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Description Under supervision, Clinical Nurse II apply the theoretical concepts of nursing to clinical practice by performing routine patient care assignments and established nursing policies and procedures in controlled patient care situations. Distinguishing Characteristics The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty. The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. COVID-19 Risk Tier - Higher Risk Clinical Nurse II - Critical Care Prefer experience in Critical Care and completion of a Critical Care Training program. Position available in critical care units at each hospital include: Saint Louise Regional Hospital - Mixed Intensive Care Unit O'Connor Hospital - Mixed Intensive Care Unit Valley Medical Center - Medical Intensive Care Unit Valley Medical Center - Cardiac Care Unit Valley Medical Center - Surgical Intensive Care Unit Valley Medical Center - Trauma Intensive Care Unit Valley Medical Center - Burn Unit Float Pool The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Twitter I @scvmctalent Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up #INDVMC Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Interviews patient and/or family to obtain data for nursing assessment; records and reports data; Utilizes assessment data to formulate nursing diagnosis; Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority; Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner. Planning Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis; Understands goals and plans of care for the typical patient population; Initiates a patient care plan and collaborates when appropriate; Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Plans patient teaching activities. Implementation Establishes priorities and gives nursing care based on the patient care plan; Implements the patient care plan; Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Records nursing care given and patient's response to care; Assists in coordinating the activities needed to implement the patient care plan; Participates in implementation of patient discharge plan; Teaches patient and families; Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses; May participate in research projects. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes; Evaluates teaching provided by self and others; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in a nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Adapt approach readily and consistently when patient/family displays unexpected response; Monitor patient satisfaction and take action to improve care; Use creative strategies to ensure patient/family possess understanding of the plan; Provide guidance to new staff; Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment; Identify changes that require actions other than those anticipated or planned; Utilize critical thinking skills to interpret complex data; Foster an environment that promotes mutual respect and professional growth; Balance competing demands; Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirement may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status, skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes.

Description Under supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting. Distinguishing Characteristics The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty. The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. New Graduate Nurses do not meet the requirements for a Clinical Nurse II. Clinical Nurse II would meet the employment standards by possessing a valid California Registered Nurse license and at least one year of Operating Room/Perioperative experience. COVID - 19 Risk Tier - High Risk Clinical Nurse II - Operating Room/ Perioperative Operating Room/Perioperative position available at each hospital including: St. Louise Regional Hospital - Operating Room O'Connor Hospital - Operating Room Valley Medical Center - Operating Room The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital providing the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358-bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93-bed acute care facility affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Employee Benefits I Why Join Us Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Interviews patient and/or family to obtain data for nursing assessment; records and reports data; Utilizes assessment data to formulate nursing diagnosis; Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority; Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner. Planning Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis; Understands goals and plans of care for the typical patient population; Initiates a patient care plan and collaborates when appropriate; Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Plans patient teaching activities. Implementation Establishes priorities and gives nursing care based on the patient care plan; Implements the patient care plan; Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Records nursing care given and patient's response to care; Assists in coordinating the activities needed to implement the patient care plan; Participates in implementation of patient discharge plan; Teaches patient and families; Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses; May participate in research projects. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes; Evaluates teaching provided by self and others; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in a nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Adapt approach readily and consistently when patient/family displays unexpected response; Monitor patient satisfaction and take action to improve care; Use creative strategies to ensure patient/family possess understanding of the plan; Provide guidance to new staff; Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment; Identify changes that require actions other than those anticipated or planned; Utilize critical thinking skills to interpret complex data; Foster an environment that promotes mutual respect and professional growth; Balance competing demands; Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirement may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status, skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

Description Under supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting. Distinguishing Characteristics The Clinical Nurse II classification is distinguished from the Clinical Nurse I classification in that the Clinical Nurse I is specifically an entry level classification for registered nurses with no or limited experience, whereas the Clinical Nurse II is a registered nurse (RN) with at least one year of recent RN experience in a nursing specialty. The Clinical Nurse II classification is distinguished from the Clinical Nurse III classification in that the Clinical Nurse II works under supervision while performing specific patient care assignments, whereas the Clinical Nurse III is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. New Graduate Nurses do not meet the requirements for a Clinical Nurse II. Clinical Nurse II would meet the employment standards by possessing a valid California Registered Nurse license and at least one year of recent acute care experience. Prefer experience in Labor & Delivery Department and completion of a Labor & Delivery Training program. Clinical Nurse II- Labor & Delivery Positions available in Labor & Delivery units at each hospital include: St. Louise Regional Hospital - Maternal Child Health (mixed unit) O'Connor Hospital - Labor & Delivery Valley Medical Center - Labor & Delivery The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse II applicants would meet the employment standards for this specialty by possessing: An active California Registered Nurse (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in the Labor and Delivery nursing specialty area. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. COVID-19 Risk Tier - High Risk Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital providies the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Employee Benefits I Why Join Us Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Interviews patient and/or family to obtain data for nursing assessment; records and reports data; Utilizes assessment data to formulate nursing diagnosis; Applies knowledge of normal parameters; identifies deviation from normal, obvious patient problems, symptoms, and/or behavioral changes; reports these to the appropriate authority; Makes observations about physical, psycho-social, cultural, learning needs, and response of patient and families; documents in a clear, concise manner. Planning Identifies patient care problems and establishes priorities for care based on nursing and medical diagnosis; Understands goals and plans of care for the typical patient population; Initiates a patient care plan and collaborates when appropriate; Contributes to the revision of the initial patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Plans patient teaching activities. Implementation Establishes priorities and gives nursing care based on the patient care plan; Implements the patient care plan; Seeks supervision and guidance in further developing nursing skills, in performing procedures not yet mastered, and/or in functioning in unfamiliar situations; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Records nursing care given and patient's response to care; Assists in coordinating the activities needed to implement the patient care plan; Participates in implementation of patient discharge plan; Teaches patient and families; Complies with external and internal regulations pertaining to nursing practice; recognizes legal and ethical duties and responsibilities of registered nurses; May participate in research projects. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes; Evaluates teaching provided by self and others; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse (RN) license without restrictions; and One (1) year, within the last three (3) years, of full-time Registered Nurse (RN) experience in an accredited hospital, clinic, or healthcare setting. and One (1) year, within the last three (3) years, of full-time RN experience in the Labor and Delivery nursing specialty area. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Adapt approach readily and consistently when patient/family displays unexpected response; Monitor patient satisfaction and take action to improve care; Use creative strategies to ensure patient/family possess understanding of the plan; Provide guidance to new staff; Serve as coach or preceptor to evaluate and validate a colleague’s clinical judgment; Identify changes that require actions other than those anticipated or planned; Utilize critical thinking skills to interpret complex data; Foster an environment that promotes mutual respect and professional growth; Balance competing demands; Plan and coordinate multiple patient needs and reshuffle their priorities in the midst of constant patient changes; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirement may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status, skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes.

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. COVID-19 Risk Tier - Higher Risk Clinical Nurse III - Critical Care Prefer experience in Intensive Care and completion of a Critical Care Training program. Positions available in critical care units at each hospital include: Saint Louise Regional Hospital - Mixed Intensive Care Unit O'Connor Hospital - Mixed Intensive Care Unit Valley Medical Center - Medical Intensive Care Unit Valley Medical Center - Cardiac Care Unit Valley Medical Center - Surgical Intensive Care Unit Valley Medical Center - Trauma Intensive Care Unit Valley Medical Center - Burn Unit Float Pool The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Employee Benefits I Why Join Us Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up #INDVMC Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members; Assesses the competencies of personnel assigned to a specific patient group; Assesses the need for development of standards of care for a specific patient population; Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for patient needs within current assignment to determine amount and type of assistance needed; Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease; Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations; Coordinates activities needed to implement the plan of care; Coordinates patient and family teaching; Coordinates discharge plans with appropriate support personnel; Complies with external and internal regulations pertaining to nursing practice; Recognizes legal and ethical duties and responsibilities of registered nurses; May participate in conducting research activities; When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period; Assists in teaching students and staff; May assume role of primary nurse with accountability to specific assigned patients; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Be able to perform all physical skills required to deliver patient care; Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes.

Description C li ni c al Nurse III - Progressive Care Under general supervision, incumbents provide care to patients in a structured environment. Clinical Nurse III's initiate and perform established nursing interventions utilizing current clinical knowledge and are expected to have the skills and knowledge to assume charge nurse responsibility. Clinical Nurse III apply the theoretical concepts of nursing to clinical practice by performing routine patient care assignments and established nursing policies and procedures in controlled patient care situations. Clinical Nurse III would meet the employment standards by possessing a valid California Registered Nurse license and at least three years of recent acute care experience. Progressive Care departments include: O'Connor Hospital - Progressive Care Unit (PCU) O'Connor Hospital - Float Pool Santa Clara Valley Medical Center - Progressive Care Unit (PCU) Santa Clara Valley Medical Center - Float Pool St. Louise Regional Hospital - Progressive Care Unit (PCU), Float Pool, Clinical Nurse Resources The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. COVID-19 Risk Tier - High Risk Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital providing the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358-bed acute care facility offering a full range of inpatient and outpatient medical, surgical, and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93-bed acute care facility affectionately known as South County's community hospital, is a Designated Primary Stroke Center and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up #indsp Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members; Assesses the competencies of personnel assigned to a specific patient group; Assesses the need for development of standards of care for a specific patient population; Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for patient needs within current assignment to determine amount and type of assistance needed; Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease; Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations; Coordinates activities needed to implement the plan of care; Coordinates patient and family teaching; Coordinates discharge plans with appropriate support personnel; Complies with external and internal regulations pertaining to nursing practice; Recognizes legal and ethical duties and responsibilities of registered nurses; May participate in conducting research activities; When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period; Assists in teaching students and staff; May assume role of primary nurse with accountability to specific assigned patients; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Be able to perform all physical skills required to deliver patient care; Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. Clinical Nurse III- Emergency Positions available in the Emergency units at each hospital include: O'Connor Hospital - Emergency Department St. Louise Regional Hospital - Emergency Department Valley Medical Center - Emergency Department Valley Medical Center - Express Care The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse III applicants would meet the employment standard for this specialty by possessing: An active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited acute care hospital setting. and One (1) year of full-time RN experience, within the last three (3) years, in Emergency or Intensive Care specialty area in an accredited acute care hospital setting. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s): o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s): o Advanced Cardiac Life Support (ACLS) o Pediactric Advance Life Support (PALS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. COVID-19 Risk Tier - High Risk The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital - 358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Employee Benefits I Why Join Us Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up #INDVMC Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members; Assesses the competencies of personnel assigned to a specific patient group; Assesses the need for development of standards of care for a specific patient population; Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for patient needs within current assignment to determine amount and type of assistance needed; Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease; Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations; Coordinates activities needed to implement the plan of care; Coordinates patient and family teaching; Coordinates discharge plans with appropriate support personnel; Complies with external and internal regulations pertaining to nursing practice; Recognizes legal and ethical duties and responsibilities of registered nurses; May participate in conducting research activities; When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period; Assists in teaching students and staff; May assume role of primary nurse with accountability to specific assigned patients; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s): o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s): o Advance Cardiovascular Life Saving Certification (ACLS) o Pediatric Advance Life Support (PALS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Be able to perform all physical skills required to deliver patient care; Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. Distinguishing Characteristics The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions New Graduate Nurses do not meet the requirements for a Clinical Nurse III. Clinical Nurse III would meet the employment standards by possessing a valid California Registered Nurse license and at least three's year of Operating Room/Perioperative experience. COVID - 19 Risk Tier - High Risk Clinical Nurse III - Operating Room / Perioperative Operating Room / Perioperative departments in each hospital include: O'Connor Hospital - Operating Room St. Louise Regional Hospital - Operating Room Valley Medical Center - Operating Room The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital providing the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital - 358-bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93-bed acute care facility affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about Santa Clara Valley Medical Center: Hospital and Clinics at www.scvmc.org and follow us on: Twitter I @scvmctalent Facebook I facebook.com/SCVMC LinkedIn | linkedin.com/ scvmc Job Subscription | Sign Up #INDVMC Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members; Assesses the competencies of personnel assigned to a specific patient group; Assesses the need for development of standards of care for a specific patient population; Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for patient needs within current assignment to determine amount and type of assistance needed; Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease; Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations; Coordinates activities needed to implement the plan of care; Coordinates patient and family teaching; Coordinates discharge plans with appropriate support personnel; Complies with external and internal regulations pertaining to nursing practice; Recognizes legal and ethical duties and responsibilities of registered nurses; May participate in conducting research activities; When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period; Assists in teaching students and staff; May assume role of primary nurse with accountability to specific assigned patients; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Be able to perform all physical skills required to deliver patient care; Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: Continuous

Description Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge. The Clinical Nurse III classification is expected to have the knowledge and abilities to assume charge nurse responsibility. The Clinical Nurse III classification is distinguished from the Clinical Nurse II classification in that the Clinical Nurse III performs under general supervision and is expected to identify and implement nursing interventions that have less predictable outcomes and evaluate the results of these interventions for a given patient population, whereas the Clinical Nurse II works under supervision while performing specific patient care assignments . The Clinical Nurse III classification is distinguished from the Nurse Coordinator classification in that the Nurse Coordinator has permanent, ongoing responsibility to teach staff and organize the patient care of a specific patient population or designated clinical program. The Clinical Nurse III classification is distinguished from the Assistant Nurse Manager classification in that the Assistant Nurse Manager has permanent, ongoing responsibility to supervise a designated nursing unit or ambulatory care clinic. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. Clinical Nurse III - Labor & Delivery Positions available throughout County of Santa Clara Health System: St. Louise Regional Hospital - Maternal Child Health - Mixed Unit O'Connor Hospital - Labor & Delivery Valley Medical Center - Labor & Delivery The eligible list will be used for future openings within this competency area. The competency area includes the units listed above. Clinical Nurse III applicants would meet the employment standard for this specialty by possessing: An active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited acute care hospital setting. and One (1) year of full-time RN experience, within the last three (3) years, in the Labor and Delivery nursing specialty area in an accredited acute care hospital setting. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Support Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. COVID-19 Risk Tier - High Risk Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358-bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Employee Benefits I Why Join Us Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors; Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs; Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members; Assesses the competencies of personnel assigned to a specific patient group; Assesses the need for development of standards of care for a specific patient population; Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population. Planning Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis; Plans strategies for solving patient care problems with other members of the healthcare team; Plans for patient needs within current assignment to determine amount and type of assistance needed; Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease; Implementation Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations; Coordinates activities needed to implement the plan of care; Coordinates patient and family teaching; Coordinates discharge plans with appropriate support personnel; Complies with external and internal regulations pertaining to nursing practice; Recognizes legal and ethical duties and responsibilities of registered nurses; May participate in conducting research activities; When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period; Assists in teaching students and staff; May assume role of primary nurse with accountability to specific assigned patients; May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; and Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting. and One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition. Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification(s) for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Establish relationships with patients/families in difficult or crisis situations; Advocate for the patient/family perspective and work toward resolution of conflict; Develop and implement complex teaching plans; Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge; Support less experienced Registered Nurses; Recognize and report subtle variations in patient responses; Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them; Develop innovative strategies to enhance patient care; Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment); Act as a change agent and facilitate implementation and evaluation of change; Perform skillfully under pressure; Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch; Strength to lift, move, and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Be able to perform all physical skills required to deliver patient care; Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes.

Description Under close supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting; to develop the skills, knowledge, and abilities of nursing. Distinguishing Characteristics The Clinical Nurse I classification is the entry level classification in the Clinical Nurse classification series. The Clinical Nurse I is distinguished from the Clinical Nurse II in that the Clinical Nurse I is a graduate nurse or registered nurse (RN) with limited nursing experience. Incumbents work under close supervision of another registered nurse, providing only routine and general patient care assignments within well-defined guidelines. The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health. The Clinical Nurse classification series differs from the Psychiatric Nurse classification series in that the Psychiatric Nurse classification series works in mental health hospitals and clinics providing psychiatric and nursing interventions. The eligible list will be used for future openings within this competency area. The competency area includes the units listed below. Clinical Nurse I - Pediatric Acute/Pediatric ICU Positions available in Pediatric/Pediatric ICU units at each hospital includes: Santa Clara Valley Medical Center - Pediatric Acute Santa Clara Valley Medical Center - Pediatric ICU Clinical Nurse I applicants would meet the employment standard for the specialty by possessing: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; OR Possession of a California Interim Permit issued to a graduate of a California Board of Registered Nursing (BRN) approved registered nurse program. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. COVID-19 Risk Tier - High Risk Better Health for All! The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Santa Clara Valley Medical Center - 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services - in some cases the only such treatment in the region. O'Connor Hospital -358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. O'Connor Hospital was founded in 1889 as one of the first hospitals in Santa Clara County. St. Louise Regional Hospital - 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, St. Louise is one of the largest employers in the community. Learn more about us and follow us on: Twitter I @scvmctalent Website I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Facebook I Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital LinkedIn | Santa Clara Valley Medical Center I O'Connor Hospital I St. Louise Regional Hospital Job Subscription | Sign Up Typical Tasks The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Assessment Obtains data for nursing assessment from patient and/or family; Learns to utilize assessment data to formulate nursing diagnosis; Observes patient behavior and documents it in a clear, concise manner. Planning Identifies obvious patient care problems and establishes priorities for care based on nursing and medical diagnoses; Under direction, initiates a patient care plan and collaborates with other staff members when appropriate; may suggest revisions to a patient care plan dependent upon the changing needs of the patient; Contributes to the development of unit standards of care; Under direction, plans patient teaching activities. Implementation Complies with external and internal licensure regulations and accreditation body standards pertaining to nursing practice; Recognizes and implements legal and ethical responsibilities and duties of registered nurses; Establishes priorities and provides nursing care based on the patient care plan; Accepts accountability for all nursing care provided; Monitors compliance with safety standards and care protocols for self and others; Documents nursing care provided and patient's response to care; Assists in coordinating the activities needed to implement the patient care plan; Participates in implementation of patient discharge plan; Under direction, teaches patient and families; Seeks supervision and guidance in developing nursing skills, in performing procedures not yet mastered, and when functioning in unfamiliar situations. Evaluation Evaluates the patient's response to care provided; Communicates evaluation outcomes to appropriate staff; Evaluates teaching provided by self and others. May be assigned as a Disaster Service Worker (DSW), as required*; Performs other related duties, as required. Employment Standards Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions; OR Possession of a California Interim Permit issued to a graduate of a California Board of Registered Nursing (BRN) approved registered nurse program. Possession of a Bachelor of Science in Nursing (BSN) is preferred. Special Requirements Must possess and maintain the following certification(s) during employment: o Basic Life Saving Certification (BLS) For clinical specialty areas, must possess and maintain the following certification(s) during employment: o Advance Cardiovascular Life Saving Certification (ACLS) o Other identified specialty area certification for specialty patient populations at appointment, as required. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered. Knowledge of: California Nurse Practice Act; American Nursing Association Code of Ethics; Nursing Professional Practice Model; Federal and State healthcare laws and regulations appropriate to the operation of California hospitals; Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting; Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care; Diagnosis and treatment of common medical problems as related to a clinical specialty area; Clinical systems, supplies, and equipment; Safety and Infection Control practices; Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology); English usage, style, grammar, punctuation, and spelling; Common computer systems and charting applications. Ability to: Build effective therapeutic relationships; Assume responsibility and accountability for patients; Collaborate with peers to develop and implement individualized teaching plans; Utilize educational resources available for promoting self-learning; Focus on the whole clinical picture of the patient; Integrate input from other disciplines for decision making; Respond in a timely manner to changes in patient condition; Model professional accountability for clinical practice; Respond to patient requests and needs with some ability to shuffle priorities; Escalate issues when demands exceed capacity; Read and understand material safety data sheets and other safety communications; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies. Physical Requirements The physical requirements may include: Ability to work alternate work schedules, weekends, and holidays, as necessary; Ability to perform physical skills required to deliver patient care; Bend, stoop, reach, perform fine motor movements, see, hear, and touch. Strength to lift, move and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion; Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.); Fine Motor Movements: manipulate syringes and IVs; assist patients with feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures; Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.; Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone; Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations. Benefit and Retirement information may vary from bargaining unit to bargaining unit.Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts. Click hereto access all Memoranda of Understanding and most recent Summary of Changes. Closing Date/Time: 6/15/2023 11:59 PM Pacific

Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and 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. Failure to submit the supplemental questionnaire will result in disqualification. Applications will only be accepted on-line. 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 II positions are located in the Health Care Services Agency, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. 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 Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children's Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver's home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. 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. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. 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. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. 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 public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of candidates' application to verify possession of minimum requirements. Those candidates 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. Those candidates who have passed the Supplemental Questionnaire screening for the class will be placed on the eligible list based on an evaluation of education, training, and expertise. 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:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:TBD 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 11 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave 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 www.acgov.org/hrs 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

DEPARTMENT OF HEALTH SERVICES FIRST DAY OF FILING: October 6, 2017 at 8:00 A.M., (PST) Until the needs of the services are met and is subject to closure without prior notice. EXAM NUMBER: Y5134J COVID-19 VACCINATION: All Department of Health Services workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. We currently have 4 acute hospitals, 25 health centers, $6.9 billion dollar budget and 23,000 employees. For additional information regarding DHS please visit www.dhs.lacounty.gov . In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. MISSION " To advance the health of our patients and our communities by providing extraordinary care" TYPE OF RECRUITMENT - OPEN COMPETITIVE JOB OPPORTUNITY DEFINITION: This experienced level class provides professional nursing care and services to inmate patients in a correctional setting. CLASSIFICATION STANDARDS Positions allocable to this experienced-level expert class report to higher-level nurses or providers. This position applies recognized nursing principles and practices in providing professional nursing care and/or services under supervision in a variety of settings. Duties are performed in accordance with specific instructions, departmental policies and procedures, and established general written standards of nursing care. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. This experienced RN integrates theoretical knowledge with clinical experience utilizing a systems approach in the delivery of patient care and/or services. Positions at this level serve as a professional role model, may provide direction, and act as an effective resource person for others. This includes coaching, precepting, and leading other nursing and non-nursing staff. Nursing practice at this level demonstrates the application of expert assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines. While on duty, the Registered Nurse II, Correctional Health, may be required to prevent and control the behavior of inmate patients that is not in accordance with custody facility rules. Essential Job Functions Follows established policies and procedures within their scope of practice. Complies with licensing and accreditation standards and other regulatory requirements. Interprets and supports standards and requirements to others. Conducts self-assessment of performance and identifies own learning needs. Seeks assistance and feedback regarding patient and clinical practice issues. Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills. Assessment/Reassessment: Interviews patient and other individuals to collect information as part of a comprehensive assessment. Observes and analyzes overall patient condition, including physically assessing the patient. Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; age specific and biophysical needs according to accepted standards of practice and departmental policy and procedures. Reviews all available information including medical records, patient history, and other documentation. Planning: Formulates a plan of care and/or nursing care plan based upon assessment and in accordance with provider orders and/or department's standardized procedures. Identifies nursing care objectives and makes appropriate referrals. Prioritizes patient care needs and activities as a member of an interdisciplinary team. Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals. Coordinates patient care in collaboration with other interdisciplinary patient care team members. Implementation: Provides individualized and specialized nursing care and administers medications and treatments to patients as prescribed and/or in accordance with approved departmental standardized procedures. Observes patient's response to interventions and treatments and monitors for side effects of medication administration. Recognizes and responds to changes in patient status timely and appropriately. Intervenes when situations call for immediate action. Performs efficiently in emergency situations. Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes. Evaluation/Monitoring: Observes, evaluates, and communicates the effects of treatments and intervention. Communicates changes in the plan of care to other members of the interdisciplinary team. Documents patient's response to treatment or nursing care. Reassesses and revises plan of care in collaboration with other members of the health care team. Requirements SELECTION REQUIREMENTS: Three years of full-time experience* at the level of the County of Los Angeles classification of Registered Nurse I**. LICENSE(S) REQUIRED: A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. Applicants must ensure the License Section of the application is completed. Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. A current, active certification in accordance with the American Heart Associate's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or email it to exam analyst at jhernandezgutierrez@dhs.lacounty.gov within fifteen (15) calendar days of filing online. Please include the exam number and the exam title. The required license and certificate MUST be current and unrestricted: a provisional, conditional or restricted license and certificate will NOT be accepted. License: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. PHYSICAL CLASS III - Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds. SPECIAL REQUIREMENT INFORMATION: *Full-time experience must be post-license only . **Experience at the level of the County of Los Angeles classification of Registered Nurse I is defined as: Providing professional nursing care in a variety of patient care settings (e.g., critical care, emergency room, medical/surgical, operating room, neonatal intensive care, labor and delivery, intermediate/telemetry, psychiatric care, correctional nursing, etc.). The primary scope of practice involves applying the nursing process to assess basic or routine patient conditions and needs; identify a nursing diagnosis; and develop, implement, and evaluate a patient-centered plan of care. Participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care and fiscal responsibility. Desirable Qualifications: Bachelor of Science degree*** in Nursing (BSN) or Master of Science degree*** in Nursing (MSN) from an accredited institution. ***In order to receive credit for a college degree on this examination, you must include a legible photocopy of your "official" diploma(s), "official" transcripts, or "official" letter (s) from an accredited institution which shows the area of specialization, at the time of filing or or email to the exam analyst at jhernandezgutierrez@dhs.lacounty.gov within fifteen (15) calendar days from the date of filing your application online . Accreditation Information: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies which are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references. Also acceptable, if appropriate, are degrees that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services or the Association of International Credential Evaluators, Inc. (AICE). Additional Information EXAMINATION CONTENT: An evaluation of training and experience based upon application information and desirable qualifications, weighted 100%. Candidates must achieve a passing score of 70% or higher on this examination in order to be placed on the eligible register. ELIGIBILITY INFORMATION: Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the Eligible Register accordingly. The names of candidates will appear in the order of their score group for a period of twelve (12) months following the date of eligibility. No person may compete in this examination more than once every twelve (12) months. SPECIAL INFORMATION: SUCCESSFUL CANDIDATES MUST COMPLETE A THOROUGH BACKGROUND INVESTIGATION, INCLUDING FINGERPRINT SEARCH. Examples of disqualifying factors include: Any felony convictions; job-related misdemeanor convictions; certain serious traffic convictions or patterns of traffic violations (3 moving violations in one year; failure to appear; at fault accidents; suspended license; driving under the influence); substance abuse; anyone on probation. AVAILABLE SHIFT: Any APPOINTEES MUST BE WILLING TO WORK ANY SHIFT AND AT ANY CORRECTIONAL FACILITY, INCLUDING EVENINGS, NIGHTS, WEEKENDS, AND HOLIDAYS. APPOINTEES WILL BE IN DIRECT CONTACT WITH INMATE PATIENTS IN A JAIL ENVIRONMENT TO PROVIDE PROFESSIONAL NURSING CARE AND SERVICES TO INMATE PATIENTS. VACANCY INFORMATION: The eligible register resulting from this examination will be used to fill vacancies in throughout the Department of Health Services - Correctional Facilities. APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED. Apply online by clicking the "APPLY" button for this posting. You can also track the status of your application using this website. Falsification of any information may result in disqualification or recession of appointment. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, description of work performed, and salary earned. If your application is incomplete, it will be rejected. Applications electronically received after 5:00 p.m., PST, on the last day of filing will not be accepted. NOTE: If you are unable to attach documents to your application, you must email then to the Exam Analyst within 15 calendar days of filing online . Please include the exam number and the exam title. SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. ADA COORDINATOR: (323) 914-7124 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Jessica Hernandez Gutierrez, Exam Analyst Telephone Number : (213) 288-7000 Email Address: jhernandezgutierrez@dhs.lacounty.gov Closing Date/Time:

TYPE OF RECRUITMENT OPEN COMPETITIVE JOB OPPORTUNITY EXAM NUMBER Y5105U FILING START DATE 3/14/2022 at 8:00 A.M. (PT) This examination will remain open until the needs of the service are met and is subject to close without prior notice. COVID-19 VACCINATION: All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four (4) acute hospitals - and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. For additional information regarding DHS, please visit www.dhs.lacounty.gov . MISSION: To advance the health of our patients and our communities by providing extraordinary care. DEFINITION: Provides highly skilled vocational nursing care involving a wide format of treatments and evaluative judgment to patients in a hospital inpatient care unit; or, in addition to performing direct patient care, has responsibility for guiding nursing personnel in a hospital impatient care unit. Essential Job Functions In some specialized jobs performs the following duties: Monitors the operation of specialized equipment set up by a physician or nurse-in-charge such as renal dialysis machines, regulating venous and dialysate pressure from verbal instructions, monitoring gauges and alerting the nurse-in-charge when readings and observations of the patient indicate an abnormal condition. Performs specialized procedures such as peritoneal dialysis, adding prescribed medication in the dialysate solution, introducing and draining the solution in accordance with precise procedures. Provides emotional support to the patient, displaying empathy and interest in the patient's progress, being aware of and encouraging special aptitudes for the patient's rehabilitation. Obtains and provides information on patients at change of shift briefings with nursing personnel, and in contacts with doctors. Reports on significant incidents involving nursing personnel, patients and others. Leads a small group of nursing personnel in the medication, treatment and nursing care of all patients in a medical, surgical or rehabilitation ward, major section of a ward or similar impatient care unit. Recognizes the need for emergency care; initiates life saving action in emergencies and alerts the nurse-in-charge or physician. Sets up, operates and monitors electronic and/or mechanical equipment such as croupettes, oxygen therapy and suctioning equipment. Monitors the functioning of intravenous apparatus and cardioscopes. Administers medications by injection, orally and other predetermined methods with the exception of research drugs and others as determined by the Medical Department. Checks prescribed dosages against specified limits. Observes and reports adverse reaction to medication. Provides bedside care such as maintaining personal hygiene, providing comfort and safety, performing urgent housekeeping tasks to maintain a clean and safe environment, and taking measures to prevent pressure sores and other infirmities endemic to bedridden patients. Measures and records vital signs; records bed care procedures, treatments, medications and nourishment provided and output. Observes and reports on manifest behavior and condition of patients. Gives eye and ear irrigations and instillations. Cleans, debrides, medicates and applies dressings to wounds, using sterile technique. Teaches isolation technique to patients and visitors. Prevents spread of infection using principles of asepsis. Scheduling and assigning work to nursing employees, checking to ensure completion, charting and recording of assigned tasks, and checking the quality in which tasks are performed. Lays out appropriate instruments and supplies, and assists the physician performing medical and surgical procedures. Requirements SELECTION REQUIREMENTS: TRAINING AND EXPERIENCE: 1. Three (3) years of experience at the level of Licensed Vocational Nurse* in a hospital inpatient care unit. -AND- 2. A license to practice as a Vocational Nurse issued by the Department of Consumer Affairs, California Board of Vocational Nursing and Psychiatric Technicians.** -AND- 3. Current Basic Life Support (BLS) for healthcare providers (CPR and AED) program certification issued by the American Heart Association (AHA).*** LICENSE AND CERTIFICATION INFORMATION: California license to practice vocational nursing. **Applicants must complete the License and Certification Section the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. The required license MUST be current/active and unrestricted ; a conditional, provisional, probationary or restricted license or certification will NOT be accepted. The required license to practice as a Vocational Nurse issued by the Department of Consumer Affairs, California Board of Vocational Nursing and Psychiatric Technicians will be verified at the following website: http://www.bvnpt.ca.gov/ ***Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or provide a copy to the Exam Analyst within 15 calendar days from the application filing date. Applications submitted without the required evidence of BLS certification will be rejected. PHYSICAL CLASS III- Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighing over 25 pounds, and frequent lifting of 10-25 pounds. SPECIAL REQUIREMENT INFORMATION: * Experience must be post-license only. DESIRABLE QUALIFICATIONS: Credit will be given to applicants who possess: Additional years of experience as Licensed Vocational Nurse beyond the Selection Requirements. Additional Information EXAMINATION CONTENT: This examination will consist of an evaluation of training and experience based upon the application information, desirable qualifications, and supplemental questionnaire, weighted 100%. Candidates must achieve a passing score of 70% or higher on the examination to be added onto the eligible register. ELIGIBILITY INFORMATION: Applications will be processed on an "as-received" basis and those receiving a passing score will be added to the eligible register accordingly. The names of candidates receiving a passing score in the examination will be added to the eligible register in the order of their score group for a period of twelve (12) months following the date of eligibility. NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS. SPECIAL INFORMATION : Appointees may be required to work any shift including evenings, nights, weekends and holidays. VACANCY INFORMATION: The resulting eligible register will be used to fill vacancies throughout the Department of Health Services as they occur. APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED. Applicants may be required/prompted to verify their email address when logging on to file an application. This only needs to be done once per email address, and if you already have a job seeker account on www.governmentjobs.com.careers/lacounty, you can verify at any time by logging in and following the prompts. This feature is to enhance the security of your online application and to ensure you do not enter an incorrect email address. Apply online by clicking on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website. Applications electronically received after 5:00 p.m., PST, on the last day of filing will not be accepted. You may be required to verify your email address before the application can be submitted. This is to enhance the security of your online application and to ensure you do not enter an incorrect email address. All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment. Utilizing VERBIAGE from Class Specification and Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED. This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advance notice. Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. DO NOT GROUP YOUR EXPERIENCE. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected. NOTE: If you are unable to attach required documents at the time of filing your online application, email the documents to the Exam Analyst, Sylvia Jaimez, at sjaimez@dhs.lacounty.gov within fifteen (15) calendar days of filing online. Please include your full name (as it appears on your application), the exam number, and the exam title. SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. NO SHARING OF USER ID AND PASSWORD: All applicants must file their application online using their own user ID and password. Using a family member's or friend's user ID and password may erase a candidate's original application record. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: LA County Public Library has announced they are reopening some libraries with limited hours access throughout LA County. Refer to their website at https://lacountylibrary.org/reopening/ for more information. For Candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. FAIR CHANCE INITIATIVE: The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed . ADA COORDINATOR PHONE : (323) 914-6365 CALIFORNIA RELAY SERVICES PHONE : (800) 735-2922 DEPARTMENT CONTACT : Balik Sarkissian, Exam Analyst (213) 288-7000 bsarkisian@dhs.lacounty.gov Closing Date/Time:

DEPARTMENT OF HEALTH SERVICES FILING START DATE: 7/27/2015 AT 8:00 A.M. - UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. EXAM NUMBER: Y5134H REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. TYPE OF RECRUITMENT OPEN COMPETITIVE JOB OPPORTUNITY * * THIS EXAMINATION WILL BE USED TO FILL VACANCIES IN THE NORTH COUNTY ONLY * * ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four acute care hospitals - and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. For additional information regarding DHS, please visit www.dhs.lacounty.gov . MISSION: To advance the health of our patients and our communities by providing extraordinary care COVID-19 VACCINATION All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. DEFINITION: This experienced level class provides professional nursing care and services to patients in a variety of settings. Essential Job Functions Effectively communicates and collaborates the patients, families, care givers, and/or co-workers pertinent information concerning discharge planning, changes in patient care, changes in treatment plan, patient medication administration, aftercare instructions, and follow-up appointments to deliver the best possible patient experience. Completes and maintains accurate as well as legible medical documentation in a clear, concise, and timely manner. Manages relationships with internal and/or external members of a healthcare organization. Participates in performance improvement activities; with a focus on patient experience, regulatory compliance, and/or departmental process improvements projects. Delegates, assigns, and/or supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technician, clerical staff, and students. Participates in committees and projects at the unit, department, facility, and/or health system wide level. Seeks experiences that reflect current clinical practice to achieve and enhance professional/clinical competencies and professional practice. Serves as a liaison between committees, staff, and management. Participates in identifying and resolving ethical issues in the practice setting. Serves as a preceptor: expert or specialist who gives practical experience and training to new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area. Participates in product evaluation and product standardization activities. Participates in approved clinical investigations or research studies in accordance with departmental policies. Requirements SELECTION REQUIREMENTS : 1. Three years of full-time experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- 3. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. License(s) and Certificate(s) Required: A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. A valid California Class C Driver's License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. Please ensure the License and Certification Section of the required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required licensed as specified in the Selection Requirements. Applicants MUST attach a legible photocopy of the required license/BLS certification to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence of BLS certification will be rejected. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be present during the selection process and/or prior to appointment. Physical Class III - Moderate: Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighing over 25 pounds, and frequent lifting of 10-25 pounds. SPECIAL REQUIREMENT INFORMATION: *Full-time experience must be post-license only . **Experience at the level of Registered Nurse I in the County of Los Angeles is defined as: providing professional nursing care in a variety of patient care settings (e.g., critical care, emergency room, medical/surgical, operating room, neonatal intensive care, labor and delivery, intermediate/telemetry, psychiatric care, correctional nursing, etc.). The primary scope of practice involves applying the nursing process to assess basic or routine patient conditions and needs; identify a nursing diagnosis; and develop, implement, and evaluate a patient-centered plan of care. participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care and fiscal responsibility. ***In order to receive credit for a college degree on this examination, you must include a legible photocopy of your "official" diploma(s), "official" transcripts, or "official" letter(s) from an accredited institution which shows the area of specialization, at the time of filing or within 15 calendar days of filing your application online . Desirable Qualifications: Credit will be given to applicants who possess the following desirable qualifications: ***Bachelor of Science degree in Nursing (BSN) or ***Master of Science degree in Nursing (MSN) from an accredited institution. Additional Information EXAMINATION CONTENT: An evaluation of training and experience based upon application information and desirable qualifications weighted 100%. Candidates must achieve a passing score of 70% or higher on each weighted part of the examination in order to be placed on the eligible register. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add Dbeamon-thomas@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. ELIGIBILITY INFORMATION: Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the Eligible Register accordingly. The names of candidates will appear in the order of their score group for a period of twelve (12) months following the date of eligibility. No person may compete in this examination more than once every twelve (12) months. SPECIAL INFORMATION: Appointees may be required to work any shift, including evenings, nights, weekends and holidays. AVAILABLE SHIFT: Any VACANCY INFORMATION: The eligible register resulting from this examination will be used to fill vacancies in NORTH COUNTY ONLY . APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED. Applications electronically received after 5:00 p.m., PST, on the last day of filing will not be accepted. Apply online by clicking the "APPLY" tab for this posting. You can also track the status of your application using this website. Falsification of any information may result in disqualification or recession of appointment. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, description of work performed, and salary earned, If your application is incomplete, it will be rejected. NOTE: If you are unable to attach documents to your application, you must email the Exam Analyst, Darlene Beamon-Thomas at Dbeamon-thomas@dhs.lacounty.gov within 15 calendar days of filing online . Please include the exam number and the exam title. SOCIAL SECURITY NUMBER LANGUAGE: All applicants must enter a valid social security number at the time of filing. Entering anything other than a valid social security (i.e. 000-00-0000, 111-11-1111, etc.) will result in an automatic rejection of your application. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. ADA COORDINATOR: (323) 914-6365 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Darlene Beamon-Thomas, Exam Analyst (213) 288-7000 Dbeamon-thomas@dhs.lacounty.gov Closing Date/Time:

Position Summary As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THIS POSTING IS USED TO FILL PER DIEM OPENINGS IN VARIOUS AMBULATORY CARE LOCATIONS. Position Summary: Under direct supervision of a Registered Nurse, applies the nursing process to deliver basic, safe, therapeutic care and administering medications for individuals or groups of patients. May provide patient care in a specialty area but not limited to: medical/surgical, labor and delivery, PEDS, and the emergency room. May work with high risk patients. Job Requirement Education/Experience: Equivalent to graduation from high school and one (1) year of clinical experience as a LPN. Licensing/Certification Requirements: Current License by the Nevada State Board of Nursing to Practice as a Practical Nurse, Basic Life Support (BLS), and IV certification. Additional and/or Preferred Position Requirements Preference may be given to candidates who possess the following: Minimum one (1) year of recent adult Primary/Quick Care experience; Prior relevant clinical Experience as an LPN in an acute care hospital or similar setting. Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Basic life support; nursing process (implementation and coordination of patient care); patient standards of care; disease process; medical terminology; human anatomy; basics of pharmacology and medication administration; Proper techniques for dressing wounds, removing sutures and staples, etc; Aseptic techniques; Nurse practice act; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific patient care practices. Skill in: Proper medication administration (except epidural and intravenous route); delivery of patient care; performing basic life support; maintaining sterile technique; using equipment associated with specialty area and the nursing process; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical clinical setting and use standard equipment, including stamina to remain standing and/or walk for extended periods of time, and strength to examine and treat varied patients, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Closing Date/Time: 6/11/2023 5:00 PM Pacific

The Job Earn An Annual Salary Up To $133,473 Boost Annual Salary Up To: $137,633 When Modified Benefits Option Is Selected 3% Salary Increase Expected July 2023 & July 2024 Step Increases Twice A Year Until Max Salary Is Reached 15 Paid Holidays, Generous Vacation Plan and Sick Time County Pension To Plan For Retirement Arrowhead Regional Medical Center (ARMC) is recruiting for the position of Clinical Nurse Specialist , who under direction, assists in maintaining the clinical development and competency of the nursing staff in a specialized unit or program, utilizes the nursing process in professional practice, education, and research, and provides training and consultation in complex facets of advanced practice nursing care; performs related duties as required. The current vacancy is in MCH/L&D. The established eligible list may be used to fill other vacancies throughout the hospital. For more information see the Clinical Nurse Specialist job description. ABOUT ARROWHEAD REGIONAL MEDICAL CENTER ARMC, which is owned and operated by the County of San Bernardino, is a state-of-the-art 456 bed university-affiliated teaching medical center featuring the newest in technology in the field of patient care. ARMC is host to a 24-hour Emergency Department providing more than 90,000 annual visits, a Level II Trauma Center verified by the American College of Surgeons, a Regional Burn Center, Behavioral Health Services, Outpatient Specialty Clinics and five Primary Care Family Health Centers (FHC). The FHCs offer comprehensive primary care medical services to individuals and families of all age groups. The FHCs are staffed with experienced attending physicians and resident physicians from the Medical Center. ARMC is a Primary Stroke Center and has a Baby Friendly designation from Baby-Friendly USA with over 2800 births per year. The Neonatal Intensive Care is a 30 bed Community California Children's Services certified unit. CLICK HERE TO REVIEW OUR EXCELLENT BENEFITS Interested In Boosting Annual Salary? Click Here To Review Modified Benefits Options. CONDITIONS OF EMPLOYMENT Vaccination Requirement: Per the December 24, 2021 updated CA State Public Health Officer Order, all workers who provide services or work in facilities described in subdivision (a) of the order, including clinics and doctor offices, must be fully vaccinated for COVID-19. In addition, CDPH Public Health Officer Orders updated on February 22, 2022 requires all workers in health care settings currently eligible for boosters, who provide services or work in the impacted facilities must be "fully vaccinated and boosted" for COVID-19 by March 1, 2022. Workers may be exempt from the vaccination requirements under section (1). View the full order here: https://bit.ly/3k0RNMt The entire All Facilities Letter notifying of updates to the Public Health Order is available at the following link: AFL 21-34.3 Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP) . Vaccination Exemptions: Upon hire, candidates will be required to submit proof of vaccination including the booster dose or request an exemption from the vaccination and booster requirements based on either religious belief or medical reasons. Background : Applicants selected for these positions must pass a background investigation, drug test, verification of employment history and education. Certifications: Additional certifications may be required depending on the needs of the department. Minimum Requirements Must Possess The Following: Licenses: C urrent license as a Registered Nurse in the State of California. Healthcare Provider level Basic Life Support (BLS) certification. Education: Master of Science in Nursing. Experience: Three (3) years of experience as a Registered Nurse in an acute care hospital, of which (1) one year must be in a cardiac medical or surgical intensive care unit. Desired Qualifications The ideal candidate will possess five (5) years of experience in a critical care unit in addition to experience in developing, evaluating and, implementing nurse orientations and staff development programs. Experience in research, statistic data collection, utilization of recent innovations, applying new technologies in the development of procedures, protocol and, standards of care is highly desirable. Selection Process Application Procedure : Applications will be accepted continuously and reviewed on weekly basis. Interested applicants are encouraged to apply as soon as possible as this recruitment may close at any time. Examination : There will be a competitive evaluation based on a review of the Application and Supplemental Questionnaire. It is to your advantage to include as much relevant and detailed work experience as possible. To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application before the posted filing deadline. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. If you require technical assistance , please click HERE to review the Government Jobs online application guide , or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the computer or browser used to submit the application. EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants. ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline. Veterans' Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans' Preference points. Click here for information and instructions to request Veteran's Preference points. Please click HERE for important Applicant Information and the County Employment Process . Closing Date/Time:

Introduction This recruitment is being conducted tofill multiple full time and part time/per diem Staff Nurse IV vacancies throughout all inpatient units at San Joaquin General Hospital.Please review the below chart of units and make your unit selections within the supplemental questionnaire. One application will be used for all current and future Staff Nurse IV Inpatient unit vacancies. Certification to various units will be made based on the candidates' qualifications for areas of interest. For any questions regarding this recruitment, please contact Human Resources Recruitment Analyst Andrea Handelman via email alhandelman@sjgov.org or by phone 209-468-1994. The Staff Nurse IV classificationis the advanced-level class in the Staff Nurse series. The Mission of the Division of Nursing is to provide compassionate care to the culturally diverse residents of San Joaquin County. Weare responsive to the changing needs of health care in a cost-effective, creative, and innovative manner. This is achieved through providing an environment in which excellence in nursing practice can occur, nurtured by the education of staff, patients, and family. For information regarding San Joaquin General Hospital, please visit our website at www.sjgeneral.org . Salary Information (base salary): JobTitle Hourly Biweekly Annual (approx.) Staff Nurse IV - INP $58.16-$70.68 $4,652-$5,654 $120,973-$147,004 The following additional supplemental pay may apply: Shift Differential: $2.00/hour - PM Shift; $4.50/hour - Night Shift Educational Supplement: 5% of base salary (eligibility criteria per CNA MOU ) Charge Pay: $2.00/hour Preceptor Pay: $1.00/hour Longevity Pay: • 7.5% of base salary after 10 years (20,800 regular paid hours) • 10% of base salary after 15 years (31,200 regular paid hours) Standby Pay: 33% of base salary The following incentives and bonuses may be available for eligible full time new hires. Incentives and bonuses are subject to approval by Human Resources. Vacation Accrual Rate: San Joaquin County vacation accrual rate consistent with the candidate's total years of public service. Sick Leave: Candidates leaving other employment may receive credit for actual non-reimbursable sick leave hours (up to 160 hours) from their last agency. Hours shall be subject to San Joaquin County's minimum sick leave cash out provisions. New Hire Retention Bonus: $2,000 upon completion of first year equivalent employment (2,080 hours) $1,000 upon completion of third year equivalent employment (6,240 hours) $3,000 upon completion of sixth year equivalent employment (12,480 hours) Established in 1857, San Joaquin General Hospital is anacute care communityhospital, a designated level II Trauma Center and Certified Stroke facility. The hospital is dedicated to aphilosophy of excellence in providing health services, education and professional training in an integrated system that values qualityin life, family interaction, and respect for both clients and employees.It provides a full range of inpatient services including General Medical/Surgical Care, High-Risk Obstetrics, Neonatal Intensive Care and an ambulatory care network comprised of satellite provider sites throughout the County. The Agency is committed to the delivery ofcommunity-oriented, culturally sensitive, and affordable health care throughout San Joaquin County. San Joaquin General Hospital is a 24hour, 7 day a week facility. Shift assignments are based on operational needs that may include call back, weekends, andholidays. Apply now for current and future opportunities in the following departments: Cardiac Catheter Lab/EKG Case Management Emergency Room Float Pool Unit GI/Short Stay Surgery Hemodialysis Intensive Care Unit Labor-Delivery-Recovery-PostPartum Medical Surgical Units Neonatal Intensive Care Unit (NICU/ICN) Nursing Education Post-Anesthesia Care Unit (PACU) Progressive Care Unit (PCU) Sexual Assault Forensic Examiner - SAFE Sterile Processing Services Unit Surgery/Recovery Trauma Other Pre-Employment Drug Screening and Background: Potential new hires into this classification are required to successfully pass a pre-employment drug screen and a background investigation as a condition of employment. Final appointment cannot be made unless the eligible has passed the drug screen and successfully completed the background process. The County pays for the initial drug screen. Please note that candidates hired in the Medical/Surgical Unit and/or other units identified by Hospital Administration must successfully pass a California Department of Corrections (CDCR) background investigation conducted by CDCR. Once attained, candidates must maintain their CDCR clearance for continued employment. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing date. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. TYPICAL DUTIES Initiates the nursing process and performs advanced level clinical patient care, including complex and difficult therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy; participates in preparation and implementation of written nursing care plans for individual patients. Evaluates the total nursing needs of the patient including physical, psychological, spiritual, cultural and socio-economic; participates in planning, coordinating and administering total patient care; evaluates symptoms, reactions, and progress; participates in preparation and implementation of written nursing care plans for individual patients. May function as a first-level supervisor in an outpatient clinic or program over para-professional or clerical staff; may select, assign, train, direct, evaluate and discipline staff as appropriate; may participate in the development of unit policies and procedures; may assist with development and maintenance of the department budget; may provide crisis intervention, may consult with therapeutic multi-disciplinary team in reviewing patient progress and success of treatment plans. May facilitate insurance billing and other reimbursement-related procedures by processing appropriate paperwork and making necessary internal and external contacts. Works with patients and families through teaching, counseling, and other methodology in order to help them understand, cope with, and accept illness, treatment, and therapy; assists in self care strategies. Serves as a preceptor for new employees by orienting, teaching, participating in the evaluation process, and by serving as a role model and resource person. Maintains record of patient's health care treatment and/or hospital stay; prepares reports and standard forms. May function as a charge nurse in an inpatient unit; may assume full responsibility for the supervision of a shift in the absence of a Staff Nurse V or Nursing Department Manager; supervises and assists nursing personnel in the performance of patient care. Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences, and classes as may be required by the Administration of the Department of Health Care Services. Participates in the identification of staff development needs for members of the Nursing staff. Participates on committees as assigned; may represent the Department of Health Care Services to outside agencies. Prepares and presents, within established guidelines, clinical projects as assigned. MINIMUM QUALIFICATIONS EITHER I Experience: Two years of progressively responsible experience as a registered nurse in an acute care setting at a level equivalent to a San Joaquin County Staff Nurse III. Certification: Possession of a Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate or state, national, or other types of certification in area of specialty. All certifications must be approved by the Administration of the Department of Health Care Services. OR II Education: Possession of a Bachelor’s Degree in Nursing, Health Science, or closely related field. Experience: One year of progressively responsible experience as a registered nurse in an acute care hospital at a level equivalent to a San Joaquin County Staff Nurse III. AND Licenses and Certificates: Current registration as a nurse in the State of California. Special Requirements: (1) Successful completion of a San Joaquin General Hospital in-service or comparable training program in nursing preceptorships may be required prior to completion of the probationary period and periodically thereafter. (2) Possession of a San Joaquin County Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate, completion of an approved ICU/CCU training course, or other approved training or experience may be required for assignment or continued assignment to specialized nursing units. The following unitsrequire specific education, experience, and certifications as identified in the San Joaquin County CNA Career Ladder:Cardiac Catheter Lab/EKG, Emergency Room,Hemodialysis,Intensive Care Unit,Labor-Delivery-Recovery-Postpartum,Medical Surgical Units,Neonatal Intensive Care Unit (NICU/ICN),Post-Anesthesia Care Unit (PACU),Progressive Care Unit (PCU), andSurgery/Recovery. Career Ladder KNOWLEDGE Theory, techniques, and practices of nursing; new developments in patient care, particularly in area of specialization; skills specific to clinical scope of practice; the nursing process; nursing staffing patterns; principles and practices of employee supervision; health care safety principles and practices. ABILITY Supervise and assist members of the health care team; maintain a high standard of care; deal with patients empathetically and respectfully while performing treatments prescribed; instruct patients in self care and preventative health strategies; follow oral and written instructions of technical and professional nature in accurately; establish and maintain effective working relationships with others; establish and maintain effective customer service; maintain accurate records and prepare routine reports; develop and implement individualized care plans for patients; coordinate the several types of services which may be necessary for appropriate care; assist other staff in understanding current psycho-physiological aspects of illness; set priorities; work accurately under pressure; interpret policies and procedures; teach clinical skills; develop basic teaching plans; participate effectively in performance improvement processes; provide and promote a positive learning environment. PHYSICAL/MENTAL REQUIREMENTS Mobility - Constant walking; frequent operation of a keyboard; standing for long periods of time, pushing/pulling, bending and squatting; occasional sitting for long periods of time, running, climbing stairs and climbing; Frequency of Lifting -Frequent restraining lifting/turning of heavy objects or people; Visual Requirements -Constant need for overall vision, color and depth perception, hand/eye coordination, and field of vision/peripheral vision; frequent reading and close up work; Dexterity -Frequent holding, reaching, grasping, repetitive motion and writing; Hearing/Talking - Constant hearing of normal speech; frequent hearing and talking on telephone or radio; occasional hearing of faint sounds and talking over public address; Emotional/Psychological Factors -Constant concentration and public contact; occasional exposure to hazardous materials, frequent exposure emergency situations, including trauma, grief and death, decision making, working weekends and nights; occasional work at heights, working alone and overtime ;Environmental Conditions -Frequent exposure to assaultive behavior by clients; occasional exposure to noise, cold/heat, and hazardous materials, dirt, dust, smoke, fumes and poor ventilation. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums. Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee’s own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year per fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate’s education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate’s score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate’s application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran’s Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran’s points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When fillingnine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For currentemployment opportunitiesplease callour 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Continuous

Introduction The Hospital San Joaquin General Hospital (SJGH), originally established in 1857, is a general acute care facility providing a full range of inpatient services including General Medical/Surgical Care, High-Risk Obstetrics and Neonatal Intensive Care, Pediatrics and Intensive Care. In addition to the 196-bed hospital, the medical campus includes multiple facilities dedicated to comprehensive outpatient services including Primary Care and Specialty Clinics. The Hospital's Ambulatory Care sites, including offices located at French Camp and Stockton provide over 1,340,000 outpatient clinic visits a year. In addition to providing direct medical services, the hospital is active in providing education for health professionals through post-graduate residency programs in General Surgery, Internal Medicine and Family Practice and has trained over 3,000 physicians since the residency programs were established in 1932. The hospital also participates in clinical affiliation agreements for training programs in a variety of health professions including Registered and Licensed Vocational nurses, Pharmacists, Radiology Technologies, Social Workers and Respiratory Therapists. Recruitment This examination is being given to fill one (1) full-time vacancy for a Staff Nurse IV - Clinical Documentation Improvement (CDI) at San Joaquin General Hospital and to establish an eligible list to fill future vacancies. SJGH has a need for a clinical documentation improvement (CDI) nurse to facilitate the accurate representation of a patient’s clinical status that translates into coded data that is then translated into quality reporting, physician report cards, financial reimbursement, public health data, and disease tracking and trending. This recommendation is in line with the recommendations from Huron Consulting as part of the Revenue Cycle Improvement Project and the revised HIM organizational structure. The CDI Nurse will be responsible for conducting concurrent medical record reviews including clinical indicators and providing real-time feedback to providers. Will also be responsible for educating and training physicians and other clinical staff to ensure documentation for new coding requirements are met and aimed at quality of care and documentation improvements. The following incentives and bonuses may be available for eligible full time new hires. Incentives and bonuses are subject to approval by Human Resources. Vacation Accrual Rate: San Joaquin County vacation accrual rate consistent with the candidate's total years of public service. Sick Leave: Candidates leaving other employment may receive credit for actual non-reimbursable sick leave hours (up to 160 hours) from their last agency. Hours shall be subject to San Joaquin County's minimum sick leave cash out provisions. New Hire Retention Bonus: $2,000 upon completion of first year equivalent employment (2,080 hours) $1,000 upon completion of third year equivalent employment (6,240 hours) $3,000 upon completion of sixth year equivalent employment (12,480 hours) Pre-Employment Drug Screening and Background: Potential new hires into this classification are required to successfully pass a pre-employment drug screen and a background investigation as a condition of employment. Final appointment cannot be made unless the eligible has passed the drug screen and successfully completed the background process. The County pays for the initial drug screen. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing date. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. TYPICAL DUTIES Initiates the nursing process and performs advanced level clinical patient care, including complex and difficult therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy; participates in preparation and implementation of written nursing care plans for individual patients. Evaluates the total nursing needs of the patient including physical, psychological, spiritual, cultural and socio-economic; participates in planning, coordinating and administering total patient care; evaluates symptoms, reactions, and progress; participates in preparation and implementation of written nursing care plans for individual patients. May function as a first-level supervisor in an outpatient clinic or program over para-professional or clerical staff; may select, assign, train, direct, evaluate and discipline staff as appropriate; may participate in the development of unit policies and procedures; may assist with development and maintenance of the department budget; may provide crisis intervention, may consult with therapeutic multi-disciplinary team in reviewing patient progress and success of treatment plans. May facilitate insurance billing and other r eimbursement-related procedures by processing appropriate paperwork and making necessary internal and external contacts. Works with patients and families through teaching, counseling, and other methodology in order to help them understand, cope with, and accept illness, treatment, and therapy; assists in self care strategies. Serves as a preceptor for new employees by orienting, teaching, participating in the evaluation process, and by serving as a role model and resource person. Maintains record of patient's health care treatment and/or hospital stay; prepares reports and standard forms. May function as a charge nurse in an inpatient unit; may assume full responsibility for the supervision of a shift in the absence of a Staff Nurse V or Nursing Department Manager; supervises and assists nursing personnel in the performance of patient care. Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences, and classes as may be required by the Administration of the Department of Health Care Services. Participates in the identification of staff development needs for members of the Nursing staff. Participates on committees as assigned; may represent the Department of Health Care Services to outside agencies. Prepares and presents, within established guidelines, clinical projects as assigned. MINIMUM QUALIFICATIONS EITHER I Experience: Two years of progressively responsible experience as a registered nurse in an acute care setting at a level equivalent to a San Joaquin County Staff Nurse III. Certification: Possession of a Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate or state, national, or other types of certification in area of specialty. All certifications must be approved by the Administration of the Department of Health Care Services. OR II Education: Possession of a Bachelor’s Degree in Nursing, Health Science, or closely related field. Experience: One year of progressively responsible experience as a registered nurse in an acute care hospital at a level equivalent to a San Joaquin County Staff Nurse III. AND Licenses and Certificates: Current registration as a nurse in the State of California. Special Requirements: (1) Successful completion of a San Joaquin General Hospital in-service or comparable training program in nursing preceptorships may be required prior to completion of the probationary period and periodically thereafter. (2) Possession of a San Joaquin County Mobile Intensive Care Nurse (MICN) certificate, Advanced Cardiac Life Support (ACLS) certificate, completion of an approved ICU/CCU training course, or other approved training or experience may be required for assignment or continued assignment to specialized nursing units. The following unitsrequire specific education, experience, and certifications as identified in the San Joaquin County CNA Career Ladder:Cardiac Catheter Lab/EKG, Emergency Room,Hemodialysis,Intensive Care Unit,Labor-Delivery-Recovery-Postpartum,Medical Surgical Units,Neonatal Intensive Care Unit (NICU/ICN),Post-Anesthesia Care Unit (PACU),Progressive Care Unit (PCU), andSurgery/Recovery. KNOWLEDGE Theory, techniques, and practices of nursing; new developments in patient care, particularly in area of specialization; skills specific to clinical scope of practice; the nursing process; nursing staffing patterns; principles and practices of employee supervision; health care safety principles and practices. ABILITY Supervise and assist members of the health care team; maintain a high standard of care; deal with patients empathetically and respectfully while performing treatments prescribed; instruct patients in self care and preventative health strategies; follow oral and written instructions of technical and professional nature in accurately; establish and maintain effective working relationships with others; establish and maintain effective customer service; maintain accurate records and prepare routine reports; develop and implement individualized care plans for patients; coordinate the several types of services which may be necessary for appropriate care; assist other staff in understanding current psycho-physiological aspects of illness; set priorities; work accurately under pressure; interpret policies and procedures; teach clinical skills; develop basic teaching plans; participate effectively in performance improvement processes; provide and promote a positive learning environment. PHYSICAL/MENTAL REQUIREMENTS Mobility - Constant walking; frequent operation of a keyboard; standing for long periods of time, pushing/pulling, bending and squatting; occasional sitting for long periods of time, running, climbing stairs and climbing; Frequency of Lifting -Frequent restraining lifting/turning of heavy objects or people; Visual Requirements -Constant need for overall vision, color and depth perception, hand/eye coordination, and field of vision/peripheral vision; frequent reading and close up work; Dexterity -Frequent holding, reaching, grasping, repetitive motion and writing; Hearing/Talking - Constant hearing of normal speech; frequent hearing and talking on telephone or radio; occasional hearing of faint sounds and talking over public address; Emotional/Psychological Factors -Constant concentration and public contact; occasional exposure to hazardous materials, frequent exposure emergency situations, including trauma, grief and death, decision making, working weekends and nights; occasional work at heights, working alone and overtime ; Environmental Conditions -Frequent exposure to assaultive behavior by clients; occasional exposure to noise, cold/heat, and hazardous materials, dirt, dust, smoke, fumes and poor ventilation. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums.Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000.The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee’s own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to$800 per semester for a maximum of $1600 per fiscal yearper fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate’s education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate’s score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate’s application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran’s Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran’s points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When fillingnine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For currentemployment opportunitiesplease callour 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Open Until Filled

Introduction This examination is being given to fillone full-timevacancy inSan Joaquin General Hospital's Medical SurgicalDepartmentand to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. The Staff Nurse V-Assistant Nursing Department Manager is a supervisory level position and assists the Nursing Department Manager in assessing total patient needs, evaluates performance of staff, and coordinates the unit with other hospital divisions or services. The ideal candidates should possessadvanced level professional nursing experienceinanacute care hospital, possessexcellent communication skills, demonstrate a strong work ethic, leadership skills, and an ability to work in a fast-paced, team-oriented environment. San Joaquin General Hospital is a public hospital, designated level II Trauma Center and Certified Stroke Center. This teaching hospital environment will rely on you to make a difference as a team player on a high functioning multi-disciplinary team.To learn more about San Joaquin General Hospital visit www.sjgeneral.org The work schedule may include AM, Nights, or PM shifts as well as weekends and holidays depending upon the operational needs of the department. A comprehensive benefits package and ability to participate in the San Joaquin County Employees’ Retirement Association (SJCERA) is provided. Visit www.sjcera.org to learn more . Salary Information (base salary): JobTitle Hourly Biweekly Annual (approx.) Staff Nurse V ADM $58.73-$71.38 $4,698-$5,710 $122,158-$148,460 The following incentives and bonuses may be available for eligible full time new hires. Incentives and bonuses are subject to approval by Human Resources. Vacation Accrual Rate: San Joaquin County vacation accrual rate consistent with the candidate's total years of public service. Sick Leave: Candidates leaving other employment may receive credit for actual non-reimbursable sick leave hours (up to 160 hours) from their last agency. Hours shall be subject to San Joaquin County's minimum sick leave cash out provisions. New Hire Retention Bonus: $2,000 upon completion of first year equivalent employment (2,080 hours) $1,000 upon completion of third year equivalent employment (6,240 hours) $3,000 upon completion of sixth year equivalent employment (12,480 hours) NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. TYPICAL DUTIES Supervises staff and assists with management of the unit or units; assists in planning and implementing staff schedules; assists in assigning work to professional, para-professional and technical staff in order to best utilize the skills of personnel and to maintain a high quality of patient care; evaluates performance of and disciplines assigned personnel, including subordinate supervisory staff; participates in the selection of new employees. Supervises staff and assists with management of the unit or units; assists in planning and implementing staff schedules; assists in assigning work to professional, para-professional and technical staff in order to best utilize the skills of personnel and to maintain a high quality of patient care; evaluates performance of and disciplines assigned personnel, including subordinate supervisory staff; participates in the selection of new employees. Participates in formulating, interpreting and implementing policies, procedures, and standards of nursing care; assists in coordinating the services of the unit with other hospital divisions; may oversee and coordinate insurance billing and reimbursement-related procedures for the unit; may develop and implement various quality control measures; assists with development and maintenance of the department budget. Participates in initiating the nursing process and performing clinical patient care, including therapeutic measures prescribed by medical authority within the limits of the Nurse Practice Act and department policy; participates in preparation and implementation of written nursing care plans for individual patients. Evaluates the total nursing needs of the patient including physical, psychological, spiritual, cultural and socio-economic; participates in planning, coordinating and administering total patient care; evaluates symptoms, reactions, and progress. Participates with clinical staff in working with patients and families through teaching, counseling, and other methodology in order to help them understand, cope with, and accept illness, treatment, and therapy; assists in self care strategies; may supervise and participate in therapy groups, individual counseling and family conferences as necessary; may provide crisis intervention, crisis stabilization and follow-up therapy; may make crisis referrals as required. Keeps records of patient’s health care treatment and/or hospital stay; prepares reports and standard forms; initiates and completes performance improvement and other studies in cooperation with management. Maintains and updates knowledge base and nursing skills by reading literature, attending workshops, lectures, conferences, and classes as may be required by the Administration of the Department of Health Care Services. Participates on committees as assigned; may represent the department to outside organizations as assigned. MINIMUM QUALIFICATIONS . Supplemental Application must be submitted with the employment application. EITHER I: Education : Bachelor's Degree in Nursing or related field. Experience : Two years of progressively responsible experience as a registered nurse in a Medical Surgical Unitincluding one year at a level equivalent to a San Joaquin County Staff Nurse IV. OR II: Certification: Possession of National Certification. Experience : Two years of progressively responsible experience as a registered nurse in a Medical Surgical Unitincluding one year at a level equivalent to a San Joaquin County Staff Nurse IV. AND Licenses and Certificates : Current registration as a nurse in the State of California. Possession of Chemotherapy Certification or a course acceptable to the Director of Nursing Services and Preceptor Class or equivalent KNOWLEDGE Theory, practices and techniques of nursing, particularly in area of specialty; current trends and developments in the practice of nursing; goals of patient care; current medical treatment methods, standards, equipment and supplies; nursing staffing patterns; basic principles of management and supervision; leadership skills; safety principles and practices; applicable Federal and State laws as related to patient care. ABILITY Assign, supervise, train, assist and evaluate members of a nursing service unit; prepare and maintain records, charts, reports, and statistical data; deal with patients empathetically and respectfully while performing treatments prescribed; instruct patients in self care and preventative health strategies; establish and maintain effective working relationships with others; maintain a safe facility environment; maintain cohesiveness and communication as a team during high stress; establish and maintain effective customer service; coordinate the several types of services which may be necessary for appropriate care; assist other staff in understanding current psycho-physiological aspects of illness; set priorities; work effectively under pressure; supervise and participate effectively in performance improvement processes; provides and promotes a positive learning environment. PHYSICAL/MENTAL REQUIREMENTS Mobility -Constant walking; frequent operation of a keyboard; standing for long periods of time, pushing/pulling, bending and squatting; occasional sitting for long periods of time, running, climbing stairs and climbing; Frequency of Lifting -Frequent restraining lifting/turning of heavy objects or people; Visual Requirements -Constant need for overall vision, color and depth perception, hand/eye coordination, and field of vision/peripheral vision; frequent reading and close up work; Dexterity -Frequent holding, reaching, grasping, repetitive motion and writing; Hearing/Talking -Constant hearing of normal speech; frequent hearing and talking on telephone or radio; occasional hearing of faint sounds and talking over public address; Emotional/Psychological Factors -Constant concentration and public contact; occasional exposure to hazardous materials; frequent exposure to emergency situations, including trauma, grief and death, decision making, working weekends and nights; occasional work at heights, working alone and overtime; Environmental Conditions -Frequent exposure to assaultive behavior by clients; occasional exposure to noise, cold/heat, and hazardous materials, dirt, dust, smoke, fumes and poor ventilation. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums.Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000.The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee’s own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to$800 per semester for a maximum of $1600 per fiscal yearper fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants who meet the minimum qualifications will go through the following examination process: Written Exam : The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Oral Exam : The oral exam is a structured interview process that will assess the candidate’s education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate’s score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. Rate-out: A rate-out is an examination that involves a paper rating of the candidate’s application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Veteran’s Points : Eligible veterans, unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veteran’s points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination. Acceptable wartime service dates: September 16, 1940 to December 31, 1946 June 27, 1950 to January 31, 1955 August 5, 1964 to May 7, 1975 Persian Gulf War, August 2, 1990, through a date to be set by law or Presidential Proclamation. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine, or 10% of the eligible list, whichever is higher. When fillingnine or more positions in a department at the same time, the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list, whichever is higher. This applies only to open competitive recruitments. Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Rule of the List: For classifications designated by the Director of Human Resources, the entire eligible list will be referred to the department. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-Employment Drug Screening Exam: Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; They are related to the Appointing Authority or The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. HOW TO APPLY Apply Online: www.sjgov.org/department/hr By mail or in person: San Joaquin County Human Resources 44 N. San Joaquin Street Suite 330 Stockton, CA 95202 Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: (209) 468-3370 Job Line: For currentemployment opportunitiesplease callour 24-hour job line at (209) 468-3377. When a final filing date is indicated, applications must be filed with the Human Resources Division before 5:00 p.m. or postmarked by the final filing date. Resumes will not be accepted in lieu of an application. Applications sent through county inter-office mail, which are not received by the final filing date, will not be accepted. ( The County assumes no responsibility for mailed applications which are not received by the Human Resources Division) . San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer : San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to www.sjgov.org/department/hr/eeo . Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Continuous

The Job Annual Salary Up To $112,840 Consider enrolling in Modified Benefits Option and Boost Your Annual Salary Up To $117,000 *Salary Increase Every 1040 Hours Until Top Step Is Reached (see CNA MOU for details) Generous Paid Vacation, Sick and 15 Holidays Receive A County Pension To Plan For Retirement Arrowhead Regional Medical Center (ARMC) is looking for Clinical Documentation Improvement Nurses to perform chart review, analyze documentation, clinical conditions, and treatments required for an accurate representation of severity of illness. This newly created classification was created to access the expected risk of mortality and complexity of care for patient's medical record in support of quality patient care and a healthy revenue cycle. Overview : Clinical documentation improvement (CDI) is the process of reviewing medical record documentation for completeness, specifics, and accuracy, reviewing disease process, diagnostic findings, and what the documentation might be missing. A Clinical Documentation Improvement Nurse manages, assesses, and reviews a patient's medical records to ensure that all the information documented reflects the patient's severity of illness, clinical treatment, and the accuracy of documentation. Part of the role is to perform concurrent reviews of medical records, validate diagnosis codes, identify missing diagnosis, and query physicians and other healthcare providers for more specifics so documentation accurately reflects the patient's severity of illness. In addition, CDI nurses educate physicians on the importance of supplying the proper information needed for correct documentation. For more information about this position, review the Clinical Documentation Improvement Nurse job description. This position offers an excellent benefits package for the employee and their dependents. Click here to review the options . ABOUT THE DEPARTMENT ARMC , which is owned and operated by the County of San Bernardino, is a state-of-the-art 456 bed university-affiliated, teaching medical center featuring the newest technology in the field of patient care. ARMC, is host to a 24-hour Emergency Department providing more than 90,000 annual visits, a Level II Trauma Center verified by the American College of Surgeons, a Regional Burn Center, Behavioral Health Services, Outpatient Specialty Clinics and five Primary Care Family Health Centers (FHC). The FHCs offer comprehensive primary care medical services to individuals and families of all age groups. The FHCs are staffed with experienced attending physicians and resident physicians from the Medical Center. ARMC is a Primary Stroke Center and has a Baby Friendly designation from Baby-Friendly USA with over 2800 births per year. The Neonatal Intensive Care is a 30 bed Community California Children's Services certified unit. CONDITIONS OF EMPLOYMENT Vaccination Requirement: Per the December 24, 2021 updated CA State Public Health Officer Order, all workers who provide services or work in facilities described in subdivision (a) of the order, including clinics and doctor offices, must be fully vaccinated for COVID-19. In addition, CDPH Public Health Officer Orders updated on February 22, 2022 requires all workers in health care settings currently eligible for boosters, who provide services or work in the impacted facilities must be "fully vaccinated and boosted" for COVID-19 by March 1, 2022. Workers may be exempt from the vaccination requirements under section (1). View the full order here: https://bit.ly/3k0RNMt The entire All Facilities Letter notifying of updates to the Public Health Order is available at the following link: AFL 21-34.3 Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP) . Vaccination Exemptions: Upon hire, candidates will be required to submit proof of vaccination including the booster dose or request an exemption from the vaccination and booster requirements based on either religious belief or medical reasons. 1) Applicant must successfully pass a background check prior to appointment. 2) Travel throughout the County may be required. A valid California Class C driver license is required at time of appointment. Minimum Requirements License: Must possess and maintain Registered Nurse licensure with the State of California Board of Registered Nursing. Must Meet One Of The Following Options : Option 1 : Three (3) years of Medical-Surgical Registered Nurse experience in an acute care hospital. Option 2 : Two (2) years of experience as a Registered Nurse in Case Management or Managed Care. Certification: Must possess and maintain current Healthcare Provider level Basic Life Support (BLS) certification. Desired Qualifications The ideal candidate will have a Bachelor's degree in Nursing with at least 5 years of experience working in acute care as a Case Manager or similar related experience. Selection Process There will be a competitive evaluation of qualifications based on the information provided in your Application and the Supplemental Questionnaire. The most highly qualified candidates, based on the evaluation results, will be referred for an interview. Be sure to include in your application and supplemental questions your experience in meeting the minimum requirements. Application Procedure : Please complete and submit the online employment application and supplemental questionnaire by 5:00 PM, Friday, June 16, 2023 . Resumes will not be accepted in lieu of the application and/or supplemental questionnaires. To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application before the posted filing deadline. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. Please note, if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application we have not received your application. If you require technical assistance , please click HERE to review the Government Jobs online application guide , or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the internet connection, computer or browser used to submit the application. EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants. ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline. Veterans' Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans' Preference points. Click here for information and instructions to request Veteran's Preference points. Please click HERE for important Applicant Information and the County Employment Process Closing Date/Time:

Introduction Thisrecruitment is being given to fill one (1) per diem vacancywith San Joaquin General Hospital's internal medicine department. Resumes will not be accepted in lieu of an application. San Joaquin General Hospital is a 24/7 running facility. Incumbents employed with San Joaquin General Hospital must have the ability work rotating shifts which include nights, weekends and holidays. The Nurse Practitioner II-Inpatientis the experienced-level class in the Nurse Practitioner series. Employees in this class provide primary medical service, perform physical examinations and are responsible for the clinical management of cases within the scope of their competence following standardized procedures. They may also coordinate the care given by other medical specialists, sub-professional staff and non-county agencies. Incumbents functions relatively independently as part of a medical team. They work under the direction of a physician and perform medical services at a level authorized by San Joaquin County Health Care Services policy. Pre-Employment Drug Screen and Background : Potential new hires into this classification are required to successfully pass a pre-employment drug screen and a background investigation as a condition of employment. Final appointment cannot be made unless the eligible candidate has passed the drug screen and successfully completed the background process. The County pays for the initial drug screen. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. TYPICAL DUTIES Elicits, records, and/or reviews medical histories and performs acute primary care pre-employment, annual, periodic, and various other routine physical examinations on patients ranging from newborn through geriatric, utilizing the problem-oriented medical record or other appropriate systems; provides general and specific health and medical instruction to patients, clients and families. Coordinates individual and family health management, utilizing physician resources or- community agencies; provides guidance instruction, treatment and referral in such areas of family planning, sexually transmitted diseases (STD), Acquired Immune Deficiency Syndrome (AIDS), drug abuse, child care and hygiene; assists patients with selection, fitting and placing of appropriate contraceptive devices. Performs early diagnostic examinations including vision, hearing, pap smears, and other examinations; may order laboratory tests, x-rays, electrocardiograms and other diagnostic tests; may collect specimens for, perform, and interpret selected laboratory tests and take action on abnormals as necessary; provides immunization and gives injections. Identifies basic complex medical conditions; determines if patient's medical, surgical, and psychiatric problems require immediate consultation with the physician; treats conditions and manages stable phases of chronic illnesses on consultation with or following specific protocols established by physicians, including dispensing and/or administering medication when indicated; alerts appropriate medical personnel and/or agencies of potential community health problems as encountered. Provides routine prenatal care and post-partum follow-up for mother and child; conducts newborn and well child examinations; provides comprehensive health screening assessments; provides treatment of pediatric illness. Observes and evaluates emotional condition of patient; counsels and supports patients in the area of psychosocial problems and inter-relationships; provides emergency treatment or referral for patients with severe emotional upsets. May work in hospital, outpatient, custodial, public health, satellite and mobile staff; may make home and school visits; may lead ancillary clinic staff; may coordinate clinic activities; may orient and oversee nursing students, medical students and other providers. Provides for Quality Assurance through review and audit of clinic charts to assure adequate medical management and follow-up; provides consultation to other providers. Keeps records and completes forms and questionnaires as required. Attends meetings and workshops; serves on committees as assigned; provides consultation and assistance in areas of specialty to other areas of Health Care Services; participates in and may conduct in-service training. MINIMUM QUALIFICATIONS Education :Completion of an approved Nurse Practitioner training program at an accredited college or university or certified program. AND EITHER: Bachelors Degree in Nursing or related field & two (2) years experience OR: National Certification in an area of specialty andtwo (2) years of experience as a Nurse Practitioner. OR: Five (5) years experience as a Nurse Practitioner and specialty certificates for training such as colposcopy, diabetes education, or other specialty training. Licenses & Certificates : 1) Current Registration as a nurse and certification as a Nurse Practitioner in the State of California; 2) Current possession of a furnishing license through the State of California, Board of Registered Nursing. Special Qualification : 1) In order to practice at San Joaquin General Hospital, must be credentialed and granted privileges through the San Joaquin General Hospital Committee on Interdisciplinary Practice (CIDP) within ninety (90) days of appointment and in accordance with medical staff bylaws and state regulations. New employees may be granted temporary privileges by the Medical Director or designee, pending Committee Interdisciplinary Practice approval; 2) Eligibles may be certified only to job vacancies in the area of specialization in which they possess specialized education and certification. Additionally, the successful completion of approved nursing training programs, possession of specific nursing experience or the possession of specified professional certificates may be required depending on the nature of the area of assignment. KNOWLEDGE The general procedures, techniques and equipment used in family medicine, community health, mental health and professional nursing; medical terminology, various hospital and clinic routines, equipment and facilities; full range of medical conditions of applicable medical specialty including procedures utilized in prevention, diagnosis and treatment; maternal and child health practices; basic laboratory procedures; uses, effects, problems and treatment of abuse of medicines and narcotics; social, public health, mental health and other community treatment agencies; principles of human behavior including basic causes, symptoms and treatment of mental illness and instability; basic medical record keeping; diverse needs and problems of various cultural groups; principles and practices of communicable disease prevention, diagnosis and treatment. ABILITY Elicit and record complete and accurate medical histories; perform physical examinations; identify medical conditions which require immediate consultation with the physician; follow protocols in treating acute and stable chronic diseases as established by physicians; communicate effectively; recognize the behavior and attitudes that influence individual and family health; observe and evaluate emotional conditions; interpret laboratory data; provide guidance and health instruction to patients; lead and train other staff; work with high risk clientele; learn to work independently in absence of on-site physician direction. PHYSICAL/MENTAL REQUIREMENTS Mobility -Frequent standing for long periods; constant walking; occasional pushing/pulling; occasional bending/squatting; Lifting -Occasional lifting of 5 lbs. or less, restraining, lifting/turning people; Visual Requirements -Frequent color perception; occasional eye/hand coordination, peripheral vision and depth perception; frequent reading; Dexterity -Occasional holding and repetitive motion; frequent reaching, grasping and writing; Hearing/Talking -Constant hearing normal speech, talking in person, talking on the telephone; frequent hearing on the telephone and hearing faint sounds; Emotional/Psychological -Occasional emergency situations, exposure to hazardous materials, working weekends/nights; overtime; frequent exposure to trauma, grief an death; constant public contact, decision making, concentration; Environmental Conditions -Frequent exposure to noise; occasional exposure to hazardous materials. Equal Opportunity Employer San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to Equal Employment Opportunity Division (sjgov.org) . Accommodations for those covered by the Americans with Disabilities Act (ADA): San Joaquin County complies with the Americans with Disabilities Act and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions. BENEFITS Health Insurance : San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums. Dependent coverage is available for all plans. Dental Insurance : The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee’s expense. Vision Insurance : The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee’s expense. For more detailed information on the County’s benefits program, visit our website at www.sjgov.org under Human Resources/Benefits. Life Insurance : The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate. 125 Flexible Benefits Plan : This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan : Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees’ Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees’ Retirement Act of 1937 or from any governmental agency covered by the California Public Employees’ Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation : The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available. Vacation : Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits. Holiday : 14 paid holidays per year. Educational Leave : Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year. Sick Leave : 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive : An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave : 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee’s spouse, domestic partner, parent or child. Merit Salary Increase : New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step. Standby Pay : Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate. Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary: For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.) For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing. Possess National or approved International certification in the specialty area in which the nurse currently is assigned. Possess CCRN Certification and active ACLS Certificate. Provide proof of completion of a critical care class and active ACLS Certificate. License/Certificate Fees : The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered. Pre-Employment Physical Exam : If required, will be conducted at San Joaquin County General Hospital at no cost to the employee. Job Sharing : Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program : The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee’s own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year per fiscal year. Parking Supplemental Downtown Stockton : The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities : Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children’s school activities. Selection Procedures Applicants for part-time and temporary recruitments who meet the minimum qualifications are either referred to the hiring department for further selection or they may be required to take a written examination. If a written examination is given, the top candidates may be referred to the hiring department for further selection. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209) 468-3370 prior to the examination date. Physical Exam : Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Pre-employment Drug Screening Exam : Some classifications require a new employee successfully pass a pre-employment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grandparent, grandchild or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when: They are related to the Appointing Authority, or The employment would result in one of them supervising the work of the other Department Heads may establish additional limitations on the hiring of relatives by departmental rule. Proof of Eligibility: If you are offered a job, you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S. Click on a link below to apply for this position: Fill out the Supplemental Questionnaire and Application NOW using the Internet. Apply Online View and print the Supplemental Questionnaire. This recruitment requires completion of a supplemental questionnaire. You may view and print the supplemental questionnaire here . View and print the official application form as an Acrobat pdf file. A San Joaquin County application form is required for this recruitment. You may print this Acrobat PDF document and then fill it in. Contact us via conventional means. You may contact us by phone at (209) 468-3370, or by email , or apply for a job in person at the San Joaquin County Human Resources Division. Closing Date/Time: Continuous