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 expertise in Utilization Management (UM) seeking a thrilling new adventure? Look no further! We have a captivating 13-week travel healthcare assignment awaiting you in the picturesque coastal town of Camden, Maine. As a travel nurse in this role, you will dive into the dynamic world of Utilization Management (UM) where your skills will be put to the test in assessing healthcare services for efficiency and quality. Your days will be filled with collaborating with interdisciplinary teams, evaluating patient care plans, and ensuring resources are utilized effectively to provide optimal outcomes. At an enticing weekly pay of $2206.0, with 40.0 guaranteed hours, you will not only advance your career but also have the opportunity to explore the charming streets of Camden, known for its historic harbors, vibrant arts scene, and delectable seafood cuisine. Joining this travel healthcare assignment means not just a job, but a transformative experience. TLC Nursing, a nurse-founded agency, is dedicated to supporting you every step of the way. Benefit from 24/7 recruiter assistance, personalized career guidance, and assistance with housing and licensing, ensuring a smooth and stress-free transition. In addition to this enriching opportunity, you'll enjoy a plethora 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 available the 1st of the month after hire. Take advantage of Paid Time Off from day 1, a 401(k) plan after 1 year of employment, and a host of other perks like Aflac, a Referral Program, and Employee Assistance Program (EAP). Don't miss out on this chance to elevate your career while exploring the beauty of Camden, Maine. Apply now and unlock a world of possibilities!