Genesis Mcg

Travel RN – Utilization Management (RN UM) – Camden, ME (Skilled Nursing & Rehab)

Immediate Opening – 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 on‑unit presence, ensuring residents receive appropriate, cost‑effective care and services.

Contract Details

• Dates: February 20, 2026 – May 22, 2026 (14 weeks)

• Primary Shift: Days, 7:00 AM – 3:30 PM (30‑minute unpaid meal)

• Note: Facility is looking for a candidate willing to do either 7–3 or 3–11 in the UM role (flexible between day and evening as needed).

• Class: RN UM

• Guarantee: 40 hours/week

•  Rate: $53,40-$62,30 per hour

• Location: Windward Gardens, Camden, ME 04843 (Genesis – Northeast Region)

Facility Description

This skilled nursing facility provides post‑hospital short‑term rehabilitation, long‑term care, and respite services, with a focus on high‑quality 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 level‑of‑care 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 off‑hours).

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 7–3 and 3–11 shifts as UM needs dictate.