Job Description
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 rewarding opportunity in Utilization Management (UM)? We have an exciting 13-week travel healthcare assignment available in the picturesque town of Orono, Maine. As a travel nurse, you will not only immerse yourself in the unique charm of Orono but also make a significant impact within the healthcare community.
In this role, you will be responsible for overseeing the utilization of healthcare services to ensure optimal patient outcomes and cost-effective care delivery. Your expertise in UM will be instrumental in coordinating with healthcare providers, reviewing treatment plans, and advocating for efficient resource utilization.
At TLC Nursing, we take pride in our nurse-founded organization that prioritizes your success. With 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing, you can focus on delivering exceptional patient care while we handle the logistics.
Join us for this travel healthcare assignment and take advantage of our Best in the Industry Pay Packages, including a competitive weekly pay of $2170.00. Additionally, you will receive a $25,000 Life Insurance Policy from day one, comprehensive medical, dental, and vision insurance starting the 1st of the month after hire, and opportunities for Paid Time Off, 401(k) participation, Aflac coverage, and more.
If you are ready to elevate your nursing career in UM as a travel nurse in Orono, Maine, apply now to embark on this fulfilling journey with TLC Nursing.
Job Tags
Weekly pay, Contract work, Flexible hours