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) seeking a new adventure in healthcare? TLC Nursing has a rewarding travel healthcare assignment in Carlisle, Pennsylvania waiting for you! As a skilled RN specializing in Utilization Management (UM), you will play a crucial role in evaluating healthcare services to ensure optimal patient outcomes while maximizing resources. Your expertise will be instrumental in coordinating care, reviewing treatment plans, and collaborating with interdisciplinary teams to deliver high-quality patient care. This 6-week assignment offers a competitive weekly pay of $2096.0, giving you the opportunity to explore the charming city of Carlisle nestled in the heart of Pennsylvania. From historic sites to picturesque landscapes, Carlisle provides a unique backdrop for your travel nurse journey. At TLC Nursing, we prioritize your well-being and success. Our nurse-founded agency offers 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, creating a supportive environment for you to thrive in your role. 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 - 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 Don't miss this opportunity to embark on a fulfilling travel healthcare assignment in Carlisle, Pennsylvania. Apply now and take the next step in your nursing career with TLC Nursing.