Travel Registered Nurse Utilization Management Job, Pembroke, NC

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) looking to broaden your horizons with a rewarding travel healthcare assignment in Utilization Management (UM)? Picture yourself immersed in the heart of Pembroke, North Carolina, where your expertise will positively impact patient care in a new and dynamic setting. In this 8-week opportunity, you will be entrusted with managing utilization processes to optimize healthcare quality and cost-effectiveness. Your role as a travel nurse specializing in UM will involve collaborating with interdisciplinary teams, reviewing medical records, and ensuring appropriate resource allocation for efficient patient care delivery. At a competitive weekly pay of $2266.00, this assignment offers more than just financial benefits. Join us and enjoy Best in the Industry Pay Packages, a $25,000 Life Insurance Policy effective from day one, and comprehensive Medical, Dental, and Vision Insurance available starting the 1st of the month after hire. Additionally, you'll have access to Paid Time Off from day one, a 401(k) plan after 1 year of employment, and Aflac options for added security. Our Referral Program rewards you for connecting us with other healthcare professionals, while our Employee Assistance Program (EAP) provides free, confidential services to support you and your household through Invest EAP. Experience the TLC difference with TLC Nursing, a nurse-founded agency that prioritizes your well-being. Benefit from 24/7 recruiter support, personalized career guidance, and assistance with housing and licensing. We are committed to your success every step of the way. If you are ready to elevate your nursing career through this enriching travel healthcare assignment, seize this opportunity today. Apply now and unlock new possibilities in the vibrant healthcare landscape of Pembroke, North Carolina.