Nurse Evaluator II

Department of Health Care Services - Sacramento, CA (30+ days ago)3.9


If you are a licensed RN with three years of professional nursing experience in an institution licensed for inpatient care (or two years and a Master's Degree in Nursing), the State of California is looking for you.

Nurse Evaluators perform onsite evaluations of services and quality assurance reviews of health care facilities, detect and develop cases where fraud or abuse is suspected, monitor service provider claims, and conduct site reviews and audits. Nurse Evaluators are responsible for determining quality of care being received by program members in health facilities and identifying levels of care to meet each member's health care needs; for monitoring medical services of providers; evaluating prior authorization requests for a variety of medical services; for training and supervising other staff in regulations and implementation of Medi-Cal or other health care programs; for taking independent action within professional protocols and legal limitations of the Medi-Cal or other health care program; and for assistance in analysis of various new and existing programs.

The State of California offers regular business hour shifts and provides 11 paid holidays, paid sick and vacation leave, health benefits, pension and optional 401K and 457 savings plans. Nurses are entitled to another thirty-two hours of paid education leave (during a two year licensure period) for the purpose of earning the Continuing Education Units required for license renewal. Additionally, nurses are eligible for reimbursement of the $140 CA Board of Registered Nursing renewal fee. The salary range is $5,015 to $6,586 per month depending upon years of experience and education. Based on the current State retirement benefit package, with as little as 10 years of state service, you will receive a 50% employer contribution toward the cost of your monthly health premium during retirement, plus 5% for each whole year after the 10th year, up to 100% after 20 years or more.

If you are passionate about helping patients obtain health care services to which they are entitled, and ready to trade in hands-on patient care shift work for a regular Monday-Friday, 8-5 workweek, then submit your application today. State of California positions require civil service employment list eligibility.

The first step to gaining list eligibility is to apply to take the Nurse Evaluator II (NE II) exam. Please go to the NE II job bulletin at https://www.jobs.ca.gov/JOBSGEN/7PB09.PDF ; review the minimum qualifications as outlined in the exam bulletin, then go to www.jobs.ca.gov or https://www.calcareers.ca.gov/CalHRPublic/CreateNewAccount.aspx to create a new profile and access the online State Application (STD 678).

Creating a profile allows you to save your state application in the database so that you can later update and apply online for other State jobs as needed. You can access the NE II Exam through the online portal as well. The entire examination for this classification consists of an evaluation of your training and experience. This means that they will assess your eligibility based solely on a review of your experience and education.

  • If you have questions about the exam process, please contact the Department of Health Care Services Selection & Exams Unit at (916) 552-8339.
  • If you are unable to get through to the Exams Unit and for questions about Nurse Evaluator II jobs available within the Department of Health Care Services, Clinical Assurance & Administrative Support Division, please send an email. We look forward to hearing from you!

Once you are successfully placed on the NE II eligibility list, you may begin to search for vacant NE II positions located throughout the State on the www.jobs.ca.gov website. Simply enter "Nurse Evaluator" in the "Search Job Title" field. To apply to NE II positions that interest you, submit a copy of your signed State application (STD 678) and resume to the address listed on the advertisement.

Job Type: Full-time

Salary: $5,346.00 to $7,021.00 /month

Experience:

  • nursing: 3 years
  • Registered Nurse (RN): 1 year

Education:

  • Master's