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 Registered Nurse (RN) seeking a unique opportunity to immerse yourself in the captivating beauty of Orono, Maine? TLC Nursing has a rewarding 13-week travel healthcare assignment available for a dedicated RN with expertise in Utilization Management (UM). As a travel nurse based in Orono, Maine, you will play a crucial role in overseeing the utilization of healthcare services to ensure optimal patient outcomes and cost-efficiency. Your responsibilities will include assessing patient needs, collaborating with healthcare providers, reviewing medical records, and advocating for appropriate care interventions. At TLC Nursing, we understand that your profession is more than just a job—it's a calling. That's why we offer best-in-the-industry pay packages, a $25,000 life insurance policy effective from day one, and comprehensive medical, dental, and vision insurance starting the 1st of the month after hire. You'll also enjoy paid time off from day one, with eligibility for accrual after 1 year of employment. In addition to competitive compensation, we provide a 401(k) plan available after 1 year of employment, with full vesting after 5 years. Our Aflac program is available for employee purchase, and our referral program offers payouts for referring other healthcare professionals. Plus, our Employee Assistance Program (EAP) provides free, confidential services for you and your household through Invest EAP. At TLC Nursing, our culture is built on the foundation of support and empowerment. As a nurse-founded agency, we offer 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing to ensure your success in every assignment. If you are a compassionate RN with a passion for Utilization Management (UM) and a sense of adventure, we invite you to seize this opportunity in Orono, Maine. Take the next step in your career with TLC Nursing and make a meaningful impact while exploring the wonders of travel healthcare. Apply now to embark on this fulfilling journey.