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NURSE EVALUATOR III, HEALTH SERVICES

Work from home Full-time role Hiring

Department of Health Care Services JC-507967 Nurse Evaluator III NURSE EVALUATOR III, HEALTH SERVICES $7,674.00 - $10,249.00 per Month New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. Final Filing Date: Until Filled Application Methods: Electronic (Using your CalCareer Account) By Mail Drop-off Job Description and Duties Why Join DHCS? The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the federal government and other state agencies, counties, and partners for the care of low-income families, children, pregnant women, older adults, and persons with disabilities. This is an exciting opportunity to join our diverse team in the following role. If you are interested in joining our team, apply today! About this Role: Under direction of the Supervisor II, the Nurse Evaluator (NE) III supervises a unit of Nurse Evaluators responsible for performing post-payment hospital cliams reviews, adjudication of Treatment Authorization Requests (TARs), drafting state fair hearing documents, and participating in assigned state fair hearings. The NE III is responsible for training and mentoring staff, providing clinical consultations, and ensuring all work products meet Medi-Cal guidelines, division policies, and state and federal regulations, guidelines, and procedures. The NE III also serves as lead on assigned post-payment cliams reviews. New to state candidates will be hired into the minimum salary of the classification or minimum of the alternate salary range when applicable. Placement to alternate range may be based on education or experience identified in your state application. This position is designated under the Conflict of Interest Code. The position is responsible for making or participating in the making of governmental decisions that may potentially have a material effect on personal financial interests. The appointee is required to complete Form 700 within 30 days of appointment and once per year. Failure to comply with the Conflict of Interest Code requirements may void the appointment. This recruitment is until filled and applications will be reviewed on the following cutoff dates:

  • February 27, 2026
  • March 13, 2026
  • March 27, 2026
  • April 13 ,2026
  • April 27, 2026
  • May 15, 2026

Have questions and/or need assistance? Contact [email protected], we are here to help walk you through the state hiring process! Working Conditions Please see the Telework and Salary Information section below for telework, reporting location, and temporary statewide salary reduction details. This is a statewide recruitment, and the position may be located in the following locations: West Sacramento, San Francisco, San Bernandino, San Diego and Los Angeles. Position Details Job Code #: JC-507967 Position #(s): 805-228-8145-XXX Working Title: Nurse Evaluator III Classification: NURSE EVALUATOR III, HEALTH SERVICES $7,674.00 - $10,249.00 New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. # of Positions: Multiple Work Location: United States Telework: Telework Job Type: Permanent, Full Time Department Information DHCS’ purpose is to provide equitable access to quality health care leading to a healthy California for all. DHCS is a dynamic organization with ambitious goals and talented, committed employees. We work hard every day to fulfill our vital responsibility to support the delivery of quality health care to Californians. DHCS is committed to addressing disparities within our organization and in our communities through efforts toward greater diversity, equity, and inclusion. This is accomplished, in part, by a commitment toward employing a diverse workforce that reflects the many communities we serve, and by promoting and enforcing equal employment opportunity. Take a look at some of DHCS' recent projects and happenings that our Department has accomplished in the DHCS Newsroom. Special Requirements Simple Application Steps If you are interested in this position, complete the following these simple steps:

  • Review the education and experience minimum qualifications (MQ’s) of the Nurse Evaluator III. See the

on this job advertisement. Salary: Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position’s associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction. Please reach out to the hiring unit contact listed on this job advertisement for details. Additional Information Using the online application system as specified in the announcement is the preferred method of applying for civil service job opportunities; however, applicants may instead apply by way of U.S. mail, parcel delivery or courier service, or in person, as set forth in this announcement. Paper applications must include a signature. Dates printed on envelopes by mobile barcodes or equivalent mobile print technology are not acceptable proof of the date the application and any other required documents or materials were filed. Applicants must state their basis of eligibility (List Eligibility, Lateral Transfer, Reinstatement, T&D, or Surplus/SROA), and the Job Control (JC) number and/or position number in the “Examination(s) or Job Title(s), For Which You Are Applying” section on the STD. 678. Surplus/SROA candidates should submit a copy of their letter with their application. Please remove any confidential information (i.e., social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission. All information on the Employment Application (STD 678) must be completed. Applicants should include all employment history on the Employment Application (STD 678), including detailed job descriptions, hours worked per week, and start/end dates (MM/DD/YYYY). Resumes or other documents may not be substituted for the Employment Application (STD 678). If applying electronically, please note that CalCareers no longer allows applicants to withdraw their applications. If you need assistance to withdraw your application, please contact the Recruitment Section at [email protected]. For all other questions regarding your CalCareer account, please contact CalHR’s CalCareers Unit at (866) 844-8671 or [email protected]. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. Apply tot his job Apply To this Job

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