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 RN looking to immerse yourself in a dynamic Utilization Management (UM) role in Sistersville, West Virginia? TLC Nursing has an exciting travel healthcare assignment waiting for you! In this 4-week adventure, you'll dive into a specialized UM setting, utilizing your expertise as a Registered Nurse (RN) to optimize patient care pathways. Your critical thinking and assessment skills will be put to the test as you navigate complex healthcare scenarios in this charming West Virginia town. Within the picturesque landscape of Sistersville, you'll be responsible for overseeing the efficient utilization of healthcare resources, ensuring optimal patient outcomes, and collaborating with multidisciplinary teams to streamline care processes. With a guaranteed 40.0 hours per week, your dedication will be rewarded with a competitive weekly pay of $2196.0, setting the stage for a fulfilling professional journey in travel nursing. At TLC Nursing, we prioritize your well-being and career growth. Our nurse-founded agency offers 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, ensuring a seamless transition into your new role. Ready to take the next step in your nursing career? Apply now and become part of our supportive team dedicated to delivering exceptional patient care while enjoying the benefits of Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from Day One, comprehensive Medical, Dental, and Vision Insurance, generous Paid Time Off, 401(k) options, Aflac benefits, Referral Program incentives, and access to free EAP services for you and your loved ones.