Medical Case Management Nurse

Medical Case Management Nurse

Salary

$111,332.16 - $135,344.16 Annually

Location

Sacramento, CA

Job Type

Permanent Full-Time

Job Number

28138-G

Department

Health Services

Opening Date

07/17/2026

Closing Date

8/7/2026 5:00 PM Pacific

• Description
• Benefits
• Questions

The Position

This is a continuous filing exam. Next filing cut-offs are at 5:00 pm on:

7/24/2029, 8/7/2026 (Final)

Under general supervision, the Medical Case Management Nurse performs a variety of responsible medical case management duties; ensures completion of tasks in accordance with established policies and procedures; communicates policies, procedures and job expectations; and provides training to staff.

Examples of Knowledge and Abilities

Knowledge of

• Principles and practices of leadership, mentoring, and training
• Applicable federal, state, and local laws, codes, and regulations on nursing practices
• Operational characteristics, services, and activities of assigned programs and functions
• Office procedures, methods, and equipment including computers and applicable software applications such as word processing, spreadsheets, databases, and other specialized applications related to area of assignment
• English usage, spelling, grammar, and punctuation
• 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
• Medical 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
• The Centers for Disease Control Prevention (CDC) - The Epidemiology and Prevention of Vaccine Preventable Diseases
• General procedures and organization of hospitals and out-patient clinics

Ability to

• Lead and/or train staff
• Plan, coordinate, assign, and review the work of staff
• Provide work direction and instruction
• Research and evaluate work problems, and recommend solutions
• Develop and maintain cooperative, effective working relationships with others
• Communicate clearly and concisely, both verbally and in writing
• Interpret and apply applicable federal, state, and local laws, codes, and regulations
• Apply customer service skills, including the identification of customer needs and follow up to ensure customer commitments have been met
• Assess and monitor 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 reference manuals, insurance policies and regulations, and various governmental regulations pertaining to medical care and payment related to the program assigned
• Communicate effectively, orally and in writing, with patients, their families, hospital and clinic personnel and insurance representatives

Employment Qualifications

Minimum Qualifications

Possession of a current valid Registered Nurse license issued by the State of California;

AND

Either: One (1) year of full-time paid experience as a Registered Nurse performing case management activities such as coordinating out-patient or in-patient nursing care, or medical review in a hospital or clinical setting.

Or: Two (2) years of full-time paid experience as a Registered Nurse performing nursing duties.

Note: If the word "experience" is referenced in the minimum qualifications, it means full-time paid experience unless the minimum qualification states that volunteer experience is acceptable. Part-time paid experience may be accumulated and pro-rated to meet the total experience requirements.

Note: If the minimum qualifications include an educational or certificate/license requirement, applicants must submit proof of requirements with the application. Failure to submit proof of requirements may result in disqualification from the examination. Unofficial transcripts are acceptable. For guidelines on submitting acceptable proof of educational requirements, please click here or speak to someone in our office before the cut-off date listed in this notice.

General Qualifications

Criminal History and Background Checks: The County may access criminal history information on candidates who have accepted a conditional offer of appointment for this class consistent with the provisions of Board of Supervisors Resolution No. 82-602, Personnel Policies, and applicable federal and state laws. The County shall not consider for employment any candidate who has been convicted of a felony or misdemeanor that relates to or impacts the candidate's ability to perform the job duties of this class unless it is determined that mitigating circumstances exist. For purposes of accessing criminal history information, the candidate will be fingerprinted. A subsequent arrest notification may be obtained.

The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include personal and professional reference checks, credit history checks where authorized by Labor Code section 1024.5, Social Security Number verification, professional license/registration verification, military service information and driving history. Information obtained in the course of this background check will be considered by the appointing authority in the selection process. In obtaining such information, the County will comply with applicable consent and disclosure practices in the Fair Credit Reporting Act and the California Investigative Consumer Reporting Agencies Act.

Nurse License Requirement: In accordance with applicable federal and/or state regulations, incumbents in this class are required to possess and maintain a current valid license issued by the State of California as a Registered Nurse. Failure to maintain the required license may constitute cause for personnel action in accordance with Civil Service rules.

Certification Requirement: A valid Basic Life Support (BLS) issued by the American Heart Association or Cardio-Pulmonary Resuscitation (CPR) issued by the American Red Cross is required at the time of appointment and must be renewed every two years.

Special Requirements: Some assignments in this class require incumbents to possess and maintain a current valid certification as a Public Health Nurse issued by the State of California. Failure to maintain the required license may constitute cause for personnel action in accordance with Civil Service rules.

Physical Requirements: Some positions in this class require the incumbents to be able to:

• Sit for extended periods; frequently stand and walk.
• Normal manual dexterity and eye hand coordination; corrected hearing and vision to normal range; verbal communication.
• Use of audio-visual equipment; use of office equipment including computers, telephones, calculators, copiers, and FAX.

Working Conditions: Some positions in this class require the incumbents to:

• Work weekends, holidays, and non-routine hours. Work is typically performed in an indoor office environment and controlled temperature conditions. Tasks may involve extended periods of time at a keyboard or workstation.
• Travel to and from other locations in a variety of outdoor weather conditions and transport and lift materials, equipment, and/or supplies weighing 10-25 pounds.

Probationary Period

The probationary period for this classification is six (6) months.

Application and Testing Information

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 posted cut-off date. Click here to apply.

County of Sacramento

Department of Personnel Services

Employment Services Division

700 H Street, Room 4667

Sacramento, CA 95814

Phone (916) 874-5593; 7-1-1 California Relay Service

Email EmployOffice@Saccounty.net

Inter-Office Mail Code: 09-4667

www.SacCountyJobs.net

• Employment applications and all documentation requested in this announcement must be submitted by 5:00 p.m. on the cut-off date.
• Employment Services is not responsible for any issues or delays caused by an applicants computer or web browser. Applicants will be automatically logged out if they have not submitted their applications and all documentation prior to 5:00 p.m. on the cut-off date.
• Your application should highlight all relevant education, training, and experience, and clearly indicate how you meet the minimum qualifications for the position as of the cut-off date.
• Application information must be current, concise and related to the requirements in this job announcement. You may only apply for this recruitment once. Duplicate and incomplete applications will be disqualified.
• A resume may be included with your application, however it will not substitute for the information requested on the application.

SUPPLEMENTAL QUESTIONNAIRE

Applicants are required to provide a full and complete response to each supplemental question. The Supplemental Questionnaire is located in the tab marked "Supplemental Questions". Please be descriptive in your response.

Note: Responses of "See Resume" or "See Application", or copy and paste of work experience are not qualifying responses and will not be considered.

• Supplemental Questionnaires must be submitted by 5:00 p.m. on the cut-off date. Employment Services is not responsible for any issues or delays caused by an applicants computer or web browser. Applicants will be automatically logged out if they have not submitted their applications and all documentation prior to 5:00 p.m. on the cut-off date.
• The supplemental questions are designed to elicit specific information regarding a candidates experience, education, and training. Responses should be consistent with the information on your application and are subject to verification.
• Please provide place of employment, pertinent dates, and concise, descriptive and detailed information for each question.
• If a job included responsibilities applicable to several questions, separate the different functions of the job to answer all the questions completely.
• Resumes or referral to the application or other questionnaire responses will not be accepted in lieu of completing each question.
• If you have no experience, write "no experience" for the appropriate question.
• For many individuals, it is more efficient to develop responses to the supplemental questions in a word processing document and then paste them into the final document to be submitted. Changes or corrections to your Supplemental Questionnaire cannot be made once your application packet has been submitted.
• If the Supplemental Questionnaire is used in the Formula Rate exam, failure to complete all of the questions or incomplete responses will result in a lower score. While scoring the Supplemental Questionnaire, the candidates application and/or attachments will not be reviewed, therefore, a candidates responses to the questions should be accurate, thorough, detailed, and complete.

FORMULA RATE EXAMINATION (Weighted 100%)

All candidates meeting the minimum qualifications by the cut-off date will have their Supplemental Questionnaire scored in the Formula Rate Examination.

This examination will evaluate the relevance, level, recency, progression and quality of candidates education, training and experience. The candidates application or other materials will not be included in this examination. Therefore, the candidates responses to the supplemental questionnaire should be thorough, detailed and complete. The score from the Formula Rate Examination will determine the ranking on the eligible/employment list for this job.

All candidates competing in the testing process will receive written notice of their examination results by email. Notices can also be accessed in their governmentjobs.com inbox. Applicants achieving a passing score will be placed on the eligible list in rank order. The rank is determined by the test score attained from the examination.

FREQUENTLY ASKED QUESTIONS

Click here for Frequently Asked Questions (FAQs)

For information regarding County jobs:

www.saccountyjobs.net

Sacramento County is about enriching communities to thrive. We strive to create inclusive workplaces that reflect the communities we serve. We value and celebrate the unique perspectives, backgrounds, abilities, and diverse dimensions of our employees and residents. Through transparency, courage, innovation, and trust we are committed to advance equity and transformational change.

We are a proud equal opportunity employer. If you need assistance or an accommodation due to a disability for any phase of the hiring process, please contact our Disability Compliance Office at dco@saccounty.gov or 916-874-7642, CA Relay 711. For more information, visit: Reasonable Accommodation Requests - Job Applicant Instructions

EMPLOYEE BENEFITS

At Sacramento County, we strive to provide benefit programs designed to meet our employees' current and future needs and help them as they balance their careers and personal life. County of Sacramento employees have a variety of benefits available. These benefits include:

• Dental Insurance
• Vision Benefits
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Health Insurance
• Health Savings Account (HSA)
• Life Insurance
• Critical Illness
• Retiree Health Savings Plan (RHSP)
• Deferred Compensation

More information can be found on the Benefits website

TEMPORARY POSITIONS:

Most benefits do not apply to temporary positions.

VACATION:

Generally, vacation with pay begins at 10 days annually. With increase over a period of years, the maximum annual vacation with pay is 25 days.

HOLIDAYS:

14.5 holidays per year as recognized by the Board of Supervisors.

SICK LEAVE:

Equivalent to 15 days annually, unlimited accumulation.

TUITION REIMBURSEMENT:

Regular County employees may be eligible to receive Tuition Reimbursement. The costs for course tuition/registration fees and required books/supplies may be eligible for reimbursement. Tuition reimbursement amounts may vary depending upon union agreement.

RETIREMENT:

The County's defined-benefit pension plan is provided by the County Employees' Retirement Law of 1937 and is managed by the Sacramento County Employees Retirement System (SCERS) Board of Retirement. For more information, visit the SCERS website, http://www.scers.org

DENTAL INSURANCE:

For more information, visit the Benefits website

LIFE INSURANCE:

The County of Sacramento provides a basic life insurance benefit to all eligible employees at no cost. Additional coverage may be purchased through payroll deduction.

For more information, visit the Benefits website

DEFERRED COMPENSATION:

A deferred compensation program is available through the County 457(b) Deferred Compensation Plan. For more information, visit the Benefits website

EMPLOYEE ASSISTANCE PROGRAM:

The County of Sacramento provides an Employee Assistance Program (EAP) for employees and their eligible dependents. The EAP offers confidential, professional counseling services in areas such as:

• Legal Advice/Difficult Decisions
• Marriage or Family Relationships
• Financial or Credit Worries/Elder Care
• Alcohol and Drug Abuse

More information can be found on the Benefits website

WELLNESS INCENTIVE PROGRAM:

The County will recognize and award time off to eligible employees who maintain an excellent attendance record.

FLEXIBLE SPENDING ACCOUNT:

The County offers regular employees two separate Flexible Spending Accounts (FSAs). These accounts allow employees to set money aside, on a pre-tax basis via payroll deduction, to pay for medical, dental or dependent care expenses.

DEPENDENT CARE REIMBURSEMENT ACCOUNT:

Employees may set aside pre-tax dollars to pay for qualified childcare or dependent care expenses that are necessary for the employee and/or spouse to continue working.

MEDICAL REIMBURSEMENT ACCOUNT:

The Medical Reimbursement Account allows pre-tax dollars to be set aside to pay for out-of-pocket expenses that are not paid by insurance or reimbursed by any other benefit plan.

WORKERS COMPENSATION:

In case of injury while on the job, each employee is protected under the Workers Compensation laws of California.

FOR MORE INFORMATION, PLEASE VISIT OUR FREQUENTLY ASKED QUESTIONS: FAQs

VETERANS PREFERENCE:

Military veterans who have served during wartime shall be given preference in initial appointment to County service. Such preference shall apply, provided the veteran has first achieved a minimum passing score in the examination. The passing score of a veteran shall be annotated to indicate the veterans score shall be regarded as 5 points or higher, OR 10 points higher for disabled veterans, only for the purpose of determining the three ranks along with which the veterans name shall be certified. No score shall actually be changed and no new rank shall be created as a result of application of veterans preference for certification purposes.

"Disabled Veteran" means any veteran who has served during wartime and, who, as of the final filing date for an examination is declared by the United States Veterans Administration or military service department to be 10% or more disabled as a result of his/her military service. Persons claiming eligibility for disabled veterans preference must submit to the employment office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within 1 year, which certifies the present existence of a service related disability of 10% or more, or other acceptable proof of such disability as a result of his/her military service.

Persons claiming eligibility for veterans preference must submit a copy of Form DD 214 or other acceptable proof of veterans status on or before the final filing date for the examination. For purpose of this rule "reserve" status does not constitute active duty.

SPECIAL SKILL QUALIFICATIONS (WHEN SPECIFIED ON THE JOB ANNOUNCEMENT):

Persons who have special skills required by some (but not all) positions in a class may be certified ahead of others provided that:

Such special skills are based on the duties and requirements of the positions and are in conformance with merit system and equal opportunity principles, and

The certification of eligibles who possess special skills have been approved by the Civil Service Commission.

01

The following Supplemental Questionnaire is the Civil Service Exam for this position and will be used to determine your exam score. All experience, education, and/or training used to answer the supplemental questions must be included on your application.

In order to receive every consideration in the selection process, you must complete all questions with concise but detailed answers and provide all requested information. Each answer will be scored separately. References such as See Resume as a response will not be scored.

By continuing in the exam process, you are certifying that all information provided in the Supplemental Questionnaire is true to the best of your knowledge.

• I have read and understood the above instructions.

02

The minimum qualifications for Medical Case Management nurse are as follows:

Possession of a current valid Registered Nurse license issued by the State of California;

AND

Pattern 1: One (1) year of full-time paid experience as a Registered Nurse performing case management activities such as coordinating out-patient or in-patient nursing care, or medical review in a hospital or clinical setting.

OR

Pattern 2: Two (2) years of full-time paid experience as a Registered Nurse performing nursing duties.

Select the one box that best describes how you meet the minimum qualifications.

• I possess a current valid Registered Nurse license issued by the State of California and Pattern 1.
• I possess a current valid Registered Nurse license issued by the State of California and Pattern 2.
• I do not meet the minimum qualifications.

03

NOTE: If you meet the minimum qualifications (via the information you provided on your application and requested documentation), your exam score (based on your supplemental questionnaire responses) places you within the reachable ranks on the resulting eligible list and you are invited to interview; you will be asked to expand on, clarify, and/or provide examples to support your responses on this exam (supplemental questionnaire).

• I have read and understood the above information.

04

Special Requirement: Some assignments in this class require incumbents to possess and maintain a current valid certification as a Public Health Nurse issued by the State of California. Failure to maintain the required license may constitute cause for personnel action in accordance with Civil Service rules.

• I have read the Special Requirements as stated above.

05

Select the one box that best describes your Registered Nurse license.

Nurse License Requirement: In accordance with applicable federal and/or state regulations, incumbents in this class are required to possess and maintain a current valid license issued by the State of California as a Registered Nurse. Failure to maintain the required license may constitute cause for personnel action in accordance with Civil Service rules.

• I do not have a Registered Nurse license.
• I have a current valid unencumbered Registered Nurse license from the State of California.
• I have a current valid unencumbered Registered Nurse license from a state other than California.

06

List your current valid unencumbered registered nurse license number, expiration date, and the state from which it was obtained. Provide a copy of your Registered Nurse license with your application.

07

Select the one box that best describes your education from an accredited college or university. Provide a copy of your degree and/or transcripts with your application.

If you have questions, please click here or contact an Employment Services representative.

• None.
• I have an Associate's Degree or units leading toward a Bachelor's Degree in nursing or public health nursing.
• I have an Associate's Degree or units leading toward a Bachelor's Degree in a field unrelated to the class.
• I have a Bachelor's Degree or higher in nursing or public health nursing.
• I have a Bachelor's Degree or higher in a field unrelated to the class.

08

Select the one box that best describes your paid work experience as a Registered Nurse and/or Medical Case Manager.

• None
• Less than one (1) year
• One (1) year but less than two (2) years
• Two (2) years but less than three (3) years
• Three (3) or more years

09

Select the one box that best describes your paid work experience as a Registered Nurse coordinating out-patient nursing care and services.

• None
• Less than one (1) year
• One (1) year but less than two (2) years
• Two (2) years but less than three (3) years
• Three (3) or more years

10

Select the one box that best describes your paid work experience as a Registered Nurse coordinating in-patient nursing care and services.

• None
• Less than one (1) year
• One (1) year but less than two (2) years
• Two (2) years but less than three (3) years
• Three (3) or more years

11

Select the one box that best describes your paid work experience as a Registered Nurse performing medical review in a hospital or clinical setting.

• None
• Less than one (1) year
• One (1) year but less than two (2) years
• Two (2) years but less than three (3) years
• Three (3) or more years

12

Based on your responses in the previous questions #8 through #11, list your paid work experience as a Registered Nurse that qualifies you for the Medical Case Management Nurse position. In your response, include the following:

• Employer
• Dates of employment
• Position title
• Position level (e.g. management, supervisory, lead, journey level, etc.)
• Primary responsibilities and duties performed in a hospital or clinical setting

If you have no qualifying experience, type None.

13

Select all the boxes that best describe the method(s) with which you have paid experience performing medical review, processing the authorizations and/or denials of medical treatment.

• Utilization review
• In-patient, out-patient, or ambulatory case management
• Other health related areas
• I have no paid experience

14

Select the one box that best describes your paid experience performing medical review, processing the authorizations and/or denials of medical treatment.

• I have three (3) or more years of paid experience.
• I have two (2) years but less than three (3) years of paid experience.
• I have one (1) year but less than two (2) years of paid experience.
• I have six (6) months but less than one (1) year of paid experience.
• I have less than six (6) months of paid experience.

15

Select all the boxes that best describe the types of people and entities with which you have paid experience coordinating medical treatment or specialist care.

• In-patient or acute care
• Primary care physicians or other health care providers
• Outside agencies/providers
• Insurance companies
• Medical supply and equipment providers, pharmacies
• Social providers such as California State CCS office, Child Protective Services (CPS), CCS Family Liaison, Regional Centers, Complex Care Management (CCM), Extended Care Management (ECM)
• None of the above

16

Select the one box that best describes your paid experience coordinating medical treatment or specialist care.

• I have three (3) or more years of paid experience coordinating medical treatment or specialist care.
• I have two (2) years but less than three (3) years of paid experience coordinating medical treatment or specialist care.
• I have one (1) year but less than two (2) years of paid experience coordinating medical treatment or specialist care.
• I have six (6) months but less than one (1) year of paid experience coordinating medical treatment or specialist care.
• I have less than six (6) months of paid experience coordinating medical treatment or specialist care.

17

Select the one box that best describes your paid experience reviewing patients' medical records for the purposes of: documentation, assessment, medical necessities, referrals and/or recommendations.

• I have paid experience reviewing patients' medical records for the purposes of: documentation, assessing patient needs, determining medical necessities as well as making appropriate referrals and/or recommendations.
• I have paid experience reviewing patients' medical records for the purposes of: documentation, assessing patient needs, and determining medical necessities.
• I have paid experience reviewing patients' medical records for the purpose of documentation only or referrals.
• I have no paid experience reviewing patients' medical records for the purpose of: documentation, assessment, medical necessities, referrals and/or recommendations.

18

Select all the boxes which describe the tasks in which you have paid work experience performing on a daily basis as a Registered Nurse in a medical setting.

• Act as a liaison among patient, primary care physician, and/or physician specialist
• Assess medical status and needs
• Complex care coordination
• Follow up on medical needs to ensure completion
• Advocate on behalf of clients, parents, caregivers, and/or patients
• Provide resources to clients, parents, caregivers, and/or patients
• Provide health education to clients
• Review records to identify eligibility for specialty services
• Function as a member of multidisciplinary team
• None of the above

19

Select all the boxes that best describe the types of codes with which you have paid experience assigning or utilizing.

• Diagnosis
• Out-patient procedures, types of tests, office visits, surgeries
• Documentation and communication of coding for billing parties, providers and/or insurance companies
• Equipment and supplies
• I have no paid experience with administering codes

20

Select the one box that best describes your paid experience assigning and/or utilizing the types of codes you marked in question #19.

• I have two (2) or more years of paid experience with the administration of treatment coding.
• I have one (1) year but less than two (2) years of paid experience with the administration of treatment coding.
• I have six (6) months but less than one (1) year of paid experience with the administration of treatment coding.
• I have less than six (6) months of paid experience assigning and/or utilizing treatment type coding.

21

Select the one box that best describes your paid experience as a lead and/or supervisor in a medical setting or a program service site.

• I have experience in a lead position or higher over staff performing duties in a medical setting or a program service site.
• I have experience in a lead position or higher over staff, but NOT over staff performing duties in a medical setting or a program service site.
• I have experience working out of class in a lead position over staff performing duties in a medical setting or a program service site.
• I have experience working out of class in a lead position, but NOT over staff performing duties in a medical setting or a program service site.
• None.

22

Select all the boxes that best describe the lead and/or supervisory tasks you have experience performing on a regular basis.

• Recommend improvements and modifications to work processes, adapt work procedures to meet changing needs, and resolve less complex work problems.
• Lead, plan, coordinate, assign, and review the work of ancillary staff
• Provide work direction and instruction
• Research and evaluate work problems
• Provide input on employee performance and inform supervisor of conduct problems
• Train and mentor ancillary staff in accordance with established policies and procedures
• Assist, guide, and instruct staff in the performance of their duties
• Problem solve in response to staff work questions and problems
• None of the above

23

Based on your selections in the previous questions #21 and #22, list your paid lead and/or supervisory or higher work experience as a Registered Nurse. In your response, include the following:

• Employer
• Dates of employment
• Position title
• Position level (e.g., lead, supervisor, etc.)
• Number of staff led or supervised and their positions (e.g. clerical, nurse assistant, registered nurse, etc.)

If you have no qualifying experience, type None.

24

I have read the General Requirements and Other Requirements as stated on the job announcement.

• Yes

25

The County of Sacramento is committed to maintaining a drug and alcohol free workplace. All persons selected for appointment must pass a drug test administered by the County and at no cost to the applicant.

I understand, if offered conditional employment, I will be subject to a drug test administered by the County as described in Sacramento County Personnel Ordinance Section 2.78.030.

• Yes
• No

26

Select the one box that best describes whether you have attended a career fair and/or job event where you have interacted with representatives from Sacramento County.

• Attended in the last one (1) - three (3) months.
• Attended in the last four (4) - six (6) months.
• Attended in the last seven (7) months - one (1) year.
• Attended an event more than one (1) year ago.
• Have attended a career fair and/or job event but did not interact with Sacramento County representatives.
• Have not attended a career fair and/or job event.

27

List the following for the career fair and/or job event you attended:

• Name of event
• Location of event
• Month and year of event

If you have not attended an event where you interacted with representatives from Sacramento County, please type "None".

Required Question

Employer County of Sacramento

Address 700 H Street, Room 4667

Sacramento, California, 95814

Phone (916) 874-5593

Website http://www.saccountyjobs.net