Travel Registered Nurse Utilization Management Job

Healthforce; Camden (ME); On-site; USD 105,000 - 108,000; Full time

Job summary

Healthforce is seeking a Registered Nurse for Utilization Management in Camden, Maine, for an eight-week travel assignment starting 11/09/2026 with guaranteed 40 hours per week in a long-term care setting. Shifts run 07:00–15:30.

You will perform utilization management activities, review clinical documentation, and coordinate admissions/transfers while ensuring regulatory compliance and payer alignment. On-call support is included, with housing assistance and recruiter support available.

Qualifications

• Active RN license in Maine (or eligibility)
• Graduate of an accredited nursing program; RN degree required; BSN preferred
• 2+ years of clinical nursing experience; utilization management or case management experience preferred
• Knowledge of long-term care operations and payer/regulatory guidelines relevant to utilization review
• Excellent communication, critical thinking, and documentation skills
• Ability to work 07:00–15:30 with on-call assignments; 40 hours guaranteed per week
• Ability to work in a travel assignment and adapt to a LTC setting

Responsibilities

• Conduct utilization management activities for residents in a long-term care setting, including chart review, medical necessity assessment, level of care determination, and discharge planning as needed
• Collaborate with the care team to coordinate admissions, transfers, and discharges while ensuring appropriate resource use and regulatory compliance
• Review clinical documentation for accuracy and coding alignment with payer requirements; communicate findings to physicians, case managers, and leadership
• Document assessments, plans, and decisions in the electronic health record; ensure timely updates to care plans
• Provide on-call support as assigned; respond to UM inquiries during on-call periods; participate in problem-solving to mitigate care delays or denials
• Support quality and patient safety initiatives by identifying opportunities for process improvement in utilization review

Skills

Communication

Critical thinking

Documentation

Education

RN license in Maine

BSN preferred

Job description

Overview

Registered Nurse – Utilization Management in Camden, Maine, United States. Start date 11/09/2026 for an eight-week travel assignment with guaranteed 40 hours per week. Earn $2,311–$2,368 per week. Shift is 5x8 Days, with hours roughly 07:00–15:30. The role is located in a long-term care setting (LTC – Nursing Home) and requires on-call coverage.

Key Highlights

• Weekly pay: $2,311–$2,368 per week
• Guaranteed hours: 40 per week
• Contract duration: 8 weeks
• Shift: 5x8 Days (07:00–15:30)
• Start date: 11/09/2026
• Work setting: Long-term care / skilled nursing

Responsibilities

• Conduct utilization management activities for residents in a long-term care setting, including chart review, medical necessity assessment, level of care determination, and discharge planning as needed.
• Collaborate with the care team to coordinate admissions, transfers, and discharges while ensuring appropriate resource use and regulatory compliance.
• Review clinical documentation for accuracy and coding alignment with payer requirements; communicate findings to physicians, case managers, and leadership.
• Document assessments, plans, and decisions in the electronic health record; ensure timely updates to care plans.
• Provide on-call support as assigned; respond to UM inquiries during on-call periods; participate in problem-solving to mitigate care delays or denials.
• Support quality and patient safety initiatives by identifying opportunities for process improvement in utilization review.

Requirements

• Active RN license in Maine (or eligibility to obtain)
• Graduate of an accredited nursing program; RN degree required; BSN preferred
• 2+ years of clinical nursing experience; utilization management or case management experience preferred
• Knowledge of long-term care operations and payer/regulatory guidelines relevant to utilization review
• Excellent communication, critical thinking, and documentation skills
• Ability to work 07:00–15:30 with on-call assignments; 40 hours guaranteed per week
• Ability to work in a travel assignment and adapt to a LTC setting

Benefits and Support

• 24/7 recruiter and travel support
• Dedicated assignment support
• Housing assistance available
• Extension opportunities

Please note: Pay rates and guaranteed hours are estimates and may vary. Final compensation packages and confirmed hours will be discussed during the hiring process.