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
Calling all adventurous Registered Nurses with a passion for Utilization Management (UM) – ready to take your skills on the road? We have an exciting 13-week travel healthcare assignment waiting for you in the charming town of Franklin, New Hampshire.
As a travel nurse specializing in UM, you'll be at the forefront of optimizing healthcare resources and ensuring efficient patient care delivery. Your responsibilities will include collaborating with interdisciplinary teams, evaluating medical necessity, reviewing treatment plans, and coordinating discharge processes to maximize patient outcomes.
At TLC Nursing, we understand the unique needs of travel healthcare professionals. Founded by nurses, we provide round-the-clock recruiter support, personalized career guidance, and assistance with housing and licensing to make your assignment as smooth as possible.
And the perks? How does a weekly pay of $2376.0 sound? Plus, with our industry-leading benefits package, you'll enjoy:
- 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 (unless required earlier by state law)
- 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
If you're a dedicated RN with UM expertise looking for a rewarding travel healthcare assignment in Franklin, New Hampshire, TLC Nursing is where you belong. Ready to embark on this exciting journey? Apply now and let your nursing skills shine in a new and dynamic setting.
Job Tags
Weekly pay, Contract work, Flexible hours