Utilization Management Assistant Jobs in California

Per Diem Registered Nurse II/III - Utilization Management VCMC

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Per Diem Registered Nurse II/III - Utilization Management VCMC

Salary

$115,271.62 - $193,956.22 Annually

Location

Ventura and Santa Paula, CA

Job Type

Per-Diem

Job Number

0536HCA-26AA (MD)

Department

Health Care Agency

Division

Ventura County Medical Center and/or Santa Paula Hospital

Opening Date

07/02/2026

Closing Date

Continuous

• Description

• Benefits

• Questions

Description

Under direction, scheduled as needed to assist with patient care coordination and utilization review. The incumbent will be responsible for assisting in the evaluation of patient care data in order to coordinate post-discharge needs of patients.

The Per Diem Nurse is distinguished from the Registered Nurse classification in that Per Diem Nurses are scheduled to work on an as-needed basis (intermittent) to supplement staffing needs.

The ideal candidate will be compassionate and dedicated to providing the highest standard of care to patients. This position makes recommendations to physicians for alternate levels of care when the patient does not meet medical necessity for Inpatient hospitalization; interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan; functions as an indirect caregiver, patient advocate and manages patients in the most cost-effective way without compromising quality; transfers stable non-members to planned health care facilities; responsible for adhering to regulatory, accreditation, and compliance guidelines, as well as Post Stabilization notification. The incumbent must be able to work collaboratively with the multidisciplinary team and multitask in a fast-paced environment.

APPROXIMATE SALARIES

Per Diem Registered Nurse II: $55.42 - $73.14 Hourly

Per Diem Registered Nurse III: $73.14 - $93.25 Hourly

WHAT WE OFFER

In addition to the base salary, an employee within these positions may also be eligible for the following, subject to the applicable section of the respective Memorandum of Agreement.

• Educational Incentive: May be eligible for $1.25 an hour for a Bachelor's degree, or $1.75 an hour for Graduate’s degree not specifically required for the classification.

• Bilingual Incentive: Incumbents may also be eligible for bilingual incentives depending upon operational need and certification of skill.

• Certification Pay: $0.813 per hour based on scheduled work week hours for each qualified certification up to a maximum of five (5) certifications.

• Evening Shift Differential: 7.5%

• Night Shift Differential: 15%

• Weekend Shift Differential: $2.00 per hour

• Charge Nurse Premium Pay: $2.50 per hour

• Standby Premium Pay: ¼ of regular hourly wage or Federal minimum wage (whichever is greater)

AGENCY/DEPARTMENT: Health Care Agency - Ventura County Medical Center

Per Diem Registered Nurse II/III are represented by the California Nurses' Association (CNA) and are eligible for overtime compensation.

The eligible list established from this recruitment will be used to fill current and future Intermittent vacancies. There is currently one (1) Per Diem (intermittent) vacancy in Utilization Management.

TENTATIVE SCHEDULE

OPENING DATE: July 2, 2026

CLOSING DATE: Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive a sufficient number of qualified applications to meet business needs.

FIRST REVIEW OF APPLICATIONS: July 16, 2026

Examples Of Duties

Duties may include but are not limited to the following:

• Plans, develops, assesses and evaluates care provided to patients;

• Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use;

• Recommends alternative levels of care and ensures compliance with federal, state and local requirements;

• Assesses high risk patients in need of post-hospital care planning;

• Develops and coordinates the implementation of a discharge plan to meet patient's identified needs;

• Communicates the plan to physicians, patients, family/caregivers, staff and appropriate community agencies;

• Reviews, monitors, evaluates and coordinates the patient's hospital stay to assure that all appropriate and essential services are delivered timely and efficiently;

• Participates in the Bed Huddles and carries out recommendations congruent with the patient's needs;

• Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families;

• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities;

• Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred;

• Refers patients to community resources to meet post hospital needs;

• Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation;

• Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: The Joint Commission (TJC), California Department of Health Services (DHCS), Centers for Medicare & Medicaid Services (CMS), and Department of Managed Health Care (DMHC);

• Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources;

• Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness;

• Reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities;

• Reviews, analyzes and identifies utilization patterns, trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities;

• Coordinates, participates and/or facilitates care planning rounds and patient family conferences as needed;

• Participates in committees, teams or other work projects/duties as assigned; and

• Performs other duties as required.

Typical Qualifications

These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list.

EDUCATION, TRAINING, and EXPERIENCE:

Per Diem RN II

• Six (6) months of recent acute care nursing experience in an acute hospital setting

Per Diem RN III

• Five (5) years of recent acute care nursing experience in an acute hospital setting

NECESSARY SPECIAL REQUIREMENTS:

• Graduation from an accredited School of Nursing

• Must possess and maintain a current valid license as a Registered Nurse issued by the State of California, or licensure in another state with California licensure pending

• Must have a current, valid Basic Life Support (BLS/CPR) certification by the first day of employment and maintain it thereafter

• Successful completion of the Health Care Agency Pharmacology examination within three (3) months of employment is mandatory

*These competency requirements are in conformance with the California Board of Registered Nurses nursing requirements.

DESIRED:

• Recent experience performing utilization review using MCG Care Guidelines to evaluate medical necessity and the appropriateness of patient treatment

KNOWLEDGE, SKILLS, and ABILITIES:

Working knowledge of the theory, techniques, and practices of professional nursing within utilization management; medical terminology and hospital routine and equipment; and medicines and narcotics.

Working ability to plan and organize nursing care; train and supervise non-professional staff; establish and maintain confidence of patients and staff; and work effectively in different hospital departments on shifts as required.

Recruitment Process

FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested. Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on the closing date.

To apply on-line, please refer to our web site at www.venturacounty.gov/jobs . If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials and submit them to County of Ventura Human Resources - Health Care Agency, 646 County Square Drive, Ventura, CA 93003.

NOTE: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

LATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here (http://vcportal.ventura.org/CEO/HR/docs/Lateral_Transfer.pdf) for additional information.

SUPPLEMENTAL QUESTIONNAIRE – qualifying: All applicants are required to complete and submit the questionnaire for this examination at the time of filing. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire will result in the application being removed from consideration.

APPLICATION EVALUATION – 100%: An application evaluation will be conducted to determine whether or not each applicant possesses the required licensure, certification, and experience for this recruitment. Those candidates who meet the requirements will be given a score of 70% and placed on the eligible list.

Candidates successfully completing the examination process may be placed on an eligible list for a period of one (1) year.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.

For more information about this recruitment, please contact Maritza David by e-mail at Maritza.David@venturacounty.gov or by telephone at (805) 677-5162.

EQUAL EMPLOYMENT OPPORTUNITY : The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

YOUR BENEFITS AS A COUNTY OF VENTURA EMPLOYEE

California Nurses Association

Per Diem (CNA)

To learn more about Benefits, Retirement, and the Memorandum of Agreement (MOA), see links below.

• Benefits website (https://hr.ventura.org/benefits) or you may call (805) 654-2570.

• Retirement FAQ's (https://vcportal.ventura.org/CEO/benefits/docs/RETIREMENT%20-%20FAQs.pdf)

• Memorandum of Agreement

Union Code: NCP

01

Your salary will be determined by your complete registered nursing experience so be sure to list all applicable experience in the work experience section of this application. Please confirm you have read and understood the above statement.

• Yes

• No

02

Have you graduated from an accredited school of Nursing?

If yes, you must include your degree and date of graduation information in the Education section of your application. Failure to do so may result in your application being disqualified.

• Yes

• No

03

Do you possess and can you maintain a current, valid license as a Registered Nurse issued by the State of California, or do you have licensure in another state with California licensure pending?

If yes, you must include your date of licensure and a current valid license number in the Certificates and Licenses section of your application. Failure to do so will result in your application being disqualified.

• Yes

• No

04

Do you currently possess or can you obtain a Basic Life Support (BLS/CPR) certification by first day of employment and maintain it thereafter?

If you currently possess a (BLS/CPR) certification, be sure to include the certification information in the Certificates and Licenses section of your application.

• Yes

• No

05

Describe your full-time Registered Nurse experience working in an acute hospital setting. In your response, include:

A.) Name of employer(s) where you gained this experience

B.) Specialty area(s) assigned

C.) Specific job