Travel RN โ Utilization Management (RN UM) โ Camden, ME (Skilled Nursing & Rehab)
Immediate Opening โ Travel Contract (14 Weeks)
Seeking an experienced RN for a Utilization Management (UM) travel role at a skilled nursing and rehabilitation facility in Camden, ME. This position blends clinical review and coordination with onโunit presence, ensuring residents receive appropriate, costโeffective care and services.
Contract Details
Dates: February 20, 2026 โ May 22, 2026 (14 weeks)
Primary Shift: Days, 7:00 AM โ 3:30 PM (30โminute unpaid meal)
Note: Facility is looking for a candidate willing to doย either 7โ3 or 3โ11ย in the UM role (flexible between day and evening as needed).
Class: RN UM
Guarantee: 40 hours/week
ย Rate:ย $53,40-$62,30ย per hour
Location: Windward Gardens, Camden, ME 04843 (Genesis โ Northeast Region)
Facility Description
This skilled nursing facility provides postโhospital shortโterm rehabilitation, longโterm care, and respite services, with a focus on highโquality nursing, rehab therapies, and coordinated transitions of care for older adults in a coastal Maine community.
Role Overview (RN UM)
Perform utilization management and review for SNF and rehab patients to ensure appropriate level of care, length of stay, and service use.
Collaborate with providers, therapy, nursing, and payers to support authorization, continued stays, and discharge planning.
Maintain regulatory and payer compliance in documentation and clinical review.
Responsibilities
Conduct admission, concurrent, and discharge UM reviews for Medicare, Medicaid, and commercial payers.
Review clinical documentation for medical necessity, skilled criteria, and levelโofโcare appropriateness.
Communicate with physicians and interdisciplinary team to clarify plans of care and reduce avoidable denials.
Coordinate with case management and social services on safe, timely discharge and transitions.
Document UM activity, authorizations, and communications in EMR and utilization tracking systems.
Provide occasional bedside/clinical support as appropriate to licensure and facility policy (especially on offโhours).
Requirements
Active RN license in Maine (or compact state).
Prior experience in utilization management, case management, or strong SNF/rehab background with exposure to payer criteria (e.g., Medicare skilled criteria).
Familiarity with UM tools/guidelines (e.g., InterQual, Milliman/MCG) preferred.
Strong communication and negotiation skills with payers and providers.
Ability to work 40 hours/week, with flexibility between 7โ3 and 3โ11 shifts as UM needs dictate.