Job Description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

As a Nurse Consultant at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve—some of the most vulnerable in our communities. Connect your passion with purpose by teaming with people who thrive on finding innovative solutions. Here are the details of this position.

Your role in our mission

• Analyze and apply policy across multiple situations, including client meetings and suspended claims.
• Serve as the expert on State policy and provide necessary consulting services to the client.
• Respond to client referrals in a timely manner.
• Recommend approved modifications and/or new processes to maintain competitiveness in the industry. Identify additional product or service opportunities within the client organization and follow up with the business development team.

What we're looking for

• Two (2) years of professional nursing experience required. Candidates with a Master’s Degree in Nursing may qualify with one (1) year of experience.
• Must be a Registered Nurse licensed to practice in the State of California.
• Training and/or certification in wound and ostomy care is preferred.
• Must have knowledge of professional nursing principles and techniques, hospital routines, and medical supplies and their uses.
• Must reside within 35 miles of the Sacramento State Capitol, California.

What you should expect in this role

• Apply nursing knowledge, skills, and policy when processing medical claims.
• Attend client meetings and serve as a consultant and subject matter expert on policy.
• Demonstrate strong communication skills and collaborate effectively as part of a larger team.
• Contribute to the development and application of business and consulting services.
• Hybrid work environment. This is primarily a remote position. Occasionally, upon client request, the consultant will travel to the Medicaid Operations Center (MOC) located in West Sacramento.

Applications will be accepted through April 9, 2026. 

The pay range for this position is $80,600.00 - $115,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our and visit our for all available job role openings.

Gainwell Technologies  is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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