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 dedicated Registered Nurse (RN) with expertise in Utilization Management (UM) seeking an exciting travel healthcare assignment in the picturesque town of Orono, Maine? TLC Nursing is currently offering a rewarding 13-week opportunity that combines professional growth with the chance to explore the beauty of Maine's landscapes. In this role, you will utilize your specialized skills in UM to evaluate the appropriateness and efficiency of healthcare services, ensuring optimal patient outcomes and cost-effectiveness. Your responsibilities will include collaborating with healthcare providers, reviewing medical records, conducting assessments, and developing care plans that meet quality standards and regulatory requirements. As a travel nurse in Orono, Maine, you will have the opportunity to immerse yourself in a community known for its vibrant culture, outdoor recreational activities, and charming small-town atmosphere. Whether you're exploring the local farmers' markets, hiking the scenic trails, or enjoying the local cuisine, Orono offers a unique blend of relaxation and adventure. At TLC Nursing, we prioritize your well-being and professional success. Our nurse-founded agency provides 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, ensuring a seamless and fulfilling experience throughout your assignment. Join us and enjoy the following 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 If you are ready to embark on a fulfilling travel healthcare assignment as a Registered Nurse (RN) specializing in Utilization Management (UM) in Orono, Maine, apply now and take the next step towards an enriching career experience.