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) seeking an exciting opportunity in Franklin, New Hampshire? TLC Nursing has a captivating travel healthcare assignment waiting for you! In this 14-week assignment, you will immerse yourself in the picturesque landscapes of Franklin, New Hampshire, while making a significant impact in healthcare. As a travel nurse specializing in Utilization Management (UM), your role will be pivotal in optimizing patient care by evaluating the necessity, appropriateness, and efficiency of medical services. Your responsibilities will include collaborating with healthcare providers to ensure efficient resource utilization, conducting utilization reviews, and implementing strategies to enhance healthcare quality and cost-effectiveness. By leveraging your expertise as a Registered Nurse (RN) in UM, you will play a vital role in promoting optimal patient outcomes and operational efficiency. At TLC Nursing, we pride ourselves on our TLC Culture, which is rooted in our nurse-founded approach. You can expect unparalleled 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing throughout your assignment. **Weekly Pay: $2396.0** **Guaranteed Hours: 40.0 (if provided)** As part of our commitment to your well-being and professional growth, we offer an array 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 Don't miss this incredible opportunity to elevate your career as a travel nurse in Utilization Management (UM) in the charming setting of Franklin, New Hampshire. Apply now and take the next step towards a rewarding and fulfilling healthcare assignment with TLC Nursing.