Nurse Evaluator II (Hybrid)

California Department of Health Care Services; California (MO); Hybrid; USD 82,918 - 108,888; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Retirement and savings programs

Employee Assistance Program

Job summary

A state health agency in California is seeking a Nurse Evaluator II (Hybrid) to oversee Medi-Cal provider reviews and ensure program integrity. The role offers a hybrid work model with potential for statewide travel. Candidates need a valid RN license and experience in clinical settings. Benefits include medical insurance and a supportive work environment.

Qualifications

• Desirable qualifications include consistent attendance and effective communication.
• Clinical experience in acute care settings is valued.
• Ability to conduct field audits and interact with the public required.

Responsibilities

• Perform program integrity functions, including onsite reviews of Medi-Cal providers.
• Evaluate medical documentation of services and drugs.
• Provide expert medical testimony at administrative hearings.

Skills

Effective communication

Clinical experience in acute care settings

Ability to conduct field audits

Timely completion of assignments

Education

Valid RN license

Job description

Overview

Join to apply for the Nurse Evaluator II (Hybrid) role at California Department of Health Care Services.

2 days ago Be among the first 25 applicants

Pay information

California Department of Health Care Services provided pay range — Your actual pay will be based on your skills and experience; talk with your recruiter to learn more.

Base pay range

$7,430.00 - $9,757.00

Position details

Job Description And Duties

Why Join DHCS? The Department of Health Care Services (DHCS) is a dynamic organization with ambitious goals and a talented, committed team. This is an opportunity to work in the Investigations Division, Audits and Investigations. Our mission is to protect and enhance the integrity of the health programs administered by DHCS. We are seeking a Nurse Evaluator II to join the Nurse Evaluator II civil service classification. If you are interested in joining our team, apply today.

Please see the Special Requirements section for simple steps on how to apply for this state position.

Role: The Nurse Evaluator II uses professional nursing knowledge, expertise, and judgment to perform program integrity functions, including onsite reviews of Medi-Cal providers, evaluation of medical documentation of services and drugs, and provision of expert medical testimony at administrative appeal and criminal hearings in collaboration with management and legal counsel. Travel up to 15% is required, statewide and overnight depending on assignment location.

Travel and collaboration with audit leads, managers, and executive management are expected. The incumbent must convey medical program integrity findings clearly in oral and written form.

Reporting office is in Santa Ana, CA; telework details are described in the Telework Information section. Qualified applicants from across the state may be considered.

Contact: [e-mail] for questions about the state hiring process.

This position is subject to the Department’s Conflict of Interest Code and requires annual filing of a Statement of Economic Interests (Form 700). You will find additional information about the job in the Duty Statement.

Working Conditions
Telework details are provided below; site-based reporting location is Santa Ana, with statewide consideration.

Minimum Requirements
You will find the Minimum Requirements in the Class Specification.

• NURSE EVALUATOR II, HEALTH SERVICES

Additional Documents

• Job Application Package Checklist
• Duty Statement

Position Details

• Job Code #: JC-491693
• Position #(s): 806-405-8144-710
• Working Title: Nurse Evaluator II (Hybrid)
• Classification: NURSE EVALUATOR II, HEALTH SERVICES

Other details

• Work Location: Orange County
• Telework: Hybrid
• Job Type: Permanent, Full Time

Responsibilities and qualifications

Desirable qualifications include consistent attendance, effective communication, knowledge and skills related to assigned tasks and methodologies, timely completion of assignments, and adherence to policies. Clinical experience in acute care settings and ability to conduct field audits and interact with the public are valued.

Benefits

The DHCS offers an inclusive, diverse workplace with training opportunities and programs such as Diversity, Equity, and Inclusion, and an Employee Assistance Program. Benefits may include medical, dental, vision insurance, holidays, vacation/leave, retirement, and savings programs. Full benefits information is available on CalHR’s Benefits Summary.

How to Apply

Simple application steps:

• Review the education and experience minimum qualifications (MQs) for Nurse Evaluator II.
• Complete an application package and statement of qualifications, if applicable.
• Submit your application with all required documents.
• After applying, take the Nurse Evaluator II Examination.

Additional notes: A valid RN license is required; you may need a Live Scan; official transcripts may be required upon appointment. Final Filing Date: 9/24/2025.

Contact and accommodations

Hiring Unit Contact: Alberto Castro, [phone], [e-mail]. Reasonable accommodations requests should be made during interview scheduling. EEO contacts provided for accommodations or questions.

Telework Information

This position may be eligible for telework up to three days per week, with in-person/site-based presence a minimum of two days per week. Telework is subject to program rules and state guidelines.

Equal Opportunity

The State of California is an equal opportunity employer and prohibits discrimination based on protected characteristics. It is also committed to a drug-free workplace.

Seniority level: Entry level

Employment type: Full-time

Job function: Health Care Provider

Industries: Government Administration

Note: Referrals increase your chances of interviewing at DHCS.

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