrant healthcare community of Arcata, nestled among the stunning redwoods and Pacific coastline. As a travel nurse specializing in Utilization Review, you will play a pivotal role in evaluating the efficiency and quality of healthcare services, ensuring optimal patient care and resource utilization. Your responsibilities will encompass conducting comprehensive reviews of patient records, collaborating with healthcare teams to streamline processes, and recommending improvements to enhance the overall quality of care delivery. By leveraging your expertise in Utilization Review, you will contribute to maximizing healthcare outcomes and operational efficiencies in a dynamic clinical setting. Join us at TLC Nursing, where our nurse-founded organization prioritizes your success. Benefit from 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, ensuring a seamless transition into your travel healthcare assignment. **Weekly Pay: $2,193.00** **Guaranteed Hours: 40.0 hours** As part of our commitment to your well-being, we offer an array of unrivaled benefits, including Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from Day One, and comprehensive Medical, Dental, and Vision Insurance available the 1st of the month after hire. Additionally, enjoy Paid Time Off accruing from Day 1, 401(k) eligibility after 1 year of employment, and Aflac options for supplemental coverage. Engage in our Referral Program for rewarding payouts and access free, confidential services for yourself and your household through our Employee Assistance Program (EAP). Ready to elevate your career with this exciting travel healthcare assignment? Apply now and embark on a fulfilling journey with TLC Nursing!

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1864.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1864.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with a knack for Utilization Review seeking an exciting opportunity in sunny Torrance, California? TLC Nursing is offering a captivating 8-week travel healthcare assignment that promises both professional growth and a chance to explore the vibrant culture of Southern California. In this role, you will dive into the heart of Utilization Review, utilizing your expertise to assess the efficiency and quality of healthcare services provided. Your keen eye for detail and analytical skills will be instrumental in ensuring that patients receive the most effective and appropriate care during their stay. As a travel nurse stationed in Torrance, you'll have the chance to immerse yourself in the dynamic healthcare landscape of California while experiencing the unique blend of urban living and coastal beauty that the region has to offer. This is not just a job—it's a chance to make a difference in a new community while expanding your professional horizons. Join us at TLC Nursing, where our nurse-founded ethos ensures that you receive unparalleled support throughout your assignment. From round-the-clock recruiter assistance to personalized career guidance, we've got you covered. Plus, we take care of the logistics so you can focus on what you do best—caring for patients. And the perks? We've got you covered there too. With best-in-the-industry pay packages, a $25,000 life insurance policy effective from day one, and comprehensive health benefits including medical, dental, and vision insurance available right from the start, your well-being is our priority. Add in paid time off, a 401(k) plan, Aflac options, a referral program, and access to free, confidential EAP services, and you've got a package that truly values your hard work and dedication. Ready to take the next step in your nursing career? Apply now and let TLC Nursing guide you on a fulfilling journey through your next travel healthcare assignment.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1864.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1864.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) seeking an exciting Utilization Review assignment in sunny Torrance, California? This 8-week travel healthcare opportunity offers a competitive weekly pay of $1864.0, with guaranteed hours of 40.0 for your peace of mind. In this role, you will play a crucial part in assessing the efficiency and quality of healthcare services provided, ensuring that resources are utilized effectively to deliver optimal patient care. Your attention to detail and analytical skills will be put to the test as you review medical records, collaborate with healthcare teams, and make recommendations for improved care coordination. Join our team and experience the TLC Culture at TLC Nursing, a nurse-founded agency dedicated to supporting healthcare professionals like you. Benefit from 24/7 recruiter assistance, personalized career guidance, and assistance with housing and licensing throughout your assignment. As a valued member of our team, you will enjoy a comprehensive benefits package, including Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from Day One, and Medical, Dental, and Vision Insurance available the 1st of the month after hire. Additionally, you'll have access to Paid Time Off accrued from Day 1, eligibility for 401(k) after 1 year of employment, and Aflac options for added coverage. Take advantage of our Referral Program for payouts when you refer other healthcare professionals and access free, confidential services for you and your household through our EAP. Ready to embark on this rewarding travel healthcare assignment in Torrance? Apply now to take the next step in your career journey.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) with a passion for Utilization Review seeking an exciting travel healthcare assignment in Torrance, California? TLC Nursing is offering an exceptional 8-week opportunity with a competitive weekly pay of $1854.0, providing you with a chance to immerse yourself in the vibrant healthcare landscape of sunny California. As a travel nurse specializing in Utilization Review, you will play a vital role in evaluating the efficiency and necessity of healthcare services, ensuring that patients receive high-quality care while managing costs effectively. Your expertise will be instrumental in assessing medical records, collaborating with interdisciplinary teams, and optimizing healthcare resources to enhance patient outcomes. At TLC Nursing, our nurse-founded organization is dedicated to supporting healthcare professionals like you every step of the way. With 24/7 recruiter assistance, personalized career guidance, and assistance with housing and licensing, we prioritize your success and well-being throughout your assignment. Join us in Torrance, California, where you will have the opportunity to explore the diverse culture, beautiful beaches, and endless entertainment options that this dynamic city has to offer. Your travel healthcare assignment promises not only professional growth but also a chance to experience the best of California living. If you are ready to take the next step in your nursing career and embark on this rewarding journey, apply now to seize this incredible opportunity. TLC Nursing offers the best in the Industry Pay Packages, a $25,000 Life Insurance Policy from Day One, comprehensive Medical, Dental, and Vision Insurance, Paid Time Off, a 401(k) plan, Aflac options, a Referral Program, and Employee Assistance Program (EAP) for you and your household. Don't miss out on this chance to elevate your nursing career while enjoying the perks of a travel assignment in beautiful Torrance, California. Apply today and let TLC Nursing empower you to thrive in your profession.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a dedicated Registered Nurse (RN) with a passion for Utilization Review looking to embark on an exciting travel healthcare assignment in Torrance, California? TLC Nursing has the perfect opportunity for you! In this 8-week assignment, you will dive into the vibrant healthcare landscape of Torrance, California, known for its cutting-edge medical facilities and diverse patient population. As a travel nurse specializing in Utilization Review, you will play a crucial role in assessing the efficiency and quality of healthcare services provided, ensuring optimal outcomes for patients while maximizing resources. Your responsibilities will include conducting comprehensive reviews of patient medical records, collaborating with healthcare teams to streamline processes, and implementing strategies to enhance the quality of care delivery. Your expertise as a Registered Nurse (RN) will be instrumental in identifying areas for improvement and facilitating effective communication among healthcare professionals. At TLC Nursing, we understand the importance of supporting our nurses every step of the way. As a nurse-founded agency, we offer 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing to ensure your assignment is smooth and successful. **Weekly Pay: $1,854.0** Joining TLC Nursing comes with a multitude 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 If you are ready to elevate your nursing career, make a difference in patient care, and explore the dynamic healthcare landscape of Torrance, California, apply now to embark on this rewarding travel healthcare assignment with TLC Nursing.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) with expertise in Utilization Review seeking an exciting travel healthcare assignment in Torrance, California? Look no further! This opportunity offers a dynamic 8-week placement with a competitive weekly pay of $1854.0. In this role, you will play a crucial part in assessing the efficiency and necessity of healthcare services provided to patients, ensuring that resources are allocated appropriately. Your keen eye for detail and analytical skills will be instrumental in conducting thorough reviews to optimize patient care outcomes. Join our team in Torrance, California, a vibrant city known for its beautiful beaches, diverse culinary scene, and cultural attractions. As a travel nurse, you will have the chance to explore the stunning landscapes of California while making a meaningful impact in the healthcare industry. At TLC Nursing, we pride ourselves on our nurse-founded organization that provides round-the-clock recruiter support, tailored career advice, and assistance with housing and licensing. We prioritize your needs and well-being, offering a range of benefits including Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from day one, and comprehensive medical, dental, and vision insurance starting the 1st of the month after hire. Additionally, you'll enjoy perks like Paid Time Off from day one, eligibility for our 401(k) plan after one year of employment, and access to Aflac for supplemental coverage. Our Referral Program rewards you for bringing in other healthcare professionals, while our Employee Assistance Program (EAP) provides free and confidential services for you and your household via Invest EAP. Don't miss out on this incredible opportunity to enhance your career while experiencing the best of what California has to offer. Apply now and take the next step towards a rewarding travel healthcare assignment as a Registered Nurse (RN) specializing in Utilization Review in Torrance, California.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with a knack for Utilization Review seeking an exciting opportunity in sunny Torrance, California? TLC Nursing is thrilled to offer a captivating 8-week travel healthcare assignment that promises not only professional growth but also a chance to explore the vibrant West Coast culture. In this role, you'll dive headfirst into the dynamic world of Utilization Review, where your expertise will be instrumental in evaluating the efficiency and necessity of healthcare services provided to patients. Your sharp analytical skills and keen attention to detail will be put to the test as you collaborate with interdisciplinary teams to ensure optimal patient care and cost-effectiveness. Picture yourself strolling along Torrance Beach after a fulfilling day at work, knowing that your dedication as a travel nurse in this bustling city is making a real difference in the lives of patients. As you immerse yourself in the local community, you'll witness firsthand the diversity and energy that define California living. At TLC Nursing, we take pride in our TLC Culture, where our nurse-founded organization offers unwavering support to our healthcare professionals. From round-the-clock recruiter assistance to personalized career guidance, we are committed to your success every step of the way. Additionally, we provide assistance with housing and licensing to ensure your focus remains on delivering exceptional patient care. And the perks? How does a competitive weekly pay of $1854.0 sound to you? But wait, there's more! Enjoy an array of benefits including the best in the industry pay packages, a $25,000 Life Insurance Policy effective from day one, and comprehensive health coverage starting the 1st of the month after hire. Plus, accrue Paid Time Off from day one, become eligible for our 401(k) plan after a year, and take advantage of Aflac offerings. Don't forget about our Referral Program and Employee Assistance Program (EAP) for added support. Ready to embark on this rewarding travel healthcare assignment in Torrance, California? Take the next step in your career journey by applying now and let TLC Nursing be your trusted partner in achieving your professional goals.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with a knack for Utilization Review seeking an 8-week adventure in the vibrant healthcare landscape of Torrance, California? This is your opportunity to dive into a dynamic travel healthcare assignment that promises not only professional growth but also an unforgettable West Coast experience. In this role, you will be at the forefront of assessing healthcare service efficiency and ensuring optimal patient care delivery. Your expertise in Utilization Review will be instrumental in evaluating medical necessity, conducting utilization audits, and collaborating with interdisciplinary teams to enhance healthcare outcomes. Joining this travel nurse assignment in Torrance, California, you will immerse yourself in a bustling healthcare environment, soaking in the diverse patient population and cutting-edge medical practices that define this region. Your contributions as a Registered Nurse (RN) specializing in Utilization Review will play a pivotal role in shaping the healthcare landscape of this community. With a competitive weekly pay of $1854.0, this assignment offers not only a fulfilling professional opportunity but also a comprehensive benefits package that includes Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from Day One, and Medical, Dental, and Vision Insurance available starting the 1st of the month after hire. Additionally, you can look forward to Paid Time Off from Day 1, eligibility for 401(k) after 1 year of employment, and access to Aflac for added financial security. At TLC Nursing, our nurse-founded culture ensures that you receive 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, making your transition to this travel healthcare assignment seamless and stress-free. If you are ready to embark on a transformative journey as a Registered Nurse (RN) specializing in Utilization Review in the bustling city of Torrance, California, then seize this opportunity today and apply to be part of our dedicated team. This is more than just a job; it's a chance to make a difference while exploring a new corner of the country. Join us in delivering quality care and shaping the future of healthcare. Apply now!

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a dedicated Registered Nurse (RN) with expertise in Utilization Review seeking an exciting travel healthcare assignment in Torrance, California? TLC Nursing has a rewarding opportunity for you! In this 8-week assignment, you will immerse yourself in the vibrant healthcare landscape of Torrance, California, known for its blend of coastal beauty and urban sophistication. As a travel nurse specializing in Utilization Review, you will play a crucial role in optimizing patient care by evaluating treatment plans, ensuring medical necessity, and maximizing healthcare resources efficiently. At TLC Nursing, we understand the unique demands of travel healthcare assignments. As a nurse-founded agency, we provide round-the-clock recruiter support to ensure your professional needs are met. Additionally, count on personalized career guidance, assistance with housing arrangements, and support for licensing requirements—all tailored to enhance your experience in Torrance. **Responsibilities:** - Conduct comprehensive reviews of patient medical records to assess utilization of healthcare services - Collaborate with multidisciplinary teams to ensure care plans align with best practices and regulatory guidelines - Identify opportunities for improving quality of care and cost-effectiveness through data analysis and evidence-based practices - Communicate findings and recommendations to healthcare providers to enhance decision-making processes **Benefits:** - 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 Are you ready to elevate your nursing career through this unparalleled travel healthcare assignment in Torrance, California? Join TLC Nursing today and embark on a transformative journey where your skills are valued, and your well-being is our priority. Apply now to seize this opportunity and experience the TLC difference firsthand!

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a seasoned Registered Nurse (RN) with a sharp eye for detail and a knack for Utilization Review? Elevate your career with a captivating 8-week travel healthcare assignment in the vibrant city of Torrance, California. As a dedicated RN specializing in Utilization Review, you will play a pivotal role in assessing the efficiency and quality of healthcare services provided, ensuring optimal patient care outcomes. Your keen analytical skills will be put to the test as you collaborate with interdisciplinary teams and leverage your clinical expertise to streamline processes and maximize resource utilization. This unique opportunity in Torrance, California, offers not just a chance to expand your professional horizons but also a gateway to explore the rich culture and diverse landscapes of Southern California. From the picturesque beaches to the bustling city life, Torrance provides the perfect backdrop for your next adventure as a travel nurse. At TLC Nursing, we take pride in our nurse-founded organization that prioritizes your success. With 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, we ensure that you are fully supported every step of the way. Join a team that values your expertise and empowers you to thrive in your career. **Weekly Pay: $1854.0** **Guaranteed Hours: 40.0** **Benefits:** - 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 take the next step in your career as a travel nurse in Torrance, California? Seize this opportunity to make a difference and apply today to embark on a fulfilling journey with TLC Nursing.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1854.00

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a skilled Registered Nurse (RN) with a passion for Utilization Review seeking a thrilling travel healthcare assignment in Torrance, California? TLC Nursing has an exciting opportunity for you! In this 8-week assignment, you'll immerse yourself in the vibrant healthcare landscape of Torrance, California, known for its innovative medical facilities and diverse communities. As a travel nurse specializing in Utilization Review, you'll play a crucial role in evaluating the efficiency and quality of healthcare services provided to patients. Your expertise will ensure that resources are utilized effectively, patient care is optimized, and healthcare outcomes are maximized. Join us at TLC Nursing, where our nurse-founded organization offers unparalleled support and resources to enhance your travel nursing experience. Benefit from 24/7 recruiter assistance, personalized career guidance tailored to your aspirations, and comprehensive aid with housing and licensing logistics. **Key Responsibilities:** - Conduct thorough reviews of medical records to assess the appropriateness and necessity of healthcare services. - Collaborate with healthcare providers to ensure compliance with regulatory standards and best practices. - Analyze data to identify trends, patterns, and opportunities for improvement in healthcare delivery. - Communicate findings and recommendations to stakeholders to enhance patient outcomes and resource allocation. **Weekly Pay: $1854.0** As a valued member of our team, you'll enjoy a range of exceptional 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 Are you ready to elevate your career as a travel nurse in Utilization Review? Seize this opportunity to make a meaningful impact in healthcare while exploring the beauty of Torrance, California. Apply now and embark on a rewarding journey with TLC Nursing!

Apply now

Travel Registered Nurse Utilization Review Job

Arcata, CA

Weekly Pay: $1747.00

5x8.00 Days

13 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Arcata, CA

Weekly Pay: $1747.00

Schedule: 5x8.00 Days

Assignment Length: 13 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Are you a passionate Registered Nurse (RN) with expertise in Utilization Review seeking a thrilling adventure in Arcata, California? Look no further! In this exciting travel healthcare assignment, you will dive into a unique opportunity to make a difference while exploring the charming coastal city of Arcata. As a travel nurse specializing in Utilization Review, you will play a crucial role in evaluating healthcare services to ensure optimal patient outcomes and cost-effectiveness. Your responsibilities will include conducting comprehensive reviews of patient medical records, collaborating with healthcare providers to determine the necessity of treatments, and recommending appropriate care plans. Your keen eye for detail and analytical skills will be instrumental in identifying opportunities to enhance the quality and efficiency of healthcare delivery. At TLC Nursing, we understand the importance of supporting our healthcare professionals every step of the way. As a nurse-founded agency, we provide 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing to ensure your assignment in Arcata is seamless and rewarding. Join us for this 13-week travel healthcare assignment and enjoy Best in the Industry Pay Packages with a weekly pay of $1747.0. Additionally, you will receive a $25,000 Life Insurance Policy effective from day one, medical, dental, and vision insurance starting the 1st of the month after hire, and paid time off accrued from day 1, eligible after 1 year of employment. Take advantage of our 401(k) plan available after 1 year of employment and fully vested after 5 years, Aflac options for employee purchase, a Referral Program with payouts for referring other healthcare professionals, and access to our Employee Assistance Program (EAP) for free, confidential services for you and your household via Invest EAP. Don't miss this opportunity to embark on a fulfilling journey as a travel nurse in Arcata, California. Apply now and let your nursing expertise shine in a picturesque setting while making a positive impact on patient care.

Apply now

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1573.50

5x8.00 Days

8 week

Apply now

Job Details

Travel Registered Nurse Utilization Review Job

Torrance, CA

Weekly Pay: $1573.50

Schedule: 5x8.00 Days

Assignment Length: 8 week

Start date - ASAP

Float Required - NO

Job Overview

Responsibilities

Conduct comprehensive reviews of patient records to determine medical necessity and adherence to clinical guidelines
Ensure compliance with Medicare, Medicaid, and private insurance policies
Communicate with physicians, case managers, and insurance representatives to validate treatment plans
Provide detailed documentation and justifications for medical necessity appeals and authorizations
Analyze utilization trends and recommend improvements for cost-effective patient care
Assist in denials management and appeals processing
Stay up to date with healthcare regulations and payer requirements
Participate in quality improvement initiatives to enhance resource utilization and patient outcomes

Qualifications

Active Registered Nurse (RN) license in applicable state(s)
Minimum 2 years of experience in utilization review, case management, or healthcare administration
Certification in Basic Life Support (BLS) required
Certified in Utilization Review (UR) or Case Management (CCM, ACM) preferred
Strong understanding of insurance policies, reimbursement methods, and regulatory requirements
Excellent critical thinking, documentation, and communication skills
Proficiency with electronic medical records (EMR) and utilization review software

Benefits

Competitive salary and shift differentials
Housing and meal allowances (if applicable)
Medical, dental, and vision insurance
401(k) retirement plan options
Continuing education and certification reimbursement
Career advancement opportunities

Job Description

Calling all adventure-seeking Registered Nurses (RNs) with expertise in Utilization Review! Are you ready to embark on an 8-week travel healthcare assignment in sunny Torrance, California? This is your opportunity to dive into a new environment, expand your skill set, and make a difference while enjoying the beautiful West Coast vibes. As a dedicated RN specializing in Utilization Review, you will play a crucial role in assessing the efficiency and quality of healthcare services provided, ensuring that patients receive the appropriate care they need. Your attention to detail and analytical skills will be instrumental in optimizing patient outcomes and healthcare resources during this assignment in Torrance, California. At TLC Nursing, we understand the importance of supporting our healthcare professionals. That's why we offer 24/7 recruiter assistance, personalized career guidance, and assistance with housing and licensing. Join a company founded by nurses, where your well-being and success are our top priorities. In addition to the rewarding work you'll be doing, here are some of the benefits you can enjoy: - 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 If you're ready to take your Utilization Review skills to the next level in Torrance, California, and experience the TLC difference, apply now! Your next adventure awaits.

Apply now

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