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Description

San Mateo Medical Center is currently seeking one Full-Time Case Management Nurse to focus on Utilization Review.
 
At San Mateo Medical Center, we are always seeking ways to enhance the already impressive services we offer. This dedication to excellence is reflected in the exceptional care we provide and the extraordinary professionals who provide it. Here, you will have the chance to develop your talents with a skilled team of people who actively support and encourage each other's success. If you are ready to open new doors for your career, join us today!

Exciting news! Candidates have the opportunity to receive a sign-on bonus of up to $30,000. First-time external new hires, or current staff promoted internally or from other County departments into a regular Clinical Nurse-Case Management position in San Mateo Medical Center (SMMC) may be eligible to receive a sign-on bonus of up to $30,000 (subject to discontinuation at any time). The sign-on bonus will be in 3 phases and will be prorated for part-time. 

The Case Management Nurse -Utilization Review will manage patient admission and ongoing stay reviews for patients with chronic or complicated medical conditions and oversee appeals with third-party payors. The incumbent will be responsible for retrospective and concurrent Utilization Review activities and for monitoring order status accuracy, documentation, and clinical compliance, in accordance with State and Federal regulations. In conjunction with other members of the health care team, the Case Management Nurse is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the adult, and geriatric populations.
 
The ideal candidate will possess one or more of the following:

• At least two years of recent, direct, and proven experience in Nurse Case Management in an acute care setting or at least two years of acute care hospital nursing experience. 
• At least two years of experience with industry published standard level of care (i.e. InterQual or Milliman, etc.).
• InterQual interpretation and application of health industry utilization review criteria
• Experience providing the full range of Case Management nursing duties and responsibilities
• Ability to conduct daily Utilization Reviews to assess whether patients meet medical necessity criteria
• Experience working with multi-disciplinary teams to collaborate on appropriate level of care based on Utilization Review outcomes
• A Basic Life Support (BLS) certificate.
• Experience working with diverse, underserved populations.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties

Duties may include, but are not limited to, the following:

• Identify problem situations or patient care issues; analyze, interpret, advise and consult with staff and other health care professionals to ensure patient order status reflects the correct level of care. 
• Conduct daily Utilization Reviews to assess whether patient meets medical necessity criteria.  Collaborate with the Clinical Services Manager II and Physician Advisor to support accurate determinations.
• Communicate utilization review findings to the Attending Provider when patients do not meet medical necessity criteria  
• Partner with the Attending Provider to review and determine the appropriate level of care based on Utilization Review outcomes.
• Interpret and modify the system of patient care delivered by evaluating and reviewing standard practices and initiating new procedures.
• Provide consultation and guidance to providers to understand and ensure appropriate care is provided based on patient level of care needs.
• Advise the nursing staff in the establishment and maintenance of records of treatments given and the related progress of each patient for the purpose of analyzing patterns, synthesizing actions and evaluating patient care plans. 
• Resolve unusual or unique patient care problems or situations, which require analytical, interpretative and constructive thinking.
• Formulate and develop plans, procedures and program content designed to meet specifically identified training/educational needs of nursing staff.
• Formulate, and/or collaborate with other health care practitioners to identify relevant clinical problems and conduct research to bring about their resolution. 
• Evaluate nursing research literature and own research findings for implementation and incorporation as appropriate, into patient care activities. 
• Serve as role model and resource person for staff and members of the interdisciplinary team.
• Perform related duties as assigned.

Qualifications

Licensure/Certification: 

• Possession of a California license as a Registered Nurse.

Additional Qualifications for Restricted Positions: 
Specific qualifications are required beyond those specified above for the assignments listed below.

Case Management Nurse 
Must have knowledge of and verifiable experience in initiating and coordinating complex discharge plans, appeals for acute days and clinical denials and criteria for lower-level license care. Must have experience with interpretation and application of health industry utilization review criteria. If designated for acute in-patient psychiatry, candidate must have knowledge and verifiable experience in psychiatric patient treatment trajectory and the respective utilization review criteria.

Knowledge of:

• Advanced principles and practices in specialty areas.
• Nurse Practice Act.
• Current nursing and related medical theory and skills necessary to administer nursing care within assigned clinical settings.
• Safety and infection control practices.
• Clinical systems, supplies and equipment.
• Modern principles, techniques, and procedures of nursing.
• Medical terminology.
• Use and maintenance of medical instruments and equipment.
• Use and effects of medicines.
• Public health principles.
• Health promotion and disease prevention.
• Medical research principles and practices.
• Principles of training and education.
• Lean principles and methodologies.
• Data abstraction and utilization.
• Basic statistics for reporting purposes.
• Report writing.
• Regulatory and accreditation requirements for assigned area.

Skill/Ability to:

• Provide leadership and direction to multi-disciplinary medical teams.
• Give direction to staff.
• Evaluate the work of others.
• Develop and present training and continuing education programs.
• Design, evaluate, construct and modify research models; carry out research and present findings.
• Perform the full range of nursing duties and responsibilities.
• Prepare clear and concise medical record documentation.
• Write articles for publication on areas of specialty.
• Identify problems or discrepancies and make suggestions for corrective actions.
• Teach and orient staff.
• Establish and maintain effective working relationships with patients and staff members.
• Communicate effectively. 

Education and Experience:

• Associate Degree in Nursing with two years' clinical experience including one year in a clinical specialty area, or
• Baccalaureate Degree in Nursing or a health-related field with one year of clinical experience including six months in a clinical specialty area, or
• Master's degree in Nursing.

Application/Examination

Open and Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
 
The examination will consist of an interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.
 

IMPORTANT:  Applications for this position will only be accepted online. If you are currently on the County's website, you may click the “Apply” button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT SCHEDULE
DEADLINE TO APPLY: Wednesday, April 22, 2026, by 11:59 PM PST
APPLICATION SCREENING: April 24, 2026
COMBINED PANEL/DEPARTMENTAL INTERVIEWS: May 12, 2026

About the County 
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels.

Analyst: Carolyn Burns (040826) (Clinical Nurse - F011)

San Mateo Medical Center is currently seeking a professional, goal-oriented full-time, regular (benefited) Clinical Services Manager I who will plan, organize, direct, and supervise the operations of our Medical-Surgical (ADC of 35), Intensive Care Unit (ADC 4), and Infusion Center. As Clinical Services Manager I, you will have the opportunity to manage patient care while ensuring appropriate quality of care and compliance with regulations. In addition, you will participate in training, coaching, and counseling activities and perform other assigned duties.

The Clinical Services Manager I will receive direction from the Chief Nursing Officer/Deputy Director and will exercise direct and indirect supervision over professional, clinical, technical, and clerical staff, including consultants and contract service providers. You will join a dynamic team of professionals committed to the mission of our safety net hospital.

This role oversees a large, complex span of control across multiple service lines and requires the ability to manage high-volume operations, competing priorities, and diverse clinical environments simultaneously. The Clinical Services Manager I is expected to operate with a high level of autonomy, making sound operational and staffing decisions while balancing quality, patient safety, and fiscal stewardship. The position requires strong experience in managing large teams, coordinating across departments, and ensuring alignment of day-to-day operations with organizational goals.

This role is grounded in a culture of continuous improvement, where leaders are expected to actively identify opportunities, lead improvement efforts, and embed sustainable changes into daily operations.

The ideal candidate will:

• Possess a Baccalaureate degree in Nursing with certification in a specialty
• Have three years of progressive management/supervisory experience in an accredited hospital or clinic
• Have a background that includes experience in an ICU
• Bring strong clinical and operational leadership experience in acute care settings, with the ability to manage across multiple service lines, including Medical-Surgical, ICU, and infusion services
• Demonstrate experience managing large, complex teams (approximately 75–100+ FTEs), ideally across multiple departments or programs
• Have experience with budget development, financial oversight, and resource management, including labor and operational expense management
• Demonstrate the ability to independently prioritize and manage competing operational demands in a fast-paced, high-acuity environment
• Have experience leading through complexity and change while maintaining staff engagement and accountability
• Demonstrate strong critical thinking, with the ability to assess operations, identify gaps, and implement and sustain improvements, including continuous improvement efforts
• Have experience working in environments with high regulatory expectations and maintaining continuous survey readiness
• Demonstrate the ability to build effective working relationships across disciplines, including physicians, ancillary departments, and executive leadership
• Exhibit a leadership style that emphasizes visibility, communication, accountability, and staff engagement
• Demonstrate the ability to coach, develop, and support staff while addressing performance issues appropriately
• Bring established leadership experience with the ability to step into a complex environment, quickly stabilize operations, prioritize effectively, and lead with minimal ramp-up

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

 

 

Examples Of Duties

Duties may include, but are not limited to, the following:

• Participate in the development and implementation of goals, objectives, policies, procedures, and priorities within a defined nursing area or program
• Select, supervise, train, and evaluate clinical, professional, technical, and clerical staff
• Organize, supervise, and monitor the provision of nursing care and related services within assigned units or programs 
• Ensure continuous quality improvement and ongoing regulatory readiness of assigned units or programs 
• Lead and support continuous improvement efforts to enhance quality, efficiency, and patient outcomes
• Prepare cost estimates and justifications for budget recommendations; monitor and control expenditures to ensure objectives are achieved within an approved budget 
• Assist in negotiating, administering, monitoring, and evaluating contracts with outside vendors, consultants, and organizations
• Represent the department in and/or chair relevant committees and work groups
• Provide staff support and subject matter expertise to executive leadership on nursing and operational issues
• Maintain effective working relationships with internal and external stakeholders, including Health System divisions, County departments, medical staff, and community partners 
• Supervise the enforcement of applicable nursing standards, codes, and regulations
• Respond to inquiries and provide information to the public, as appropriate
• Perform related duties as assigned

Qualifications

Licensure/Certification: Possession of a valid California license as a Registered Nurse (R.N.).  Must possess a Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certificates approved by the American Red Cross or American Heart Association. 

Education and Experience: Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is;

• Three years of professional nursing experience in an accredited hospital or clinic, of which at least one year included responsible supervisory experience, unless otherwise specified below in the additional qualifications.
• Two years of the required experience must have been in acute care and surgical nursing and includes experience in infusion, including chemotherapy, telemetry, antibiotics, blood transfusions and pediatrics.

Knowledge of:

• Nurse Practice Act.
• Principles and practices of nursing and clinical systems, including safety and infection control practices.
• Principles and practices of community health care including current trends in research, treatment, prevention, education and related services.
• Principles and practices of program management, including planning, implementation, and evaluation.
• Principles of budget preparation and monitoring.
• Principles of personnel training, supervision and evaluation.
• State and other regulatory requirements for assigned unit or program.
• Emergency Medical Services Act (EMS), relevant EMS regulations and functions, and public safety/law enforcement organizations, if assigned to EMS.
• Principles and practices of public health, public health nursing, epidemiology, communicable disease control and prevention, emergency preparedness response and environmental health, if assigned to disease control and prevention and public health nursing programs.
• Non-profit public/private entities, community/faith-based organizations and related state and federal agencies, as well target population for assigned program, if assigned to public health nursing programs.
• Treatment and intervention practices for acute psychiatric population, if assigned to psychiatric nursing.
• Third-party reimbursement systems, revenue streams, and other principles relevant to the financial management of operating rooms, if assigned to perioperative nursing.

Skill/Ability to:

• Organize, direct, coordinate and evaluate nursing services that ensure quality patient care and conform to all prescribed standards.
• Work cooperatively with other County departments and public and private organizations, including private medical providers.
• Analyze service delivery problems accurately, develop recommendations and take appropriate action to resolve them.
• Develop, evaluate and maintain accurate records; prepare complex and detailed written reports, procedures and contracts.
• Communicate effectively with administrative, medical, professional, clinical and citizen groups.
• Train staff and coordinate activities of contractors, volunteer groups and staff, as appropriate.
• Conduct field public health investigations; administer immunizations, TB skin tests, and chemoprophylaxis; and perform venipuncture and collect diagnostic specimen, if assigned to disease control and prevention and public health nursing programs.
• Maintain medical stability of acute and chronic conditions in a 24/7, non-medical setting, if assigned to correctional health nursing.
• Lead multi-disciplinary patient care conferences, if assigned to psychiatric nursing.
• Provide unit management and support during evening, off hours and weekends, if assigned to administration and designated as nursing supervisor.
• Surgical scheduling systems, if assigned to medical-surgical nursing.

Application/Examination

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours)of continuous service in a classified regular, probationary, Confidential and Management extra-help/limited term, and SEIU or AFSCME represented extra help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.

The examination will consist of an interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations, or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.

IMPORTANT:Applications for this position will only be accepted online. If you are currently on the County's website, you may click the"Apply" button above or below. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT SCHEDULE
DEADLINE TO APPLY: Monday, April 20, 2026, by 11:59 PM PST
APPLICATION SCREENING: April 23, 2026
COMBINED PANEL/DEPARTMENTAL INTERVIEWS: May 11, 2026
 

About the County

San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo as an employer is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community. 

We encourage applicants with diverse backgrounds and lived experiences to apply.

Carolyn Burns (040626) (Clinical Services Manager I/Nursing - D144)

San Mateo County Health would like to invite you to apply for the position of Nurse Practitioner.

At San Mateo County Health, we lead by example. From our most seasoned professionals to our newest team members, everyone has the opportunity to step forward to offer their insight, opinions and ideas.  As part of our teaching hospital, you'll have the chance to explore new avenues for growth while you meet the diverse healthcare needs of a thriving, vibrant community. If you're ready to discover the leader in you, we invite you to discover San Mateo County Health where we are all together better.  We currently have vacancies in our Behavioral Health and Recovery Services (BHRS) division, Correctional Health Services division, Public Health Policy and Planning division, and the San Mateo Medical Center and Clinics.

Behavioral Health and Recovery Services (BHRS) offers a broad spectrum of mental health and substance use services for children, youth, families, adults and older adults in San Mateo County in the prevention, early intervention and treatment of mental illness and/or substance use conditions. Mental health services are also available for emotionally disturbed children, older adults at risk of institutionalization, children in special education or at risk of out-of-home placement, uninsured residents of San Mateo County and people of any age in a major crisis.
 
Correctional Health Services provides integrated medical, dental, mental health, and chemical dependency treatment to San Mateo County's incarcerated adults, and medical and dental care to the juvenile hall population. Medical services include health screening, treatment, education, and 24-hour emergency response for juveniles and adults.

Public Health Policy and Planning includes Edison HIV Clinic and Mobile Health Clinic/Street and Field Medicine program. Edison Clinic provides comprehensive patient-centered HIV primary care services to persons living with HIV (PLWH) within San Mateo County as well as provides services in diagnosis and treatment of sexually transmitted infections (STIs) to all San Mateo county residents. The Mobile Health Clinic/Street and Field Medicine program provides field-based medical care focusing on homeless, formerly incarcerated, and farmworker/farmworker family member individuals. The program provides medical care in the field at encampments and homeless congregation sites, homeless shelter, peripheral sites outside of San Mateo County Clinics, and on a mobile medical clinic vehicle that parks at scheduled sites throughout the county.

The San Mateo Medical Center is a public hospital and clinic system fully accredited by the Joint Commission. The Medical Center operates outpatient clinics throughout San Mateo County and also an acute-care hospital. We serve the healthcare needs of County residents, serving as the healthcare home for underserved and underinsured residents, with an emphasis on education and prevention. Under general supervision, Nurse Practitioners will provide services such as conducting complete physical examinations, developing diagnostic impressions, and managing care of patients working in one or more specialty areas, such as geriatric, pediatric, family health, or OB/GYN practice.
 
Our nurses are part of a collaborative healthcare team dedicated to providing excellent care to our patients. At the County of San Mateo you'll find a supportive environment and opportunities to grow in your profession through training and education, including in-house Continuing Education units.  Basic Life Support (BLS) Certification preferred.

Current vacancies:

• One Part-Time Extra-Help Nurse Practitioner vacancy for the Inpatient Surgical Unit, San Mateo Medical Center
• One 0.8 FTE Extra-Help Nurse Practitioner vacancy for the Medical Specialty Clinic, San Mateo Medical Center
• One 1.0 FTE Regular Nurse Practitioner vacancy for Ron Robinson Senior Care Center (RRSCC), San Mateo Medical Center, and one Extra Help Vacancy for RRSCC
• One Extra-Help Nurse Practitioner vacancy for a Lactation Consultant Nurse Practitioner with additional certification as an Advance Practice Nurse (CNM, WHNP or FNP), for OB/Gyn
• One Part-Time Extra Help Psychiatric Nurse Practitioner Vacancy,  Bilingual Spanish and English Required for Fair Oaks Health Center's Integrated Behavioral Health Clinic
• One 0.5 FTE Regular Nurse Practitioner Vacancy in Mental Health Primary Care to provide integrated primary care for patients with Serious Mental Illness (SMI) during their stay at Cordilleras, a Mental Health Rehabilitation Center in Redwood City.