Job Posting: Nurse Evaluator III 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
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 claims 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 claims 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:
Have questions and/or need assistance? Contact recruit@dhcs.ca.gov, 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:
Minimum Requirements
You will find the Minimum Requirements in the Class Specification.
NURSE EVALUATOR III, HEALTH SERVICES
Additional Documents
Job Application Package Checklist
Duty Statement
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 simple steps:
Statement of Qualifications Requirement
Applicants must include a Statement of Qualifications (SOQ) for this recruitment. The SOQ is a narrative discussion, not a cover letter, prepared by the applicant describing how their skills, knowledge, abilities, education, training, and experience qualify them for the position. The SOQ serves as documentation of the applicant's ability to present information clearly and provide DHCS additional information about their experience and qualifications concisely in writing. The DHCS may not consider applicants who fail to provide an SOQ with their application. Resumes do not take the place of the SOQ. Please note that Artificial Intelligence (AI) generated responses will not be accepted for the SOQ assignment, as the purpose for this evaluation is to assess your personal writing and communication skills and abilities. The SOQ should be typed with 12-point Arial font, single-spaced, with your first and last name in the top right corner, and no more than two (2) pages in length. Candidates who do not complete and submit an SOQ may not be considered for the position. When preparing your SOQ please respond to the following questions:
Candidates who do not complete and submit a SOQ may not be considered for this position.
Application Instructions
Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: Until Filled
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).
How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:
Address for Mailing Application Packages
You may submit your application and any applicable or required documents to:
Department of Health Care Services Mailing Attn: Certification Technician JC-507967 M.S. 1300 P.O. Box 997411 Sacramento, CA 95899-7411
Address for Drop-Off Application Packages
You may drop off your application and any applicable or required documents at:
Department of Health Care Services Drop-Off Certification Section JC-507967 1501 Capitol Avenue, Suite 71.1501 Sacramento, CA 95814 Monday - Friday (excluding holidays) 08:00 AM - 04:00 PM
Required Application Package Documents
The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
Desirable Qualifications
In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate: