Medical Case Management Nurse

• Professional nursing principles, procedures, and techniques used in the care and treatment of patients with a wide variety of conditions
• Normal course of illnesses and injuries, and their anticipated complications and therapeutic interventions
• Reference manuals such as the California Relative Value Studies, Physician's Current Procedural Terminology Handbook, Western Region Length of Stay by Diagnosis and Operation, and Intensification Criteria for Concurrent Utilization Review
• State of California laws and regulations on nursing practices
• General procedures and organization of hospitals and out-patient clinics
• Basic laws in California Penal Code and California Welfare and Institutions Code governing the medical management of prisoners' care

• Assess, monitor, and authorize patient medical care and treatment by outside providers to ensure compliance with County guidelines and procedures
• Collect, organize, interpret, and effectively communicate data relevant to patient medical care and needs
• Analyze medical situations and make decisions under tight time constraints
• Learn, use and appropriately apply medical references manuals, insurance policies and regulations, and various governmental regulations pertaining to medical care and payment
• Communicate effectively, orally and in writing, with patients, their families, hospital and clinic personnel, and insurance representatives

Minimum Qualifications:

Either: 1. One year of experience in Sacramento County service in a class and performing duties that required licensure as a Registered Nurse.

Or: 2. Two years of experience as a Registered Nurse (Licensed in California) providing out-patient and in-patient nursing care, and/or patient case management or medical review, in a hospital or clinical setting.

Or: 3. Two years of experience as a Registered Nurse (licensed in California) in any nursing or nursing related setting, and a bachelor's or higher degree from an accredited college or university in nursing, public health, health services administration, public administration, or a related health or management field.

APPLICATION

Qualified applicants are encouraged to apply immediately. All applicants must complete and submit an online County of Sacramento employment application by 5:00 PM on the one of the posted cut-off dates of May 9, 2025 or May 23, 2025. Click here to apply or go to www.SacCountyJobs.net.