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DEPARTMENT OF HEALTH SERVICES FIRST DAY OF FILING: November 15, 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 - Y5139A TYPE OF RECRUITMENT - OPEN COMPETITIVE JOB OPPORTUNITY MISSION "Our mission is to ensure access to high-quality, patient-centered, cost-effective health care to Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners." SPECIAL SALARY INFORMATION Upon appointment, a 5.5% bonus will be added for performing Department of Health Services' Correctional Health Standardized procedures. DEFINITION This class provides professional nursing careand servicesto inmate patients in Correctional Health facility. CLASSIFICATION STANDARDS Positions allocable to this class typically report to higher-level nurses or providers. This position applies recognized nursing principles and practices in providing professional nursing care and/or services under an appropriate level of supervision in a variety of settings. Duties are performed in accordance with specific instructions, departmental policies and procedures and established for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. This position serves as a professional role model and may provide direction to others. Nursing practice at this level demonstrates the application of basic assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality and security guidelines. While on duty, the Registered Nurse I, Sheriff may be required to prevent and control the behavior of inmate-patients that is not in accordance with correctional health 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. Consistently seeks assistance and feedback regarding patient and clinical practice issues. Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills. Participates in patient care conferences, committee meetings, staff development, standardized procedures, and/or education programs to increase or maintain professional competency. Seeks experiences that reflect current clinical practice to achieve and enhance professional and clinical skills and competencies. Participates in performance improvement activities. Maintains courteous and respectful interaction with patients, co-workers, and member of the public. Provides care in a non-judgmental, non-discriminatory manner. Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines. Assists with responses to ALCUinquiries, third party complaints, inmate complaints and court orders. Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner. Reports and intervenes in incidents involving patients, visitors, or employees, as required. Delegates, assigns, and/or supervises the assigned work. The RN I, Correctional Health is accountable for the completion of delegated work, as required. Assessment/Reassessment: Interviews patient and other individuals to collect information as part of a comprehensive assessment. Observes overall patient condition including physically assessment the patient. Identifies economic, educational, and cultural barriers; spiritual influences; and age specific and biophysical needs. Reviewsall available information, including medicalrecords, patient history, and other documentation. Documents all findings and observations. Initiates reassessment of patients. Recognizes deviations from baseline and interprets subtle changes in a patient's condition. Prioritizes care based on appropriate identification of nursing diagnosis and patient needs Planning: Formulates a plan of care and/or nursing care plans based upon assessmentand in accordance with provider orders and/or approved departmental standardized procedures. Identifies nursing care objectives and makes appropriate referrals. Prioritizes and coordinates patients care needs and activities as a member of an interdisciplinary patient care team. Modifies plans ofpatient care based on reassessment findings, specific patient care needs,and/or changes in interdisciplinary treatment plan. Assists in coordination with identified sources for discharge when available. Identifies appropriate tools and/or teaching methods for patient education. Implementation: Providesindividualized and specializednursing 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. Recognizesand responds to changesin patient status timely and appropriate. Performs efficiently in emergency situations. Implements the integrated plan of care and coordinates patient care activities with members of the health care team. Provides teaching including aftercare instructions. Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention. Uses patient care equipment and devices safely. Evaluation/Monitoring: Observes, evaluates, and communicatesthe effects of treatments and interventions. Reassesses and revises plan of care in collaboration with other members of the health care team. Communicates appropriately with patients and/or caregivers concerning care and treatment plans. Requirements SELECTION REQUIREMENTS A license* to practice as a Registered Nurse issued by the California Board of Registered Nursing AND a current certification** issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. 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: License and Certification Information To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing -OR- have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination. However, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing. Please ensure the License and Certification 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. *The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment. **Applicants must attach a legible photocopy of their 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. The required license, certificate, and/or permit MUST be current and unrestricted; a conditional, provisional, probationary or restricted license will NOT be accepted. A valid California Class C Driver License or the ability to utilize an alternative method of transportationwhen needed to carry out job-related essential functions. Additional Information EXAMINATION CONTENT This examination will consist of a qualifying online unproctoredWork Styles Assessment (WSA) written test, weighted 100% covering deductive reasoning ability, professional potential, achievement, independence, influence, confidence and optimism, and reliability. Applicants will receive instructions via email on when and how to log on and take the online unproctored written test. Applicants who do not pass the written test will be notified by mail. Scores cannot be given over the telephone. Applicants must meet the selection requirements and pass the qualifying written test in order to be placed on the Eligible Register. WRITTEN TESTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19. TRANSFER OF SCORES Applicants that have taken identical written test part(s) for other exams within the last 12 months, will have their written test responses for the identical test part(s) automatically transferred to this examination. This examination contains test parts that may be used in the future for new examinations. Your scores will be transferred to the new examination and may not be allowed to re-take any identical test parts for at least 12 months. TEST PREPARATION Study guides and other test preparation resources are available to help candidates prepare for employment tests. An interactive, Online Test Preparation System for taking practice tests may be accessed on the Department of Human Resources website at http://hr.lacounty.gov/ . Please click on Job Info Center, then click on Employment Test Preparation. You may also access test preparation materials for the computerized portion of the test by going to the website: http://www.shldirect.com/practice_tests.html . While these study guides will help in preparing for the test, we advise you to review ALL related materials that you deem necessary. Candidates must achieve a passing score of 70% or higher on this examination to be added to 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 receiving a passing grade in the examination will be placed on the eligible register without indication of relative standing in the exam. Successful candidates will remain on the register for a period of twelve (12) months following the date of promulgation. NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS. VACANCY INFORMATION The eligible register for this examination will be used to fill vacancies throughout the Department of Health Services - Correctional Health as they occur. 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 may be required 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. 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 on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website. 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 Minimum 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. 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 required documents, you must fax them to (323) 869-0942 or e-mail the documents to the exam analyst at hhocking@dhs.lacounty.gov, 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 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. ADA COORDINATOR PHONE (323) 914-7111 CALIFORNIA RELAY SERVICES PHONE (800) 735-2922 DEPARTMENT CONTACT Israel Belmont, Exam Analyst (323) 914-7587 ibelmont@dhs.lacounty.gov Closing Date/Time:

Definition and Class Characteristics Interested in joining a fast paced work environment filled with caring professionals dedicated to improving the lives of vulnerable community members?  The Nevada County Behavioral Health Department is looking for a Limited-Term Registered Nurse I or II to work as part of a clinical team that includes a supervisor, psychiatrist, case manager, therapist, and another nurse. This person provides support for medication refills, nursing assessments, assisting psychiatrists in daily duties, and coordinating services within the clinical team as well as with primary care and other agencies.    We have a friendly, nurturing work environment and we enjoy the privilege of serving individuals with serious mental illness.   The work is always interesting and provides opportunities for collaborative, creative problem solving.  We hire individuals who are not only caring but also bring a sense of humor and fun at the right time. The eligible list established from this recruitment will be used to fill full-time, regular, and limited term positions. Limited term positions are offered the same level of benefits as a regular position, but the term ends on June 30 of each fiscal year and the continuation of such position is contingent upon continued grant funding. Under direct supervision, provides clinical or field nursing services within the County utilizing professional skills; provides medication support services according to prescribed guidelines; learns and applies case management skills; and performs related duties as assigned.   Nurse I: This is the entry level class in the professional nursing series.   Initially, under close supervision, incumbents learn and perform duties of increasing complexity.  This class is flexibly staffed with Registered Nurse II and incumbents normally advance to the higher level after gaining sufficient experience and demonstrating proficiency to meet the requirements of Registered Nurse II.   Examples of Duties Essential: Provides clinical services and administers prescribed medication in the clinic or in a non-clinic setting to those who cannot attend the clinic for these services Draws blood, gives injections, administers and reads skin tests, administers immunizations and prescribed medications and treatments, obtains laboratory specimens such as throat cultures Observes signs and symptoms and reports to the physician regarding reactions to treatment, including drugs and changes in the client's physical and emotional condition Assists in epidemiological investigations, e.g., obtains names of communicable disease contacts and makes referrals for tests and medical care Contacts and/or visits frail and/or isolated elderly persons; makes physical and emotional assessments and initiates services to promote health and well-being and prevent premature institutionalization Refers clients to and coordinates nursing services with community social, health and behavioral health services; follows up and ensures continuity of client care Participates in community outreach and health promotion events such as health fairs, blood pressure and flu clinics, radio shows, etc.; provides preventive health care services and promotes public awareness of program; drafts and/or distributes newspaper articles, educational pamphlets and related information Teaches clients and families about preventive health measures, such as nutrition, immunizations, accident prevention, and family planning; obtains health histories Prepares records and reports Evaluates health care; maintains statistics and inventories of medical supplies Important Learns and applies case management skills on assigned groups or populations of clients Knowledge and Skills Required NOTE:  The required level and scope of the following knowledge and skills relate to the level of the position as defined in the class characteristics.   Knowledge of: Principles, practices, methods and techniques of nursing as applied to a Public Health Department clinic setting Family planning methods, pregnancy options, and methods of control of communicable disease, including tuberculosis and sexually transmitted disease Clinic routines and protocols Federal and state laws, rules and regulations governing the practice of nursing Norms of child growth and development; norms of adult life cycle Personal computer applications for word processing and spread sheets (desirable) Social and emotional problems of seniors, including those related to disability and chronic disease Medical terminology and equipment   Skill in: Securing the cooperation of and working effectively with clients, families, health care providers, other agencies, and other involved parties Independently planning, organizing, and implementing clinic and field nursing duties Administering medications and injections and dressing wounds Assisting public health nurses and clinic practitioners with clinics as needed Assuring quality of care and coordinating nursing services with other providers/programs Preparing and maintaining organized, detailed and accurate records and reports Providing health information and education Establishing and maintaining cooperative working relationships with those contacted in the course of work Communicating effectively orally and in writing Using sound judgment Education and Experience Required COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES OR LICENSES LISTED AS REQUIRED IN THIS SECTION MUST BE ATTACHED TO THE APPLICATION Level I: Graduation from an accredited school of nursing.  Associate of Science degree in Nursing from an accredited college or university preferred.   Licenses and Certificates: Possession of a valid license as a registered nurse issued by the California Board of Registered Nursing. Possession of a current CPR certificate. Possession of a valid driver's license within 30 days of hire.   Physical Demands and Working Conditions: Mobility and manual dexterity to work in a standard office environment, use standard office equipment and attend off-site meetings, to bend, reach, and grasp and strength to lift up to thirty pounds, carry and position supplies and equipment; manual dexterity and sense of touch to conduct physical health assessments, give injections and draw blood; vision to read handwritten and printed materials and a computer screen, and to examine and observe clients; hearing and speech to communicate in person and by telephone; working in exposure to communicable disease and/or blood-borne pathogens.   Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.   Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive.  Not all duties are necessarily performed by each incumbent.  Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.    Closing Date/Time: Continuous

REGISTERED NURSE I : $6,384.26 - $9,300.66 MONTHLY RELIEF NURSE: $50.77- $53.60 HOURLY DEPARTMENT OF HEALTH SERVICES FILING START DATE:10/21/2015 - UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. EXAM NUMBER: YELRN2 OPEN COMPETITIVE JOB OPPORTUNITY REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO REOPEN THE FILING DATES AND ADD A SUPPLEMENTAL QUESTIONNAIRE. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. CLASSIFICATION STANDARDS: These positions focus on applying recognized nursing principles/practices and developing nursing knowledge and skills while providing professional nursing care to patients in a variety of settings under close supervision, typically reporting to and frequently seeking consultation from higher level nurses. Incumbents to this position are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team and may provide direction to other paraprofessional staff and unlicensed assistive personnel. The scope of practice at this level demonstrates the application of basic assessment skills and adherence to patient privacy, confidentiality, and security guidelines. The Registered Nurse I is a full-time position and Relief Nurse is a temporary position. Essential Job Functions Follows established policies and procedures within their scope of practice. Complies with licensing and accreditation standards and other regulatory requirements. Conducts self-assessment of performance and identifies own learning needs. Consistently seeks assistance and feedback regarding patient and clinical practice issues. Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills. Communicates and collaborates effectively as a member of an interdisciplinary healthcare team as needed. Participates in patient care conferences, committee meetings, staff development, and education programs to increase or maintain professional competency. Seeks experiences that reflect current clinical practice to achieve and enhance professional and clinical skills and competencies. Remains up-to-date on current professional skills, trends, and issues. Participates in performance improvement activities. Maintains courteous and respectful relationships with patients, families, and co-workers. Provides care in a non-judgmental, non-discriminatory manner. Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines. Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner. Reports and may intervene in incidents involving patients, visitors, or employees. Delegates, assigns, and/or supervises as needed the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students. Assessment/Reassessment An ongoing process which is continuous for the duration of the patient's stay. Interviews patient and other individuals to collect information. Observes physical condition including physically examining the patient. Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; and age specific and biophysical needs according to accepted standards of practice. Reviews all available information, including medical records, patient history, and other documentation. Documents all findings and observations. Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk. Planning Formulates nursing care plans upon assessment and in accordance with provider orders, procedures and/or protocols. Prioritizes patient care needs and activities as a member of an interdisciplinary patient care team. Modifies plans of patient care based on reassessment findings, specific patient care needs, and/or changes in interdisciplinary treatment plan. Assists in discharge planning needs. Implementation Provides individualized and specialized nursing care and administers medications and treatments to patients as prescribed. 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. Communicates identified needs and patient responses to members of the interdisciplinary team. Evaluation/Monitoring Observes, evaluates, and communicates the effects of treatments and interventions. Reassesses and revises plan of care in collaboration with other members of the health care team. Communicates with patients and care givers regarding changes in patient care and treatment plans. Requirements SELECTION REQUIREMENTS: *1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- **2. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. (Please see Special Requirement Information) 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: License and Certification Information To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing -OR- have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination. However, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing. Please ensure the License and Certification 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. *The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment. **Applicants must attach a legible photocopy of their 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. The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted. Additional Information EXAMINATION CONTENT: This exam will consist of a qualifying online unproctored Work Styles Assessment (WSA) written test covering deductive reasoning ability, professional potential, achievement, independence, influence, confidence and optimism, and reliability. Applicants will receive instructions via email on when and how to log on and take the online unproctored written test. Applicants who do not pass the written test will be notified by mail. Scores cannot be given over the telephone. WRITTEN TESTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19. Applicants must meet the Selection Requirements and pass the qualifying written test in order to be placed on the Eligible Register. TRANSFER OF SCORES Applicants that have taken identical written test part(s) for other exams within the last 12 months, will have their written test responses for the identical test part(s) automatically transferred to this examination. This examination contains test parts that may be used in the future for new examinations. Your scores will be transferred to the new examination and may not be allowed to re-take any identical test parts for at least 12 months. TEST PREPARATION Study guides and other test preparation resources are available to help candidates prepare for employment tests. An interactive, Online Test Preparation System for taking practice tests may be accessed on the Department of Human Resources website at http://hr.lacounty.gov/ . Please click on Job Info Center, then click on Employment Test Preparation. You may also access test preparation materials for the computerized portion of the test by going to the website: http://www.shldirect.com/practice_tests.html . While these study guides will help in preparing for the test, we advise you to review ALL related materials that you deem necessary. 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 the candidates receiving a passing grade on the examination will be placed on the eligible register without indication of relative standing in the exam. Successful candidates will remain on the register 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. SELECTIVE CERTIFICATION in accordance with TITLE 5 - PERSONNEL, APPENDIX 1 (Civil Service Rule 11.03) of the Los Angeles County Code, selective certification may be used for some positions that require special skills and/or training. The following areas may require Selective Certification. 1. Adult Critical Care and Burn Unit 2. Emergency Room 3. Operating Room Specific knowledge of the specialized functional areas may be the subject of the departmental hiring interview. 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 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. 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, Yolanda Ramos atyramos@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) 914-7111 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Yolanda Ramos, Exam Analyst (323) 914-7963 yramos@dhs.lacounty.gov Closing Date/Time:

TYPE OF RECRUITMENT Open Competitive Job Opportunity EXAM NUMBER Y5133C FILING START DATE 05/20/19 at 8:00 A.M. (PT) This examination will remain open until the needs of the service are met and is subject to closure without prior notice. DEPARTMENT OF HEALTH SERVICES The Los Angeles County Department of Health Services (DHS) is the second largest health system in the nation, providing compassionate, quality care through its integrated system of hospitals and community-based clinics. DHS annually cares for about 600,000 unique patients, employs over 22,000 staff and has an annual operating budget of $4.3 billion. DHS leads the County's effort to provide health services to the residents of Los Angeles County, of which approximately two million are uninsured. DHS hospitals also conduct post-graduate medical education through university affiliations for interns, residents and fellows to train the physician workforce for tomorrow. MISSION Our mission is to ensure access to high-quality, patient-centered, cost-effective health care to Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners. DEFINITION: This class provides professional nursing careand servicesto patients in a variety of settings. Essential Job Functions Follows established policies and procedures within their scope of practice. Complies with licensing and accreditation standards and other regulatory requirements. Conducts self-assessment of performance and identifies own learning needs. Consistently seeks assistance and feedback regarding patient and clinical practice issues. Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills. Communicates and collaborates effectively as a member of an interdisciplinary healthcare team as needed. Participates in patient care conferences, committee meetings, staff development, and education programs to increase or maintain professional competency. Seeks experiences that reflect current clinical practice to achieve and enhance professional and clinical skills and competencies. Remains up-to-date on current professional skills, trends, and issues. Participates in performance improvement activities. Maintains courteous and respectful relationships with patients, families, and co-workers. Provides care in a non-judgmental, non-discriminatory manner. Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines. Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner. Reports and may intervene in incidents involving patients, visitors, or employees. Delegates, assigns, and/or supervises as needed the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students. May participate in approved clinical investigations or research studies in accordance with departmental policies. May participate in product evaluation and product standardization activities. May participate in organization-wide committees and projects. Assessment/Reassessment: An ongoing process which is continuous for the duration of the patient's stay. Interviews patient and other individuals to collect information. Observes physical condition including physically examining the patient. Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; and age specific and biophysical needs according to accepted standards of practice. Reviewsall available information, including medicalrecords, patient history, and other documentation. Documents all findings and observations. Initiates reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk. Recognizes deviations from baseline and interprets subtle changes in a patient's condition. Planning: Formulates nursing care plans based upon assessmentand in accordance with provider orders, procedures and/or protocols. Identifies nursing care objectives. Prioritizes patient care needs and activities as a member of an interdisciplinary patient care team. Coordinatespatient carein collaborationwith other interdisciplinary patient careteam members. Establishes patient goals and treatment plans. Modifies plans ofpatient care based on reassessment findings, specific patient care needs,and/or changes in interdisciplinary treatment plan. Assists in discharge planning needs. Identifies appropriate tools and/or teaching methods for patient/family education. Implementation: Providesindividualized and specializednursing care and administers medications and treatments to patients as prescribed. Observes patient's response to interventions and treatments and monitors for side effects of medication administration. Recognizesand responds to changesin patient status timely and appropriately.Intervenes when situations call for immediate action. Communicates identified needsand patient responsesto members of the interdisciplinary team. Evaluation/Monitoring: Observes, evaluates, and communicatesthe effects of treatments and interventions. Reassesses and revises plan of care in collaboration with other members of the health care team. Communicates with patients and care givers regarding changes in patient care and treatment plans. Requirements SELECTION REQUIREMENTS: 1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- 2. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. -AND- 3. A fully executed Michael D. Antonovich Registered Nurse Service Scholarship Agreement processed through the DHS Contract and Grants Division, reflecting that you are a recipient of the grant. LICENSE AND CERTIFICATION REQIREMENTS: A current active license to practice as a Registered Nurse issued by the California Board of Registered Nursing. Please ensure the License and Certification Section of the required license(s), the number(s), date(s) of issue, dte(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. The required license(s) and certification(s) 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 Registered Nurse issued by the Department of Consumer Affairs, California Board of Registered Nursing will be verified at the following website: https://search.dca.ca.gov Applicants must attach a legible photocopy of their 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. Applicants must attach a legible photocopy of the fully executed copy of the Registered Nurse Service Scholarship Agreement processed through the DHS Contract and Grants Division at the time of filing or within 15 calendar days of filing. Applications submitted without the required evidence of the scholarship contract documentation will be rejected. A valid California Class C Drivers 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 weighing over 25 pounds, and frequent lifting of 10-25 pounds. Additional Information EXAMINATION CONTENT: This examination will consist of a structured interview which will evaluate Job Preparation and Knowledge of Position, Interpersonal/Oral Communication, Work Skills, Adaptability and Dependability, and Analytical and Decision-Making Ability, weighted at 100%. Candidates must meet the selection requirements and 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 in the order of their score group for a period of twelve (12) months following the date of eligibility. A person that passes or fails the interview may not complete this examination more than once every twelve (12) months. If you have applied and did not meet the minimum qualifications, you may reapply 30 days from the submission date of the rejected application. AVAILABLE SHIFT: Appointees may be required to work any shift, including evenings, nights, weekends and holidays. VACANCY INFORMATION: The resulting eligible registered from this examination 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. Applications electronically received after 5:00 p.m., PT, on the last day of filing will not be accepted. Apply online by clicking the "APPLY" green button at the top right of this posting. You can also track the status of your application using this website. The acceptance of your application depends on whether you have clearly shown that you meet the SELECTION REQUIREMENTS . Fill out your application and supplemental questionnaire completely to receive full credit for related education and/or experience in the spaces provided so we can evaluate your qualifications for the job. Please do not group your experience, for each position held, give the name and address of your employer, your position title, beginning and ending dates, number of hours worded per week, and description of work performed. If your application is incomplete, it will be rejected. IMPORTANT NOTES: Please note that All information supplied by applicants and included in the application materials is subject to VERIFICATION . We may reject your application at any point during the examination and hiring process, including after an appointment is made. FALSIFICATION of any information may result in DISQUALIFICATION . Utilizing VERBIAGE from Class Specification and/or Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered as a response; in doing so, your application will be REJECTED. It is recommended that you provide your work experience using statements that provide the following three elements: ACTION you took, the CONTEXT in which you took that action, and the BENEFIT that was realized from your action. Include specific reference to the impact you made in the positions you have held. NOTE : If you are unable to attach documents to your application, you must email the documents to the Exam Analyst, Teresa Ruocco at truocco@dhs.lacounty.gov within fifteen (15) calendar days of filing online. Please include your full name, examination number and examination title in the subject of your email. SOCIAL SECURITY NUMBER LANGUAGE: 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. 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 . 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) 914-7111 TELETYPE PHONE: (800) 899-4099 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Teresa Ruocco, Exam Analyst (323) 914-8248 truocco@dhs.lacounty.gov Closing Date/Time:

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 MISSION Our mission is to ensure access to high-quality, patient-centered, cost-effective health care to Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners." TYPE OF RECRUITMENT - OPEN COMPETITIVE JOB OPPORTUNITY DEFINITION: This experiencedlevel class provides professional nursing careand servicesto inmate patients in acorrectionalsetting. 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,andcultural 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, andcommunicates 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 ofthe County of Los Angelesclassification 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 fax it to (323) 869-0942 or email it to exam analyst at kzin@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 ofthe County of Los Angelesclassification 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 Sciencedegree***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, atthe time of filing or fax to (323) 869-0942 or email to the exam analyst at kzin@dhs.lacounty.gov within fifteen (15) calendardays 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 oftwelve (12) monthsfollowing the date of eligibility. No person may compete in this examination more than once everytwelve (12) months. SPECIAL INFORMATION: SUCCESSFUL CANDIDATES MUST COMPLETE A THOROUGH BACKGROUND INVESTIGATION, INCLUDING FINGERPRINT SEARCH. Examplesof 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 inthroughout 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 attachdocuments to your application, you must email the Exam Analyst,KhineZinatkzin@dhs.lacounty.gov 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: Israel Belmont, Exam Analyst (323) 914-7587 ibelmont@dhs.lacounty.gov Closing Date/Time:

Definition and Class Characteristics Interested in joining a fast paced work environment filled with caring professionals dedicated to improving the lives of vulnerable community members?  The Nevada County Behavioral Health Department is looking for a Limited-Term Registered Nurse I or II to work as part of a clinical team that includes a supervisor, psychiatrist, case manager, therapist, and another nurse. This person provides support for medication refills, nursing assessments, assisting psychiatrists in daily duties, and coordinating services within the clinical team as well as with primary care and other agencies.    We have a friendly, nurturing work environment and we enjoy the privilege of serving individuals with serious mental illness.   The work is always interesting and provides opportunities for collaborative, creative problem solving.  We hire individuals who are not only caring but also bring a sense of humor and fun at the right time. The eligible list established from this recruitment will be used to fill full-time, regular, and limited term positions. Limited term positions are offered the same level of benefits as a regular position, but the term ends on June 30 of each fiscal year and the continuation of such position is contingent upon continued grant funding. Under direct supervision, provides clinical or field nursing services within the County utilizing professional skills; provides medication support services according to prescribed guidelines; learns and applies case management skills; and performs related duties as assigned.   Nurse II: This is the journey level class in the series, fully qualified to independently perform the full range of duties using professional judgement within the framework of standardized policies, procedures, and protocols.  Medical direction is received from a licensed physician and administrative direction from the Director of Public Health Nursing and Public Health Officer.  Incumbents may provide training, direction and guidance to other team members and less experienced employees.  This class is distinguished from the class of Public Health Nurse I/II by the latter's responsibility for programs or caseloads. Examples of Duties Essential: Provides clinical services and administers prescribed medication in the clinic or in a non-clinic setting to those who cannot attend the clinic for these services Draws blood, gives injections, administers and reads skin tests, administers immunizations and prescribed medications and treatments, obtains laboratory specimens such as throat cultures Observes signs and symptoms and reports to the physician regarding reactions to treatment, including drugs and changes in the client's physical and emotional condition Assists in epidemiological investigations, e.g., obtains names of communicable disease contacts and makes referrals for tests and medical care Contacts and/or visits frail and/or isolated elderly persons; makes physical and emotional assessments and initiates services to promote health and well-being and prevent premature institutionalization Refers clients to and coordinates nursing services with community social, health and behavioral health services; follows up and ensures continuity of client care Participates in community outreach and health promotion events such as health fairs, blood pressure and flu clinics, radio shows, etc.; provides preventive health care services and promotes public awareness of program; drafts and/or distributes newspaper articles, educational pamphlets and related information Teaches clients and families about preventive health measures, such as nutrition, immunizations, accident prevention, and family planning; obtains health histories Prepares records and reports Evaluates health care; maintains statistics and inventories of medical supplies Important Learns and applies case management skills on assigned groups or populations of clients Knowledge and Skills Required NOTE:  The required level and scope of the following knowledge and skills relate to the level of the position as defined in the class characteristics.   Knowledge of: Principles, practices, methods and techniques of nursing as applied to a Public Health Department clinic setting Family planning methods, pregnancy options, and methods of control of communicable disease, including tuberculosis and sexually transmitted disease Clinic routines and protocols Federal and state laws, rules and regulations governing the practice of nursing Norms of child growth and development; norms of adult life cycle Personal computer applications for word processing and spread sheets (desirable) Social and emotional problems of seniors, including those related to disability and chronic disease Medical terminology and equipment   Skill in: Securing the cooperation of and working effectively with clients, families, health care providers, other agencies, and other involved parties Independently planning, organizing, and implementing clinic and field nursing duties Administering medications and injections and dressing wounds Assisting public health nurses and clinic practitioners with clinics as needed Assuring quality of care and coordinating nursing services with other providers/programs Preparing and maintaining organized, detailed and accurate records and reports Providing health information and education Establishing and maintaining cooperative working relationships with those contacted in the course of work Communicating effectively orally and in writing Using sound judgment Education and Experience Required COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES OR LICENSES LISTED AS REQUIRED IN THIS SECTION MUST BE ATTACHED TO THE APPLICATION Level I: Graduation from an accredited school of nursing.  Associate of Science degree in Nursing from an accredited college or university preferred.   Level II: (in addition to the above) Minimum of two years of responsible work experience equivalent to Nevada County's classification of Registered Nurse I. Licenses and Certificates: Possession of a valid license as a registered nurse issued by the California Board of Registered Nursing. Possession of a current CPR certificate. Possession of a valid driver's license within 30 days of hire.   Physical Demands and Working Conditions: Mobility and manual dexterity to work in a standard office environment, use standard office equipment and attend off-site meetings, to bend, reach, and grasp and strength to lift up to thirty pounds, carry and position supplies and equipment; manual dexterity and sense of touch to conduct physical health assessments, give injections and draw blood; vision to read handwritten and printed materials and a computer screen, and to examine and observe clients; hearing and speech to communicate in person and by telephone; working in exposure to communicable disease and/or blood-borne pathogens.   Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.   Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive.  Not all duties are necessarily performed by each incumbent.  Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.  Closing Date/Time: Continuous

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 OPEN COMPETITIVE JOB OPPORTUNITY * * THIS EXAMINATION WILL BE USED TO FILL VACANCIES IN THE NORTH COUNTY ONLY * * DEFINITION: This experiencedlevel class provides professional nursing careand servicesto 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 possiblepatientexperience. 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 SELECTIONREQUIREMENTS : 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/BLScertification to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence ofBLScertification will be rejected. The required license and certification MUST be current/active and unrestricted ; a conditional, provisional, probationary or restricted license or certification will NOT be accepted. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing andBLScertification 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 calendardays of filing your application online . Desirable Qualifications: Credit will be given to applicants who possess the following desirable qualifications: ***Bachelor of Sciencedegreein Nursing (BSN) or ***Master of Science degreein 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. 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 oftwelve (12) monthsfollowing the date of eligibility. No person may compete in this examination more than once everytwelve (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 attachdocuments to your application, you must email the Exam Analyst, Oscar Ramirez at ORamirez@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) 914-7111 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Oscar Ramirez, Exam Analyst (323) 914-8433 ORamirez@dhs.lacounty.gov Closing Date/Time:

Introduction THIS IS A NEW ASSEMBLED EXAMINATION. The eligible list resulting from this examination will cancel any existing list and may last approximately one year, but can be extended. Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Applications will only be accepted online. DESCRIPTION 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, Public Health, Environmental Health, and Agency Administration/Indigent Health. 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 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. Traditional public health concerns such as disease outbreaks, environmental hazards and access to health care have been joined by contemporary concerns: bioterrorism, crime, violence, and substance abuse. Each of these poses a threat to public health and wellness and calls for short and long-term solutions that lie well outside traditional public health boundaries. 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 situated 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. 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: 1) A review of the candidates' applications 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. 2) A screening of applications and/or Supplemental Questionnaires to select the best qualified candidates. Those selected will move on to the final step in the examination process. 3) 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 steps. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the "What You Need to Know" section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing:5:00pm, Friday, December 20, 2019 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 @acgov.org and alamedacountyHR@acgov.org 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 box alamedacountyHR@acgov.org are routed to an unmonitored mailbox. All notices are generated through an automated email notification system. Replies to the email box are routed to an unmonitored mailbox. 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. Leticia Diaz, Human Resources Analyst Human Resource Services, County of Alameda 510-272-6469 Leticia.diaz@acgov.org 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: 1/21/2020 5:00:00 PM

The Position This is a continuous filing exam. The next filing cut-offs are at 5:00 pm on: 11/7/2018, 2/5/2019, 5/9/2019, 8/8/2019, * 9/17/2019, 11/7/2019, 2/4/2020 Salary Information: Registered Nurse D/CF Level I: $6,293.58 - $7,649.00 monthly Registered Nurse D/CF Level II: $6,591.08 - $8,010.96 monthly Note:For additional nursing opportunities please see Psychiatric Nurse , Medical Case ManagementNurse , Public Health Nurse Level I/II In a detention/correctional facility, the Registered Nurse D/CF performs a variety of professional nursing duties including hands-on care, assessment, testing, and treatment of patients; interviewing patients and assisting them in follow-up care; maintaining medical and medication supplies; rendering emergency medical treatment; dispensing and administering medications; and maintaining charts and records. Examples of Knowledge and Abilities Knowledge of Professional registered nursing principles, procedures and techniques State of California laws and regulations on registered nursing Proper handling and administering of biologicals Standard medical record-keeping Interviewing techniques Common current medical terminology Use and care of medical equipment used in clinical and infirmary settings Basic medical indications of alcoholism and drug abuse and their overdoses Basic behavioral indications of mental disturbance Basic laboratory testing procedures Current standard asepsis protocols Basic symptoms and treatment of communicable diseases Common drugs and medications used for birth control, communicable diseases, immunizations, allergies, cardio-vascular conditions, and substance overdoses, including their contra-indications and normal and abnormal results Ability to Effectively communicate with and gain the cooperation of patients of various social, cultural, economic and educational backgrounds Accurately follow oral and written instructions, including standing orders, clinical protocols, orders for treatment, and dispensary orders Work cooperatively with other health care providers and other staff Learn and comply with laws, rules, regulations, protocols, and procedures, including security requirements, applicable to the work unit Clearly and accurately chart all patient information and physician's orders Gain cooperation of patients in treatment and follow-up care Maintain patient confidentiality Employment Qualifications Minimum Qualifications (Level II): Possession of a current valid Registered Nurse license issued by the State of California. Note: Failure to maintain such license may be cause for disciplinary action in accordance with Civil Service Commission Rules. (Level I): Possession of a current valid Interim Permit or Temporary License as a Registered Nurse, or a current valid license as a Registered Nurse, issued by the State of California. Note: Interim Permittees and Temporary Licensees are expected to obtain full licensure within six months of appointment. Failure to obtain and/or maintain the required license may be cause for disciplinary action in accordance with Civil Service Commission Rules. Note: 1) The level at which initial appointments to the class of Registered Nurse are made and 2) advancement from the lower level of this class to the higher level (Level I to Level II), are at the discretion of the appointing authority, providing the minimum qualifications are met. Notes: 1. Experience requirements are stated as full-time work; to convert part-time to full-time equivalency: 173.6 hours = 21.7 days = 1 work month. 2. Required experience may be paid or unpaid. Note: The word "experience" referenced in the minimum qualifications means full-time paid experience unless the job announcement states that volunteer experience is acceptable. Part-time paid experience may be accumulated and pro-rated to meet the total experience requirements. Note: If the minimum qualifications include an educational or certificate/license requirement, applicants must submit proof of requirements with the application. Failure to submit proof of requirements may result in disqualification from the examination. Unofficial transcripts are acceptable. For guidelines on submitting acceptable proof of educational requirements, please click here or speak to someone in our office before the cut-off date listed in this notice. Typing Certificate requirements can be found by clicking here or by obtaining the requirements from the Employment Services Division office. Special Requirements: Persons appointed to this class may be required to regularly or periodically work evenings, nights, and weekends and holidays. Persons appointed to this class will be subject to a confidential criminal history check and fingerprinting. Persons appointed to this class will be required to have, or obtain, and maintain a valid CPR certificate. Persons appointed to this class may be required to have or obtain a valid hearing testing certificate, emergency first aid certificate, and/or other speciality training appropriate to Registered Nurses and necessary in their job assignment. Some positions in the class of Registered Nurse - Detention /Correctional Facility may require the ability to communicate fluently in a language other than English, in addition to English. When required, the special skills may be used in the performance of typical tasks shown in the "Examples of Duties" in the class specification. In addition, incumbents translate and interpret using standard English and a language other than standard English; and/or act as a consultant to others regarding the needs and problems presented by individuals of different languages and cultural backgrounds. The Sacramento County Civil Service Commission approved the use of selective certification for special skills for the class of Registered Nurse - Detention/Correctional Facility on May 12, 1989. Probationary Period The probationary period for this classification is six (6) months. Application and Testing Information APPLICATION Qualified applicants are encouraged to apply immediately. All applicants must complete and submit an online County of Sacramento employment application by 5:00 PM on the posted cut-off date. Click here to apply. County of Sacramento Department of Personnel Services Employment Services Division 700 H Street, Room 4667 Sacramento, CA 95814 Phone 916-874-5593; 7-1-1 California Relay Service Inter-Office Mail Code: 09-4667 www.SacCountyJobs.net Employment applications and all documentation requested in this announcement must be submitted by 5:00 p.m. on the cut-off date. Employment Services is not responsible for any issues or delays caused by an applicant's computer or web browser. Applicants will be automatically logged out if they have not submitted their applications and all documentation prior to 5:00 p.m. on the cut-off date. Your application should highlight all relevant education, training, and experience, and clearly indicate how you meet the minimum qualifications for the position as of the cut-off date. Application information must be current, concise and related to the requirements in this job announcement. You may only apply for this recruitment once. Duplicate and incomplete applications will be disqualified. A resume may be included with your application, however it will not substitute for the information requested on the application. SUPPLEMENTAL QUESTIONNAIRE Applicants are required to provide a full and complete response to each supplemental question. The Supplemental Questionnaire is located in the tab marked "Supplemental Questions". Please be descriptive in your response. Note: Responses of "See Resume" or "See Application", or copy and paste of work experience are not qualifying responses and will not be considered. Supplemental Questionnaires must be submitted by 5:00 p.m. on the cut-off date. Employment Services is not responsible for any issues or delays caused by an applicant's computer or web browser. Applicants will be automatically logged out if they have not submitted their applications and all documentation prior to 5:00 p.m. on the cut-off date. The supplemental questions are designed to elicit specific information regarding a candidate's experience, education, and training. Responses should be consistent with the information on your application and are subject to verification. Please provide place of employment, pertinent dates, and concise, descriptive and detailed information for each question. If a job included responsibilities applicable to several questions, separate the different functions of the job to answer all the questions completely. Resumes or referral to the application or other questionnaire responses will not be accepted in lieu of completing each question. If you have no experience, write "no experience" for the appropriate question. For many individuals, it is more efficient to develop responses to the supplemental questions in a word processing document and then paste them into the final document to be submitted. Changes or corrections to your Supplemental Questionnaire cannot be made once your application packet has been submitted. If the Supplemental Questionnaire is used in the Formula Rate or Credentials Screening Panel exam, failure to complete all of the questions or incomplete responses will result in a lower score. While scoring the Supplemental Questionnaire, the candidate's application and/or attachments will not be reviewed , therefore, a candidate's responses to the questions should be accurate, thorough, detailed, and complete. FORMULA RATE EXAMINATION (Weighted 100%) All candidates meeting the minimum qualifications by the cut-off date will have their Supplemental Questionnaire scored in the Formula Rate Examination. This examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's application or other materials will not be included in this examination. Therefore, the candidate's responses to the supplemental questionnaire should be thorough, detailed and complete. The score from the Formula Rate Examination will determine the ranking on the eligible/employment list for this job. All candidates competing in the testing process will receive written notice of their examination results by email.Notices can also be accessed in their governmentjobs.com inbox.Applicants achieving a passing score will be placed on the eligible list in rank order. The rank is determined by the test score attained from the examination. FREQUENTLY ASKED QUESTIONS Click here for Frequently Asked Questions (FAQ's) For information regarding County jobs: www.saccountyjobs.net Call 916-874-5627 and you will be provided with a recorded message, accessible 24 hours a day. Closing Date/Time: Continuous

DEPARTMENT OF HEALTH SERVICES EXAM NUMBER: YSNS1 OPEN COMPETITIVE JOB OPPORTUNITY FILING START DATE: 11/20/2015 at 8:00am, PST.- UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO REOPEN THE FILING DATES,UPDATE THE APPLICATION AND FILING INFORMATION, AND ADD A SUPPLEMENTAL QUESTIONNAIRE. PERSONS WHO HAVE ALREADY APPLIED WITHIN THE LAST TWELVE (12) MONTHS NEED NOT TO REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. Supervising Clinic Nurse I Provides the full range of first level supervision to a group of nursing personnel in a clinic or emergency care unit. Supervising Staff Nurse I This position has the full-time shift responsibility for supervising nursing employees of an inpatient care unit or ward who provide direct patient care and other services. Essential Job Functions Plans and directs the nursing activities in a unit and coordinates activities and care with the medical and other health services staff and with other facilities to provide prompt, quality patient care and services. Interprets nursing philosophy, goals, policies and procedures governing patient care, security, safety, medications, treatments and other elements of the unit operation to employees, patients or others. Prepares work schedules and daily assignments to nursing staff members to perform the various patient care tasks matching skills of staff and duties to be performed. Reviews and formally evaluates employee performance; writes anecdotal notes on employee performance and counsels employees; interprets personnel and other applicable administrative policies to assigned employees. Establishes priority for patient care, prepares and revises patient care schedules and observes for disruptions in the even flow of patients through the unit deciding and initiating corrective action as necessary. Evaluates procedures periodically and revises them as necessary. Investigates and prepares reports on accidents and other incidents involving patients, employees and visitors Performs the duties of a registered nurse as needed. Requirements SELECTION REQUIREMENTS : To qualify, candidates must meet all of the following requirements: 1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.* -AND- 2. Two years of experience as a registered nurse leading staff** in the provision of nursing care or services. -AND- 3. Current certification in accordance with the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.*** 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. LICENSE(S) AND CERTIFICATE(S) REQUIRED : 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. *To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing- OR- have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America. The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certificate will NOT be accepted. Additional Information EXAMINATION CONTENT: This exam will consist of an evaluation of training and experience based upon application information 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 : The names of the candidates receiving a passinggrade on this examination will beplaced on the EligibleRegister and will appear in the order of their score group for a period of twelve (12) months following the date of eligibility. No personmay 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 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 . Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted. Apply online by clickingon 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 rescission of appointment. SPECIAL REQUIREMENT INFORMATION : Training and Experience Requirements **For this examination, lead experience is defined as assigning, coordinating, and reviewing the work, ensuring proper work methods are followed and providing technical assistance and training. Applicants claiming experience in a state other than California must attach a copy of their registered nurse license from that state to the application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence will be rejected. PLEASE NOTE : Applicants who have completed the exam process with a passing score will not be added to the Eligible Register list until they have obtained a license to practice as a Registered Nursein theState of California. Please ensure the Certification/License Section 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 each license as specified in theSelection Requirements. ***Applicants MUST attach a legible photocopy of the required license and BLS certificateto the 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 as incomplete. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment. Fill out your application and supplemental application questions completely. Provide any relevant education, training, and experience in the spaces providedso 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 may email the documents to Teresa Ruoccoat truocco@dhs.lacounty.gov, within 15 calendar days of filing online. Please include the exam number and exam title. SOCIAL SECURITY NUMBER : 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 OF USER ID ANDPASSWORD : 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 PHONE 323-914-7124 CALIFORNIA RELAY SERVICES PHONE 800-735-2922 DEPARTMENT CONTACT Teresa Ruocco, Exam Analyst 323-914-8248 truocco@dhs.lacounty.gov Closing Date/Time: Continuous

EXAM NUMBER: Y5135G OPEN COMPETITIVE JOB OPPORTUNITY ORIGINAL POSTING DATE: 04/16/2015 BULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE SALARY INFORMATION AND APPLICATION AND FILING INFORMATION. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. SPECIAL SALARY INFORMATION: $6,773.06 - $9,867.07 Monthly, Effective 04/01/18 DEFINITION: Positions allocable to this proficient level class typically report to a supervisory or management level nurse or provider. Positions apply experienced judgment and nursing principles and practices in providing professional nursing care to patients under minimal supervision. Nurses at this level understand patients' needs as they progress across the continuum and develop effective relationships with the health care team to formulate integrated approaches to care. Incumbents recognize a wide range of subtle cues, extract information from cues, and demonstrate clinical forethought to anticipate likely clinical events and intervene decisively. Positions have responsibility for the coordination of multidisciplinary approaches to patient care. Positions also have responsibility for incorporating evidence-based practice, including current research and literature, best practice, consensus statements, community standards, and recommendations from professional organizations into care delivery. Assignments may include any inpatient or outpatient setting with a varying and highly complex patient population. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. Positions also precept, coach, and mentor other nursing and non-nursing staff. As a mentor, positions foster a nurturing relationship between professionals that is not confined to place or limited by time. The position demonstrates effective collaboration, skilled communication, an assertive leadership style, and independent judgment. Incumbents anticipate and prevent barriers to care through facilitation of and active participation in system changes. Practices in accordance with departmental policies and procedures, established standards of nursing care, and standards of professional performance. Essential Job Functions Assessment : Evaluation of the nature and extent of nursing issues presented by a patient for the purpose of patient care planning. Assessment includes identifying less obvious or common relationships in collected data and taking appropriate steps to mitigate their impact on the provision and quality of nursing services. In addition, at this level, assessment involves predicting diverse patient need for care, potential need for care, and the validation of data collected by others. At this level assessment involves recognizing subtle trends before explicit diagnostic signs are evident. Collects and analyzes data from multiple sources. Assesses, evaluates and documents the patients' physical, medical and psychosocial circumstances; identifies economic or cultural barriers and determines their influence on the provision of care; refers patients based on patients' needs and risk factors involved. Synthesizes all available patient information including observations by other health care team members and the patient's significant others and predicts variances from the expected trajectory. Initiates additional assessment and/or reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk. Identifies and utilizes resources to facilitate the appropriate assessment of diverse populations, patients, and families. Develops collaborative partnerships with patient and family to obtain complete health history, including present illness, current health status, and past medical, psychosocial, spiritual and family histories; integrates patients' values and beliefs when providing care. Creates, validates, and/or improves tools to ensure assessment data is collected and documented. Utilizes collected data and experience to assess risk for instability and rapidly identify deviations from baseline. Planning : Developing a plan of care based on the assessment process. The purpose is to collaborate with all involved in the care of the patient (interdisciplinary team, patient, and their significant others). At this level, incumbents develop a comprehensive plan of care and prescribe nursing interventions that move the patient closest to desired outcomes. Interventions are individualized and address both short- and long-term needs. Uses complex problem solving skills and experience to identify a broad range of options in the development of a plan of care with realistic outcomes which are congruent with interdisciplinary goals. As patient responds to interventions, expeditiously modifies and communicates the plan of care in collaboration with the interdisciplinary team including clinical pathways as appropriate; for patients on clinical pathways, identifies when a change in patient condition requires discontinuation of the pathway and communicates to the provider the need to change the plan of care. Evaluates and integrates the presence of high-risk factors, at-risk behaviors, and other concerns into the plan of care. Initiates and leads patient care conferences with interdisciplinary team. Integrates and anticipates interdisciplinary discharge planning needs into plan of care. Identifies appropriate tools and/or teaching methods for patient/family education. Implementation : Interventions that a nurse performs for a patient, including treatments, procedures, medication administration, education, referrals, and discharge planning. At this level, incumbents lead others during situations which require immediate, independent interventions and for those which call for planned interventions. Also at this level, incumbents demonstrate adaptability and respond quickly and decisively to very complex situations. Provides individualized, specialized nursing care to patients and administers medications and treatments to patients as prescribed. Requirements SELECTION REQUIREMENTS 1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- 2. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. -AND- 3. Six years of paid full-timeregistered nursing experience*. Three years of experience must be at the level of the Los AngelesCounty classification Registered Nurse II**. Please see Special Requirement Information LICENSE: 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 License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. PHYSICAL CLASS: 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. DESIRABLE QUALIFICATIONS: Credit will be given to applicants who possess the following desirable qualifications: ***Bachelor of Science in Nursing (BSN) or ***Master of Science in Nursing (MSN). Additional Information SPECIAL REQUIREMENT INFORMATION: Training and Experience Requirements * Paid full-time experiencemust be post-license experience only. ** Experience at the level of Registered Nurse II in the County of Los Angeles is defined as: Providing professional nursing care and services to patients in a variety of settings. Serving as an expert or specialist who gives practical experience and training to a new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area. Applicants claiming experience in a state other than California must attach a copy of their registered nurse license from that state to the application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence will be rejected. License and Certification Information To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing - OR - have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination. However, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing. Please ensure the license and certification 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. Applicants must attach a legible photocopy of their 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. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment. The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted. SPECIAL INFORMATION: Appointees may be required to work any shift, including evenings, nights, weekends and holidays. AVAILABLE SHIFT: Any shift EXAMINATION CONTENT: An evaluation of training and experience based upon application information and desirable qualifications weighted 100%. VACANCY INFORMATION: The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur. 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 be placed on the eligible register in the order of their score group for a period oftwelve (12) months following the date of promulgation. No person may compete in this examination more than once every twelve (12) months. APPLICATION AND FILING INFORMATION : ***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. 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" tab for this posting. You can also track the status of your application using this website. 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 orrescissionof appointment. 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 you 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. 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 attachdocuments to your application, you may email the documents to Yolanda Ramosat yramos @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 number(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) 914-7111 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Yolanda Ramos, Exam Analyst (323) 914-7963 Closing Date/Time:

Job THIS RECRUITMENT MAY CLOSE AT ANY TIME Important Note: This is for one (1) position for either Public Health Nurse level I-II-III-IV or Community Health Nurse level I-II-III-IV depending on qualifications. DEFINITION PHN I Under close supervision, to provide public health nursing services including the prevention and control of diseases, health education, and the promotion of health awareness; and to do related work as required. PHN II Under supervision, to plan and conduct a variety of public health nursing clinics and services; to provide nursing services, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; and to do related work as required. PHN III Under direction, to provide lead direction and work coordination for other professional nursing and support staff; to plan and conduct a variety of public health nursing clinics and services; to provide complex, specialized, and general nursing, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; and to do related work as required. PHN IV Under general direction, to provide the most complex, specialized, and general nursing, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; to provide lead direction and work coordination for other professional nursing and support staff; to plan and conduct a variety of public health nursing clinics and services; and to do related work as required. CHN I Under close supervision, to learn to plan and conduct a variety of community health nursing services to promote and preserve the health of the community; to provide nursing services, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; and to do related work as required. CHN II Under supervision, to plan and conduct a variety of community health nursing services; to promote and preserve the health of the community; to provide nursing services, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; and to do related work as required. CHN III/IV Under direction, to plan and conduct a variety of community health nursing services; promote and preserve the health of the community; to provide complex, specialized and general nursing, health education, and health consulting services, including the prevention and control of diseases and the promotion of health awareness; to provide lead direction and some work coordination for other professional nursing and support staff and to do related work as required. DISTINGUISHING CHARACTERISTICS PHN I This is the entry and first working level in the Public Health Nurse class series. Incumbents must have requisite public health nursing certification, but have limited public health nursing work experience. As experience is gained, incumbents learn to perform the full scope of public health nursing duties. This class is distinguished from Public Health Nurse II in that the II's have responsibility for more independently performing a larger scope of public health nursing duties and activities. When a Public Health Nurse I incumbent becomes familiar with the Department and demonstrates good sustained work performance, they may be promoted to the Public Health Nurse II. PHN II This is the first journey level in the Public Health Nurse class series. Incumbents perform a wide scope of public health nursing duties. This class is distinguished from the Public Health Nurse I in that incumbents are expected to perform on a more independent basis. It is distinguished from Public Health Nurse III and IV in that Public Health Nurse III and IV incumbents perform more complex, specialized assignments, as well as provide lead direction, work coordination, and training for other professional nursing and support staff. PHN III This is an advanced journey level and a lead class in the Public Health Nurse class series. Incumbents provide the more complex public health nursing services in a specialized public health program, as well as provide lead direction and coordination for other professional nursing staff. This class is distinguished from Public Health Nurse II by assignment of a higher level of public health program responsibilities and the performance of lead responsibilities for other professional nursing staff. It is distinguished from Public Health Nurse IV in that Public Health Nurse IV incumbents perform more complex, specialized assignments. Both levels III and IV may provide lead direction, some work coordination, and training for other professional nursing and support staff. PHN IV This is the advanced and highest level and a lead class in the Public Health Nurse class series. Incumbents provide the most complex public health nursing services in a specialized public health program, as well as provide lead direction and coordination for other professional nursing staff. This class is distinguished from Public Health Nurse III by assignment of a higher level of public health program responsibilities. Both levels III and IV may provide lead direction, some work coordination, and training for other professional nursing and support staff. CHN I This is the entry and basic working level in the Community Health Nurse class series. Incumbents must have requisite nursing certification, but have limited community health nursing work experience. As experience is gained, incumbents learn to perform the full scope of community health nursing duties. This class is distinguished from Community Health Nurse II in that Community Health II's have responsibility for more independently performing a larger scope of community health nursing duties and activities. Community Health Nurse II's are also responsible for special programs such as School Nursing or Immunizations Clinic Coordination. When a Community Health Nurse I incumbent becomes familiar with the Department and demonstrates good sustained work performance, they may be promoted to the Community Health Nurse II. CHN II This is the first journey level in the Community Health Nurse class series. Incumbents perform a wide scope of community health nursing duties as well as have responsibility for special programs, such as School Nursing or Immunizations Clinic Coordination. This class is distinguished from the Community Health Nurse I in that incumbents are expected to perform on a more independent basis. It is distinguished from Public Health Nurse III and IV in that Public Health Nurse III and IV incumbents perform more complex, specialized assignments, as well as provide lead direction, work coordination, and training for other professional nursing and support staff. CHN III This is an advanced journey level and lead class in the Community Health Nurse class series. Incumbents provide more complex community health nursing services in a specialized public health program, as well as provide lead direction and coordination for other professional nursing staff. Perform a wide scope of community health nursing duties as well as have responsibility for special programs. This class is distinguished from the Community Health Nurse II due to the assignment of a higher level of community health program responsibilities and the performance of lead responsibilities for other professional nursing staff. Both levels III and IV may provide lead direction, some work coordination and training for other professional nursing and support staff. CHN IV This is the highest of the advanced journey level and lead class in the Community Health Nurse class series. Incumbents provide the most complex community health nursing services in a specialized public health program, as well as provide lead direction and coordination for other professional nursing staff. Performs a wide scope of community health nursing duties as well as have responsibility for special programs. This class is distinguished from the Community Health Nurse III due to the assignment of a higher level of community health program. Both levels III and IV may provide lead direction, some work coordination and training for other professional nursing and support staff. REPORTS TO PHN I-IV/CHN I-IV Director of Health, Director of Nursing Services, Supervising Public Health Nurse, or designee CLASSIFICATIONS SUPERVISED PHN I-II/CHN I-II This is not a supervisory class. PHN III Provides lead direction and may provide work coordination for Public Health Nurse I, II. PHN IV Provides lead direction and may provide work coordination for Public Health Nurse I, II, III. CHN III/IV Provide lead direction and may provide work coordination for Community Health Nurse I/II. TYPICAL PHYSICAL REQUIREMENTS PHN I-IV/CHN I-IV Sit and stand for extended periods; normal manual dexterity and eye-hand coordination; lift and move objects weighing up to 50 lbs.; corrected hearing and vision to normal range; verbal communication; use of medical and office equipment, including computer, telephone, calculator, copiers, and FAX. TYPICAL WORKING CONDITIONS PHN I-IV/CHN I-IV Work is performed in clinical, office, and home environments; exposure to communicable diseases and blood borne pathogens; continuous contact with other staff and the public. Incumbents are expected to follow universal precautions. Incumbents may be required to drive to remote areas of the County in all weather conditions Examples of Duties / Knowledge & Skills (The following is used as a partial description and is not restrictive as to duties required.) PHN I Learns to plan, organize, and provide public health nursing services, health instruction and counseling, and guidance for individuals, families, and groups regarding disease control, health awareness, health maintenance, and rehabilitation in a clinic setting May learn the procedures and policies and work within a special program such as California Children Services Provides referrals Teaches and demonstrates health practices to individuals and groups Learns to instruct clients in family planning, sexually transmitted disease prevention and follow-up, and immunization procedures Learns to identify individual and family problems which are detrimental to good health Works with families to alleviate health problems and promote good health habits Learns to refer and coordinate care of individuals and families with other public and private agencies Learns to identify special health needs for assigned cases, recommending and implementing services to meet needs Assists individuals and families with implementing Physician recommendations Learns to plan, direct, and perform epidemiological investigations in homes, schools, community, and public health clinics Prepares appropriate health records and arranges follow-up services, based on findings Confers with physicians, nursing staff, and other personnel regarding public health programs, patient reports, evaluations, medical tests, and related items May work with community groups in identifying and developing public health services and improving existing public health services Prepares reports and documents health findings; Compiles statistical information for appraisal and planning purposes. Other duties as assigned PHN II Plans, organizes and provides public health nursing services, health instruction, counseling, and guidance for individuals, families, and groups regarding disease control, health awareness, health maintenance, and rehabilitation in a clinic setting; May work within a special program such as Maternal and Child Care, Community Health, or California Children Services identifying and interacting with local care providers; Develops plans and direct resources consistent to programs goals and objectives; provides referrals; teaches and demonstrates health practices to individuals and groups; Instructs clients in family planning, sexually transmitted disease prevention and follow-up, and immunization procedures; Identifies individual and family problems which are detrimental to good health; May make home visits to assess individual's progress; Works with the families to alleviate health problems and promote good health habits; refers and coordinates the care of individuals and families with other public and private agencies; Identifies special health needs for assigned cases, recommending and implementing services to meet those needs; Assists individuals and families with implementing physician recommendations; May plan, direct, and perform epidemiological investigations in homes, schools, the community, and public health clinics; Prepares appropriate records and case documentation, arranging follow-up services based on findings; Confers with physicians, nursing staff, and other staff regarding public health programs, patient reports, evaluations, medical tests, and related items; may consult in multidisciplinary teams for the purpose of creating a plan of service for "at risk" families; Works with community groups in identifying public health needs, developing needed public health services, and improving existing public health services; Prepares reports and maintains records; Compiles statistical information for appraisal and planning purposes. Other duties as assigned. PHN III Investigates outbreaks of communicable diseases; plans and implements programs for the prevention and control of communicable disease, including tuberculosis, sexually transmitted diseases, and AIDS; Develops procedures to control the spread of communicable diseases and identify people needing public health services; Provides interpretations of public health laws and regulations for others; Assesses individuals and families, using health histories, observations of physical condition, and a variety of evaluative methods to identify health problems, health deficiencies, and health service needs; Identifies psycho/social, cultural background, and environmental factors which may hinder health care services; Assists with determining funding needs for the program; Monitors budget expenditures; Plans and coordinates services for special programs such as perinatal, maternal, child and adolescent (MCAH), or family planning; Performs public health nursing activities to promote perinatal, child, and adolescent health; Provides local case management and coordination for State mandated programs; Participates in programs to enhance school children health; Works with community groups to identify needs, develop and facilitate a variety of health services, and improve existing programs; Refers individuals and families to appropriate agencies and clinics for health services; Participates in programs to enhance community health services and education; attends conferences and workshops related to community health issues; Assists with the preparation of program and service policies and procedures; May supervise paraprofessional staff and volunteers; prepares reports and maintains records; Complies statistical information for appraisal and planning purposes; Performs a wide scope of complex professional public health nursing services; Provides lead direction, training and work coordination for other professional nurses. Other duties as assigned. PHN IV Investigates outbreaks of communicable diseases; plans and implements programs for the prevention and control of communicable disease, including tuberculosis, sexually transmitted diseases, and AIDS; Develops procedures to control the spread of communicable diseases and identify people needing public health services; Provides interpretations of public health laws and regulations for others; Assesses individuals and families, using health histories, observations of physical condition, and a variety of evaluative methods to identify health problems, health deficiencies, and health service needs; Identifies psycho/social, cultural background, and environmental factors which may hinder health care services; Assists with determining funding needs for the program; Monitors budget expenditures; Plans and coordinates services for special programs such as perinatal, maternal, child and adolescent (MCAH), or family planning; Performs public health nursing activities to promote perinatal, child, and adolescent health; Provides local case management and coordination for State mandated programs; Participates in programs to enhance school children health; Works with community groups to identify needs, develop and facilitate a variety of health services, and improve existing programs; Refers individuals and families to appropriate agencies and clinics for health services; Participates in programs to enhance community health services and education; attends conferences and workshops related to community health issues; Assists with the preparation of program and service policies and procedures; May supervise paraprofessional staff and volunteers; prepares reports and maintains records; Complies statistical information for appraisal and planning purposes; Performs a wide scope of complex professional public health nursing services; Provides lead direction, training and work coordination for other professional nurses. Other duties as assigned. CHN I Learns to plan, organize and provide community health nursing services, health instruction, counseling, and guidance for individuals, families, and groups regarding prevention of illness, disease control, health awareness, health maintenance, and rehabilitation; Identifies and interacts with local community care resources and/or local school districts in providing mandated health screening for children; Learns to develop plans and direct resources consistent with program goals and objectives; provides referrals; Teaches and demonstrates health practices to individuals and groups; Instructs clients in sexually transmitted disease prevention and follow-up, and immunization procedures; Identifies individual and family problems which are detrimental to good health; May make home visits to assess individual's progress; works with the families to alleviate health problems and promote good health habits; Refers and coordinates the care of individuals and families with other public and private agencies; Learns to identify special health needs for assigned cases, recommending and implementing services to meet those needs; may perform investigations in homes, schools, and the community; Prepares appropriate records and case documentation, arranging follow-up services based on findings; confers with physicians, nursing staff, and other staff regarding community health programs, patient reports, evaluations, medical tests, and related items; May consult with multi-disciplinary teams for the purpose of identifying and creating a plan of service for "at risk" families; works with community groups in identifying community health needs, developing needed health services, and improving existing services; Prepares reports and maintains records; Compiles statistical information for program evaluation and planning purposes. Other duties as assigned. CHN II Plans, organizes and provides community health nursing services, health instruction, counseling, and guidance for individuals, families, and groups regarding prevention of illness, disease control, health awareness, health maintenance, and rehabilitation; May be responsible for special programs such as School Nursing or Immunizations Clinics; Identifies and interacts with local community care resources and/or school districts in providing mandated health screening for children; Develops, plans, and directs use of health resources consistent with programs goals and objectives; Provides referrals; Teaches and demonstrates health practices to individuals and groups; Instructs clients in sexually transmitted disease prevention and follow-up; Provides training in immunization procedures; Identifies individual and family problems which are detrimental to good health; May make home visits to assess an individual's progress; Works with families to alleviate health problems and promote good health habits; Refers and coordinates the care of individuals and families with other public and private agencies; Identifies special health needs for assigned cases, recommending and implementing services to meet those needs; May perform investigations in homes, schools, and the community; Prepares appropriate records and case documentation, arranging follow-up services based on findings; Confers with physicians, nursing staff, and other staff regarding community health programs, patient reports, health evaluations, medical tests, and related items; May consult with multi-disciplinary teams for the purpose of identifying and creating a plan of service for "at risk" families; Works with community groups in identifying community health needs, developing needed health services, and improving existing services; May develop procedures/protocols for an assigned program; Orders and maintains clinic supplies, including immunization vaccines; Prepares grants, project plans, reports, and maintains records; Compiles statistical information for program evaluation and planning purposes. Other duties as assigned. CHN III/IV Provides the more complex community health nursing services in a specialized public health program; Provides lead direction and coordination for other nursing staff; Plans, organizes and provides community health nursing services, health instruction, counseling, and guidance for individuals, families, and groups regarding prevention of illness, disease control, health awareness, health maintenance, and rehabilitation; may be responsible for special programs such as School Nursing or Immunizations Clinics; Identifies and interacts with local community care resources and/or school districts in providing mandated health screening for children; Develops, plans, and directs use of health resources consistent with programs goals and objectives; Provides referrals; teaches and demonstrates health practices to individuals and groups; instructs clients in sexually transmitted disease prevention and follow-up; Provides training in immunization procedures; identifies individual and family problems which are detrimental to good health; May make home visits to assess an individual's progress; Works with families to alleviate health problems and promote good health habits; Refers and coordinates the care of individuals and families with other public and private agencies; Identifies special health needs for assigned cases, recommending and implementing services to meet those needs; May perform investigations in homes, schools, and the community; prepares appropriate records and case documentation, arranging follow-up services based on findings; Confers with physicians, nursing staff, and other staff regarding community health programs, patient reports, health evaluations, medical tests, and related items; May consult with multi-disciplinary teams for the purpose of identifying and creating a plan of service for "at risk" families; works with community groups in identifying community health needs, developing needed health services, and improving existing services; May develop procedures/protocols for an assigned program; Orders and maintains clinic supplies, including immunization vaccines; Prepares grants, project plans, reports, and maintains records; Compiles statistical information for program evaluation and planning purposes. Other duties as assigned. Minimum qualifications & Requirements Any combination of training and experience which would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: PHN I Completion of sufficient education and experience to meet State of California certification requirements. Some nursing experience in a public health setting is highly desirable. PHN II Completion of sufficient education and experience to meet State of California certification requirements. One year of public health nursing experience comparable to a Public Health Nurse I with San Benito County. PHN III Completion of sufficient education and experience to meet State of California certification requirements. One year of public health nursing experience comparable to a Public Health Nurse II with San Benito County. PHN IV Completion of sufficient education and experience to meet State of California certification requirements. One year of public health nursing experience comparable to a Public Health Nurse III with San Benito County. CHN I Completion of sufficient education and experience to meet State of California certification requirements. Some nursing experience in a community health setting is highly desirable. CHN II Completion of sufficient education and experience to meet State of California certification requirements. One year of community health nursing experience comparable to a Community Health Nurse I with San Benito County. Graduation from an accredited college or university and completion of an approved public health nursing program. CHN III Completion of sufficient education and experience to meet State of California certification requirements. One year of community health nursing experience comparable to a Community Health Nurse II with San Benito County. Graduation from an accredited college or university CHN IV Completion of sufficient education and experience to meet State of California certification requirements. One year of community health nursing experience comparable to a Community Health Nurse III with San Benito County. Graduation from an accredited college or university Special Requirements: PHN I-IV Possession of a valid license as a Registered Nurse in California Possession of a Certificate as a Public Health Nurse issued by the California State Board of Registered Nursing. Possession of, or ability to obtain, an appropriate valid California Driver's License. CHN I-IV Possession of a valid license as a Registered Nurse in California. Certain positions may require a School Nurse Credential. Possession of, or ability to obtain, an appropriate valid California Driver's License. Supplemental information Knowledge of: PHN I Principles, methods, practices, and current trends of general/public health nursing. Community aspects of public health nursing including community resources and demography. Federal, State, and local laws and regulations governing communicable disease, public health, and disabling conditions. Environmental, sociological, and psychological problems related to public health nursing programs. Child growth and development. Causes, means of transmission, and methods of control of communicable diseases, including sexually transmitted diseases, AIDS, and tuberculosis. Methods of promoting child and maternal health and public health. Principles of public health education. PHN II Principles, methods, practices, and current trends of general and public health nursing and preventive medicine. Community aspects of public nursing including community resources and demography. Federal, State, and local laws and regulations governing communicable disease, public health, and disabling conditions. Environmental, sociological, and psychological problems related to public health nursing programs. Child growth and development. Unique psycho/social and cultural issues encountered in a rural health program. Causes, means of transmission, and methods of control of communicable disease. Methods of promoting child and maternal health and public health programs. PHN III Principles, methods, practices, and current trends of general and public health nursing and preventative medicine. Community resources and demography influencing public health nursing services. Federal, State, and local laws and regulations governing communicable disease, disabling conditions, and public health nursing services. Environmental, sociological, and psychological problems related to public health nursing programs and services. Causes, means of transmission, and control of communicable diseases. Child growth and development. Unique psycho/social and cultural issues encountered in a rural health program. Principles of public health education. Program planning, evaluations and development principles. Principles of lead direction, program and work coordination, and training. PHN IV Principles, methods, practices, and current trends of general and public health nursing and preventative medicine. Community resources and demography influencing public health nursing services. Federal, State, and local laws and regulations governing communicable disease, disabling conditions, and public health nursing services. Environmental, sociological, and psychological problems related to public health nursing programs and services. Causes, means of transmission, and control of communicable diseases. Child growth and development. Unique psycho/social and cultural issues encountered in a rural health program. Principles of public health education. Program planning, evaluations and development principles. Principles of lead direction, program and work coordination, and training. CHN I Principles, methods, practices, and current trends of general nursing and preventive medicine. Federal, State, and local laws and regulations governing communicable disease, public health, and disabling conditions. Environmental, sociological, and psychological problems related to community health nursing programs. Child growth and development. Causes, means of transmission, and methods of control of communicable disease. Methods of promoting child and maternal health and community health programs. CHN II Principles, methods, practices, and current trends of general and community health nursing and preventive medicine. Community aspects of nursing including community resources and demography. Federal, State, and local laws and regulations governing communicable disease, public health, and disabling conditions. Environmental, sociological, and psychological problems related to community health nursing programs. Child growth and development. Unique psycho/social and cultural issues encountered in a rural health program. Causes, means of transmission, and methods of control of communicable disease. Methods of promoting child and maternal health and community health programs. CHN III/IV Principles, methods, practices, and current trends of general and community health nursing and preventive medicine. Community aspects of nursing including community resources and demography. Federal, State, and local laws and regulations governing communicable disease, public health, and disabling conditions. Environmental, sociological, and psychological problems related to community health nursing programs. Child growth and development. Unique psycho/social and cultural issues encountered in a rural health program. Causes, means of transmission, and methods of control of communicable disease. Methods of promoting child and maternal health and community health programs. Program planning evaluations and development principles. Principles of lead direction, program and work coordination, and training Ability to: PHN I Learn to organize and carry out public health nursing activities in an assigned program. Develop and maintain public relations with clients, staff, community groups, and other government organizations. Collect, analyze, and interpret technical, statistical and health data. Analyze and evaluate health problems and take appropriate action. Provide instruction in the prevention of diseases. Communicate effectively orally and in writing. Develop and maintain health records and prepare clear and concise reports. Deal tactfully and courteously with the public, community organizations and other government agencies when explaining public health issues and providing public health services. Establish and maintain cooperative working relationships. Effectively represent the Nursing Division in contacts with public, other county staff and other government agencies. PHN II Plan, organize, and carry out public health nursing activities in an assigned program. Develop and maintain public relations with clients, staff, community groups, and other government organizations. Analyze and evaluate health problems and take appropriate action. Provide instruction in the prevention of diseases. Develop and maintain health records and prepare clear and concise reports. Communicate effectively orally and in writing. Deal tactfully and courteously with the public, community organizations, and other staff when explaining public health issues and providing public health services. Establish and maintain cooperative working relationships. PHN III Plan, organize, and carry out public health nursing activities and services for an assigned service area or program. Develop and maintain public relations with clients, staff, community groups and other government organizations. Collect, analyze and interpret technical, statistical and health data. Analyze and evaluate health problems and take appropriate action. Provide work direction and coordination for other staff. Provide instruction in the prevention and control of diseases. Communicate effectively orally and in writing. Develop and maintain health records and prepare clear and concise reports. Deal tactfully and courteously with the public, community organizations, and other staff when explaining public health issues and providing public health services. Establish and maintain cooperative working relationships. PHN IV Plan, organize, and carry out public health nursing activities and services for an assigned service area or program. Develop and maintain public relations with clients, staff, community groups and other government organizations. Collect, analyze and interpret technical, statistical and health data. Analyze and evaluate health problems and take appropriate action. Provide work direction and coordination for other staff. Provide instruction in the prevention and control of diseases. Communicate effectively orally and in writing. Develop and maintain health records and prepare clear and concise reports. Deal tactfully and courteously with the public, community organizations, and other staff when explaining public health issues and providing public health services. Establish and maintain cooperative working relationships. CHN I Learns the principles, methods, practices and current trends of community health nursing. Learns the community aspects of nursing including community resources and demography Learns to plan, organize, and carry out community health nursing activities in an assigned program. Learns the psycho/social and cultural issues encountered in a rural health program. Learn to analyze and conduct health assessment/problems and take appropriate action. Provide instruction in the prevention of diseases. Develop and maintain health records and prepare clear and concise reports. Communicate effectively orally and in writing. Deal tactfully and courteously with the public, community organizations, and other staff when explaining community health issues and providing community services. Establish and maintain cooperative working relationships. CHN II Plan, organize, and carry out community health nursing activities in an assigned program. Develop and maintain public relations with clients, staff, community groups, and other government organizations. Analyze and conduct health assessment/problems and take appropriate action. Provide instruction in the prevention of diseases. Develop and maintain health records and prepare clear and concise reports Communicate effectively orally and in writing. Deal tactfully and courteously with the public, community organizations, and other staff when explaining community health issues and providing community services. Establish and maintain cooperative working relationships. CHN III/IV Plan, organize, and carry out community health nursing activities in an assigned program. Develop and maintain public relations with clients, staff, community groups, and other government organizations. Analyze and conduct health assessment/problems and take appropriate action. Provide work direction and coordination for other staff. Provide instruction in the prevention of diseases. Develop and maintain health records and prepare clear and concise reports. Communicate effectively orally and in writing. Deal tactfully and courteously with the public, community organizations, and other staff when explaining community health issues and providing community services. Establish and maintain cooperative working relationships. In accordance with California Government Code section 3100, et., seq., all County of San Benito employees are considered disaster service workers who may be required to report for duty, or remain on duty to address disaster service activities in the event of an emergency or disaster and are required to undertake an applicable loyalty oath. Closing Date/Time: Continuous

Under close supervision, incumbents apply the theoretical concepts of nursing in order to perform routine nursing patient care within established nursing policies and procedures in controlled patient care situations; and develop the skills, knowledge and techniques of acute nursing. This is the entry-level class in the series. Clinical Nurse I - Mother Infant Care Center Position available in critical care units at each hospital  include: O'Connor Hospital  - Mother Baby Unit Valley Medical - Mother Infant Care Center 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- ed 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 Typical Tasks 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 in a clear, concise manner. Planning   Identifies obvious patient care problems and established 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 gives 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 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;   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. Employment Standards Possession of the legal requirements to practice as a Registered Nurse or RN Interim Permittee as determined by the California Board of Registered Nursing and knowledge and abilities essential to the successful performance of the duties assigned to the position as indicated above. Experience Note: An entry candidate typically would acquire the qualifications listed for this position by possessing a valid California Registered Nurse License and less than one year acute care nursing experience, or California Interim Permit issued to a graduate of a registered nurse program. A re-entry candidate would typically have past acute care nursing experience, have just completed a registered nurse refresher program, and have an active California Registered Nurse License. Closing Date/Time: 12/16/2019 11:59 PM Pacific

Definition and Class Characteristics Interested in joining a fast paced work environment filled with caring professionals dedicated to improving the lives of vulnerable community members?  The Nevada County Behavioral Health Department is looking for a Limited-Term Behavioral Health Nurse I or II to work as part of a clinical team that includes a supervisor, psychiatrist, case manager, therapist, and another nurse. This person provides support for medication refills, nursing assessments, assisting psychiatrists in daily duties, and coordinating services within the clinical team as well as with primary care and other agencies.    We have a friendly, nurturing work environment and we enjoy the privilege of serving individuals with serious mental illness.   The work is always interesting and provides opportunities for collaborative, creative problem solving.  We hire individuals who are not only caring but also bring a sense of humor and fun at the right time. The eligible list established from this recruitment will be used to fill full-time, regular, and limited term positions. Limited term positions are offered the same level of benefits as a regular position, but the term ends on June 30 of each fiscal year and the continuation of such position is contingent upon continued grant funding. Under general supervision, provides medication support services and assists in the evaluation/auditing of behavioral health services and provides documentation to comply with Federal, State, Medicare and Medi-Cal regulations; and performs related work as required.   This class differs from the class of Public Health Nurse in that incumbents are required to exercise considerable independent judgment and initiative in providing behavioral health services through medication support and the Quality Management Unit of the Behavioral Health Department. Knowledge and application of quality management standards and regulations are essential functions of this position.   Behavioral Health Nurse I: This is the entry level class in this series. Incumbents develop skills in medication support and quality management standards and techniques.  Under general supervision, incumbents administer oral and/or injectable medications, observe and record client response to medication, and provide medication education.   Examples of Duties Essential: Behavioral Health Nurse I: Prepares and administers oral and/or injectable medications in accordance with a physician's order; monitors and records patient response to medication and documents any adverse reactions to medication; instructs clients/family/caregiver on safe and effective use of medications Audits medical records, department records and contract providers to assure compliance with Federal, State, Medi-Cal and Medicare standards Assists Quality Management Coordinator in training office staff and clinicians in Medi-Cal/Medicare documentation standards; reviews and monitors non-compliant medical records Knowledge and Skills Required NOTE:  The required level and scope of the following knowledge and skills relate to the level of the position as defined in the class characteristics.   Knowledge of: Principles and practices of general and psychiatric nursing as defined by the State of California licensing requirements Federal, State and local laws and regulations governing behavioral health/ drug/alcohol documentation requirements Quality assurance/improvement standards and risk management requirements Automated medical record requirements Techniques and methods used in crisis intervention with behaviorally ill clients and/or families Methods used to communicate with behaviorally ill individuals Medical and psychiatric terminology First aid methods and procedures Thorough knowledge of medicines, narcotics and psychotropic drugs used in the treatment of behaviorally ill Principles of management, supervision and training Skill in: Reviewing and evaluating medical records to determine compliance with Medi-Cal, Medicare, State and Federal requirements Training clinicians on auditing requirements Providing clear and concise documentation in reports, correspondence and other written materials Exercising sound independent judgement within established guidelines Working effectively with individuals and families to assist them in obtaining satisfactory outcomes of health problems Establishing and maintaining cooperative effective working relationships with those contacted in the course of work Administering oral and/or injectable medications and observing, monitoring and recording response to therapy and any adverse effects Conducting clinical assessments and evaluations and effectively communicating results to medical staff Operating computer programs including word processing, data base and spreadsheets Operating office equipment including copy machine, fax and typewriter Education and Experience Required COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES OR LICENSES LISTED AS REQUIRED IN THIS SECTION MUST BE ATTACHED TO THE APPLICATION Behavioral Health Nurse I: Equivalent to Bachelor's degree from an accredited college or university in nursing or related field and one year of experience under qualified supervision in a behavioral health program. Quality management experience is preferred. Licenses and Certificates: Possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing. Possession of a valid driver's license within 30 days of hire.   Physical Demands and Working Conditions: Mobility to work in a standard office environment, use standard office equipment and attend off-site meetings, and to bend, reach, and grasp; strength to lift, carry and position supplies and equipment; manual dexterity and sense of touch to conduct physical health assessments and give injections; vision to read handwritten and printed materials and a computer screen and to examine and observe patients; hearing and speech to communicate in person and by telephone.   Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.   Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive.  Not all duties are necessarily performed by each incumbent.  Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.    Closing Date/Time: Continuous

Introduction WHY JOIN US AT SOLANO COUNTY? COMMITMENT TO SERVICE: Our mission is to serve the people and to provide a safe and healthy place to live, learn, work and play. We serve the public in many different ways, including: • Providing primary medical, dental, alcohol, drug and mental health services to residents, including the uninsured, low-income, and medically underserved • Providing law enforcement services in the unincorporated area of the county • Protecting the community from public health threats such as communicable diseases • Coordinating countywide responses to domestic violence and terrorism or other emergencies • Managing the criminal justice process after arrest (jail, prosecution, probation) • Supporting other local governments through efficient property tax collection as mandated by the State, County and local jurisdictions; and, • Administration and enforcement of Federal, State, and Local laws and policies pertaining to environmental health, building construction, and land use planning OUR EMPLOYEES : Our diverse workforce is committed to fulfilling this mission and does so by exemplifying our IDEAL Core Values, engaging in our day to day work of serving the public with Integrity, Dignity, Excellence, Accountability, and Leadership. WHY WE EXIST The mission of the Solano County Health & Social Services Department is to Promote Healthy, Safe and Stable Lives. Vision: A Healthy, Safe and Stable Community Core Values • Diversity: We respect and value cross -culturalism creating an environment that is inclusive for all. • Respect: We treat people with care and courtesy. • Integrity: We do what we say will. • Fairness: We are consistent and unbiased in decisions. • Transparency: We communicate the how and why. • Equity: We ensure everyone has access to the same opportunities. • Responsiveness: We react quickly and positively. To learn more about the Department of Health & Social Services , please visit: https://www.solanocounty.com/depts/hss/default.asp Where Compassion and Healing Come Together The Family Health Services Clinics of the Health and Social Services Department is currently recruiting for a part-time Clinic Registered Nurse. The mission of Family Health Services (FHS) is to provide superior, comprehensive, primary medical and dental care in order to improve the health and quality of life of Solano County residents. We have a special commitment to the uninsured, low-income, and medically underserved. As a Federally Qualified Health Center (FQHC), we are a safety net provider. To support our mission, FHS offers four conveniently located clinics in Fairfield, Vacaville, and Vallejo and mobile medical and dental vans in which we provide primary care and dental services. The outpatient primary care clinics see patients five days a week, with some weekend and evening hours offered. We are committed to improving the quality of life locally by providing exceptional medical services, tracking and preventing the spread of disease, and promoting health and safety through education and communication. Our Services: We understand that our services need to be as diverse as the population that we serve. To accommodate this diversity, we provide the following services, which include, but are not limited to: - Full Family-Centered Medical Care - Well Child Visits & Immunizations - STD/HIV Testing & Treatment - Work/School/Sports Physicals - Women's Health Services - Behavioral Health Care - Diabetic Screening & Treatment - Family Centered Dental Care To learn more about Family Health Services, please visit: http://www.co.solano.ca.us/depts/ph/fhs/default.asp THE POSITION The Clinic Registered Nurse is a journey level, professional nursing classification. This class is characterized by the responsibility to coordinate the operational activities of public health clinics in addition to providing nursing services in the clinical environment. Positions in this class are assigned in various public health clinics, medical clinics, specialty clinics, and medical mobile van. Duties of the Clinic Registered Nurse will include the following: outpatient nursing services related to patient triage, authorization of medication refills, medication administration in accordance with provider orders, assistance with patient examinations and treatments, completion of laboratory and phlebotomy protocols, specialty referral authorizations, inventory of medications, patient care coordination and patient education. Incumbents work under the medical direction of a physician and within established protocols of the Health Department. The current vacancy is part-time regular position. However, t he eligible list established from this recruitment will be used to fill full-time and part-time regular, limited-term or extra-help positions as vacancies occur or the need arises. POSITION REQUIREMENTS Experience: One year of nursing or patient care experience. AND Education/Training: Associate's degree in Nursing or diploma in Nursing from a three year RN program is required. Possession of a valid Registered Nurse license issued by the California State Board of Registered Nursing. See Document Submittal Requirements section below for more information. To review the job description for this position, please visit: http://www.solanocounty.com/civicax/filebank/blobdload.aspx?blobid=15607 BENEFITS/ WHAT'S IN IT FOR YOU? Solano County offers a cafeteria-style medical package with health benefits, offered through CalPERS. The County contribution for family coverage for the 2019 calendar year is $1,498.09 per month. The County offers a cash back provision for those who choose employee-only or who waive medical insurance coverage. The County may offer a supplemental contribution for employees enrolled in Employee plus Two or More coverage. Dental and vision insurances for the employee and eligible dependents are paid 100% by the County. Solano County participates in CalPERS retirement and contributes to Social Security. The County observes 12 fixed, paid holidays per year. Vacation is accrued at approximately 10 days per year for the first 3 years. Sick leave accrues at approximately 12 days per year. Employees are eligible to receive an additional 2.5% longevity pay, per level, after the completion of continuous service at 10, 20, 25, 30 and 35 years. To review complete benefits information, please visit: http://www.solanocounty.com/civicax/filebank/blobdload.aspx?blobid=16512 Extra-help employees who work less than 29 hours per week do not typically receive or accrue benefits of regular employees during their period of employment. All extra-help employees accrue .034 hours of Paid Time Off for every full hour worked. To view the benefits for an extra-help position, please visit: http://www.solanocounty.com/civicax/filebank/blobdload.aspx?blobid=16516 CULTURE OF LEARNING AND DEVELOPMENT Solano County is committed to "Invest In and For the Future" by providing training resources to encourage employee professional development and growth within our organization. While employed with Solano County, employees have the opportunity to pursue their career goals, interests, and develop the competencies on the Solano County Leadership Development Model by participating in the following programs: • Tuition Reimbursement Program • Annual Education Fair • County Mentoring Program • Leadership Academy • Supervisory Trainings • Skill Development Trainings • Self-paced learning opportunities SELECTION PROCESS 12/27/2019 - Deadline to submit application and required documents. Based on the information provided in the application documents, the qualified applicants may be invited for further examination and will either be pre-scheduled by the Department of Human Resources or be invited to self-schedule. All applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination . Depending upon the number of applications received, the selection process may consist of an initial application screening, a mandatory information meeting, a supplemental questionnaire assessment, a written and/or practical exam, an oral board exam, or any combination listed. Responses to supplemental questions may be used as screening and testing mechanisms and will be used to assess an applicant's ability to advance in the process; as such, responses to supplemental questions should be treated as test examination responses. Information contained herein does not constitute either an expressed or implied contract. A minimum score of 70% is required to continue in the selection process, unless otherwise announced. All potential new hires and employees considered for promotion to management, confidential positions or unrepresented positions will be subject to a background and reference check after contingent job offer is accepted. These provisions are subject to change. RETIREES - Solano County invites all qualified candidates to apply for positions; however pursuant to Government Code Section 21221(h) and 21224, hiring restrictions may apply to California Public Sector Pension Plan Retirees. HOW TO APPLY Please visit the County of Solano website, www.jobsatsolanocounty.com , to apply. Applications must be submitted through the JobAps system. Paper copies of applications are not accepted. All additional application materials as requested in the job announcement (degree/transcripts, certificates, DD-214 if applicable, ADA Accommodation Request) must be submitted with the Document Cover Sheet, available on the employment website: https://jobapscloud.com/Solano/sup/doccover.pdf or at the Department of Human Resources' office, and are due by the final filing date. Previously submitted application materials (i.e. copies of diploma and/or transcripts, etc.) for prior recruitments will not be applied for this recruitment but must be re-submitted for this recruitment . Any further questions can be directed to the Department of Human Resources at (707) 784-6170 or at 675 Texas Street, Suite 1800 Fairfield 94533. The office is open Monday-Friday, 8:00 a.m.-5:00 p.m. EOE/AA. Please note that all dates/times listed in the job announcement are Pacific Time. DOCUMENT SUBMITTAL REQUIREMENTS Associate's degree in Nursing or diploma in Nursing from a three year RN program AND a Registered Nursing license issued by the California State Board of Registered Nursing are required for this position. All candidates must submit a copy of their college diploma (verifying the degree, date earned and area of specialization) or official/unofficial transcripts (verifying the date and degree conferred) AND proof of their current license issued by the California State Board of Registered Nursing by the final filing deadline . Candidates who fail to submit their diploma or transcripts AND proof of licensure by the final filing date will be disqualified from the recruitment. PLEASE NOTE THE FOLLOWING: Candidates who attended a college or university that is accredited by a foreign or non-U.S. accrediting agency must have their educational units evaluated by an educational evaluation service. The result must be submitted to the Human Resources Department no later than the close of the recruitment. Please contact the local college or university to learn where this service can be obtained. How to Submit Your Documents In addition to uploading attachments when applying online, candidates may submit documents in-person or by mail at Solano County Department of Human Resources 675 Texas Street, Suite 1800, Fairfield CA 94533, by fax to (707) 784-3424, or by email to recruitment@solanocounty.com . When submitting documents in-person, by mail or by fax, include the recruitment title (Clinic Registered Nurse) and the recruitment number (19-533010-01). If submitting documents by email include the recruitment title and recruitment number in the subject field. SUPPLEMENTAL QUESTIONNAIRE This Supplemental Questionnaire will be used to determine applicants' qualifications for this position and assess an applicant's ability to advance in the recruitment process; therefore, applicants are encouraged to answer all questions thoroughly and completely. Omitted information will not be considered or assumed. Applicants who have no experience in a specific area are recommended to state "no experience in this area" instead of leaving the space blank. Please note that the experience in your answers must be reflected in your employment history. As noted in the job announcement, responses to supplemental questions may be used as screening and testing mechanisms and will be used to assess an applicant's ability to advance in the process; as such, responses to supplemental questions should be treated as test examination responses. 1* Describe your experience in an outpatient clinical setting. 2* Describe your experience with Electronic Health Records (EHR). What systems have you used? 3* Describe your experience working with culturally diverse populations. 4* I understand that I must submit a copy of the following by the final filing deadline : Proof of the required Associate's Degree in Nursing or diploma in Nursing from a three year RN program. All applicants must submit a copy of their degree (verifying the degree, date earned and area of specialization) or transcripts (official/unofficial verifying the student, institution, and date and degree conferred). Verification of Registered Nurse license issued by the California State Board of Registered Nursing I will be submitting all of the above in the following manner: Uploading to my employment application prior to submittal Emailing to recruitment@solanocounty.com Faxing to (707) 784-3424 Mailing or hand delivering to 675 Texas St., Suite 1800, Fairfield, CA 94533 SUPPLEMENTAL INFORMATION Independent travel may be required. Incumbents must be able to work in an environment which may include exposure to communicable disease. Candidates for employment must as a condition of employment sign a statement agreeing to comply with Section 11166 of the California Penal Code relating to child abuse reporting. VETERANS PREFERENCE POINTS To be eligible, applicant must have served at least 181 consecutive days of active duty in the Armed Forces of the United States and have received either an honorable discharge or a general discharge under honorable conditions. A COPY OF THE DD 214, SHOWING DISCHARGE TYPE (GENERALLY COPY 4), MUST BE RECEIVED IN THE HUMAN RESOURCES DEPARTMENT BY THE FINAL FILING DATE . Applicants who have a service connected disability must also submit a recent award letter from the VA stating they are receiving disability benefits for service connected reasons. Veteran applicants for initial County employment with an honorable or general under conditions discharge shall receive five (5) points added to their combined score. Disabled veterans rated at not less than 30% disability shall have ten (10) points added to their combined score. Veteran's preference points will only be added to passing scores in competitive open examinations. AMERICANS WITH DISABILITIES ACT It is the policy of Solano County that all employment decisions and personnel policies will be applied equally to all County employees and applicants and be based upon the needs of County service, job related merit, and ability to perform the job. APPLICANTS WITH DISABILITIES: Qualified individuals with a disability, who are able to perform the essential functions of the job, with or without reasonable accommodation, and need an accommodation during any phase of the recruitment/testing/examination process (as detailed in the "Selection Process"), must complete the following Request for Testing Accommodation by Applicants with Disabilities Form: http://www.solanocounty.com/civicax/filebank/blobdload.aspx?BlobID=23215 . This form must be received in the Human Resources Department by the final filing date of the recruitment. Applicants will be contacted to discuss the specifics of the request. SOLANO COUNTY Take a video tour of Solano County: OUR COMMUNITY Solano County is the ideal place to live, learn, work and play... The America's Promise Alliance has named Solano County as one of the 100 Best Communities for Young People for six straight years - the only California community with that distinction. Live - Solano County as well as cities within the County have ranked in the top 15 hottest markets across the country and within the Bay Area due to prime location and affordability. Learn - Higher education abounds! Within the County, education choices include: Solano Community College, CSU Maritime Academy, Brandman University, and Touro University. Bordering our County is the renowned University of California Davis. Work - The blend of agriculture, corporate business and pleasant lifestyle enhance the attraction of Solano County. Blessed with a thriving agricultural economy, the county is also home to biotechnology and other growth industries. Play - Situated midway between San Francisco and Sacramento-the State capitol, Solano County is home to rolling hillsides, waterfronts and fertile farmland. County residents can enjoy day trips to the San Francisco Bay area, Lake Tahoe region and the Napa and Sonoma Valleys. County Population (2018): 439,793 The provisions of this bulletin do not constitute an expressed or implied contract. Any provision contained in this bulletin may be modified or revoked without notice. SOLANO COUNTY IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Closing Date/Time: 12/27/2019 5:00:00 PM

Introduction Are you passionate about health promotion, want to be a Public Health Nurse in the community in a non-hospital setting? Click on the link below to see what a day in the life of a Public Health Nurse in Placer County is like. This recruitment will be open continuously and may close at any time. Applications submitted willbe screened on a weekly basis. POSITION INFORMATION The Department of Health and Human Services - Public Health Division is currently recruiting for the position of Public Health Nurse I. Theeligible list resulting from this recruitment will be used to fill current and futurepermanent and/or extra help/temporaryvacancies in various assignment areas within Public Health, including Whole Person Care. Extra-help assignments are not eligible for benefits and arelimited to working 28 hours per week with a fiscal year cap of 999 hours or 960 for CalPERS retired annuitants. Extra Help/Temporary appointments made from this eligible list may be eligible for transition to permanent status, should vacancies arise. This recruitmentmay be used to fill both open and promotional vacancies, subject to specific position requirements. Position assignments mayinclude any ofthe following areas: (Please refer to the supplementalquestionnaire for this recruitment for a descriptionof eachassignment area.) Maternal, Child, & Adolescent Health Teenage Pregnancy & Parenting Adult and Elderly In-Home Case Management California Children's Services (CCS) Child Health & Disability Prevention (CHDP) Foster Care Immunizations Communicable Disease Control Sexual Assault Forensic Examinations Whole Person Care DEFINITION To perform public health nursing duties in an assigned program, project or district; to perform field and clinic nursing services; and to instruct adults and children in accepted health practices including prevention and control of disease. DISTINGUISHING CHARACTERISTICS This is the entry level class in the Public Health Nurse series. This class is distinguished from the journey level by the performance of the more routine tasks and duties assigned to positions within this series. Employees at this level are not expected to perform with the same independence of direction and judgement on matters allocated to the journey level. Since this class is typically used as a training class, employees may have only limited or no directly related work experience. Employees work under immediate supervision while learning job tasks. SUPERVISION RECEIVED AND EXERCISED Receives immediate supervision from a Supervising Public Health Nurse and may receive technical and functional supervision from other professional or medical staff. EXAMPLES OF ESSENTIAL DUTIES Duties may include, but are not limited to, the following: Make home or other field site visits as assigned to provide families and/or individuals with health supervision and guidance; identify and assess health needs and provide advice, counsel and instruction related to health maintenance and promotion, preventive practices, treatment and rehabilitation for at-risk, ill, or injured individuals; provide nursing care and demonstrate nursing techniques as needed. Provide medical case management through observation, history taking, physical examination, analysis, documentation of findings and development of nursing plan; make referrals and conduct follow-up as necessary. Aid in prevention and control of communicable and chronic diseases through epidemiological investigation, instruction in preventive measures, immunization programs and case follow-up. Oversee and participate in various clinics, including referring and advising for further medical care under established policies and protocols. Identify and evaluate health needs of individuals and special population groups such as the elderly, culturally, economically or geographically disadvantaged and those choosing alternative life styles. Represent the Health and Medical Services Department to various community groups and provide information regarding Department programs, services and policies, as well as instructional information about disease prevention, health promotion, treatment maintenance and rehabilitation. Coordinate with other divisions and sections within the Health and Medical Services Department as well as with private, public and voluntary health and social service agencies/providers in the community; participate in interagency conferences as needed. Provide or oversee training for new staff, nursing students and volunteers. Initiate, implement and evaluate projects or programs; prepare and maintain patient charts and other records and prepare reports. Build and maintain positive working relationships with co-workers, other County employees and the public using principles of good customer service. Perform related duties as assigned. MINIMUM QUALIFICATIONS It is the applicant's responsibility to identify in their application materials how they meet the Minimum Qualifications listed below. Experience and Training: Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: Experience: No experience is required. Training: Equivalent to a Bachelor's degree from an accredited college or university with major course work in nursing. License or Certificate: Possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing. Possession of, a valid certificate as a Certified Public Health Nurse issued by the California Board of Registered Nursing. May need to possess a valid driver's license as required by the position. Proof of adequate vehicle insurance and medical clearance may also be required. KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of: Principles and practices of public health nursing. Modern office procedures, methods and computer equipment. English usage, spelling, punctuation and grammar; Arithmetic and basic mathematical calculations. Ability to: On a continuous basis, know and understand all aspects of the job; intermittently analyze work papers, patient charts, reports and perform special projects; identify and interpret technical and numerical information; observe and problem solve operational and technical policies and procedures. On an intermittent basis, sit at desk for long periods of time while reviewing patient charts and histories and preparing patient charts and reports; intermittently walk, stand, bend, climb and reach while making field visits, conducting clinics or making educational presentations or demonstrations; twist to reach equipment surrounding desk or treatment areas; perform simple grasping and fine manipulation; use telephone and write or use a keyboard to communicate through written means; see and hear with sufficient acuity to examine and assess patient condition; and lift heavy weight. Provide professional nursing care; administer and handle biologicals; and take and properly handle specimens. Provide instruction in the prevention of disease, promotion of health and nursing care of ill or injured individuals. Work with various cultural and ethnic groups in a tactful and efficient manner. Act quickly and calmly in emergency situations. Obtain information through interview; work fairly and courteously with the public; handle multiple case assignments; and work effectively with interruption. Analyze situations quickly and objectively and determine proper course of action. Use a computer, calculator, typewriter, telephone, facsimile machine and photocopy machine. Clinical and instructional supplies and equipment, including blood pressure cuff, stethoscope, audiometer, syringes and needles and audio-visual equipment. Communicate clearly and concisely, both orally and in writing. Establish and maintain effective working relationships with those contacted in the course of work. SELECTION PROCEDURE Training & Experience Rating (100%) Based upon responses to thesupplemental questionnaire, the applicant's education, training and experience will be evaluated using a pre-determined formula. Scores from this evaluation will determine applicant ranking and placement on the eligible list. CONDITION OF EMPLOYMENT Prior to the date of hire, applicants must undergo a fingerprint test by the Department of Justice, pass a medical examination (which may include a drug screening and possibly a psychological evaluation), sign a constitutional oath and submit proof of U.S. citizenship or legal right to remain and work in the U.S. For some positions, applicants may also be required to submit proof of age, undergo a background investigation (which may include a voice stress analysis and/or a polygraph) and/or be bonded. Additionally, positions in law enforcement classifications, and those supporting law enforcement functions will be required to complete a conviction history questionnaire prior to or during the interview process. Applicants for positions with access to Medi-Cal billing software or who are licensed providers must clear the Federal Exclusion List, credentialing, and social security verification. Failure to clear these requirements may result in an employment offer being withdrawn. SUBSTITUTE LISTS The eligible list(s) resulting from this recruitment may be certified as a substitute list for a substantially similar classification. For this purpose, a substantially similar classification is one at a lower level in the same classification (example: entry level vs. journey) and/or a similar classification (similar work performed, similar training and experience qualifications required). If you are contacted for an interview by a County department, you will be informed of the classification and other relevant information. If you choose not to interview for a substantially similar classification, you will remain on the eligible list for which you originally applied. EMPLOYEES OF OTHER PUBLIC AGENCIES Placer County offers an expedited process for qualifying certain applicants for interviews. Candidates currently employed, or employed within the last year, by a public agency operating under a personnel civil service or merit system may be eligible to be placed on a Public Agency Eligible List and certified as eligible for appointment to a similar job assignment without going through the examination process. For more information on the Public Agency Eligible List, to download forms, or to apply, please visit our website at: http://www.jobaps.com/placer/sup/abfreenames.asp . EQUAL OPPORTUNITY EMPLOYER Thank you for your interest in employment with Placer County. Placer County is an equal opportunity employer and is committed to an active nondiscrimination program. It is the stated policy of Placer County that harassment, discrimination and retaliation are prohibited and that all employees, applicants, agents, contractors, and interns/volunteers shall receive equal consideration and treatment. All terms and conditions of employment, including but not limited to recruitment, hiring, transfer and promotion will be based on the qualifications of the individual for the positions being filled regardless of gender (including gender identity and expression), sexual orientation, race, color, ancestry, religion, national origin, physical disability (Including HIV and AIDS), mental disability, medical condition (cancer or genetic characteristics/information), age (40 or over), marital status, military and/or veteran status, sex (including pregnancy, childbirth and related medical conditions), or any other classification protected by federal, state, or local law. Please contact theHuman ResourcesDepartment at least 5 working days before a scheduled examination if you require accommodation in the examination process. Medical disability verification may be required prior to accommodation. BENEFITS The following information represents benefits currently available to permanent Placer County employees and may be subject to change. It is advisable that applicants inquire as to the most current benefit package during hiring interviews or by contacting theHuman ResourcesDepartment. Click here to view benefits forProfessional bargaining unit Closing Date/Time: 12/20/2019 12:00:00 PM

Examples of Duties Duties may include, but are not limited to the following: May provide case management services and utilization reviews for programs including California Children Services, Child Health and Disability Prevention Program, MCAH Outreach, Medi-Cal Targeted Case Management, Nurse Family Partnership, and Indigent Health Care Program. Investigate and interview parents; assess and screen at-risk individuals; Act as patient advocate. Instruct parents on child safety, growth, development; signs of abuse, poor nutrition and failure to thrive. May provide crisis assistance and participate in patient meetings for "special needs" children. May work directly in Immunization, STD, TB, and HIV Testing clinics. Administer tuberculosis medications, perform and read skin test for tuberculosis diagnosis. Search for unreported or missed cases of communicable diseases. Conduct home visits to collect and/or complete health forms related to communicable disease. Provides outreach and education by giving presentations and teaching classes to the public. Provide orientation and training to community providers to assure adherence to quality standards. Acts as "on-call" nurse to receive referrals and provide information. May develop in-service programs for care providers, provide Targeted Case Management services, and engage in outreach and other activities to enhance services to Medi-Cal beneficiaries. The Public Health Nurse II classification isthe advanced journey level in the series and can act in a lead capacity and/or be assigned special projects as needed. Minimum Qualifications PHN I Education: Graduation from an accredited four (4) year college or university nursing program. PHN II Experience: One year's full-time nursing experience in Public or Community Health. (Additional experience may be required for certain positions.) Education: Graduation from an accredited four (4) year college or university nursing program. Level I/II License: Possession of a valid California Registered Nurse License. Possession of a valid California Public Health Nurse Certificate issued by the State of California Board of Registered Nursing is required. SOME POSITIONS IN THIS CLASSIFICATION WILL BE SUBJECT TO CRIMINAL HISTORY BACKGROUND CHECKS PURSUANT TO THE HUMAN RESOURCES RULES AND REGULATIONS, SECTION 2, B HOLIDAYS & LEAVES VACATION 10 days the first 5 years of continuous employment (limited to a maximum of 160 hours), 15 days in the second 5 years of continuous employment (limited to a maximum of 240 hours), and 20 days after 10 years of continuous employment (limited to a maximum of 320 hours). SICK LEAVE .0462 hours sick leave for each paid regularly scheduled work hour. 12 days (96 hours per year) with unlimited accumulation. Optional annual buy back of a portion of accumulated sick leave hours upon meeting certain criteria. HOLIDAYS Twelve paid holidays annually plus one optional holiday. BEREAVEMENT LEAVE Three (3) regularly scheduled work days or five (5) days if distance traveled over 500 miles one-way. INSURANCE HEALTH INSURANCE County paid health plan with maximum contributions; 100% for employee up to maximum of $420, 50% of dependent up to maximum of $100 for child/$220 for spouse biweekly. There are multiple health plans to choose from. County paid dental and vision plans, 100% for employee, with 50% of dependent premiums paid by the County. County sponsored employee health clinic available for zero or reduced co-pay depending on selected health plan. DISABILITY INSURANCE State Disability Insurance - Benefit based on highest quarter during previous calendar year. Employee pays premium. LIFE INSURANCE $10,000 County-paid coverage (Accidental Death and Dismemberment included). Voluntary Term Life and Universal Life Insurance available - premium paid by employee. RETIREMENT DEFERRED COMPENSATION The County offers a 457 Deferred Compensation Plan. Employees choose their investment funds and can make pretax contributions to the plan up to the maximum allowable. MERCED COUNTY EMPLOYEE RETIREMENT ASSOCIATION The retirement plan is a defined benefit plan administered pursuant to the County Employees Retirement Law of 1937 and other provisions of the California Government Code. MCERA members also pay into Social Security.The applicable benefit formula is dependent upon your hire date with an MCERA employer; yourpension amount will be determined by your age, years of service and final compensation amount. EXTRA HELP EMPLOYEES DO NOT QUALIFY FOR COUNTY BENEFITS. EMPLOYEE PROGRAMS EMPLOYEE ASSISTANCE PROGRAM (EAP) MHN EAP services provides up to five face-to-face counseling sessions per incident and provides a toll-free "800" hotline available 24/7 for emergencies and crisis intervention. EAP services include counseling services, legal services, financial services and Work-life Resource services. For more information log on to members.mhn.com. EMPLOYEE TICKETS, COUPONS, and DISCOUNTS The County of Merced has partnered with Employee Savings Tickets to provide discounted coupons and tickets for all county employees to attractions throughout the state and out-of-state. The discounts and coupons are available for shopping, movies, sporting events, theme parks, zoos and aquariums and much more. THIS BULLETIN IS NOT A CONTRACT AND DOES NOT CREATE CONTRACTUAL OR LEGAL RIGHTS ON BEHALF OF ANY EMPLOYEE. THIS BULLETIN IS SUBJECT OF BEING SUPPLEMENTED, MODIFIED, WITHDRAWN OR OTHERWISE CHANGED PENDING LABOR AGREEMENTS AND/OR AT THE DISCRETION OF THE COUNTY EXECUTIVE OFFICER OR AS THE BOARD OF SUPERVISORS DEEM NECESSARY. For answers to specific questions regarding employee benefits, please call Human Resources at 209.385.7682 or go to Merced County Benefits Summary

COMPREHENSIVE CARE NURSE I Correctional Health Services This recruitment is open to the public and will be open for a minimum of five (5) business days, and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. The eligible list established through this recruitment will be used to fill current and future Comprehensive Care Nurse I positions within Health Care Agency, Correctional Health Services until the next recruitment. This recruitment may also be used to fill positions in similar and/or lower classifications throughout the County of Orange. THE OPPORTUNITY: The County of Orange, Health Care Agency is recruiting for entry level Registered Nurses to provide basic health care to the incarcerated population within Correctional Health Services (CHS) and who are committed to continuous learning and career development. Adult Correctional Health Services (ACHS) The ACHS program provides medical, dental, nursing, infection control, health education and pharmaceutical services at a community standard of care to all adult inmates in the County's five (5) correctional facilities and contracts with hospitals for inpatient and specialty care. The Comprehensive Care Nurse I is responsible for performing a variety of specialized duties: Obtain vital signs such as: temperature, blood pressure, pulse, respiration, and pain scale assessment Perform comprehensive and focused physical assessments, interpret data collected, and refer to higher level of care as necessary, including: Obtaining comprehensive medical, mental health, family and social history Interpreting vital signs results Wound care treatment and management Documenting in SOAP (Subjective-Objective-Assessment-Plan) format on electronic health record Treating clients based on nursing standardized procedures Review of health records, summarize and synthesize patient information and give a comprehensive hand off at shift change or outside facility transfers utilizing a discharge-summary form or verbal report Participate in staff development and educational programs to maintain professional competency Participate in 5150 training; must pass and maintain certification (training will be provided) May perform other job related duties as needed The Comprehensive Care Nurse I is expected to become oriented to the Comprehensive Care Nursing duties and assume increasing levels of responsibility. Incumbents who are not promoted by the end of their probationary period shall not pass probation. The ACHS facility is a 24 hour, 7 day a week facility, incumbents must be able to work on weekends, evenings or night shift and holidays. Nursing staff work six (6), twelve (12) hour shifts, and one eight (8) hour shift per two (2) week pay period. Days off are every other weekend and rotating week days. DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES: The ideal candidate will possess the knowledge, skills and abilities that demonstrates the following competencies: Nursing Training | Knowledge of: Chronic illnesses that are medical and mental health related such as: substance abuse disorders, etc. HIPAA (Health Insurance Portability and Accountability Act) guidelines Performing triage and assessment competently Performing emergency, medical, mental health, prenatal care and other specialized care Willing and having the ability to testify competently if subpoenaed by court Using technology and other healthcare related systems effectively Adaptability | Collaboration: Working effectively in a changing and stressful environment, and making adjustments as necessary Working collaboratively and communicating professionally at all times Compassion: Developing resiliency by maintaining energy, tenacity, and continuously providing compassionate care in fulfilling correctional nursing responsibilities Critical Thinking | Safety: Managing multiple clients needing triage effectively and efficiently Making sound clinical treatment decisions Being aware of any environmental hazards while working inside the jail facility Being alert and aware of personal safety and security while providing care and/or treatment to medical and mental health clients Reducing jail-related liability risks by being compliant with Federal and State laws and mandated standards SPECIAL QUALIFICATIONS/REQUIREMENTS: Incumbents are required to pass a comprehensive background investigation prior to a formal offer and acceptance of employment Applicants must not have felony convictions or be on any form of probation Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes; completing of a Personal History Form, interview with a background investigator, fingerprinting and may include a polygraph test. Some of the areas considered in the background screening include prior convictions, traffic violations, drug use and credit problems, employment history, professional references and education verification (i.e. degree, license, or official transcripts. Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.) The Correctional facilities is a 24 hour, 7 day a week facility, incumbents must be able to work on weekends, evenings or night shift and holidays MINIMUM QUALIFICATIONS: For detailed information on Comprehensive Care Nurse I minimum qualifications, including Physical and Mental Requirements, Environmental and Working conditions click here. RECRUITMENT PROCESS: Human Resource Services (HRS) screens all applications to identify the qualified candidates for the position based on the skills required to meet the needs of the County. After the initial screening, the qualified candidates will be referred to the next step and notified of all further procedures applicable to their status in the competition. Application Screening (Refer/Non-Refer): Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applications exhibiting qualifications as listed in the job bulletin will be referred to the next step. Online Assessment |Written Exam (Weighted 100%): Candidates who meet minimum qualifications will be invited to participate in one or more job-related assessments. Candidates will be notified of their test date and access code, if applicable. Only the most qualified candidates will be placed on the eligible list. Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure. Eligible List: Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies. ADDITIONAL INFORMATION EMAIL NOTIFICATION: Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account. NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply. Candidates will be notified regarding their status as the recruitment proceeds via email through the GovernmentJobs.com site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "governmentjobs.com" and "ocgov.com." If your email address should change, please update your profile at www.governmentjobs.com . FREQUENTLY ASKED QUESTIONS: Click here for additional Frequently Asked Questions. For specific information pertaining to this recruitment, please contact Raymond Mendoza at (714) 834-7252 or Raymond.Mendoza@ocgov.com . EEO INFORMATION Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply. Closing Date/Time: Continuous

DEPARTMENT OF HEALTH SERVICES FILING START DATE: 7/29/2015 AT 8:00 A.M. - UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. EXAM NUMBER: Y5135H OPEN COMPETITIVE JOB OPPORTUNITY * * THIS EXAMINATION WILL USED TO FILL VACANCIES IN THE NORTH COUNTY ONLY * * DEFINITION: This proficientlevel classprovides professional nursing care and services to patients in a variety of settings. Essential Job Functions Effectively communicates and collaborates with 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 to connect patients with available resources within the continuum of care. Participates and/or leads committees/projects at the unit, department, facility, and/or health system wide level. Develops, conducts, and implements performance improvement activities at the unit, department, facility, and/or health system wide level which address the patient experience, regulatory compliance and departmental systems/processes. Develops, implements, and adjustspatient/family educationbased on identified learning needs utilizing available teachingresources and clinical expertise. Delegates, assigns, and/or supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students. Evaluates effectiveness of tools, protocols, and techniques used in patient care delivery and recommends changes as appropriate. Maintains knowledge of current techniques, trends, and professional issues; forecasts new knowledge needs for changing practice environment and/or population groups. Plans, implements, and evaluates strategies to meet those needs. Serves as a preceptor: expert or specialist who provides practical experience and training to a new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area/role. Participates and leads in patient care conferences, committee meetings, staff development, and educational programs and professional organizations increase or maintain competency and advance professional practice. Conducts assessment of performance of others including goal setting as well own performance assessment including learning needs. Serves as a liaison between committees, staff, and management. Mentors staff and students by effectively applying principles of adult learning theory and didactic concepts of novice-to-expert in order to develop staff/students for career progression. Collaborates with other health care providers to plan, implement, and evaluate patienteducational programs. Creates, validates, and/or improves tools to ensure assessment data is collected and documented. Participates and leads in approved clinical investigations or research studies in accordance with departmental policies. Anticipates potential problems and assists staff to adapt to change by setting or resetting priorities and organizing work for emergencies, changes in patient status, and unusual occurrences. Participates in product evaluation and product standardization activities. Monitors and evaluates the provision, quality, and documentation of care provided by other nursing personnel. Requirements SELECTION REQUIREMENTS 1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. -AND- 2. Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. -AND- 3. Six years of paid full-timeregistered nursing experience*. Three years of experience must be at the level of the Los AngelesCounty classification Registered Nurse II**. Please see Special Requirement Information LICENSE (S) AND CERTIFICATE(S) REQUIRED: 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: 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: Training and Experience Requirements * Paid full-time experiencemust be post-license experience only. ** Experience at the level of Registered Nurse II in the County of Los Angeles is defined as: Providing professional nursing care and services to patients in a variety of settings. Serving as an expert or specialist who gives practical experience and training to a new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area. Applicants claiming experience in a state other than California must attach a copy of their registered nurse license from that state to the application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence will be rejected. License and Certification Information To compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing - OR - have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America. Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination. However, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing. Please ensure the license and certification 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. Applicants must attach a legible photocopy of their 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. The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment. The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted. ***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 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. 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 be placed on the eligible register in the order of their score group for a period oftwelve (12) months following the date of promulgation. 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 shift 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 orrescissionof 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 attachdocuments to your application, you may email the documents to Oscar Ramirez at ORamirez@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 number(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) 914-7111 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Oscar Ramirez, Exam Analyst (323) 914-8433 Closing Date/Time: Continuous