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 a passion for Utilization Management (UM)? Seize the opportunity to embark on a transformative travel healthcare assignment in Lebanon, Pennsylvania - a charming locale rich in history and community warmth. In this engaging role, you will leverage your expertise in UM to optimize healthcare resources and ensure efficient utilization of services. As a valued member of the healthcare team, you will collaborate with providers, patients, and insurance companies to assess the necessity and appropriateness of medical services, all while upholding the highest standards of patient care. At TLC Nursing, we prioritize your success and well-being. Founded by nurses, TLC offers round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing, ensuring a seamless and rewarding experience for our travel nurses. In addition to the intrinsic rewards of your profession, you'll enjoy a comprehensive benefits package that includes: - 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 - 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 elevate your career as a travel nurse in UM? Take the next step and apply today to embark on this exciting journey in Lebanon, Pennsylvania. Your expertise is needed, and your impact will be invaluable. Join us at TLC Nursing, where we support your professional growth and well-being every step of the way.