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

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 or speak to someone in our office before the cut-off date listed in this notice.

General Qualifications

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 [email protected]

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 applicant's 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 applicant's 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 candidate's 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 candidate's application and/or attachments will not be reviewed, therefore, a candidate's 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 candidate's education, training and experience. The candidate's application or other materials will not be included in this examination. Therefore, the candidate's 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 (FAQ's)

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