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 knack for Utilization Management (UM) seeking a rewarding travel healthcare assignment? Look no further than the picturesque coastal town of Camden, Maine, where your skills are in high demand for a 9-week opportunity. In this role, you'll dive into the heart of UM, working closely with patients, providers, and insurance companies to ensure optimal utilization of healthcare services. Your expertise will be instrumental in streamlining processes, improving patient outcomes, and maximizing cost-efficiency. Joining our team means immersing yourself in a supportive environment where TLC Nursing, a nurse-founded agency, stands by your side. From 24/7 recruiter support to personalized career guidance, we've got you covered. Need help with housing or licensing? We've got that covered too. Your dedication will be matched with Best in the Industry Pay Packages, including a weekly pay of $2177.76. But that's not all. You'll also enjoy benefits like a $25,000 Life Insurance Policy effective from day one, comprehensive medical, dental, and vision insurance, and generous Paid Time Off that starts accruing from day 1. Looking to secure your financial future? Our 401(k) plan is available after a year of employment, with full vesting after 5 years. Plus, you can opt for Aflac coverage and take advantage of our Referral Program for additional incentives. Don't forget about our Employee Assistance Program (EAP), providing free, confidential services to support you and your household whenever you need it. If you're ready to embark on this exciting journey in Camden, Maine, as a travel nurse specializing in UM, apply now and take the next step towards a fulfilling career with TLC Nursing.