Tulare County Health & Human Services Agency

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 Human Services Branches. 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 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: 12/20/2023 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. Current vacancy is with the Health and Human Services Agency, located in Visalia. Typical Duties Assist community partners, organizations, and members by providing positive customer service and response; Input data into computer systems, verify data accuracy, and reconcile discrepancies; Perform a wide variety of administrative, specialized, and/or general clerical duties related to assigned functional areas; Prepare reports, memos, correspondence, and other documentation; Properly connect and operate a trailer to transport a range of supplies, materials, or equipment using heavy duty vehicles; Monitor inventory of supplies to maintain appropriate minimum thresholds; Load and unload necessary materials or supplies utilizing forklift; Maintain cleanliness and organization of storage spaces; Communicate with team and supervisor to best address various situations; Participate in program meetings and trainings as appropriate; Direct traffic as needed during emergency response events by using hand signals, direction signs, and barricades/cones; Sort and file documents, charts, records, maintaining alphabetical, numerical, index and cross-reference files; Travel to various locations; May be responsible for preparing meeting agendas and taking meeting minutes; May work with and indirectly supervise staff and volunteers; May be required to work a variety of different schedules, including evening and weekend shifts as emergency situations arise; May use computers and related automated equipment; 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 grade. Experience: One year of experience providing responsible administrative support or warehouse/inventory operations. Knowledge of: Record-keeping principles; Federal, State, and local rules, regulations, policies, and procedures governing privacy; Basic math; Personal computers, automated systems and equipment, and software programs including word processing, spreadsheets, and database applications. 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 coworkers; Operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; Practice excellent and sensitive interpersonal, cultural sensitivity, and interviewing skills such that they can build trust and maintain trust with contacts; Be able to independently manage workload that includes reaching out to contacts, maintaining spreadsheets, and data entry; Read and interpret rules, regulations, and policies; Apply rules, regulations, policies, and procedures governing privacy; Collect and evaluate information, draw valid conclusions, and make appropriate recommendations; Verify information obtained from applicants; 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 and efficiently; Maintain confidentiality of all business information and materials; Work a flexible schedule including evening and weekend hours when necessary; Update and maintain inventory database; Complete inventory on a yearly basis in multiple locations; Maintain specialized equipment. License or Certificate: Possession of, or ability to obtain, a valid California driver’s license; Possession of or ability to obtain forklift certification within 6 months of hire. DESIRABLE EMPLOYMENT STANDARDS Knowledge of: Warehouse operations and safety practices; Inventory management and record-keeping Education: Equivalent to completion of two (2) years of general education college coursework. 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 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 EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 3 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 and life).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: 12/5/2023 11:59 PM Pacific

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: 12/6/2023 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 Tulare County. 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 Meet with WIC participants in person and via telephone to provide breastfeeding education, counseling, and support; enter appropriate data into Breastfeeding Database and maintain computer files through the Breastfeeding Database application, including making appropriate comments after contacts, making future appointment contacts, and referrals; conduct follow-up calls to participants within WIC policy guidelines; post Breastfeeding Peer Counseling materials at WIC site; utilize WIC Web Information System Exchange (WISE) to identify WIC and BFPC) appointment dates and times, contact prenatal participants, schedule and maintain caseload with continued follow up, documentation and appropriate referrals to BFPC participants; participate in continuing education and attend required trainings; read and become familiar with materials provided in the established WIC Policies and Procedures Manual (WPPM) including revisions; present information and promote the Breastfeeding Peer Counseling Program to WIC participants during prenatal and postpartum classes, as well as during one-on-one telephone calls, video telehealth calls, and assist in the program enrollment process; issue breast pumps when needed by peer counseling program participants, and follow-up with participants to provide phone counseling when needed; promote participant support groups and activities that encourage and maximize breastfeeding efforts; support the quality improvement and compliance goals of the BFPC Program by ensuring that Tulare County WIC meets the required regulations as defined by the BFPC Program and WIC Policies and Procedures Manual (WPPM); attend and actively participate in all meetings (e.g. department meetings, program meetings, employee staff meetings) and other activities as required or assigned; support the overall needs of the WIC Program and Tulare County Public Health Branch by working flexible or extended hours when assigned; support the needs of the WIC Program by traveling to other WIC clinics and offices; provide help to breastfeeding mothers; assess issues that can impact breastfeeding success; learn to describe problems and symptoms; and learn and apply Baby Behavior, Participant Centered Education (PCE) and other WIC counseling techniques as needed; teach basic breastfeeding to participants and help them when difficulties arise; encourage and support participants to breastfeed; display professionalism in the course of performing duties; identify situations outside the Scope of Practice and refer, as appropriate, in a timely manner; traveling to peer counseling sites to meet with WIC participants and provide peer counselor support, as needed. (This position is a driving position and may require travel to various WIC locations within Tulare County, clinics, and resource centers; 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 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: Equivalent to completion of the twelfth (12th) grade. Special Requirement: Participate in WIC Breastfeeding Peer Counselor Training (25 hours) within 1 year of hire date and experience with Breastfeeding (including pumping) at least one baby for 6 months. (Personal Experience is required according to the Women, Infants, and Children Policy WPPM #630-12, Authority All State Memorandum (ASM) 04-27 - Breastfeeding Peer Counseling Grants/Training) Knowledge of: Basic computer data-entry; standard office practices, methods, equipment, and procedures; effective communication methods and practices; proper Breastfeeding practices 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; learn and understand WIC WISE system and Breastfeeding Database applications; make appropriate decisions regularly and organize work effectively with supervision; work as a member of a team. License or Certificate: Possession of, or ability to obtain, an appropriate, valid California driver's license. DESIRABLE EMPLOYMENT STANDARDS Skill/Ability to: Bilingual, Spanish/English preferred. Experience: Six (6) months of customer services experience preferred; interviewing, group/individual nutrition education, or consumer education desirable. 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: 12/6/2023 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 Tulare County. The anticipated life of the list is six months. Typical Duties Plan, assign, and supervise the work of Breastfeeding Peer Counselors; conduct group and individual conferences with staff to provide direction and interpret and explain rules, regulations, and policies; review the quality and quantity of work performed by unit workers and develop, implement, and monitor plans to maintain and improve unit performance; prepare employee performance evaluations, counsel employees, provide support and assist in correcting substandard performance; i nitial and ongoing training of the BFPC; maintain continuous quality improvement plan; conducting breastfeeding assessments either in person or over the phone or over telehealth or videoconferencing.; education and providing participants with solutions to problems such as insufficient weight gain, cleft palate and prematurity in infants; providing participants in the WIC program with up-to-date information regarding breastfeeding and performing related duties as required; traveling to peer counseling sites to meet with WIC participants and provide peer counselor support, as needed; assist in overseeing the respective WIC site, facilities, and operations; make responsible decisions according to established policies and procedures; function in a team with minimal supervision while remaining flexible and adaptable to various situations is required; organize work and perform it in a neat, thorough, and effective manner, handling multiple projects and deadlines as required; establishment of community partnerships to increase awareness and improve communication to promote a breastfeeding-friendly culture in their community; completion of the California Department of Public Health WIC Division (CDPH/WIC) required reports and assessments; ensuring the availability of services outside of normal work hours; mentoring BFPCs and other WIC staff; assisting with monthly BFPC meetings and breastfeeding in-service trainings; greet the applicant/participant either in person or on the telephone; accept information required for certification or assessment; maintain an electronic family/individual record through the WIC Web Information System Exchange (WISE) information system and a paper file and the Peer Counseling Data Base applications; interview applicants/participants and determine their certification or re-certification eligibility to include category screening and certification documentation; provide help to breastfeeding mothers, assess for issues that can impact breastfeeding success, learn to describe problems and symptoms, learn and apply Baby Behavior, learner centered teaching and other WIC techniques as needed; make referrals, issue the food packages and benefits, and schedule appointments; protect, promote, and support breastfeeding, regularly; enters, maintains participant data and ensures proper use of all WIC information system applications; ensures outreach activities are implemented; develop a care plan and conduct follow-up visits; assessments which include monitoring weight and health of the baby to ensure that both parent and child are healthy, documents assessments and notes case progress in breastfeeding database; provides breastfeeding education, both one-on-one and in group settings, to discuss the advantages of breastfeeding, educate parents on medical or other problems that might be encountered during breastfeeding, and explain the nutritional needs of nursing persons and babies; conducts outreach activities as needed to increase public awareness and to gain community support for the breastfeeding program; present to groups and individuals to provide program information and promote the benefits of breastfeeding; serve as a technical resource to WIC staff and health care providers within Breastfeeding Peer Counselor Program's 'designated area; participates in trainings and monthly meetings for the Breastfeeding Peer Counselor Program; assists the Lactation Coordinator in developing and delivering trainings to peer counselors and CQI; keeps informed of current issues and trends in the field; when necessary, refers parents to qualified medical professionals; avoids the display or distribution of materials which promote human milk substitutes; support co-workers who are breastfeeding; know how and when to issue a breast pump. Breastfeeding Peer Counseling Supervisor (IBCLC Credentialed) Provide technical breastfeeding expertise to BFPCs in a timely manner; provide breastfeeding counseling to high-risk BFPC Program Participants who have been referred by the BFPC; conduct assessments of parents and infants at high-risk for breastfeeding complications and provides counseling to WIC clients either in person, at sites or over the phone; determine physical or other impediments to successful breastfeeding; 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 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: Equivalent to completion of the twelfth (12th) grade. Experience: One (1) year of experience in interviewing, individual/group nutrition education, or consumer education equivalent to that of a WIC Breastfeeding Peer Counselor. Knowledge of: Basic computer data-entry; Baby Behavior, learner centered teaching and other WIC techniques; supervisory and interpersonal skills. IBCLC Credentialed Knowledge of: Human lactation and breastfeeding; nutritional needs of infants and nursing women; common breastfeeding problems; community resources available to assist and provide treatment to breastfeeding women; counseling techniques; educational methods appropriate for participants; methods of assessing problems and providing breastfeeding support. 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; training and facilitating workshops with groups and individuals; quickly build and maintain rapport with WIC participants and team members of differing backgrounds; work as an effective member of a team; strong customer service skills; basic computer skills and able to learn and understand the WIC WISE Program and the Peer Counseling Data Base; display professionalism in speech, manner and dress; advanced problem-solving skills; ability to make independent decisions that align with the Breastfeeding Peer Counselor Program; attention to detail and follow-through on work assignments; able to manage multiple tasks simultaneously; ability to work outside normal business hours as assigned. License or Certificate: Possession of, or ability to obtain, an appropriate, valid California driver's license and Certified Lactation Counselor (CLC), Certified Lactation Educator (CLE)/Certified Lactation Educator Counselor (CLEC) DESIRABLE EMPLOYMENT STANDARDS Skill/Ability to: Bilingual, Spanish/English preferred; one (1) year of supervisory experience License or Certificate: International Board-Certified Lactation Consultant (IBCLC) 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 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: 12/7/2023 11:59 PM Pacific

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 a Supervising Nurse I with leadership skills to join the Integrated Services Division. This position is responsible for supervising a team of up to eight paraprofessionals that include case managers and community health workers. The team will work across branches as well as with external stakeholders such as managed care plans, primary care, and community organizations to lead a team that provides member-centered, coordinated care utilizing trauma-informed care best practices. The current vacancy is in the Integrated Services Unit; however, this recruitment will establish an employment list to fill immediate and future vacancies in the Administration, Public Health, and Human Services Branches, which includes the Integrated Services Division, Tulare County Health Centers, the Public Health Nursing and Prevention Programs, and the Child Welfare Services (CWS) Division. Incumbents working in the Integrated Services Unit will be well versed in providing leadership, supervision, and training to a team of paraprofessional staff in roles such as case management, health education, and program navigation. Team members will have experience in various subjects that impact enrollees such as homelessness, addiction, prior incarceration, severe trauma, and multiple chronic health conditions. The successful candidate will be leading multi-disciplinary team meetings that may include any of the following: the patient, unit staff, representatives from primary care, behavioral health, social services, probation/parole, housing services, foster care, and other similar case management programs in government and/or community organizations. The objective of these meetings is to establish a care plan and coordinate services across multiple programs and service providers to meet care plan goals for the duration of the patient’s enrollment. The successful candidate must have the ability to maintain effective working relationships with patients, the public, staff, and other departments and agencies. The Public Health Branch protects and promotes the health status of Tulare County residents through the development and implementation of public health and primary care programs that use best-practice interventions. Incumbents working in the Public Health Nursing and Prevention Programs will work with public health programs with a primary emphasis on California Children’s Services programs, Tuberculosis, Immunizations, General Public Health Nursing, Communicable Diseases, Maternal, Child & Adolescent Health, and Sexually Transmitted Diseases (STD)/ Human Immuno-Deficiency Virus (HIV) programs. The incumbent’s primary role will be to act as a liaison between the local health jurisdiction and the State. The selected candidate will also be in a leadership role within the Health Branch, working closely with the Health Officer as well as the Director of Public Health Nursing. The Supervising Nurse at the County Health Centers will work closely with the clinic manager to ensure the coordination of services among the medical, nursing, and support staff within the clinic. The ideal candidate will have the ability to communicate effectively and clearly with patients and with various providers on behalf of patients. In addition, the successful candidate will act as a liaison between HHSA, patients, and their families. The candidate will closely work with clinic administration staff in promoting quality patient care and practices to the community and will also collaborate with other HHSA programs in developing policies and protocols that protect and strengthen the well-being of the community. The Child Welfare Services (CWS) Supervising Nurse will provide supervision, guidance, and overall direction for the CWS nursing program and will assist and ensure compliance with the preventive health and dental exams for all children in out-of-home care. The incumbent will supervise Public Health Nurses and CWS Registered Nurses who consult with social workers in their investigation of allegations of child abuse or neglect. The candidate will represent CWS in state and regional meetings and serve as a liaison and build a cooperative partnership with external programs. Candidates accepting one of these positions may be eligible for loan repayment of up to $15,000 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 Recognize social problems that affect public health and provide tools to improve the client's/community's overall well-being. Assist nursing administration in policy, procedure, and protocol development and implementation. Plan strategy with staff in public health disease management Provide direct supervision to nursing personnel Ensure compliance with established policies and procedures. Work effectively with individuals and families to assist them in satisfactory solution of health problems. Supervise, train, and maintain standards of practice and evaluating employee performance and competency. Employment Standards REQUIRED QUALIFICATIONS Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university with a Bachelor of Science degree in nursing Three years in community health or primary care nursing, including one year in a supervisory capacity A valid California Registered Nurse License OR Graduation from an accredited college or university with an AA degree in nursing Five years of experience in community health or primary care nursing, including two years in a supervisory capacity A valid California Registered Nurse License DESIRABLE QUALIFICATIONS Experience working in whole-person care, health homes, or any CalAIM initiatives. Bilingual: English/Spanish 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 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** 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 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.

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

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 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

This is a Continuous recruitment and can close at any time without notice. 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. 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 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 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

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. 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 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 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

The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for a Licensed Vocational Nurse (LVN)-Bilingual. 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 in. 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 and the multidisciplinary team (MDT) are seeking an LVN with leadership skills to provide case management and outreach services for clients and perform job duties as a disease intervention specialist, including investigation, interviews, and education for the clients and associates. Provision of education on topics of communicable disease and family planning to patients and community health care providers is also a primary focus for this position. 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 Review requests for treatment authorization and referrals for specialist, ancillary, and in-patient services, and approve or deny requests based on health plan protocols. Conduct site reviews of contracting health facilities to ensure compliance with health plan requirements, as well as state and federal regulations. Perform case management for appropriate coordination and level of services. 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 Bilingual Spanish or Southeast Asian 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.