Tulare County Health and Human Services

The Tulare County Health & Human Services Agency is currently recruiting for a Public Health Nurse (PHN). The desired candidate will have the ability to develop, implement, and interpret policies and procedures, analyze information, assess health statuses, and recommend appropriate courses of action. The PHNs are primarily oriented to the provision of community nursing services. These services focus on concepts of prevention, early intervention, communicable disease investigation, case management, and health education. Services may be delivered within the department, in homes, clinics, schools, and by liaison agreements with other agencies or organizations. These services include assessment of individual, family, or community health status; referral to appropriate organizations for treatment; demonstration and teaching of health concepts to individuals and groups; and mobilizing of community resources to provide for continuity of client care between acute and extended care facilities and the home. This recruitment will establish an employment list to fill immediate and future vacancies throughout the Agency’s Public Health and Child Welfare Services Division. The Public Health Branch offers a progressive and innovative working environment for employees while providing comprehensive health care in the community. The chosen candidate will work with public health programs with comprehensive case management for vulnerable populations. The successful candidate will coordinate with other professionals to assist in assessing family needs and make referrals to community resources. Incumbents will provide services to persons from a variety of social and economic backgrounds (a variety of ages, cultures, etc.). Public Health programs include California Children’s Services, the Child Health and Disability Program, General Public Health Nursing Field Services, Maternal, Child, and Adolescent Health programs, Communicable Diseases, Immunizations, and Tuberculosis programs. Candidates should have the ability to work with diverse populations in focusing on health promotion and education. The successful candidate must have the ability to maintain effective working relationships with the public, patients, staff, and other branches and agencies. The Tulare County Child Welfare Services (CWS) Division has a Public Health Nurse team that works under the direction of the Health Care Program for Children in Foster Care (HCPCFC). The HCPCFC, PHN, collaborates with business partners to identify and address health obstacles and barriers faced by foster youth. The goals and objectives of the HCPCFC PHN are to promote and improve access to comprehensive preventative health and specialty services for children in foster care. CWS public health nurses consult and collaborate with social workers to ensure the medical, dental, mental, and developmental needs of children and youth in foster care. Typical Duties Key Responsibilities for Public Health Nurse I Educate and counsel individuals, families, and groups regarding specific diseases or health conditions as well as health maintenance, promotion, and rehabilitation. Assist individuals and families with recognizing health problems and obtaining appropriate care. Provide nursing services to individuals in homes and demonstrate nursing care techniques to persons who will give care. Key Responsibilities for Public Health Nurse II Teach and counsel individuals, families, and groups regarding specific diseases or health conditions as well as health maintenance, promotion, and rehabilitation techniques. Assist in the development and planning of public health programs. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline : Level I: Graduation from an accredited college or university with a bachelor's degree in nursing California State Public Health Nursing certificate and a valid Registered Nurse license issued by the California Board of Registered Nursing Additional Requirements for Level II: Level II candidates must have two years of community nursing experience. Additional Requirements for CWS: Title 42 Code of Federal Regulations (CFR) 432.50(d) will required positions with Child Welfare Services submission of a resume at the time of application. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service. **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** If you are seeking an innovative, supportive, and satisfying work environment, please apply at http://agency.governmentjobs.com/tulare/ EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/20/2024 11:59 PM Pacific

Multiple vacancies with the Tulare County Health and Human Services Agency. This recruitment will establish an employment list to fill current and future bilingual and non-bilingual vacancies that may occur in multiple locations throughout Tulare County. The anticipated life of the list is six months. Spanish bilingual designated positions are entitled to an additional $.63 (cents) per hour. 3% cost of living increase effective June 30, 2024. A Spanish proficiency exam will be required for bilingual positions. Applicants must be fluent in the ability to read, write and speak in the Spanish language as well as in English. Self Sufficiency Counselor Video, Come Join Us! Typical Duties Manage a caseload involving determination of initial and ongoing eligibility for one or more public assistance programs; interview and assess applicants to assist them in completion of application and declaration forms upon which eligibility decisions are based; gather information to determine eligibility to receive public assistance; interpret regulations and program requirements and communicate these to applicants and the public; review applications and declarations for accuracy, completeness, and consistency; determine eligibility in accordance with established procedures and record information on case records; prepare case narratives, memos, correspondence, and other documentation; refer applicants and recipients who appear to need social services to designated social services staff after completing appropriate forms; prepare and maintain documents, case records, reports, files, and logs associated with the eligibility process; use of computers or other automated eligibility determination systems to determine client eligibility for public assistance; advise applicants, recipients, and the general public concerning rights and responsibilities associated with receipt of public assistance; compute amount of public assistance authorized and perform other similarly required computations; refer applicants or recipients who appear physically or emotionally unable to continue the interview to designated social services staff; may review, evaluate, and investigate selected assistance cases and appeals; determine and approve eligibility and exemptions; manage a full caseload; contact and interview applicants and representatives of businesses or government organizations for the purpose of verifying facts; determine the accuracy and completeness of all statements of fact completed by clients during eligibility determinations; provide information, counseling, resource materials and other assistance to help clients obtain and retain jobs, no-cost or low-cost health care, nutritional assistance, or other community resources; identify, analyze, and evaluate each variation of fact and substantiate pertinent eligibility information; prepare written reports with recommendations for appropriate corrective action when additional facts affecting eligibility are established. Essential job duties may be assigned that are not listed above but are relative to this job classification. (Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.) Employment Standards Education: Equivalent to completion of the twelfth (12th) grade. Experience: One (1) year of public contact experience, which would include basic interviewing for the purpose of gathering information to assist with determining eligibility for services and explaining policies, processes, or clarifying information needed of clients or customers. Equivalency for Experience: Or one (1) year experience equivalent to a Self Sufficiency Support Assistant. Or six (6) months experience equivalent to a participant in an employment training service or youth transition program(s) within Tulare County. Knowledge of: Basic math including addition, subtraction, multiplication and division of whole numbers, fractions, and percentages; interviewing techniques; record keeping principles; federal, State and local rules, regulations, policies and procedures governing eligibility for public assistance programs; public assistance case files documentation requirements; terminology relating to eligibility determinations and case data processing; categories of public assistance and social services available to clients; caseload management methods and techniques; common social, economic, and cultural issues and barriers encountered by unemployed persons and low-income working families. Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; communicate effectively to explain technical information and regulations to persons of various social, economic, cultural and educational backgrounds; read and interpret rules, regulations, policies, and procedures pertaining to public assistance to applicants and recipients; effectively apply interviewing and listening techniques sufficient to obtain information from applicants in various emotional states; accurately apply rules, regulations, policies and procedures governing eligibility for public assistance programs; collect and evaluate information, draw valid conclusions and make appropriate recommendations and referrals; assist with gathering verifications on information obtained from applicants; prepare materials for presentations to individuals and groups; write clear, concise and grammatically correct narratives, reports, records, and correspondence; follow written and verbal directions, seek guidance when appropriate; retain and recall pertinent information such as regulations and client data; adjust to changes in work loads and coordinate work with others under stress of deadlines; organize work effectively; maintain productivity despite frequent interruptions; use patience, tact, and courtesy in dealing with clients and co-workers; keep systematic and accurate records; maintain confidentiality of all business information and materials; proofread for accuracy and grammar; establish rapport and maintain effective working relationships with others; perform budget calculations accurately. DESIRABLE EMPLOYMENT STANDARDS Knowledge of: Community resources available to assist clients; local employment and training resources; Social Services client appeals process; training methods and techniques; principles of supervision, evaluation and training. Skill/Ability to : Speak Spanish, or other client language; learn and utilize automated eligibility determination systems; represent the department and give testimony at hearings; prepare, organize and give oral presentations; learn principles and practices of supervision, evaluation and training; train and instruct staff on policies, procedures and techniques. Selection Process: Applicants who have been convicted of Welfare Fraud will not be eligible for selection. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/14/2024 11:59 PM Pacific

This recruitment will establish an employment list to fill current and any future vacancies with those County departments that have this position. The anticipated life of the list is six months. If interested now or in the future, please submit an online application for current and/or future consideration. Current vacancies are with the Health and Human Services Agency located in Visalia at the Visalia Adult Integrated Clinic. Typical Duties Provide training, oversight, and mentorship guidance to Mental Health Case Managers; assign cases to other Mental Health Case Managers and consult with staff on various case management aspects; actively engage consumers/family to determine what services and support will assist in reaching their personal recovery goals, considering the consumer’s/family's unique needs and preferences; assist supervisor with caseload monitoring and performance of Mental Health Case Managers and provide Supervisor with updates of unit member’s performance on an on-going basis; review and provide recommendations to supervisors and management for consumer-based care offered within a licensed residential facility. Respond to State requests, complete critical incident reports, and ensure an adequate staffing level is maintained; coordinate consumer linkage to community-based resources to maximize support systems, promote wellness and recovery, and minimize risk of hospitalization or homelessness; manage a caseload involving complex case work in difficult mental health areas; assist by providing effective crisis intervention services and consult with clinical staff on observed risks and information gathered over the phone or in the field; ensure the consumers attend therapy and important medication management appointments as outlined in their wellness plans; build rapport with consumers by listening, interacting with them, and engaging the consumers in treatment; manage a caseload by ensuring timely client contact, initiating, and maintaining a variety of progress notes, service records, and other required documentation in standard form and language; act as an advocate for the consumer and family and, in partnership with them, maintain liaison with the family, schools, legal entities, various community groups, and others as required; maintain accurate, complete, and legible field notes and activity logs of all consumer contact, administered medications, and support provided; present to a multidisciplinary treatment team an overview of consumer cases that will transition to a lower level of care; develop and facilitate instructional training on various recreational or rehabilitative skill programs that will provide consumers with self-care skills such as budgeting, food preparation, nutrition, and housecleaning; develop and carry out preventive community outreach services in collaboration with community partner agencies, contractors, and/or law enforcement. Employment Standards MINIMUM QUALIFICATIONS Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following. Education/Experience: Equivalent to completion of 60 college credits in the Mental Health or Human Services field, Social Work, Biological or Social Sciences, or certification as a Certified Nursing Assistant, Mental Health Technician, Pharmacy Technician, or Emergency Medical Technician (EMT) OR related work experience may be substituted for the education requirement on a year-for-year basis, AND two (2) years of experience equivalent to a Mental Health Case Manager II in Tulare County. Knowledge of: Advanced principles and techniques of interviewing and counseling at a level not requiring licensure as a mental health professional; regulatory, licensing, policy, and local socioeconomic conditions affecting the work of mental health in a public social services agency; components of multidisciplinary treatment plans and their implementation; programs and treatment techniques for the support and care of individuals with severe and persistent mental illness; techniques for evaluating and monitoring family situations and problems, including psycho-social and health/medical issues sufficient to assist in the development and implementation of treatment plans within a multidisciplinary treatment tea; case management methods and techniques; effective crisis intervention techniques; correct grammar, spelling, and punctuation; community resources available to assist clients. Skill/Ability to: Work and communicate effectively with people of various educational and socioeconomic backgrounds by respecting beliefs, interpersonal styles, attitudes, and behaviors of both clients and co-workers; manage a complex caseload of chronically mentally ill clients; assist in the development, implementation, and monitoring of treatment plans in difficult casework areas; act effectively in emotional and stressful situations in order to respond to emergencies and adopt an appropriate course of action; define problems, collect and evaluate information, organize and analyze materials and client needs, draw valid conclusions, and formulate appropriate case management recommendations; present oral and written reports concisely and clearly to a multidisciplinary treatment team during case staffing meetings; gather information through rapport building, observation, and case reviews to identify barriers to treatment; prepare and maintain accurate case records, reports and correspondence using correct grammar, punctuation, and spelling; establish and maintain effective working relationships with Agency staff, community groups, and resource agencies; communicate and interact effectively, orally and in writing, with persons of various educational, socioeconomic, and cultural backgrounds; maintain confidentiality of all information and materials. License or Certificate: Possession of, or ability to obtain, an appropriate, valid California driver's license. Additional Information Conditions of Employment: Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act : This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan service or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/13/2024 11:59 PM Pacific

The Tulare County Health & Human Services Agency is recruiting to fill Mental Health Associate Clinician I/II - Unlicensed vacancies within the Mental Health Branch and Child Welfare Services Division within the Human Services Branch. Direction is provided by a Mental Health or Human Services Clinical Supervisor, Manager, or a higher-level management position within the Agency. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County's Mental Health and Human Services Branches. Incumbents of this class carry a caseload requiring professional competency in applying evidence-based practices. Successful candidates will know the principles and techniques of interviewing, counseling, psychotherapy, and treatment modalities. The Mental Health Associate Clinician I - Unlicensed classification is considered to be in training status as an associate and may reasonably expect to be promoted to Mental Health Associate Clinician II - Unlicensed, upon completion of the clinical hour requirements. The successful candidate will work with complex casework in social service and mental health areas, respond to crisis, complete assessments, provide triage, and follow through with appropriate treatments which can include clinical interventions, referrals and risk assessment to aid in determining need for psychiatric hospitalizations. In accordance with State of California laws and regulations, the candidate will identify adults and children with mental, emotional, and/or substance use disorders. The selected candidate will also know the laws, rules, and regulations affecting the work of a mental health and public social service agency. Incumbents in this classification may carry an ongoing caseload of mental health clients and provide appropriate, evidence-based treatment and associated documentation to help clients work toward wellness and recovery. Incumbents in the Mental Health Branch will work with complex casework in various programs depending on current vacancies. These programs may include clinics, criminal justice, Alcohol and Other Drugs, administration, homeless outreach, Integrated Services, children's services, and other mental health settings. The ideal candidate must work well within a team setting and have a wealth of therapeutic skills to help problem-solve and make immediate decisions about challenging therapeutic cases. The Tulare County Mental Health Branch has two adult mental health clinics in Visalia and Porterville and one children's clinic in Porterville. The Mental Health Branch works with community-based providers to ensure mental health services are available throughout the county. The Tulare County Child Welfare Services (CWS) Division has a clinical team that works primarily with adults and families involved with CWS. The successful candidate will provide mental health assessments and individual, family, and group psychotherapy, respond to crises in the field to support clients and social work staff, and consult with social workers and associated providers involved with cases. The ideal candidate will be able to work well within a team setting. The successful candidate in this position will evaluate cases to assess psycho-social and mental health issues and determine appropriate types and methods of treatment. The incumbent will develop, implement, and monitor intensive, long- and short-term treatment plans to improve or restore individual or family function. This position requires knowledge of the principles and techniques of interviewing, counseling, psychotherapy, and treatment modalities. Candidates accepting one of these positions may qualify to apply for loan repayment of up to $30,000 for a two-year work commitment and providing direct client care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/. Typical Duties Key Responsibilities Perform initial assessments of clients to evaluate psycho-social dysfunctions and to determine diagnosis and prognosis. Develop a Problem List for consumers in areas they believe improvement will be beneficial to improve or ameliorate Mental Health symptoms and challenges in life functioning. Provide ongoing psychotherapy for clients on an individual and/or group basis; effectively utilize clinical measurement tools and data; determine when to discontinue counseling with client. Manage a caseload involving casework of an advanced nature. Establish and maintain effective working relationships at all organizational levels, as well as with other agencies, county departments, and the public. Perform crisis intervention services in clinics, over the phone, or in the field as assigned; determine triage level and refer for appropriate services. May perform in-home or field crisis intervention or treatment services. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . A master's degree in one of the following areas: social work; marriage, family, therapy; psychology; clinical psychology; or counseling psychology; obtained from an accredited school, college, or university. License/Certificate: Mental Health Associate Clinician I - Unlicensed: Possession of, or ability to obtain, an Associate Clinical Social Worker, Associate Professional Clinical Counselor, or Associate Marriage and Family Therapist Intern number as issued by the State of California Department of Consumer Affairs, Board of Behavioral Sciences (BBS). Proof of registration application must be submitted within 30 days from the date of hire into this classification. Must possess current and active registration as an Associate Clinical Social Worker, Associate Professional Clinical Counselor, or Associate Marriage and Family Therapist as issued by the State of California, Board of Behavioral Sciences, within 120 days from the date of hire into this classification. Mental Health Associate Clinician II - Unlicensed: In addition to the necessary employment standards for Clinical Social Worker I: Letter of clinical hour completion towards a Licensed Marriage and Family Therapist, Licensed Clinical Social Worker, or Licensed Professional Clinical Counselor license as issued by the State of California Department of Consumer Affairs, Board of Behavioral Sciences. SPECIAL REQUIREMENTS Applications will be accepted for graduate students who can provide proof they are within 90 days of completion of a master's degree required for the State of California Department of Consumer Affairs Board of Behavioral Sciences registration as noted above. No person shall be hired without confirmation of completing the required master's degree. Registration with the State of California Department of Consumer Affairs Board of Behavioral Sciences (BBS) as noted above is a condition of employment in this classification. Proof of BBS Registration application must be provided within 30 days from the date of hire into this classification. Failure to satisfy this requirement will result in separation from County employment. Permanent status may not be obtained in this classification. Incumbents must maintain current registration as an Associate Clinical Social Worker, Associate Professional Clinical Counselor, or Associate Marriage and Family Therapist at all times, and within two years of appointment to the Mental Health Associate Clinician II-Unlicensed classification must obtain Board of Behavioral Science (BBS) licensure as a Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage and Family Therapist (LMFT). Desirable Qualifications for Mental Health Graduation from an accredited college or university with a master's degree in Behavioral Science, Social Science, Liberal Studies, Public Administration, or a closely related field Knowledge of federal Medicaid and state Medi-Cal regulations pertaining to clinical licensing, provider site certification, service documentation, and billing Experience and knowledge of working with special populations such as Criminal Justice, Sevier Mental Illness (SMI), Unhoused or others. Desirable Qualifications for Human Services Knowledge of the child welfare system Experience with trauma-informed care Knowledge of issues/concerns related to child abuse and neglect Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/13/2024 11:59 PM Pacific

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration. Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months. Spanish bilingual designated positions are entitled to an additional $.63 (cents) per hour. A Spanish proficiency exam will be required. Applicants must be fluent in the ability to read, write and speak in the Spanish language as well as in English. Typical Duties Review and provide recommendations to supervisors and management for complex case resolution; communicate tactfully and yet effectively when dealing with both amenable and confrontational situations; mediate and interact with complex and difficult clients; establish and maintain effective interpersonal relationships at all organizational levels, with the public and community partners; explain information to clients or care providers regarding social services programs and other resources available to maintain client safety; make referrals to community resources and assist clients in accessing services; handle face-to-face and/or phone conflict resolution with clients and caregivers; review case narratives; maintain manual and electronic case records; oversee and present community service provider orientation; develop and present public information and education materials for use by clients; provide parent/caretaker education by training and demonstrating appropriate child-rearing skills; provide training and oversight on instruction in household management inclusive of budgeting, nutrition, food preparation and housecleaning; work closely with various community organizations and agencies; assist and advise in the supervision of clients during approved visitations or activities; attend instructional training programs to keep apprised of applicable rules, regulations or laws; complete trainings and attain certifications for effective application of evidence-based assessment tools related to job responsibilities; provide training, oversight, guidance and act as a mentor for the Social Service Worker Assistants; coordinate and counsel staff and clients on caregiver concerns and issues; perform related duties as assigned. (Essential duties will vary from position to position within this general classification. Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.) Employment Standards Education : Equivalent to completion of the twelfth (12th) grade. Experience: Two (2) years of full-time experience involving extensive public contact in a health, mental health or social service setting performing duties such as in-depth interviewing or determining eligibility for publicly or privately financed health benefits, housing, financial assistance, counseling or social services equivalent to that of a Social Services Worker Assistant. Knowledge of : Public and private health, mental health and/or social service agencies, programs, and other community resources available to meet client needs and current socio-economic issues affecting the community group being served; child development, parenting skills, care of the elderly and disabled, substance abuse, mental health issues, interpersonal and family dynamics; office procedures and practices to include computer usage and software applications; interviewing and information gathering methods and techniques; basic math and record keeping practices. Skill/Ability to : Communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles, attitudes and behaviors of both clients and co-workers; assist in identifying training needs for the unit and provide training as requested by the supervisor; assist in the evaluation of staff performance; retain and correctly apply program regulations, policies and procedures; work effectively as part of a multi-disciplinary team; communicate effectively both written and orally; organize and maintain work assignments including detailed information on individual cases; input and retrieve data from computerized tracking systems; prepare or complete various forms, reports, records, correspondence and other documents; read, interpret and understand fully program requirements and laws; maintain confidentiality of all information and materials. DESIRABLE EMPLOYMENT STANDARDS Education: Graduation from an accredited college with an Associate’s Degree. Skill/Ability: The ability to speak, read and write fluently in a designated second language, as well as in English. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/13/2024 11:59 PM Pacific

This recruitment will establish an employment list to fill current and any future vacancies within the Health and Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration. Multiple vacancies with the Health and Human Services Agency located in Visalia. The anticipated life of the list is six months. Please Note: A copy of your letter from the State Department of Health Services, Office of Local Environmental Health Programs, stating that the applicant is capable of meeting minimum standards for admission to the examination for registration according to California Administrative Code OR Certificate of Registration as an Environmental Health Specialist issued by the California State Department of Health Services. Level I: $4,816 - $5,870 Monthly Level II: $5,295 - $6,454 Monthly Typical Duties Conduct inspections of food handling and industrial establishments, water supply systems, sewage disposal systems, lead, solid waste disposal sites, organized camps, schools and public buildings, recreational and bathing facilities, underground storage tank systems, biomedical waste management, and air pollution sources to ensure compliance with state and local laws and regulations governing environmental quality control; recommend changes and provide instructions for correction of deficiencies; note violations and secure voluntary compliance; issue written notices of violation or take steps to initiate legal action to enforce compliance; collect food, water, air, soil, and effluent samples for laboratory analysis; investigate violations and complaints regarding insect, rodent, animal and other public health nuisances; check for violations of agricultural and open burning regulations; instruct, educate, and make recommendations to individuals and groups in methods of control and effectively communicate the principles of a safe and healthy environment; review and approve permits, building plans, and specifications of water, sewage, pool, underground tank control systems, emergency response plans and procedures, and waste handling systems; gather, organize and analyze information; prepare reports and correspondence; maintain files on inspections and investigations; manage the investigation of food and vector borne disease; use and maintain a variety of scientific precision measuring instruments; interpret laws and regulations, and act as a resource person for private and public agencies; keep records, prepare reports and participate in special studies and surveys; perform related duties as assigned. Employment Standards Education/Experience : Graduation from an accredited college or university with a Bachelor’s degree in environmental health or related fields of science; or possess alternate qualifications per Title 17, Article 1, Section 7941 of the California Administrative Code. Level II: Requires one (1) year of experience in an approved environmental health program. Knowledge of: General principles of environmental quality control, sanitation and public health; principles and practices relating to safe food production, processing and handling; principles of chemistry, biology, microbiology and environmental health sciences; advanced math including algebra, geometry and statistical analysis; proper sampling procedures for laboratory analysis; relevant scientific and technical terminology; safety practices of the industry. Level II: In addition will require field test procedures; methods and techniques for interviewing, investigating and conducting inspections and resolving pollution problems and health threats; environmental research and statistical methods. Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles, attitudes and behaviors of both clients and co-workers; read, interpret and apply laws, rules, regulations and technical documents; detect unsanitary conditions and public health hazards; analyze situations accurately, and take effective action; communicate and explain technical and legal terms to people from various educational and socioeconomic backgrounds; use patience, tact, and courtesy to deal with people under various circumstances; write clear, concise, grammatically correct reports, memos and letters; give and follow complex verbal and written instructions; make scale drawings and plot plans; determine alternative solutions to complex problems and select the most appropriate solution; coordinate work with others; adjust to changes in workload; establish priorities and meet deadlines within a fast-paced work environment; perform duties under stressful conditions; maintain confidentiality; read and understand operational and mechanical procedures of source sampling equipment; work outdoors; operate a personal computer and other office equipment; work a flexible schedule including evening, overnight, and weekend hours. Level II: In addition maintain confidentiality; oversee investigations; implement new policies and procedures; establish and maintain records; present technical information in graphic form; read and interpret numbers on dials, gauges and meters; instruct in the methods and procedures of sanitary inspection and correction of unsanitary conditions. License/Certificate : LEVEL I: Possession of a letter from the State Department of Health Services, Office of Local Environmental Health Programs, stating that the applicant is capable of meeting minimum standards for admission to the examination for registration according to California Administrative Code, within three years from date of appointment. LEVEL II : Requires Certificate of Registration as an Environmental Health Specialist issued by the California State Department of Health Services. DESIRABLE EMPLOYMENT STANDARDS License/Certifications: CC; Lead inspector assessor; Vector; Certified Pool Operator (CPO) Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service . EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/13/2024 11:59 PM Pacific

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for a Physical Therapist to join the Public Health Services branch. This position will provide therapy services to disabled children in a school-based setting for the California Children’s Medical Therapy Program. The Medical Therapy Program is a special program within California Children’s Services that provides physical therapy, occupational therapy, and medical therapy conference services for children who have handicapping conditions, generally due to neurological and musculoskeletal disorders. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Human Services and Public Health branches. The Physical Therapist confers with the physician or senior therapist to determine types of treatment required in each case; adapts games, arts, and crafts as therapeutic treatment; and assists parents in understanding and handling children with chronic orthopedic and neuromuscular conditions. The chosen candidate will teach parents/caregivers and/or child exercises, activities, and techniques that will improve strength, range of motion, balance, equilibrium, stability, and functional mobility skills. The successful candidate will maintain relevant and timely documentation of treatments and services provided in accordance with the CCS Medical Therapy Program guidelines. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $25,000 for a 24-month work commitment. For more information on the loan repayment program, visit https://www.oshpd.ca.gov/HPEF/Programs/APHLRP.html Typical Duties Key Responsibilities Establishes treatment plans with functional goals and measurable objectives based upon evaluations and clinical observations incorporating concepts of family-centered care into the plan. Provides therapy treatment as prescribed by child’s physician. Confers and consults with other providers involved with child’s care, including but not limited to school personnel, equipment and orthotic providers, and social service workers. Educates parents and other caregivers re: home programs appropriate for child’s needs. Identifies needs and makes recommendations re: appropriate rehabilitation equipment and orthotics and ensures proper function and fit. Participates in medical therapy conferences, staff meetings, in-services, and parent meetings. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university and completion of an approved course in Physical Therapy. License to practice as a physical therapist by the Physical Therapy Board of California. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. The selected candidate will be required to pass a pre-employment drug and alcohol screening; furthermore, a background investigation may be conducted. Some job classes may also require a physical examination. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

The Tulare County Health & Human Services Agency is actively recruiting for the position of Mental Health Clinical Supervisor. This position is responsible for planning, organizing, and directing the activities of multiple licensed and/or unlicensed team members. The Mental Health Clinical Supervisor reports to the Mental Health Clinical Services Manager. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Mental Health Branch. The Mental Health Clinical Supervisor must understand diverse community needs, especially of underserved groups, and will establish working relationships with administrative personnel and staff within community-based organizations that include but are not limited to hospitals, clinics, and wellness centers. The successful incumbent may assist the administration in policy, procedure, and protocol development and implementation and have a working knowledge of general principles of public assistance policies and programs. The successful candidate must have effective organizational and time management skills and techniques. Additional responsibilities include reviewing records and information related to the delivery of care to individuals and families to ensure compliance with federal, state, and county regulations relating to standards of care and billing requirements, as well as performing a variety of assignments related to quality assurance and/or community-based crisis response programs. The Mental Health Branch is dedicated to addressing the needs of those living with mental illness and to promoting the overall mental health of the community. We are committed to promoting mental health as a critical part of overall wellness, including prevention services for all; early identification and intervention for those at risk; integrated care, services, and supports for those who need it; and recovery as the goal. Services include assessments, clinical and rehabilitative services, case management, peer support, and medication services within a wellness and recovery model. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $30,000 for a two-year work commitment and providing direct client care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/ . Typical Duties May serve as liaison to community based organizations; hospitals, clinics, wellness centers, and other community agencies Provide leadership within a multi-disciplinary team inclusive of administrative staff, QI/QA, E.H.R., service providers, division managers, deputy directors, and others Provide input to administration to resolve problems and to improve services Interprets policy, reviews records and information related to the delivery of care to individuals and families to assure compliance with departmental and state policies, procedures, standards of care, and billing requirements Will be responsible to lead/facilitate meetings and train new staff May provide clinical supervision to associate-level clinicians in accordance with BBS standards May assist administration in policy, procedure, and protocol development and implementation May conduct special studies, prepare reports, or oversee projects under the direction of management staff. Employment Standards Candidates must meet the qualifications listed below by the application deadline . Completion of master’s degree in one of the following areas: social work; marriage, family, and child counseling; marital and family therapy; psychology; clinical psychology; or counseling psychology, obtained from an accredited school, college, or university Two years of experience as a Licensed Social Worker or Licensed Mental Health Clinician Possession of a valid Licensed Clinical Social Worker (LCWS), Licensed Professional Clinical Counselor (LPCC), or Marriage and Family Therapy (MFT) license issued by the State of California, Board of Behavioral Sciences Possession of, or ability to obtain an appropriate, valid California driver's license. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 7 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/20/2024 11:59 PM Pacific

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for an Occupational Therapist to join the California Children’s Services program. The program is under the Public Health branch, which utilizes therapist staff to provide occupational and/or physical therapy services for neurologically and/or physically impaired clients from birth to 21 years of age. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Public Health branch. The Occupational Therapist confers with the physician and/or senior therapist to determine types of treatment required in each case; adapts games, arts, and crafts as therapeutic treatment; teaches self-care and functional activities; assists parents in understanding and handling children with chronic orthopedic and neuromuscular conditions; and maximizes the level of Activities of Daily Living (ADL) skills of the client. California Children’s Services Medical Therapy program sites are located in local public schools. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $25,000 for a twelve-month work commitment. For more information on the loan repayment program, visit https://www.oshpd.ca.gov/HPEF/Programs/APHLRP.html. Typical Duties Key Responsibilities Evaluates and develops therapy programs for children and young adults with physical disabilities who have medically eligible conditions. Establishes occupational therapy treatment plans with functional goals and measurable objectives based upon evaluations and clinical observations, incorporating the concepts of family-centered care into the plan. Provides occupational therapy treatment directed toward improving child’s and/or family’s abilities to perform activities of daily living as prescribed by the child’s physician. Identifies needs and makes recommendations re: appropriate rehabilitation equipment and bracing/splinting and ensures proper function and fit. May also fabricate custom hand splints. Manages caseload to ensure care is being provided efficiently and is in line with CCS productivity recommendations for scheduled treatment time. Documents evaluation and treatment according to therapy policies and procedures. Confers and consults with other providers involved with child’s care, including but not limited to school personnel, equipment and orthotic providers, and social service workers. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university and completion of an approved course in Occupational Therapy Certificate of Registration with the National Registry of Occupational Therapy Possession of a valid license as an Occupational Therapist, issued by the State of California, Department of Consumer Affairs, and Board of Occupation Therapy Desirable Qualifications Fabricate and apply splints as prescribed. Attend appropriate clinics, management meetings, and case conferences to discuss clients’ status. Make home or school visits as needed for consultation services. Identify needs and make recommendations regarding appropriate rehabilitation equipment and ensure proper function and fit. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. The selected candidate will be required to pass a pre-employment drug and alcohol screening; furthermore, a background investigation may be conducted. Some job classes may also require a physical examination. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is recruiting for an Extra Help Physical Therapist Assistant to join the Public Health Branch. This position will assist in providing therapy treatments to children with physical disabilities as assigned by the Licensed Physical Therapist. This recruitment will establish an employment list in order to fill immediate and future vacancies. The Extra Help Physical Therapist Assistant will assist with treatment documentation and carry out the physical therapy plan as set forth by the Physical Therapist, and will assist in the overall general maintenance and organization of the therapy unit. The successful candidate will assist the Physical Therapist in teaching mobility skills, positioning, and functional activities to the child, parents, and caregivers, and help parents and caregivers understand the best ways to care for physically disabled children. Candidates accepting one of these positions may be eligible for a loan repayment of up to $10,000 in exchange for a 12-month service obligation practicing and providing direct patient care in an underserved community. For more information on the loan repayment program, visit: https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/bsnlrp/. Typical Duties Key Responsibilities Use tact and understanding in dealing with patients, families, and caregivers Cooperate with other professional and paraprofessional staff to ensure coordinated patient care and training Assist with preparation of accurate, concise, treatment and care coordination notes Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Equivalent to completion of the twelfth grade, and completion of a physical therapist assistant education program approved by the State of California Physical Therapy Board. Possession of Physical Therapist Assistant license issued by the State of California Physical Therapy Board. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Closing Date/Time: Continuous

The Tulare County Health & Human Services Agency (HHSA) is recruiting for a Physical Therapist Assistant to join the Public Health Branch. This position will assist in providing therapy treatments to children with physical disabilities as assigned by the Licensed Physical Therapist. This recruitment will establish an employment list in order to fill immediate and future vacancies. The Physical Therapist Assistant will assist with treatment documentation and carry out the physical therapy plan as set forth by the Physical Therapist, and will assist in the overall general maintenance and organization of the therapy unit. The successful candidate will assist the Physical Therapist in teaching mobility skills, positioning, and functional activities to the child, parents, and caregivers, and help parents and caregivers understand the best ways to care for physically disabled children. Typical Duties Key Responsibilities Use tact and understanding in dealing with patients, families, and caregivers Cooperate with other professional and paraprofessional staff to ensure coordinated patient care and training Assist with preparation of accurate, concise, treatment and care coordination notes Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Equivalent to completion of the twelfth grade, and completion of a physical therapist assistant education program approved by the State of California Physical Therapy Board. Possession of Physical Therapist Assistant license issued by the State of California Physical Therapy Board. Employment Standards Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice Are you looking to practice medicine and maintain a positive work/life balance? Tulare County’s Health Care Centers are currently recruiting for a Physician to join our team of health care professionals dedicated to improving the health and well-being of community members through quality health care services. The Tulare County Health &Human Services Agency operates two Federally Qualified Health Center (FQHC) Look-Alike clinics focused on providing primary care services to underserved populations throughout the county. Our vision is a safe and healthy community where patients have access to quality care. Through the FQHC program, our health care centers aim to remove the barriers many residents find to accessing health care and to ensure quality treatment regardless of ability to pay. By joining our team, you’ll be part of a progressive and innovative working environment where diversity is valued and teamwork is encouraged. Our health care team comprises health care professionals who specialize in family and internal medicine, pediatrics, women's health, and other specialty services. Physicians can expect to have a manageable patient workload with great work hours, and can enjoy a generous benefits package that includes a choice of health plans, paid time off, a retirement plan, incentives, and more. Tulare County Health Care Centers are Federally Qualified Health Care (FQHC) Look-Alike clinics and authorized National Health Service Corp (NHSC) sites. Medical providers accepting a position at these sites may qualify for loan repayment assistance. For more information on the loan repayment program, visit http://nhsc.hrsa.gov/loanrepayment/. Typical Duties Key Responsibilities Provide medical services in clinics in the field of Family Practice, Internal Medicine, or Pediatrics. Examine, diagnose, prescribe, and administer treatment to patients. Determine necessity for referral and refer persons requiring special diagnostic procedures or treatments to appropriate sources. Admit patients to area hospitals as necessary and in coordination with other physicians. Act as supervising physician for one or two mid-level practitioners. Maintain clinic records and prepare reports. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from a medical school approved by the Board of Medical Quality Assurance One year of experience as an intern at a hospital approved by the Board of Medical Quality Assurance; completion of a residency in Pediatrics, Internal Medicine, or Family Practice from a program approved by the American Board of Medical Specialties Possession of a valid Physician's and Surgeon's license issued by the State of California. Board eligible or certified in Family Practice, Internal Medicine, or Pediatrics Obtain a supervising physician certificate from the California Medical Board within the time frame required by the Director of Health Services Possession of admitting privileges at a local hospital or hospitals as determined by the Health Services Director. Applicants may be appointed with immediate application of hospital admitting privileges; continued employment is contingent upon obtaining the specified privileges. Additional Information THE COMMUNITY Tulare County offers a superior quality of life, complete with the friendly neighborhood small-town feel, that offers shopping, dining, and movie and live theater experiences for the whole family. Stretching from the mountainous Sequoia National Park to the fertile Central Valley, Tulare County is just two and a half hours from the Central Coast and midway between Los Angeles and San Francisco. Tulare County has something for everyone, from cities like Visalia, Tulare, and Porterville, to rural communities like Orosi and Pixley, and mountain areas such as Three Rivers and Springville. Working in Visalia doesn’t involve much of a commute from the many nearby communities. Tulare County’s geographic location makes it an ideal place to lead an active lifestyle. Here you can find a wide variety of easily accessible outdoor activities, including hiking, camping, river rafting, boating, fishing, skiing, and biking. Tulare County has a multitude of county and city parks, and an array of special events such as car shows, parades, and cultural festivals that make it easy and fun to spend quality time with family and friends. One of the top two agriculture-producing counties in the U.S., Tulare County has eight incorporated cities and over forty towns and communities. It offers a range of housing and schools to meet residents’ unique needs. There are a handful of colleges and universities within just a short drive, including College of the Sequoias (in Visalia), CSU Bakersfield, CSU Fresno, and Fresno Pacific University. FUN FACTS Tulare County’s $7.2 billion farm economy is the number 3 agricultural economy in the United States. In 2019 there were 120 different commodities, over 45 of which were valued at over $1 million. The county’s top ten crops in descending order by cash value are Milk, Cattle, Navel Oranges, Table Grapes, Pistachios, Silage Corn, Nectarines, Alfalfa Hay, Peaches, and Valencia Oranges. TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY Mission: Dedicated to protecting and strengthening the well-being of the community through the development of effective policies, practices, and services delivered in a culturally and linguistically competent manner. Located in Visalia in the heart of Central California’s San Joaquin Valley, the Tulare County Health & Human Services Agency (HHSA) takes an innovative approach to providing a broad range of services to our community. Programs include services in Public Health, Behavioral Health, and Human Services. With a staff of nearly 2,000, HHSA provides the best client service by integrating staff and resources based on clients’ needs. Formed in 1995, HHSA combines several interrelated functions and services under a centralized administration. For more information, please review https://indd.adobe.com/view/b86bc3d8-4944-4557-a1fe-2e16a24526ab . Bargaining Unit 16 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annual benefit amount is provided and may be applied toward health, dental, vision, life and long-term disability insurance premiums, and retirement contribution. This benefit is pro-rated and paid on a pay period basis. Health Insurance: A choice of PPOand HMOmedical plans which includes PPOand HMOdental plans which include dental andvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP). Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave : 12 set days and 1 personal holiday Vacation Accrual : 16 days per year (0-3 years of service) 21 days per year (3-15 years of service) 26 days per year (15+ years of service) Limit of 300 hours. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D : $10,000; Provided by Standard Insurance Company. Long Term Disability Insurance :A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation : A voluntary deferred compensation plan is available. Incentive Program : A patient satisfaction bonus program is available for some specialties. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for Extra Help Primary Care Practitioners. As extra help positions become available, the Health & Human Services Agency will select the most qualified and appropriate applicant for the position available. The number of hours and duration of employment varies by each assignment. Extra help employees may work in a variety of departments in locations throughout the geographic county area. Extra help employees may not work more than 1,559 hours in any fiscal year from July to June. An extra help employee who mistakenly works in excess of 1,559 hours in a fiscal year does not become a probationary or regular employee. Applications will be active for six months. If you are hired for extra help and you complete a work assignment and then if you wish to be employed again, you must resubmit an Extra Help application online. There are no benefits associated with extra help positions. Tulare County’s Health Care Centers and California Children’s Services (CCS) Program are currently recruiting for an Extra Help Primary Care Practitioner to join our team of health care professionals dedicated to improving the health and well-being of community members through quality health care services. The Extra Help Primary Care Practitioner will support the CCS Medical Therapy Program (MTP) by providing medical direction for patients within the MTP. In addition to determine medical eligibility and medical benefits in accordance with the CCS rules and regulations The Tulare County Health and Human Services Agency operates two Federally Qualified Health Center (FQHC) Look-Alike clinics focused on providing primary care services to underserved populations throughout the county. Our vision is a safe and healthy community where patients have access to quality care. Through the FQHC program, our health care centers aim to remove the barriers many residents find to accessing health care and to ensure quality treatment regardless of ability to pay. Typical Duties Key Responsibilities Provide medical services in clinics in the field of Family Practice, Internal Medicine, or Pediatrics. Examine, diagnose, prescribe, and administer treatment to patients. Determine necessity for referral and refer persons requiring special diagnostic procedures or treatments to appropriate sources. Admit patients to area hospitals as necessary and in coordination with other physicians. Act as supervising physician for one or two mid-level practitioners. Maintain clinic records and prepare reports. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from a medical school approved by the Board of Medical Quality Assurance One year of experience as an intern at a hospital approved by the Board of Medical Quality Assurance; completion of a residency in Pediatrics, Internal Medicine, or Family Practice from a program approved by the American Board of Medical Specialties Possession of a valid Physician's and Surgeon's license issued by the State of California. Board eligible or certified in Family Practice, Internal Medicine, or Pediatrics Procurement of a supervising physician certificate from the California Medical Board within the time frame required by the Director of Health Services Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Closing Date/Time: Continuous

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for a Quality Assurance Nurse . This position will provide support to healthcare facilities within the county regarding infection prevention activities. The successful candidate will evaluate records, prepare narrative reports, summarize quality assurance findings for review by management, and make recommendations for changes in policies and procedures. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Public Health branch. The successful candidate will provide support, gather data, provide oversight for essential clinical compliance activities, and evaluate electronic medical records. The incumbent will also provide documentation to ensure completeness, accuracy, and compliance with patient care and service standards to ensure documentation accurately reflects and supports patients’ visits. Additionally, the Quality Assurance Nurse will work with diverse populations focusing on health promotion and education. The successful candidate must have the ability to maintain effective working relationships with the public, patients, staff, and other branches and agencies. Eligible applicants may receive loan repayments of up to $15,000 in exchange for a 12-month service obligation practicing and providing direct patient care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/bsnlrp/ . Typical Duties Key Responsibilities Develop, implement, and track quality assurance policies and procedures to ensure quality care for patients Identify through focused audits potential operational and/or regulatory issues related to quality assurance in health care, regulatory compliance, prevention, reporting, and monitoring Evaluate records and prepare narrative reports summarizing quality assurance findings for review by management, and make recommendations for changes in policies and procedures Provide technical guidance to physicians and other departmental staff in identifying and resolving issues or errors that do not conform to patient-care standards, accuracy of documentation, procedures, and requirements Identify training needs based on quality assurance findings, prepare training materials for electronic health records, and conduct training for physicians and support staff to improve compliance and performance improvement activities Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited school of nursing. A valid Registered Nurse License issued by the California Board of Registered Nursing. Three (3) years’ nursing experience as a Registered Nurse, including one (1) year in patient care and one (1) year in process improvement in a clinical setting. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** If you are seeking an innovative, supportive, and satisfying work environment, please apply at If you are seeking an innovative, supportive, and satisfying work environment, please apply at http://agency.governmentjobs.com/tulare/ EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

One current vacancy with the Health & Human Services Agency located in Visalia. This recruitment will establish an employment list to fill current and future vacancies. The anticipated life of the list is six months. Salary Range: $110,000 - $171,633 Annually May be appointed within the salary range; appointment is At-Will Typical Duties Performs high volume, high-quality spay/neuter surgeries of shelter animals, including dogs and cats in a fast-paced environment; diagnoses and treats diseases, illness, and injuries of shelter animals including dogs, cats, pocket pets, and occasionally farm animals; oversees all aspects of veterinary surgical care including physical examination, surgery, pre-and post-operative care, anesthetic administration and monitoring, emergency care, restraint and treatment following all SOPs as put forth by Tulare County; perform pre-surgery physical examination on all surgical candidates; diagnose and treatment of post-surgical medical complications of animals; attend staff, management, and other requested meetings. Obtain continuing education as required by Tulare County and licensing requirements; examines animals to determine nature of disease or injury and recommends course of treatment or euthanasia with the support of a team decision; test animals for disease and inoculates animals against rabies; reviews animal bites and exposure reports concerned with rabies and other diseases and directs follow-up procedures; evaluate condition and coordinate maintenance of surgical equipment and supplies; hold and maintain the Veterinary Premise Permit for Tulare County Animal Services shelter and clinic; oversee controlled substance procurement, storage, record keeping and administration as it relates to shelter animals; develop and confer with Management on sanitary measures, feeding, preventative medicine, and general care to promote health of shelter animals; research and prepare medical reports for guidance on request; provide veterinary expertise and document/testify as needed on animal abuse and neglect cases; participates in humane investigations, prepares written veterinary statements, and testifies in court as appropriate for animal welfare/cruelty cases; vaccinates and gives emergency treatment to impounded animals; regularly reviews medical condition of animals quarantined at the shelter; gives follow-up treatment to injured animals as necessary; directs care and feeding of exotic or unusual animals; assists with public health duties as needed to prevent the spread of communicable diseases in the shelter and in the community; supervises assistants and oversees the clinical care provided by Veterinary Technicians, Animal Care Specialists and Animal Care Technicians as needed; provides input on veterinary protocols; provides consultation and education to members of the public on regulations and medical aspects of animal care; assist with natural disasters and the care of animals; provide information to the public regarding laws, regulations and department policies when necessary; prepare various forms, routine correspondence and run reports; compose Health Certificates; utilize custom animal software; attend and assist in animal shelter related events such as vaccine clinics; perform related duties as assigned. Essential duties may be assigned that are not listed but are relative to this position. Employment Standards MINIMUM QUALIFICATIONS Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following. Education and Experience: Graduation from an accredited school of veterinary medicine with a degree of Doctor of Veterinary Medicine AND two (2) years of veterinary medical experience, one (1) year of which includes surgical experience in spaying and neutering. Knowledge of: Current veterinary principles, practices, and techniques relating to sick or injured animals; rabies control laws; veterinary forensics and animal cruelty laws; shelter practices and population medicine; United States Department of Agriculture (USDA) regulations regarding health certificates and transport of animals; high volume, high-quality spay and neuter techniques; bacteriology, pathology, serology, and other veterinary laboratory procedures; principles of public health related to animal carried diseases; supervisory principles and practices Skill/Ability to: Perform high volume, high-quality spay and neuter surgeries in a fast-paced environment.; work a flexible schedule, including evening and weekend hours; demonstrate genuine concerns, compassion and caring for animals; diagnose and treat diseases among animals; apply animal care knowledge in a shelter setting; establish and enforce quarantine of animals; gather evidence in case of violation of rules and regulations; establish and maintain cooperative working relationships; communicate in a manner that is both compassionate and informative when interacting with staff, clients and with the public; ability to address emotional situations with pet owners; maintain records and prepare reports; effectively supervise shelter staff as it relates to veterinary care or surgery; perform humane euthanasia; travel within and outside Tulare County for work related activities using County vehicle; work and communicate effectively with people of various educational and socioeconomic backgrounds by respecting beliefs, interpersonal styles, and behaviors of both customers and co-workers; organize work, determine priorities, exercise good judgment, and complete multiple tasks with deadlines under stressful conditions; follow safe work practices; understand and follow oral and written instructions; communicate clearly and concisely in person and over the telephone.; write clearly to convey ideas in memos, emails, and correspondence using correct grammar, spelling, and punctuation.; effectively utilize specialized animal software; file and maintain accurate records; plan and complete assignments independently; exhibit humane and sympathetic treatment of animals; work in a loud environment while exposed to animals, animal fluids, waste and smells, and pharmaceuticals; remain standing for long periods of time; demonstrate hand and finger dexterity; ability to demonstrate team approach to the job by cooperating with others, offering to help others when needed, and consider larger organization or team goals; demonstrate willingness to adapt and remain calm in a constantly changing and stressful work environment; exhibit comfort in performing a high volume of spay/neuter surgeries on a daily basis; ability to handle, position and restrain live animals of both small and large animal species; ability to handle, position, lift, and move materials, equipment and supplies; retain and recall information. License or Certificate: Possession of a current California State License to practice Veterinary Medicine. The required licenses MUST be current and unrestricted; a conditional, provisional, probationary or restricted license will NOT be accepted; possession of, or eligibility to obtain, a National Accreditation Number from the USDA; possession of and maintain DEA license for the procurement and use of controlled substances and clinic use; possession of, or ability to obtain, an appropriate, valid California driver's license. Special Requirement: Must be immunized against rabies and maintain immunity for the duration of employment. DESIRABLE EMPLOYMENT STANDARDS Knowledge of: General geography of the nonincorporated areas of Tulare County. Additional Information Conditions of Employment: Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act : This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan service or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 20 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . . Retirement : The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave : 12 set days and 1 personal holiday. Vacation Accrual : 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance : $10,000; Provided by Standard Insurance Company. Long Term Disability Insurance: A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. Provided by Standard Insurance Company. Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation : A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Health & Human Services Agency is actively recruiting for the position of Mental Health Clinician - Licensed. Direction is provided by a Mental Health, Human Services, or Integrated Services Clinical Supervisor or Manager or a higher-level management position within the Agency. The Mental Health Clinician - Licensed provides professional behavioral health services, in accordance with State of California laws and regulations, to identify adults and children with mental, emotional, and/or substance use disorders. The incumbent may also provide behavioral health clinical oversight and direction to unlicensed clinicians, mental health paraprofessional staff, and student undergraduate/graduate placements. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Mental Health, Human Services Branches, or the Integrated Division. The successful candidate will respond to crisis, make assessments, provide triage, and follow through with appropriate treatments, including referrals and assessing for psychiatric hospitalizations. Incumbents working in the Mental Health Branch will work with complex casework in a variety of programs depending on current vacancies. These may include clinics, criminal justice, Alcohol and Other Drugs, administration homeless outreach, Integrated Services, children’s services, and other mental health settings. The ideal candidate will need to work well within a team setting and have a wealth of therapeutic skills to help problem-solve and make immediate decisions about challenging therapeutic cases. The successful candidate may also perform quality improvement activities for both mental health and substance use disorder programs and provide clinical expertise to programs and providers within the county behavioral health network. This may include l eading or participating in Quality Improvement projects, conducting chart reviews, investigating grievances and appeals, and supporting ongoing relationships with providers. The Tulare County Mental Health Branch has two outpatient adult mental health clinics, located in Visalia and in Porterville, and one children’s clinic in Porterville. All focus on the treatment of consumers with Severe Mental Illness. The Mental Health Branch works with community-based providers to ensure mental health services are available throughout the county. The Tulare County Child Welfare Services (CWS) Division has a clinical team that works primarily with adults and families involved with CWS. The successful candidate will provide mental health assessments, provide individual, family, and group psychotherapy, respond to crises in the field to support clients and social work staff, and consult with social workers and associated providers involved with cases. The Tulare County Integrated Services (IS) Division has a clinical team that will work as part of a multi-disciplinary team with representatives from programs across programs in Tulare County Health and Human Services Agency, community partners, community members, landlords, and other government agencies to identify services to meet the client’s needs. Candidates accepting one of these positions may qualify to apply for loan repayment of up to $30,000 for a two-year work commitment and providing direct client care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/ . Typical Duties Key Responsibilities Perform crisis intervention services over the phone or in the field as assigned; determine triage level and refer for appropriate services. May perform in-home or field crisis intervention or treatment services. Assist clients in accessing services to support the client’s need for treatment and care. Provide casework and program consultation to staff members, which may include serving as a clinical lead to unlicensed clinical team members in their development of client treatment plans. Establish and maintain effective working relationships at all organizational levels, as well as with other agencies, County departments, and the public. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Completion of a master’s degree in one of the following areas: social work; marriage, family, and child counseling; marital and family therapy; psychology; clinical psychology; or counseling psychology; obtained from an accredited school, college, or university. Possession of a valid Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage Family Therapist (LMFT) license issued by the State of California Department of Consumer Affairs, Board of Behavioral Sciences (BBS). Desirable Qualifications for Mental Health Knowledge of federal Medicaid and state Medi-Cal regulations pertaining to clinical licensing, provider site certification, service documentation, and billing T raining and experience providing clinical supervision. Experience and knowledge of working with special populations such as Criminal Justice, Severe Mental Illness (SMI), Unhoused, or others. Desirable Qualifications for Human Services Knowledge of the child welfare system Experience with trauma-informed care Knowledge of issues/concerns related to child abuse and neglect. Desirable Qualifications for Integrated Services Knowledge of the CalAIM initiatives Experience with trauma-informed care and motivational interviewing Knowledge of issues/concerns of homeless and vulnerably housed populations Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** If you are seeking an innovative, supportive, and satisfying work environment, please apply at http://agency.governmentjobs.com/tulare/ EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Public Health Branch under the Health & Human Services Agency (HHSA) is actively recruiting for a Supervising Therapist to join the California Children's Services program, particularly with the Medical Therapy Unit (MTU). This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County's Public Health branch. The MTU Program utilizes therapist staff to provide occupational and/or physical therapy services for neurologically and/or physically impaired clients from birth to 21 years of age. There are two MTU locations, Visalia and Porterville, and a satellite location in Tulare. The Supervising Therapist will be stationed in Visalia but may have to travel to other sites if necessary. The Supervising Therapist will provide lead supervision for and coordinate the work of therapists, therapist assistants, therapy aides, and office assistants and confer with the medical consultant and Public Health Manager (CCS Administrator) to ensure that the therapy program is effective. The selected candidate will also review and authorize requests for rehabilitation-related durable medical equipment and orthotics. Typical Duties Key Responsibilities Plan, assign, coordinate and review the work of physical therapists and occupational therapists. Assign patient load to staff therapists and self. Confer and consult with physicians to interpret therapy prescribed, establish priority of treatments and vendor therapy services as needed. Evaluate children's disabilities, review treatment program and patients' records, and re-evaluate through discussions with physicians and other professionals, children's conditions to determine effect of treatment. Organize and manage medical therapy conferences and staff meetings. Employment Standards Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited school of physical or occupational therapy. Two (2) years as a physical therapist or occupational therapist evaluating and treating patients. Possession of a valid certificate to practice as a Registered Physical Therapist or Occupational Therapist in the State of California. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007 and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 19 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement : The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave : 12 set days and 1 personal holiday. Vacation Accrual : 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Long Term Disability Insurance: A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation : A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. Are you looking topractice medicine and maintain a positive work-life balance? A career with theHealth & Human Services Agency (HHSA) allows you to focus on providingquality care without the burdens of maintaining an unrealistic patient load andschedule. Here, in a supportive, collaborative environment, and in conjunctionwith a dedicated physician, you will deliver primary care to our diversepatient population. HHSA is currently recruiting for multiple vacancies for PhysicianAssistants in the Public Health Branch. This recruitment will establish anemployment list to fill immediate and future vacancies throughout TulareCounty's Visalia Health Care Center. The Tulare County PublicHealth Care Centers offer a progressive and innovative working environment forour employees while providing comprehensive health care in the community.Services offered to the community include family and internal medicine,pediatrics, and women's health. These positions are responsible for performingphysical screening assessments, accurately diagnosing common medical problems,and initiating treatment or making referrals to a physician as indicated. Thesuccessful candidate will work collectively and collaboratively in amulti-disciplinary team setting, acting as a liaison between the Public Health Branchand other organizations. Visalia and Farmersville Health Care Centers areFederally Qualified Health Care (FQHC) look-alike clinics and authorizedNational Health Service Corp (NHSC) sites. Mid-level providers accepting a positionin these sites may qualify to apply for a loan repayment of up to $50,000 for atwo-year work commitment. For more information on the loan repayment program,visit http://nhsc.hrsa.gov/loanrepayment/ . Typical Duties Key Responsibilities Ability to accurately diagnose common medical problems and initiate treatment or make referral to physician as indicated Skill to recognize and evaluate situations that call for a physician's immediate attention and, when necessary, initiate treatment procedures Experience with accurately documenting findings, notes, and results in an Electronic Health Records system Maintaining effective working relationships with patients, public, staff, and other departments and agencies Demonstrated interpersonal and written communication skills Team oriented; dedicated to collaborative and collective accomplishments consistent with the Agency's priorities and goals Responsive, with a public service and project-delivery focus Committed to cultural competency in theory and practice Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university Physician Assistant program Possession of a Certificate or Letter of Approval to practice as a Physician Assistant issued by the California Board of Medical Examiners Additional Information Benefits Ability to earn up to $25,000 per year as a participant of our Incentive Plan Monday-Friday schedule (half a Saturday once a month) Voluntary participation in deferred compensation plans (457K plan) employer match up to $1,500 annually Relocation allowance up to $3,500 And much more...please refer to the Benefits tab For more information about this position and Tulare County, please review the Physician Assistant flyer . Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. The selected candidate will be required to pass a pre-employment drug and alcohol screening; furthermore, a background investigation may be conducted. Some job classes may also require a physical examination. Student Loan Forgiveness This position may qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for a Licensed Vocational Nurse (LVN). This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County. The successful candidate must have the ability to maintain effective working relationships with patients, public, staff, and other departments and agencies. HHSA’s Public Health Branch, including our Public Health Nursing Programs as well as our Health Care Centers, offers a progressive and innovative working environment for our employees while providing comprehensive health care in the community. The Health Care Centers are seeking an LVN with leadership skills in a busy, multi-department facility to serve in our primary care clinics. The ideal candidate will possess great communication and listening skills and will perform patient triage through phone, e-messaging, and walk-ins. The current vacancy will be located at the Visalia Health Center and will be focused on providing education on topics of communicable disease and family planning to patients and community health care providers. Our Public Health Nursing Programs are seeking an LVN with leadership skills to provide clinical, case management, and outreach services for clients throughout our range of program units. The LVN classification provides office-based and field services in the Immunizations, Communicable Disease, STI/HIV, Tuberculosis, and Multidisciplinary Team (MDT) programs. Duties include direct patient care, disease intervention, case management, and education activities tailored specifically for each individual program. The current vacancy will be located at the Visalia Health Care Center. Typical Duties Key Responsibilities for Health Care Centers Perform dressing changes, special treatments, immunizations, and other nursing services. Take vital signs and measurements. Administer medications, injections, and vaccines as ordered by the physician. Complete nutritional, health education, and psych-social assessments according to established procedures. Prepare patients for tests or for examinations and assist a physician with the examination/procedure. Blood draw and obtain informed consent for procedures. Administer skin test. Report dog bites and communicable diseases to appropriate public health officials. Take, label, and chart various specimens Key Responsibilities for PH Nursing Programs Perform case management and disease intervention services for individual and families of cases of communicable diseases. Assist with conducting site reviews of health care facilities to ensure compliance with program requirements, as well as state and federal regulations. Assist management staff in completing quality improvement and utilization management-related special projects. Make referrals and monitor follow-up of referrals and case status. Provide outreach services to the community, including counseling and presentations to individuals, select groups, and health care providers. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited Licensed Vocational Nursing program Possession of a valid Licensed Vocational Nurse certificate issued by the California State Board of Vocational Nursing Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. Possession of, or ability to obtain, an appropriate, valid California driver's license. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change.

This is a continuous recruitment and can be closed at any time without notice. Are you looking to practice medicine and maintain a positive work-life balance? A career with the Health & Human Services Agency (HHSA) allows you to focus on providing quality care without the burdens of maintaining an unrealistic patient load and schedule. Here, in a supportive, collaborative environment, and in conjunction with a dedicated physician, you will deliver primary care to our diverse patient population. HHSA is currently recruiting for multiple vacancies for Nurse Practitioners in the Public Health Branch, which includes the Tulare County Health Centers and the Prevention Service Programs, and the Mental Health Branch. Incumbents will provide services to persons with a variety of social and economic backgrounds (a variety of ages, different cultures, etc.). This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County's Health and Mental Health Care centers. The Tulare County Health Care Centers offer a progressive and innovative working environment for employees while providing comprehensive health care in the community. Services offered to the community include family and internal medicine, pediatrics, and women's health. Nurse Practitioners are responsible for performing physical screening assessments, accurately diagnosing common medical problems, and initiating treatment or making referrals to a physician, as indicated. Incumbents working at VHC may also perform prenatal services and uncomplicated deliveries, basic gynecological examinations, take pap smears, and fit contraceptive devices. The successful candidate will work collectively and collaboratively in a multi-disciplinary team setting, acting as a liaison between the Health Center and other organizations. Incumbents are expected to provide input and support regulatory compliance initiatives, including HRSA designation and Patient-Centered Medical Home. The Visalia and Farmersville Health Care Centers are Federally Qualified Health Care (FQHC) look-alike clinics and authorized National Health Service Corp (NHSC) sites. Mid-level providers accepting a position at these sites may qualify to apply for a loan repayment through the National Health Service Corp (NHSC) of up to $50,000 for a two-year work commitment. For more information on the loan repayment program, visit http://nhsc.hrsa.gov/loanrepayment/ . The Tulare County Public Health Branch also offers opportunities in its Prevention Service programs. Incumbents may assist and consult with outside community partners in the development and delivery of policy guidance and presentations concerning relevant varietal public health concerns, including but not limited to Homeless Program Initiatives, reviewing California Children's Services case management activities and service authorizations, and providing clinical services in the Tuberculosis and Communicable Disease clinics. Other duties may include case management and authorization activities, infection prevention consultation and services, policy development and review, and acting in a lead capacity over programs or initiatives. Public Health programs include California Children’s Services; the Child Health and Disability Program; Immunizations and Communicable Disease Programs; Public Health Nursing Community Health; Maternal, Child, and Adolescent Health; and Tuberculosis programs. Duties will include interaction with medical and mental health service providers on behalf of clients and HHSA staff. Tulare County Mental Health has two adult mental health clinics, located in Visalia and Porterville, that work with community-based providers to ensure mental health services are available throughout the county. The Mental Health Branch is seeking a highly motivated Nurse Practitioner to practice medicine with physician supervision. The successful candidate will respond to crisis situations, make assessments, provide triage, and follow through with appropriate treatments, which may include ordering referrals as well as voluntary or involuntary hospitalizations. The successful candidate will conduct physicals and order diagnostic studies that may require interpretation. Candidates accepting a position at these sites may qualify to apply for a loan repayment through California’s Office of Statewide Health Planning and Development (OSHPD) of up to $25,000 for a two-year work commitment. For more information on the loan repayment program, visit https:// www.oshpd.ca.gov/HPEF/Programs/APHLRP.html. Typical Duties Key Responsibilities Ability to accurately diagnose common medical problems and initiate treatment or make referral to physician, as indicated Skills to recognize and evaluate situations that call for a physician's immediate attention and, when necessary, initiate treatment procedures Experience with accurately documenting findings, notes, and results in an Electronic Health Records system Ability to maintain effective working relationships with patients, public, staff, and other departments and agencies Demonstrated interpersonal and written communication skills Team-oriented; dedicated to collaborative and collective accomplishments consistent with the Agency's priorities and goals Responsive, with a public service and project-delivery focus Committed to cultural competency in theory and practice Employment Standards Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited school of nursing Possession of a valid Registered Nurse certificate issued by the State of California and a certificate of completion as a Family Nurse Practitioner One year of experience as a registered nurse Additional Information Desirable Qualifications for the Health Care Setting Knowledge of: Obstetrical services and labor and delivery Skill/Ability to: Perform labor and delivery examinations and oversight Deliver newborns via normal vaginal delivery Promptly recognize complications and know when to contact physician for assistance Education : Graduation from an accredited nurse practitioner program with certification as a nurse midwife. Experience: One year of experience as a women’s health nurse practitioner or nurse midwife License or Certificate: Certification as a nurse midwife by the American College of Nurse Midwives About the Community Tulare County offers a superior quality of life, complete with the friendly neighborhood small town feel, that offers shopping, dining, and movie and live theater experiences for the whole family. Stretching from the mountainous Sequoia National Park to the fertile Central Valley, Tulare County is just two and a half hours from the Central Coast and midway between Los Angeles and San Francisco. Tulare County has something for everyone, from cities like Visalia, Tulare, and Porterville, to rural communities like Orosi and Pixley, and mountain areas such as Three Rivers and Springville and the Tule River Reservation. Working in Visalia doesn’t involve much of a commute from the many nearby communities. Tulare County’s geographic location makes it an ideal place to lead an active lifestyle. Here you can find a wide variety of easily accessible outdoor activities, including hiking, camping, river rafting, boating, fishing, skiing, and biking. Tulare County has a multitude of county and city parks, and an array of special events such as car shows, parades, and cultural festivals that make it easy and fun to spend quality time with family and friends. One of the top two agriculture-producing counties in the U.S., Tulare County has eight incorporated cities and over forty towns and communities. It offers a range of housing and schools to meet residents’ unique needs. There are a handful of colleges and universities within just a short drive, including College of the Sequoias (in Visalia), CSU Bakersfield, CSU Fresno, and Fresno Pacific University. Benefits Ability to earn up to $25,000 per year as a participant in our Incentive Plan. I ncentive pay is specific for direct care services within the Tulare County Health Care Centers. Monday-Friday schedule (half a Saturday once a month) Voluntary participation in deferred compensation plans (457K plan) employer match up to $1,500 annually Relocation allowance up to $3,500 And much more...please refer to the Benefits tab Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. The selected candidate will be required to pass a pre-employment drug and alcohol screening; furthermore, a background investigation may be conducted. Some job classes may also require a physical examination. Student Loan Forgiveness This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information, you are encouraged to speak with your student loan servicer or visit: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 6 The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change. Benefit Amount: An annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision Services Plan (VSP) . Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems. Paid Holiday Leave: 12 set days and 1 personal holiday . Vacation Accrual: 2 weeks per year (0-3 years of service) 3 weeks per year (3-7 years of service) 4 weeks per year (7-11 years of service) 5 weeks per year (11+ years of service) Limit of 300 hours. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation: A voluntary deferred compensation plan is available. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous