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Registered Nurse (RN) - Utilization Management (UM)

Registered Nurse (RN) - Utilization Management (UM)

Genesis - West Region - Lake Ridge Solana AlMoses Lake, WA, United States
30+ days ago
Job type
  • Full-time
Job description

Details

Client Name

Genesis - West Region - Lake Ridge Solana Al

Job Type

Travel

Offering

Nursing

Profession

Registered Nurse (RN)

Specialty

Utilization Management (UM)

Job ID

33452798

Job Title

Registered Nurse (RN) - Utilization Management (UM)

Weekly Pay

$2332.4

Shift Details

Shift

Nights - 5 x 8

Scheduled Hours

40

Job Order Details

Start Date

08 / 04 / 2025

End Date

10 / 27 / 2025

Duration

12 Week(s)

Job Description

RN - Utilization Management (UM)

RN - Utilization Management (UM)

TLC Nursing Associates, Inc.

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.

Job 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.
  • If you are a detail-focused and compassionate RN - Utilization Management (UM) , apply today and join the TLC Nursing Associates family!

    Client Details

    Address

    817 East Plum, Moses Lake

    City

    Moses Lake

    State

    WA

    Zip Code

    98837

    Job Board Disclaimer

    TLC Nursing Associates, Inc. is an equal-opportunity employer and fully complies with all applicable federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, veteran status, or any other status protected under the law.

    Accuracy of Information : All job listings are subject to change, and while we strive to ensure that all job information, including job descriptions, pay packages, and shift details, is accurate and up-to-date, we cannot guarantee the availability or specifics of any position at the time of application. Pay packages and shift availability may vary based on facility needs and may be subject to changes before or after hire.

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    Registered Nurse Rn • Moses Lake, WA, United States

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