Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review RN

$9.51k - $11.34k

California Correctional Health Care Services

This is an exciting opportunity to join our team at the California Department of Veterans Affairs (CalVet). We advocate with purpose and passion every day for our state's veterans and their families and connect them to their earned benefits. We offer a range of services, from our network of award-winning veterans' homes to our innovative home loans program. Additionally, we provide special statewide benefits and veteran outreach services.

CalVet provides our staff with a wide range of fulfilling and enriching growth opportunities in skilled trades, healthcare, administrative and professional fields, and beyond. We actively cultivate an inclusive atmosphere that embraces individuals from diverse backgrounds, cultures, and life journeys, empowering them to excel and flourish. We enthusiastically welcome your distinctive contributions to our organization and the meaningful work we undertake.

This position is located in the Nursing Administration Department of the Veterans Home of California- Fresno and is responsible to coordinate the integration of interdisciplinary functions, transition planning, resident advocacy and level of care assessment for the Veterans who reside at the home.


Apply today to join our team! Visit our website at to learn more about us.

We especially encourage veterans to apply utilizing CalVet's Veterans Hiring Preference (please refer to the Special Requirements section below) and the state's Veterans Preference program .

Please note: You will need to take and pass an examination for Registered Nurse to establish list eligibility prior to job offer. Please


visit for more information.


You will find additional information about the job in the Duty Statement .

Working Conditions


Working overtime may be required of this position.


Employees of CalVet will be required to follow state or county public health guidelines and requirements enacted in accordance with infectious disease prevention and control.


Minimum Requirements You will find the Minimum Requirements in the Class Specification.
  • REGISTERED NURSE (MAND)
Additional Documents
  • Job Application Package Checklist
  • Duty Statement


Position Details Job Code #:
JC-519425


Position #(s):
577-148-8165-006

Working Title:
Utilization Review RN


Classification:
REGISTERED NURSE (MAND) $9,510.00 - $11,335.00 T
New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable.


# of Positions:
1


Work Location:
Fresno County


Telework:
In Office


Job Type:
Permanent, Full Time


Work Shift:
8:00am - 4:30pm


Work Week:
Monday - Friday


Department Information
The California Department of Veterans Affairs (CalVet) works to serve California veterans and their families. With nearly 1.6 million veterans living in the State, CalVet strives to ensure that its veterans of every era and their families get the state and federal benefits and services they have earned and deserve as a result of selfless and honorable military service. CalVet strives to serve veterans and their families with dignity and compassion and to help them achieve their highest quality of life.


Department Website:


Special Requirements
  • The position(s) require(s) a(n) Valid CA RN License. You will be required to provide a copy of your license prior to being hired.

Veterans may qualify for a CalVet Veterans Hiring Preference. Military service must be included in the Employment History section of the Employment Applications (STD. 678). The application package must include documentation of discharge, appropriate to the branch of service. The documentation must reflect a discharge/release under conditions other than dishonorable. If the candidate fails to include this information then the CalVet Veterans Hiring Preference shall not be granted in the recruitment.

Successful completion of a live scan and a pre-employment physical (including drug testing for certain civil service classifications) will be required.


Application Instructions
Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Final Filing Date: 6/5/2026
Who May Apply
Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.


Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).


How To Apply
Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below:


Address for Mailing Application Packages


You may submit your application and any applicable or required documents to:


Department of Veterans Affairs
VHC-F Human Resources
Attn: Human Resources
2811 West Cesar Chavez Blvd.


Fresno , CA 93706


Address for Drop-Off Application Packages


You may drop off your application and any applicable or required documents at:


Department of Veterans Affairs
VHC-F Human Resources
Human Resources
2811 West Cesar Chavez Blvd.


Fresno , CA 93706
Call number at gate to enter
08:00 AM - 04:30 PM


Required Application Package Documents


The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job:
  • Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position.
  • Resume is optional. It may be included, but is not required.
  • Statement of Qualifications - A Statement of Qualifications is required. Please see the "Statement of Qualifications" section for more information.
Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting.


Benefits
The website below is intended to provide general information. Benefit eligibility may be based on job classification, bargaining unit, time base and length of appointment. Additional benefits may also be outlined for specific bargaining units in employee collective bargaining contracts. Please review this information prior to accepting employment.


Contact Information
The Human Resources Contact is available to answer questions regarding the position or application process.
Department Website:
Human Resources Contact:
Shayna Richards
View phone number on click.appcast.io
View email address on click.appcast.io


Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office.
EEO Contact:
EEO Office
View phone number on click.appcast.io
View email address on click.appcast.io
California Relay Service: View phone number on click.appcast.io (TTY), View phone number on click.appcast.io (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device.


STATEMENT OF QUALIFICATIONS


A Statement of Qualifications (SOQ) is required. Please note that resumes, cover letters, and/or any other documents do not take the place of the SOQ. Applicants who fail to submit a complete SOQ as instructed and/or fail to submit all of the required documents may be eliminated from the selection process.

The SOQ serves as documentation of your ability to present information clearly and concisely in writing. In your SOQ, describe your experience, knowledge, and competencies as they relate to each of the items listed below. The items must be addressed and numbered in the same order as listed; do not consolidate responses. The SOQ must be no more than 2 pages , typed, using 12- point Arial font on standard letter-sized paper with one (1)-inch margins.

***PLEASE SUBMIT A STATEMENT OF QUALIFICATIONS DETAILING HOW YOUR EXPERIENCE MEETS THE FOLLOWING:

1. Experience in medical record review of patients admitted from acute hospital care to determine appropriate level of care using criteria approved by reviewing/licensing agencies (HCFA/CMA).

2. Knowledge of patient care, medical treatments and hospital procedures.

3. Knowledge of Medicare MDS scheduling for 5 day and 14 day MDA, Start/End of Therapy MDS, COT MDS and TYG's 1V utilization for SNF level of care reimbursements.

4. Ability to track/trend to ensure compliance for DOJ focused surveys to prevent Medicare/Medical fraud and survey citations which would affect the facitlity Star Quality Rating.

5. Knowledge of Medicare/Medical and private health care coverage benefits to help residents make informed decisions about healthcare.

6. Americal Board of Quality Assurance and Utilization Review certification.


ADDITIONAL INSTRUCTIONS


When submitting your State Application (STD. 678) please note position #577-148-8165-006 Job Control #519425 and the basis of your eligibility (e.g., list appointment, transfer, SROA, Surplus, Re-employment, Reinstatement) in the "Examination(s) or Job Title(s), For Which You Are Applying" section on the STD. 678. Please remove any confidential information (e.g., social security number, date of birth, etc.) as well as any information regarding your LEAP eligibility and/or exam scores from your documents prior to submission.

A complete application package includes: a STD. 678 and Statement of Qualifications


Equal Opportunity Employer
The State of California 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.


It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
Vacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Utilization Review RN in Fresno, CA vacancy
  •  ...Registered Nurse RN Staff Nurse Registered Nurse RN Staff Nurse is a licensed professional...  ..., mental, and emotional well-being utilizing the nursing process of assessing,...  ...beginning and ending of assigned shift. Reviews daily patient reports and assignments with... 
    Suggested
    Shift work

    IntelyCare

    Fresno, CA
    2 days ago
  • $23 - $55 per hour

     ...events. Coordinates the transfer of patients to the hemodialysis clinic when needed and appropriate. Laboratory Related: Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Follows company policies and... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office
    Immediate start
    Shift work

    Fresenius Medical Care

    Fresno, CA
    2 days ago
  • $24 - $25 per hour

     ...policy. Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage....  ...self-care under the supervision of RN. Staff Related ~ Assists in training...  ...application in an accurate and timely manner. Review treatment sheets for completeness, ensure... 
    Suggested
    Hourly pay
    Immediate start

    Fresenius Medical Care

    Fresno, CA
    4 days ago
  • $150k - $180k

     ...complete, accurate and legible medical records according to established protocols Participate in quality assurance, peer review and utilization review activities as assigned. BENEFITS: ~ Competitive salaries with good benefits ~ Bonus opportunities ~... 
    Suggested
    Full time

    Community Health Centers of America

    Fresno, CA
    18 hours ago
  •  ...procedures as indicated. With great attention to detail, you review lab and radiology results in consultation with the supervising...  ...practice management, provider relations, quality improvement, and utilization management. Sante is celebrating over 30 years of service... 
    Suggested
    Part time

    Sante Health

    Fresno, CA
    3 days ago
  •  ...abnormal medical/laboratory findings. Reviews informed consent forms for plasmapheresis...  ...accordance with SOP. Understands and utilizes donor center's donor management system (NexLynk...  ...Nurse. Must have at least one (1) RN, LPN, LVN, EMT-P, or EMT-I always present... 
    Local area
    Immediate start
    Shift work
    Weekend work
    Afternoon shift

    Octapharma Plasma

    Fresno, CA
    3 days ago
  •  ...Registered Nurse (RN) (UGSC) Sante Health System is calling all compassionate Registered...  ...treatment instructions. # Maintain and review patient's records, charts and other...  ...provider relations, quality improvement, and utilization management. Sante is celebrating over... 

    Sante Health

    Fresno, CA
    1 day ago
  • $72.3 - $93.55 per hour

     ...to include: obtaining basic medical information and history, reviewing patients medical record, performing physical exam, documenting...  ...as applicable; performs peri-operative procedures; locates and utilizes diagnostic images, instruments and pertinent patient information... 
    Shorter hours
    Work experience placement
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Kaiser Permanente

    Fresno, CA
    3 days ago
  •  ...Job Description Adventist Health is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Fowler, California...  ...staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and... 
    Full time
    Work experience placement
    Local area
    Immediate start
    Night shift

    Adventist Health

    Fowler, CA
    1 day ago
  • $155k

     ...quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical...  ...manner    Position Requirements   Active and unrestricted RN and NP license, or Physician Assistant license  Board certification... 
    Relocation package
    Flexible hours
    Weekend work
    2 days per week
    3 days per week
    1 day per week

    Monogram Health

    Fresno, CA
    26 days ago
  • $30.75 per hour

     ...medical support staff, including providing feedback for performance reviews. Supports the quality improvement and compliance goals of...  ...appropriately. Meets regulatory and continuity of care by utilizing standing orders and established screening guides under supervision... 
    Hourly pay
    Work at office
    Local area
    Flexible hours

    United Health Centers of the San Joaquin Valley

    Fresno, CA
    4 days ago
  •  ...Admissions Nurse (LVN/RN) Orchard Post Acute is seeking a compassionate and detail-oriented Admissions Nurse (LVN/RN) to join our...  ...hospitals and community referrals Conduct admission assessments and review clinical documentation for accuracy and appropriateness... 

    PACS Inc

    Fresno, CA
    2 days ago
  •  ...efficient and safe manner. Collaborates with Attending Surgeons to review and act on routine consults. Acquires knowledge and applies the...  ...activities. Supports and enhances patient self-determination. Utilizes and applies available resource for patient and staff in... 
    Permanent employment
    Remote work
    Relocation package

    US Department of Veterans Affairs

    Fresno, CA
    2 days ago
  •  ...efficient and safe manner. - Collaborates with Attending Surgeons to review and act on routine consults. - Acquires knowledge and applies...  .... - Supports and enhances patient self-determination. Utilizes and applies available resource for patient and staff in... 
    Permanent employment
    Full time
    Temporary work
    Part time
    Seasonal work
    Remote work
    Relocation package

    VETERANS HEALTH ADMINISTRATION

    Fresno, CA
    2 days ago
  • $90k - $97.5k

     ...opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an...  ...discharge visits to help patients through vulnerable transitions Review and document patient updates and progress in care management... 
    Work at office
    Local area
    Remote work
    Flexible hours
    Night shift
    Weekend work

    Monogram Health

    Fresno, CA
    1 day ago
  • $235k - $300k

     ...clinical practice guidelines with attention to prevention via utilization of evidence-based clinical decision-making tools. In addition...  ...keep your salary competitive with inflation. Biennial Salary Review: Regular evaluations every two years to ensure equitable... 
    Live in
    Local area
    Flexible hours

    VETERANS HEALTH ADMINISTRATION

    Fresno, CA
    2 days ago
  • $35 per hour

     ...License Preferred LPN LVN Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.... 
    Full time
    Temporary work
    Local area
    Monday to Friday

    Pinnacle Treatment Centers

    Fresno, CA
    3 days ago
  • $271.46k

     ...productivity expectations. Will provide examination and will review appropriate laboratory, referral and imaging results to determine a diagnosis. Expected to document visits accurately utilizing appropriate templates, and record relevant data to attain a diagnosis... 
    Relocation package
    Shift work

    Family HealthCare Network

    Fresno, CA
    18 hours ago
  • $2,400 - $10,000 per month

     ...coding practices Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion...  ..., and cloud-based documentation tools This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal... 
    Daily paid
    Local area
    Remote work

    ComplexCare Solutions

    Fresno, CA
    3 days ago
  • $200k

     ...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to...  ...issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must... 
    Full time
    Contract work
    Part time
    Traineeship
    Freelance
    Internship
    Seasonal work
    Work at office
    Local area
    Relocation package
    Shift work
    Night shift
    Afternoon shift

    VETERANS HEALTH ADMINISTRATION

    Fresno, CA
    1 day ago
  • $25 - $27 per hour

     ...Join our team. Join our mission. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.... 
    Hourly pay
    Full time
    Temporary work
    Local area

    Pinnacle Treatment Centers

    Fresno, CA
    2 days ago
  • $70.35k

     ...oversight for clinic medical support staff, including performance reviews, coaching and counseling, staff development In-services...  ...years of management and supervisory experience Background in utilization review, risk management and licensure standards SKILLS:... 
    Work at office

    IntelyCare

    Fresno, CA
    7 days ago
  •  ...families, and healthcare teams Flexibility in dynamic, patient-centric environments Proficient in EMR systems and comfortable utilizing telemedicine technology A collaborative spirit and commitment to evidence-based healthcare What's in Store for You in This... 
    Full time
    Local area
    Flexible hours
    Shift work
    Day shift
    Afternoon shift

    MLee Healthcare Staffing and Recruiting, Inc

    Fresno, CA
    1 day ago
  •  ...How you make a difference The RN Lead oversees the delivery of nursing care in their assigned unit, ensuring adherence to state...  ...and providing coaching where needed. The role involves reviewing nursing care plans, monitoring patient outcomes, and maintaining... 
    Local area

    Wellpath

    Fresno, CA
    18 hours ago
  •  ...coordination. At the direction of the Medical Director, review outcomes and utilization data, including hospitalizations, and use of specialists...  ...as a Nurse Practitioner with Prescriptive Authority. RN State License. Minimum of two years of experience... 
    Full time
    Night shift

    Three Point Solutions

    Fresno, CA
    18 hours ago
  •  ...Travel Pediatric Registered Nurse (RN) This position is for a Travel Pediatric Registered Nurse on a 13-week assignment in the beautiful state of California. Position Summary: We are seeking a compassionate and dedicated Pediatric Registered Nurse (RN... 

    MLee Medical Employment

    Fresno, CA
    2 days ago
  •  ...keeping the clinic running smoothly by efficiently managing tasks, utilizing your clinical skills, supporting providers and communicating...  ...-focused medical examinations, independent medical exams and review services, occupational health services, diagnostic testing, and... 
    Contract work
    Work at office
    Immediate start
    Monday to Friday
    Shift work

    QTC Company

    Fresno, CA
    2 days ago
  • $4,556 per month

     ...This Job Control is listed Until Filled. Applications will be reviewed on the following dates: 06/09/26, 06/23/26, 07/07/26, 07/21/...  ...are required to submit to a background investigation process utilizing Live Scan Fingerprinting, and Tuberculosis (TB) testing prior... 
    Permanent employment
    Full time
    Part time
    Work at office
    Remote work

    California Correctional Health Care Services

    Fresno, CA
    1 hour ago
  •  ...our initial quick, mobile-friendly application so that we can review your information. Requirements High school diploma/GED...  ...management, provider relations, quality improvement, and utilization management. Sante is celebrating over 30 years of service to... 
    Full time
    Work at office

    Sante Health

    Fresno, CA
    1 day ago
  • $4,556 per month

     ...This Job Control is listed Until Filled. Applications will be reviewed on the following dates: 05/22/2026, 06/05/2026, 06/19...  ...are required to submit to a background investigation process utilizing Live Scan Fingerprinting, and Tuberculosis (TB) testing prior... 
    Permanent employment
    Full time
    Part time
    Work at office
    Remote work

    California Correctional Health Care Services

    Fresno, CA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Review RN. Be the first to apply!