Hospital Utilization Management RN

18 hours ago


Tulare, United States Clinical Management Consultants Full time

A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. 
This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical Therapy, Orthopedics, and Mental Health Services. This hospital has achieved TJC The Joint Commission Gold Seal of Approval and is a Baby-Friendly Designated Hospital. 
The Utilization Management RN will play a vital role in assuring proper utilization of hospital resources for Medicare, Medi-Cal, Managed Care Plans, and other third-party payers. The Utilization Management RN is responsible for overseeing the utilization management process and will lead a team of professionals in reviewing healthcare services, ensuring their medical necessity and appropriateness while complying with regulations and industry standards. This role involves following policies and procedures, monitoring compliance, and analyzing data to improve processes. The Utilization Management Nurse will also communicate with healthcare providers and insurance companies, advocate for patients' rights, and drive continuous improvement initiatives. 
The Utilization Management RN will enjoy this area of Central California for its easy access to outdoor recreation with proximity to National Parks and National Forests, in addition to its friendly community atmosphere and affordable housing options.
Take this opportunity to apply your experience as a Utilization Management RN. This position offers competitive compensation and generous benefits. Submit your resume and connect with a recruiter to learn more about this opportunity. 



  • Tulare, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150 bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical Therapy,...


  • Tulare, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical Therapy,...


  • Tulare, CA, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team.  This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical...


  • Tulare, CA, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical...


  • Tulare, CA, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical...

  • Registered Nurse

    12 hours ago


    Tulare, CA, United States Clinical Management Consultants Full time

    A well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical...


  • Tulare, United States Aureus Group Full time

    Contract RN is needed in CA! Contact Aureus today for more information!Position: RNSpecialty/Modality: RN-Medical-Surgical, RN-First AssistLicenses/Certifications: CPR/BLS (Basic Life Support), State License-RN-California, ACLS (Advance Cardiac Life Support)Physical Abilities: From 50-100lbsTravel the country while you enhance your clinical skills, perfect...


  • Tulare, United States Aureus Group Full time

    Contract RN is needed in CA! Contact Aureus today for more information! Position: RN Specialty/Modality: RN-Medical-Surgical, RN-First Assist Licenses/Certifications: CPR/BLS (Basic Life Support), State License-RN-California, ACLS (Advance Cardiac Life Support) Physical Abilities: From 50-100lbs Travel the country while you enhance your clinical skills,...

  • RN Lead

    2 weeks ago


    Tulare, United States Adventist Health Full time

    Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety...

  • RN Lead

    2 weeks ago


    Tulare, United States Adventist Health Full time

    Job DescriptionCentrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region....

  • Staff Nurse

    2 months ago


    Tulare, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Tulare, CA area for the following position: Staff Nurse (RN), ICU. Nurses with experience in any of the following areas are strongly encouraged to apply: Arrhythmia management, Bariatric, CODE, COVID, CRRT training, CVICU, Care of burn patients, Chest tube, ECMO, External...

  • Staff Nurse

    2 months ago


    Tulare, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Tulare, CA area for the following position: Staff Nurse (RN), Med Surg. Nurses with experience in any of the following areas are strongly encouraged to apply: Cardiac patients, Couplet care, EKG monitoring, Educator, Fundal massage, Healing, Neuro patients, Oncology...

  • Restaurant Manager

    1 week ago


    Tulare, United States Jack in the Box Full time

    Description: Responsible for managing the overall operations of a Jack in the Box unit. Uses discretion in daily management decisions with accountability for ensuring effective execution of the Service Profit Chain (SPC) and Brand Promise. Develops team to provide excellent internal service, external service, and build restaurant sales and profit while...

  • Staff Nurse

    1 month ago


    Tulare, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Tulare, CA area for the following position: Staff Nurse (RN), ICU. Nurses with experience in any of the following areas are strongly encouraged to apply: Arrhythmia management, Bariatric, CODE, COVID, CRRT training, CVICU, Care of burn patients, Chest tube, ECMO, External...


  • Tulare, United States Lactalis American Group Full time

    DescriptionTITLE: Whey Department ManagerREPORTS TO: Plant DirectorLOCATION: Tulare, CA Lactalis Heritage Dairy is currently seeking candidates to join our team in Tulare, CA. Lactalis Group, the world leader in dairy, is a family-owned business with more than 85,000 pragmatic and ambitious professionals worldwide, committed to providing healthy and...

  • Registered Nurse

    1 week ago


    Tulare, United States Aequor Technologies Full time

    Highlights Location Tulare, CA Pay Rate Up to: $2110.66/Week Start Date Dec 9, 2024 to Mar 9, 2025 Duration 13 weeks Number of Positions 1 Remote Position Type On-Site Work Only Shift Type Days Hours Per Day 12 Hours Discipline Registered Nurse (RN) Skills Med Surg Description Published Description: Job Title: RN - Med Surg About...

  • Department Manager

    19 hours ago


    Tulare, United States Lactalis USA Full time

    DescriptionTITLE: Whey Department ManagerREPORTS TO: Plant DirectorLOCATION: Tulare, CA Lactalis Heritage Dairy is currently seeking candidates to join our team in Tulare, CA. Lactalis Group, the world leader in dairy, is a family-owned business with more than 85,000 pragmatic and ambitious professionals worldwide, committed to providing healthy and...


  • Tulare, United States Hiring Now! Full time

    DescriptionTITLE: Plant HR Manager REPORTS TO: Plant Director LOCATION: Tulare, CA Lactalis Heritage Dairy is currently seeking candidates to join our team in Tulare, CA. Lactalis Group, the world leader in dairy, is a family-owned business with more than 85,000 pragmatic and ambitious professionals worldwide, committed to providing healthy and delicious...


  • Tulare, United States Hiring Now! Full time

    DescriptionTITLE: Plant HR Manager REPORTS TO: Plant Director LOCATION: Tulare, CA Lactalis Heritage Dairy is currently seeking candidates to join our team in Tulare, CA. Lactalis Group, the world leader in dairy, is a family-owned business with more than 85,000 pragmatic and ambitious professionals worldwide, committed to providing healthy and delicious...


  • Tulare, United States Lactalis American Group Full time

    DescriptionTITLE: Plant HR Manager REPORTS TO: Plant Director LOCATION: Tulare, CA  Lactalis Heritage Dairy is currently seeking candidates to join our team in Tulare, CA. Lactalis Group, the world leader in dairy, is a family-owned business with more than 85,000 pragmatic and ambitious professionals worldwide, committed to providing healthy and...