Alameda County
Oakland, California, United States
Introduction THIS IS A NEW CONTINUOUS EXAMINATION . The eligible list resulting from this examination will cancel any existing list and may last approximately one year but can be extended.This examination may be reopened as necessary and the names of additional candidates merged onto the existing list according to examination score. APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME . Applications must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Applications will only be accepted on-line . Supplemental Questionnaire : A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Applications will only be accepted on-line. Failure to submit the Application or Supplemental Questionnaire will result in disqualification. DESCRIPTION ABOUT THE HEALTH CARE SERVICES AGENCY Alameda County's Health Services Program is administered by the Health Care Services Agency and includes the following program areas: Behavioral Health Care Services, Public Health, Environmental Health Services, and Office of the Agency Director. The ultimate mission of the Health Care Services Agency is to provide fully integrated health care services through a comprehensive network of public and private partnerships that ensure optimal health and well-being and respect the diversity of all residents. PUBLIC HEALTH DEPARTMENT The mission of the Alameda County Public Health Department is to work in partnership with the community to ensure the optimal health and wellbeing of all people. Alameda County Public Health Department has worked for over 80 years to improve the health and safety of its residents and the neighborhoods they live in. The Public Health Department staff are committed to the following values: H ealthy People in Healthy Communities E quity and Social Justice A ccountability and Quality L eadership and Innovation T rust and Transparency H umility and Respect Traditional public health concerns such as disease outbreaks, environmental hazards and access to health care are compounded by contemporary concerns such as: economic disenfranchisement and homelessness, racism, sexual and reproductive health and rights, crime, violence, and substance abuse. Each of these poses a threat to public health and wellness and calls for innovative solutions, in close partnership with impacted communities. For more information about our Alameda County Public Health Department, please visit the Alameda County Public Health Department Website and latest Annual Budget document found on www.acgov.org THE POSITION Registered Nurse IIIs act as lead nurses, assist in providing direction, consultation, coordination and review of the work of professional nursing, and para-professional staff on an assigned team; precept nursing students; plan, implement, monitor and evaluate the delivery of nursing care services to individuals and communities; assist in the management of a program/project; and perform related duties as required. THE VACANCIES The current vacancies for this position are located in the Social Services Agency and in thefollowing programs of the Public Health Department; Adult Protective Services, Nurse Family Partnership, Nursing Administration, and Tuberculosis Control (TB). However, the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT: In addition to meeting the minimum qualifications below, these positions require possession of a current and valid California Public Health Nursing (PHN) certificate issued by the California Board of Registered Nursing. ALAMEDA COUNTY PUBLIC HEALTH NURSES Public Health Nurses (PHNs) work as part of multidisciplinary teams and are embedded inside well-funded comprehensive programs to ensure that our diverse, low-income, multi-stressed individuals, families, and communities are served in holistic ways. PHNs work in multiple programs/units as case managers, community engagement specialists, consultants, coordinators, educators, health screeners, inspectors, investigators, and vaccinators, in the areas of Children’s Medical Services, Central Referral and Intake, Chronic Disease, Communicable Disease, Community Engagement, Immunization Assistance, Correctional Health, Maternal, Child and Adolescent Health, Nurse Education, Nurse Recruitment, Occupational Health, Older Adults and Public Health Emergency Preparedness and Response. The Public Health Department maintains a Memorandum of Understanding with the Alameda County Social Services Agency for the provision of PH Nursing services to clients in the Departments of Adult and Aging Services (Adult Protective Services, Public Conservator, Public Guardian, and In-Home Supportive Services) and Children and Family Services (Foster Care Assessment Center and the Medically Fragile and Services to Enhance Early Development Units). Descriptions of some of these program/units are specifically highlighted below: PROGRAM OVERVIEW Adult Protective Services (APS) and Foster Care PHNs provide nursing case management services to clients with complicated chronic medical conditions. These conditions often render the client vulnerable to ongoing abuse and neglect and at risk for additional medical emergencies, further traumatizing clients and creating cycles of recidivism. Casework may include home visits (to client's residence, hospital, board & care home, health clinic, day program or skilled nursing facility) to conduct an assessment, engagement of the client and client's informal and formal support system in accordance with the service plan of the APS Social Worker, which is designed to reduce or eliminate risk for the client. PHNs will provide health education to clients and their caregivers and/or family and will advocate on behalf of clients for access to required medical services. PHN Case Managers may recognize and coordinate care for varying stages of dementia and cognition; identifying and facilitating appropriate level of care, which could lead to out-of-home placement (such as skilled-nursing facilities, board and cares etc.); facilitating the enrollment process and care provider selection for In-Home Support Services (IHSS) or the selection of other care appropriate providers; and coordinating services, such as Meals-on-Wheels, Friendly Visitors, transportation services (i.e. Paratransit). Nurse Family Partnership Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms residing primarily in Oakland, in order to improve birth outcomes, increase self-sufficiency and improve child development. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, families receive health education and assessments, child development information and screenings and help with goal setting so that they can create better lives for their child and themselves. Nursing Administration The Nursing Administration Office sits inside of the Public Health Nursing Division and is comprised of the Central Intake and Referral Unit, Education and Professional Development Unit, Public Health Nurse Recruitment and Retention Unit, Quality Improvement and Nurse Informatics Units, and Occupational Health Unit. Public Health Nurses (PHNs) as analysts, consultants, coordinators, educators, improvement specialists, and recruiters work as part of multi-disciplinary teams in the Nursing Administration Office to advance and strengthen the role, function, and development of PH Nursing services. Staff in the Nursing Administration Office collaborate with internal and external partners in the development of policy and professional nursing standards of care that support the health of Alameda County residents. Tuberculosis Control (TB) The Tuberculosis Control program staff includes public health nurses, community health outreach workers, physicians and clerical support staff working collectively toward the program's priorities and objectives to: Ensure early identification and reporting of all persons with TB and ensure timely completion of appropriate therapy; Ensure contacts to persons with infectious TB are promptly identified, examined, and if appropriate, complete treatment for latent TB infection (LTBI); Reduce occurrence of sentinel events (pediatric TB cases and TB deaths); and Identify persons (other than contacts) with LTBI at risk for progression to TB disease, and treatment of those persons with an effective drug regimen. TB staff also consults with physicians, schools, hospital nurses and others in the community on Tuberculosis. Additionally, they monitor the number of TB cases yearly and determine other steps that need to be taken to control Tuberculosis in Alameda County. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. IDEAL CANDIDATE The ideal candidate is an experienced public health nurse with solid clinical skills, who is a proven problem solver and effective team leader with the ability to work independently, demonstrate initiative, collaborate with community partners, and is dedicated to providing timely, courteous and knowledgeable consultation and education to clients, external community, health care partners, internal staff and team members. Additionally, the ideal candidate will possess the following competencies: Detail-oriented and able to review documentation of case management activities for accuracy and completeness Provide oversight to public health nurses who conduct case assessment/investigation, case management and care coordination services to high risk, low income Alameda County residents in their own homes, clinics, schools, or other community settings. Thrives in a rapidly-changing work environment. Able to shift direction and priorities as needed. Is proficient with entering, managing andanalyzing information from web-based information systems. Must have a commitment to providing the highest quality of services. Must be able to maintain focus and composure while responding to urgent situations requiring rapid response. Possess the ability to work with and embrace individuals from diverse backgrounds. Be an exceptional listener and analytical thinker/investigator who possesses strong written and verbal communication skills. Demonstrates competence in the following areas; analysis and assessment, interpreting and implementing policies, procedures and regulations as they relate to nursing,cultural competence, public health sciences, training, mentoring, leadership and systems thinking. This is a continuous filing exam with filing deadlines quarterly on thefourth Friday. The next filing deadlines are on the following date at 5:00 PM: February 29, 2024 May 24, 2024 August 23, 2024 November 20, 2024 February 28, 2025 MINIMUM QUALIFICATIONS Either I The equivalent of two years of full-time, recent experience within the last 5 years as a Registered Nurse II in the Alameda County classified service. Or II The equivalent of three years of full-time, recent nursing experience within the past 5 years, at a level of, or higher than, the Alameda County class of Registered Nurse II in a clinical and/or public health setting. SPECIAL REQUIREMENT: In addition to meeting the minimum qualifications below, these positions require possession of a current and valid California Public Health Nursing (PHN) certificate issued by the California Board of Registered Nursing. License: Possession of a current and valid license to practice as a Registered Nurse in the State of California. Some positions may require a valid California Motor Vehicle Operator's license. Certificate: Possession of a valid Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), and Automated External Defibrillator (AED) certificates issued by the American Heart Association for professional healthcare providers. Additional Special Requirements: 1. In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. 2. In compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. NOTE : The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: Theories, principles, procedures, techniques, standards and practices of nursing and public health nursing. Current trends in public health and public nursing. Local, State and Federal codes and regulations governing the field of nursing and public health nursing practice. Wellness to illness continuum, including major disease processes to evaluate the condition of clients, families, and/or community. Disparities in health outcomes for vulnerable populations, including socio-economic and environmental factors affecting health equity. Ten Essential Public Health Services. Principles and practices of public health education and teaching, and interviewing, assessment, and counseling techniques. Health systems, agencies, community resources and patterns of referral. Basic principles and practices of supervision and leadership. Cultural, environmental, sociological and psychological differences and problems. Safety and infection control principles, practices and methods. Quality assurance and quality improvement indicators. Control and prevention of communicable and chronic disease. Mandated reporting requirements. Medical terminology and documentation. Basic auditing skills. Ability to: Facilitate and model effective written and oral communications with attention to linguistic preferences and cultural proficiency to influence behavior and improve health. Plan, organize, assign and evaluate the work of others. Understand, interpret, explain ad apply laws, regulations, policies and written and oral direction. Exercise interpersonal sensitivity and group interaction skills to establish and maintain effective working relationships. Gather and analyze data. Problem solve and draw logical conclusions. Prioritize work and coordinate several activities to meet critical deadlines. Work independently and adapt to change. Assess the health status and concerns of clients and communities. Assess, monitor, implement and evaluate program services and operations. Exercise sound independent judgement within scope of authority and practice. Evaluate the effectiveness of nursing interactions. Provide public health nursing services and case management. Maintain patient confidentiality. Respond effectively to emergency situations. Incorporate departmental core values and ethical standards of practice into all interactions with individuals, organizations and communities. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. A review of candidates’ Supplemental Questionnaires to determine the best qualified. Those candidates considered the best qualified will move on to the final step in the examination process. An oral interview which will be weighted as 100% of the candidates' final examination score. The oral interview may contain situational exercises. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the “What You Need to Know” section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing: 5:00PM, Friday, December 29, 2023 Continuous Review of Minimum Qualifications: Ongoing Screening for Best Qualified: Ongoing Civil Service Oral Examination: Ongoing Department Hiring Interviews: Ongoing *WE RESERVE THE RIGHT TO MAKE CHANGES TO THE ANNOUNCED RECRUITMENT & SELECTION PLAN* Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County’s Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing . Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website, www.acgov.org/hrs . BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 12 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Employee Mortgage Loan Program Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@acgov.org DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: Continuous
Introduction THIS IS A NEW CONTINUOUS EXAMINATION . The eligible list resulting from this examination will cancel any existing list and may last approximately one year but can be extended.This examination may be reopened as necessary and the names of additional candidates merged onto the existing list according to examination score. APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME . Applications must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Applications will only be accepted on-line . Supplemental Questionnaire : A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Applications will only be accepted on-line. Failure to submit the Application or Supplemental Questionnaire will result in disqualification. DESCRIPTION ABOUT THE HEALTH CARE SERVICES AGENCY Alameda County's Health Services Program is administered by the Health Care Services Agency and includes the following program areas: Behavioral Health Care Services, Public Health, Environmental Health Services, and Office of the Agency Director. The ultimate mission of the Health Care Services Agency is to provide fully integrated health care services through a comprehensive network of public and private partnerships that ensure optimal health and well-being and respect the diversity of all residents. PUBLIC HEALTH DEPARTMENT The mission of the Alameda County Public Health Department is to work in partnership with the community to ensure the optimal health and wellbeing of all people. Alameda County Public Health Department has worked for over 80 years to improve the health and safety of its residents and the neighborhoods they live in. The Public Health Department staff are committed to the following values: H ealthy People in Healthy Communities E quity and Social Justice A ccountability and Quality L eadership and Innovation T rust and Transparency H umility and Respect Traditional public health concerns such as disease outbreaks, environmental hazards and access to health care are compounded by contemporary concerns such as: economic disenfranchisement and homelessness, racism, sexual and reproductive health and rights, crime, violence, and substance abuse. Each of these poses a threat to public health and wellness and calls for innovative solutions, in close partnership with impacted communities. For more information about our Alameda County Public Health Department, please visit the Alameda County Public Health Department Website and latest Annual Budget document found on www.acgov.org THE POSITION Registered Nurse IIIs act as lead nurses, assist in providing direction, consultation, coordination and review of the work of professional nursing, and para-professional staff on an assigned team; precept nursing students; plan, implement, monitor and evaluate the delivery of nursing care services to individuals and communities; assist in the management of a program/project; and perform related duties as required. THE VACANCIES The current vacancies for this position are located in the Social Services Agency and in thefollowing programs of the Public Health Department; Adult Protective Services, Nurse Family Partnership, Nursing Administration, and Tuberculosis Control (TB). However, the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT: In addition to meeting the minimum qualifications below, these positions require possession of a current and valid California Public Health Nursing (PHN) certificate issued by the California Board of Registered Nursing. ALAMEDA COUNTY PUBLIC HEALTH NURSES Public Health Nurses (PHNs) work as part of multidisciplinary teams and are embedded inside well-funded comprehensive programs to ensure that our diverse, low-income, multi-stressed individuals, families, and communities are served in holistic ways. PHNs work in multiple programs/units as case managers, community engagement specialists, consultants, coordinators, educators, health screeners, inspectors, investigators, and vaccinators, in the areas of Children’s Medical Services, Central Referral and Intake, Chronic Disease, Communicable Disease, Community Engagement, Immunization Assistance, Correctional Health, Maternal, Child and Adolescent Health, Nurse Education, Nurse Recruitment, Occupational Health, Older Adults and Public Health Emergency Preparedness and Response. The Public Health Department maintains a Memorandum of Understanding with the Alameda County Social Services Agency for the provision of PH Nursing services to clients in the Departments of Adult and Aging Services (Adult Protective Services, Public Conservator, Public Guardian, and In-Home Supportive Services) and Children and Family Services (Foster Care Assessment Center and the Medically Fragile and Services to Enhance Early Development Units). Descriptions of some of these program/units are specifically highlighted below: PROGRAM OVERVIEW Adult Protective Services (APS) and Foster Care PHNs provide nursing case management services to clients with complicated chronic medical conditions. These conditions often render the client vulnerable to ongoing abuse and neglect and at risk for additional medical emergencies, further traumatizing clients and creating cycles of recidivism. Casework may include home visits (to client's residence, hospital, board & care home, health clinic, day program or skilled nursing facility) to conduct an assessment, engagement of the client and client's informal and formal support system in accordance with the service plan of the APS Social Worker, which is designed to reduce or eliminate risk for the client. PHNs will provide health education to clients and their caregivers and/or family and will advocate on behalf of clients for access to required medical services. PHN Case Managers may recognize and coordinate care for varying stages of dementia and cognition; identifying and facilitating appropriate level of care, which could lead to out-of-home placement (such as skilled-nursing facilities, board and cares etc.); facilitating the enrollment process and care provider selection for In-Home Support Services (IHSS) or the selection of other care appropriate providers; and coordinating services, such as Meals-on-Wheels, Friendly Visitors, transportation services (i.e. Paratransit). Nurse Family Partnership Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms residing primarily in Oakland, in order to improve birth outcomes, increase self-sufficiency and improve child development. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, families receive health education and assessments, child development information and screenings and help with goal setting so that they can create better lives for their child and themselves. Nursing Administration The Nursing Administration Office sits inside of the Public Health Nursing Division and is comprised of the Central Intake and Referral Unit, Education and Professional Development Unit, Public Health Nurse Recruitment and Retention Unit, Quality Improvement and Nurse Informatics Units, and Occupational Health Unit. Public Health Nurses (PHNs) as analysts, consultants, coordinators, educators, improvement specialists, and recruiters work as part of multi-disciplinary teams in the Nursing Administration Office to advance and strengthen the role, function, and development of PH Nursing services. Staff in the Nursing Administration Office collaborate with internal and external partners in the development of policy and professional nursing standards of care that support the health of Alameda County residents. Tuberculosis Control (TB) The Tuberculosis Control program staff includes public health nurses, community health outreach workers, physicians and clerical support staff working collectively toward the program's priorities and objectives to: Ensure early identification and reporting of all persons with TB and ensure timely completion of appropriate therapy; Ensure contacts to persons with infectious TB are promptly identified, examined, and if appropriate, complete treatment for latent TB infection (LTBI); Reduce occurrence of sentinel events (pediatric TB cases and TB deaths); and Identify persons (other than contacts) with LTBI at risk for progression to TB disease, and treatment of those persons with an effective drug regimen. TB staff also consults with physicians, schools, hospital nurses and others in the community on Tuberculosis. Additionally, they monitor the number of TB cases yearly and determine other steps that need to be taken to control Tuberculosis in Alameda County. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. IDEAL CANDIDATE The ideal candidate is an experienced public health nurse with solid clinical skills, who is a proven problem solver and effective team leader with the ability to work independently, demonstrate initiative, collaborate with community partners, and is dedicated to providing timely, courteous and knowledgeable consultation and education to clients, external community, health care partners, internal staff and team members. Additionally, the ideal candidate will possess the following competencies: Detail-oriented and able to review documentation of case management activities for accuracy and completeness Provide oversight to public health nurses who conduct case assessment/investigation, case management and care coordination services to high risk, low income Alameda County residents in their own homes, clinics, schools, or other community settings. Thrives in a rapidly-changing work environment. Able to shift direction and priorities as needed. Is proficient with entering, managing andanalyzing information from web-based information systems. Must have a commitment to providing the highest quality of services. Must be able to maintain focus and composure while responding to urgent situations requiring rapid response. Possess the ability to work with and embrace individuals from diverse backgrounds. Be an exceptional listener and analytical thinker/investigator who possesses strong written and verbal communication skills. Demonstrates competence in the following areas; analysis and assessment, interpreting and implementing policies, procedures and regulations as they relate to nursing,cultural competence, public health sciences, training, mentoring, leadership and systems thinking. This is a continuous filing exam with filing deadlines quarterly on thefourth Friday. The next filing deadlines are on the following date at 5:00 PM: February 29, 2024 May 24, 2024 August 23, 2024 November 20, 2024 February 28, 2025 MINIMUM QUALIFICATIONS Either I The equivalent of two years of full-time, recent experience within the last 5 years as a Registered Nurse II in the Alameda County classified service. Or II The equivalent of three years of full-time, recent nursing experience within the past 5 years, at a level of, or higher than, the Alameda County class of Registered Nurse II in a clinical and/or public health setting. SPECIAL REQUIREMENT: In addition to meeting the minimum qualifications below, these positions require possession of a current and valid California Public Health Nursing (PHN) certificate issued by the California Board of Registered Nursing. License: Possession of a current and valid license to practice as a Registered Nurse in the State of California. Some positions may require a valid California Motor Vehicle Operator's license. Certificate: Possession of a valid Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), and Automated External Defibrillator (AED) certificates issued by the American Heart Association for professional healthcare providers. Additional Special Requirements: 1. In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. 2. In compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. NOTE : The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: Theories, principles, procedures, techniques, standards and practices of nursing and public health nursing. Current trends in public health and public nursing. Local, State and Federal codes and regulations governing the field of nursing and public health nursing practice. Wellness to illness continuum, including major disease processes to evaluate the condition of clients, families, and/or community. Disparities in health outcomes for vulnerable populations, including socio-economic and environmental factors affecting health equity. Ten Essential Public Health Services. Principles and practices of public health education and teaching, and interviewing, assessment, and counseling techniques. Health systems, agencies, community resources and patterns of referral. Basic principles and practices of supervision and leadership. Cultural, environmental, sociological and psychological differences and problems. Safety and infection control principles, practices and methods. Quality assurance and quality improvement indicators. Control and prevention of communicable and chronic disease. Mandated reporting requirements. Medical terminology and documentation. Basic auditing skills. Ability to: Facilitate and model effective written and oral communications with attention to linguistic preferences and cultural proficiency to influence behavior and improve health. Plan, organize, assign and evaluate the work of others. Understand, interpret, explain ad apply laws, regulations, policies and written and oral direction. Exercise interpersonal sensitivity and group interaction skills to establish and maintain effective working relationships. Gather and analyze data. Problem solve and draw logical conclusions. Prioritize work and coordinate several activities to meet critical deadlines. Work independently and adapt to change. Assess the health status and concerns of clients and communities. Assess, monitor, implement and evaluate program services and operations. Exercise sound independent judgement within scope of authority and practice. Evaluate the effectiveness of nursing interactions. Provide public health nursing services and case management. Maintain patient confidentiality. Respond effectively to emergency situations. Incorporate departmental core values and ethical standards of practice into all interactions with individuals, organizations and communities. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. A review of candidates’ Supplemental Questionnaires to determine the best qualified. Those candidates considered the best qualified will move on to the final step in the examination process. An oral interview which will be weighted as 100% of the candidates' final examination score. The oral interview may contain situational exercises. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the “What You Need to Know” section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing: 5:00PM, Friday, December 29, 2023 Continuous Review of Minimum Qualifications: Ongoing Screening for Best Qualified: Ongoing Civil Service Oral Examination: Ongoing Department Hiring Interviews: Ongoing *WE RESERVE THE RIGHT TO MAKE CHANGES TO THE ANNOUNCED RECRUITMENT & SELECTION PLAN* Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County’s Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing . Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website, www.acgov.org/hrs . BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 12 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Employee Mortgage Loan Program Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@acgov.org DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: Continuous
CALAVERAS COUNTY, CA
San Andreas, California, United States
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous
Position Description Medical Billing Specialist I: $19.95 - $24.27 Medical Billing Specialist II: $22.96 - $27.92 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Extra-Hire: Extra-hire employees are not eligible for step advances, vacation, seniority rights, holiday pay or other certain employee benefits. They are entitled to 24 hours of sick leave per year and eligilbe for the county's CORE Medical plan but not eligible for dental or vision insurance. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous