Talent.com
Travel Nurse RN - $2,326 per week in Franklin, NH

Travel Nurse RN - $2,326 per week in Franklin, NH

TravelNurseSourceConcord, New Hampshire, US
30+ days ago
Job type
  • Full-time
Job description

TravelNurseSource is working with Magnet Medical to find a qualified Other RN in Franklin, New Hampshire, 03235!

Pay Information

$2,326 per week

About The Position

The Registered Nurse (RN) – Utilization Review (UR) is responsible for ensuring that healthcare services provided to patients are medically necessary, appropriate, and efficient. The RN in this role works with healthcare providers, insurance companies, and patients to review medical records, treatment plans, and clinical data to determine the appropriate level of care and ensure compliance with healthcare policies and regulations. This role requires a strong understanding of clinical care, health insurance guidelines, and hospital operations to make informed decisions that optimize patient care and resource utilization.

Key Responsibilities :

Utilization Review and Clinical Evaluation :

  • Review patient medical records, treatment plans, and clinical data to assess the appropriateness of the care being provided and the necessity for continued hospitalization or services.
  • Assess the medical necessity of procedures, tests, and treatments to ensure they align with established guidelines and criteria, such as those from the InterQual or Milliman Care Guidelines .
  • Evaluate whether the care provided is appropriate, efficient, and meets the standards of care based on clinical evidence.

Collaboration with Healthcare Providers :

  • Collaborate with physicians, case managers, and other healthcare professionals to ensure that patient care plans are appropriate and cost-effective.
  • Communicate with healthcare teams to discuss any discrepancies or concerns regarding the utilization of resources, care plans, or treatment goals.
  • Provide recommendations or alternative care options to improve patient outcomes and optimize resource utilization.
  • Insurance and Payer Interaction :

  • Work closely with insurance companies, managed care organizations, and government payers (e.g., Medicare, Medicaid) to review cases for coverage, authorization, and reimbursement.
  • Submit necessary documentation and justification to insurance companies to support medical necessity determinations and secure prior authorization for treatments, procedures, or extended hospital stays.
  • Resolve any issues related to denied claims or requests for additional documentation to ensure that services are covered by insurance providers.
  • Monitoring of Length of Stay and Discharge Planning :

  • Monitor patient length of stay (LOS) to identify potential delays in discharge and ensure that patients are not staying in the hospital longer than necessary.
  • Work with case management teams to develop appropriate discharge plans, ensuring that the patient is ready for discharge and has the necessary resources and follow-up care.
  • Identify potential barriers to discharge and collaborate with the interdisciplinary team to address these issues and facilitate a timely discharge.
  • Compliance and Quality Assurance :

  • Ensure that utilization review practices comply with regulatory standards, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other state or federal regulations.
  • Assist with audits to evaluate the efficiency and accuracy of utilization management processes, making improvements where necessary.
  • Maintain up-to-date knowledge of healthcare regulations, coding guidelines (ICD-10, CPT), and payer-specific policies to ensure accurate documentation and compliance.
  • Documentation and Reporting :

  • Document findings from utilization reviews in the appropriate systems and ensure accurate record-keeping for insurance purposes and quality improvement efforts.
  • Prepare reports on utilization metrics, including patterns in hospital admissions, readmissions, and discharge delays, for management and leadership review.
  • Provide detailed, evidence-based rationales for medical necessity determinations and collaborate with the healthcare team to ensure compliance with UR protocols.
  • Case Review and Decision-Making :

  • Perform retrospective and concurrent review of patient cases to determine if the level of care aligns with guidelines and if resources are being utilized efficiently.
  • Recommend the appropriate level of care (e.g., inpatient, outpatient, skilled nursing facility) based on clinical findings and guidelines.
  • Provide feedback to clinicians and healthcare teams regarding any areas for improvement in care planning or resource utilization.
  • Education and Training :

  • Educate staff and providers on the importance of utilization review processes, medical necessity criteria, and compliance with payer requirements.
  • Stay current on the latest healthcare policies, clinical guidelines, and best practices for utilization management.
  • Participate in continuing education and training programs related to UR, case management, or quality improvement initiatives.
  • 28465986EXPPLAT

    Job Requirements

    Required for Onboarding

  • BLS
  • About Magnet Medical

    We are new and nimble!  Even though our company is new we have over 30 years of experience in the Healthcare Staffing world. We have taken all the exceptional things we’ve learned over the years and put them into Magnet MEdical.  We are committed to providing the best Quality, Care, Service and Support to those who are providing care to the patients.  We work with Hospitals and Skilled Nursing Facilities across all 50 states. We can’t do our jobs without you so let’s work together to help you meet all of your goals!

    We have recently merged two staffing companies to create Magnet Medical which allows us to offer more opportunities to our travelers!

    Modalities we staff :

  • Registered Nurses
  • LPN / LVN
  • PT's and PTA's
  • OT's and COTA's
  • SLP
  • Surgical Tech's
  • Sterile Processing Tech's
  • Since we are new and nimble, we are not set in our ways so that we can be flexible to our candidate and client needs. We are here when you need us!

    Create a job alert for this search

    Travel Nurse Rn Week • Concord, New Hampshire, US

    Related jobs
    • Promoted
    Travel Nurse RN - Long-Term Care - $2,290 per week in Franklin, NH

    Travel Nurse RN - Long-Term Care - $2,290 per week in Franklin, NH

    TravelNurseSourceManchester, New Hampshire, US
    Full-time +1
    TravelNurseSource is working with Core Medical Group to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!. Client in NH seeking Registered Nurse : LTC / SNF.We are looking for a hea...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Registered Nurse - Long-Term Care - $2,364 per week in Franklin, NH

    Travel Registered Nurse - Long-Term Care - $2,364 per week in Franklin, NH

    TravelNurseSourceManchester, New Hampshire, US
    Full-time +1
    TravelNurseSource is working with AHS Staffing to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!.AHS Staffing is looking for a LTC Registered Nurse in Franklin, NH for a Long...Show moreLast updated: 10 days ago
    • Promoted
    Travel Nurse - RN - OR - Operating Room - $3086.31 / Week

    Travel Nurse - RN - OR - Operating Room - $3086.31 / Week

    Medical SolutionsWolfeboro, NH, US
    Full-time
    Medical Solutions is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Wolfeboro, NH. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $3086.A facil...Show moreLast updated: 2 days ago
    • Promoted
    Travel Registered Nurse - Long-Term Care - $2,426 per week in Franklin, NH

    Travel Registered Nurse - Long-Term Care - $2,426 per week in Franklin, NH

    TravelNurseSourceFranklin, NH, US
    Full-time
    TravelNurseSource is working with Openwork Health to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!. Openwork Health Is Hiring! Let’s Chase Big Dreams—Together.We’re not your ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - LTC - Long Term Care - $2274 / Week - Hiring Now

    Travel Nurse - RN - LTC - Long Term Care - $2274 / Week - Hiring Now

    Fusion Medical StaffingGoffstown, NH, US
    Full-time
    Fusion Medical Staffing is seeking an experienced Long Term Care Registered Nurse for an exciting Travel Nursing job in Goffstown, NH. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $2274 / ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long-Term Care - $1,851 to $2,350 per week in Franklin, NH

    Travel Nurse RN - Long-Term Care - $1,851 to $2,350 per week in Franklin, NH

    TravelNurseSourceFranklin, NH, US
    Full-time
    TravelNurseSource is working with Envista Health to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!. LONG TERM CARE (LTC) - RN Available!.With Envista Healthcare Staffing, your...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2438.22 / Week - Hiring Now

    Travel Nurse - RN - LD - Labor and Delivery - $2438.22 / Week - Hiring Now

    Medical SolutionsPlymouth, NH, US
    Full-time
    Medical Solutions is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Plymouth, NH. Shift : 3x12 hr nights Start Date : 11 / 28 / 2025 Duration : 13 weeks Pa...Show moreLast updated: 2 days ago
    • Promoted
    Travel Nurse - RN - ICU - Intensive Care Unit - $2053.44 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $2053.44 / Week - Hiring Now

    CrossMed HealthcarePlymouth, NH, US
    Full-time
    CrossMed Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Plymouth, NH. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $2053.A...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Long-Term Care - $2,426 per week in Franklin, NH

    Travel Nurse RN - Long-Term Care - $2,426 per week in Franklin, NH

    TravelNurseSourceConcord, New Hampshire, US
    Full-time
    TravelNurseSource is working with Openwork Health to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!. Openwork Health Is Hiring! Let’s Chase Big Dreams—Together.We’re not your ...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse - RN - ICU - Intensive Care Unit - $2233.11 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $2233.11 / Week - Hiring Now

    Atlas MedStaffLaconia, NH, US
    Full-time
    Atlas MedStaff is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Laconia, NH. Shift : 3x12 hr nights Start Date : 11 / 17 / 2025 Duration : 13 weeks Pay : ...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Travel Nurse - RN - ICU - Intensive Care Unit - $2232.47 / Week

    Travel Nurse - RN - ICU - Intensive Care Unit - $2232.47 / Week

    Medical SolutionsLaconia, NH, US
    Full-time
    Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Laconia, NH. Shift : 3x12 hr nights Start Date : 11 / 17 / 2025 Duration : 13 weeks Pa...Show moreLast updated: 11 hours ago
    • Promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2438.22 / Week

    Travel Nurse - RN - LD - Labor and Delivery - $2438.22 / Week

    Medical SolutionsPlymouth, NH, US
    Full-time
    Medical Solutions is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Plymouth, NH. Shift : 3x12 hr nights Start Date : 11 / 28 / 2025 Duration : 13 weeks Pa...Show moreLast updated: 2 days ago
    • Promoted
    Travel Nurse RN - Manager

    Travel Nurse RN - Manager

    Nationwide Therapy GroupFranklin, NH, US
    Full-time
    Nationwide Therapy Group is seeking a travel nurse RN Manager for a travel nursing job in Franklin, New Hampshire.Job Description & Requirements. NTG is committed to matching you to the right po...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse - RN - LD - Labor and Delivery - $2501 / Week

    Travel Nurse - RN - LD - Labor and Delivery - $2501 / Week

    Stability HealthcarePlymouth, NH, US
    Full-time
    Stability Healthcare is seeking an experienced Labor and Delivery Registered Nurse for an exciting Travel Nursing job in Plymouth, NH. Shift : 3x12 hr nights Start Date : 11 / 28 / 2025 Duration : 13 weeks...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    Travel Nurse - RN - ER - Emergency Room - $2329.64 / Week - Hiring Now

    Travel Nurse - RN - ER - Emergency Room - $2329.64 / Week - Hiring Now

    Medical SolutionsNew London, NH, US
    Full-time
    Medical Solutions is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in New London, NH. Shift : 3x12 hr flex Start Date : 10 / 20 / 2025 Duration : 13 weeks Pay : $...Show moreLast updated: 11 hours ago
    • Promoted
    Travel Nurse - RN - OR - Operating Room - $3086.31 / Week - Hiring Now

    Travel Nurse - RN - OR - Operating Room - $3086.31 / Week - Hiring Now

    Medical SolutionsWolfeboro, NH, US
    Full-time
    Medical Solutions is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Wolfeboro, NH. Shift : Inquire Start Date : ASAP Duration : 13 weeks Pay : $3086.A facil...Show moreLast updated: 2 days ago
    • Promoted
    Travel Nurse RN - $59 per hour in Franklin, NH

    Travel Nurse RN - $59 per hour in Franklin, NH

    TravelNurseSourceManchester, New Hampshire, US
    Full-time
    TravelNurseSource is working with Adelphi Medical Staffing to find a qualified Other RN in Franklin, New Hampshire, 03235!. Profession : Nurse Unit Manager.Tue, Wed, Thu, Fri, 07 : 00 AM-03 : 30 PM.Vali...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - $2,326 per week in Franklin, NH

    Travel Nurse RN - $2,326 per week in Franklin, NH

    TravelNurseSourceManchester, New Hampshire, US
    Full-time
    TravelNurseSource is working with Magnet Medical to find a qualified Other RN in Franklin, New Hampshire, 03235!.Registered Nurse (RN) – Utilization Review (UR). The RN in this role works with healt...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Travel Nurse - RN - ICU - Intensive Care Unit - $2232.47 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $2232.47 / Week - Hiring Now

    Medical SolutionsLaconia, NH, US
    Full-time
    Medical Solutions is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Laconia, NH. Shift : 3x12 hr nights Start Date : 11 / 17 / 2025 Duration : 13 weeks Pa...Show moreLast updated: 11 hours ago
    • Promoted
    Travel Nurse RN - Long-Term Care - $2,364 per week in Franklin, NH

    Travel Nurse RN - Long-Term Care - $2,364 per week in Franklin, NH

    TravelNurseSourceFranklin, NH, US
    Full-time +1
    TravelNurseSource is working with AHS Staffing to find a qualified Long-Term Care RN in Franklin, New Hampshire, 03235!.AHS Staffing is looking for a LTC Registered Nurse in Franklin, NH for a Long...Show moreLast updated: 10 days ago