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
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March 13, 2026
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March 27, 2026
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April 13 ,2026
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April 27, 2026
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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.
