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The Position The Board of Supervisors have authorized the following future salary increases: 4% on July 1, 2023 4% on July 1, 2024 4% on July 1, 2025 Bargaining Unit: CNA - Registered Nurses Unit Contra Costa County Health Services Department offers a variety of opportunities and has an ongoing need for Registered Nurses. Our facilities include the Contra Costa Regional Medical Center (CCRMC) in Martinez, a full service acute hospital which includes an acute psychiatric unit. We have nine (9) outpatient health centers throughout the County, detention facilities, and juvenile hall. Typical Tasks The typical tasks described in class are representative samples of duties commonly performed in each specialty area. Some tasks performed require specialized training or certifications depending upon the area of assignment or position designation. Follows MD orders to administer intravenous therapy and other prescribed medication and treatments Prepares equipment and assists physician during procedures, treatment and, examination of patients Assesses patient needs, identifies problems, plans and implements appropriate nursing interventions, evaluates patient care outcomes and documents all of the above, reporting significant deviation from abnormal to normal to the physicians Assigns ancillary personnel Orients, precepts and mentors new and entry level nurses for problem solving and decision making Identifies urgent needs of the patient and/or significant others and initiates measures to meet these needs Provides directions to other members of the nursing team to ensure patient care is administered in a thorough, safe, and evidence based manner Provides and promotes excellent customer service for all internal and external customers Performs physical assessments, plans, implement, and evaluates care Performs case management Monitors laboratory tests Documents all care provided Identifies actual and potential problems; intervenes and reports all related problems to the appropriate disciplines. Coordinates the care of the patient; initiates and participates in patient/family teaching and discharge planning Address the physiological, psychological, socio-cultural, and spiritual needs of all patients Performs medication management Performs on-going patient education Participates in Quality improvement projects Participates in continuous learning and evidence based research May act as a Relief Charge Nurse Minimum Qualifications License Required (All Assignments): Candidates must possess and maintain throughout the duration of employment: a current, valid and unrestricted Registered Nurse license issued by the California Board of Registered Nursing. Special Requirements (All Assignments): As a condition of employment all applicants: 1) When assigned to Detention Health Services must possess and maintain a security clearance approved and issued by the Sheriff's Department; 2) When assigned to the Perioperative unit must be available to provide off shift coverage. Acute Care (All Acute Care Assignments): Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in an acute care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse working in an acute care hospital may be substituted for the 1 (one) year of required experience. Additional Requirements by Assignment: Critical Care and Intermediate Care Unit Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class, a Moderate Sedation class, and a Crisis management and prevention certificate. Within one (1) year of hire must complete a CCRMC approved Critical care Course. Emergency Department Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association, a Pediatric Advanced Life Support (PALS) issued by the American Heart Association, and a CCRMC Crisis management and prevention certificate. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class, and a Moderate Sedation class. Within one year (1) year of hire must complete a CCRMC approved ED triage training course. Labor and Delivery Assignment: Certification: Must possess and maintain throughout the duration of employment: 1). A current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association; 2). Complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics. Within one (1) year of hire must obtain and maintain a CCRMC approved advanced fetal monitoring certificate. Telemetry Unit Assignment: Certification : Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by issued by the American Heart Association. Within six (6) months of hire must complete a CCRMC approved cardiac EKG Class. Medical Unit Assignment: Certification and Special Requirements : Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must complete an Oncology Nursing Society Chemotherapy and Biotherapy Course and possess and maintain a current Chemotherapy Provider Card issued by The Oncology Nursing Society.* Within ten (10) years of hire perform three (3) chemotherapy starts, and one (1) chemotherapy push. Must complete an Oncology Nursing Society (ONS) education class every two (2) years. Surgical Unit: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class certificate. Nursery Assignment: Certification: Must possess and maintain throughout the duration of employment: 1). A current Neonatal Resuscitation Certificate (NRP); 2). Must complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics, 3). Possession of Pediatric Advanced Life Support (PALS) issued by the American Heart Association. Operating Room Assignment: Experience: Two (2) years of full-time, or its equivalent, experience performing duties as a Registered Nurse in an acute care setting, one (1) year of which must have been in Operating Room nursing. Substitution for Experience: Completion of the didactic portion of the Association of Operating Room Nurses, and completion of an approved preceptorship or training program issued by CCRMC may be substituted for the one (1) year Operating Room nursing experience. Gastroenterology unit (GI) Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class and a Moderate Sedation class. Perianesthesia Unit (PACU) Assignment: Certification: Must possess and maintain throughout the duration of employment a current Advanced Cardiac Life Support Certificate (ACLS) issued by the American Heart Association and Pediatric Advanced Life Support (PALS) issued by the American Heart Association. Within six (6) months of hire must possess a CCRMC approved cardiac EKG Class and a Moderate Sedation class. Postpartum Assignment: Certification: Must possess and maintain throughout the duration of employment: 1) A current Advanced Cardiac Life Support Certificate (ACLS) issued by issued by the American Heart Association; 2). Complete all lessons to obtain the Neonatal Resuscitation Program Certificate (NRP) issued by the American Academy of Pediatrics. Inpatient Psychiatry and Psychiatric Emergency Services Assignment: Special Requirements : Must possess and maintain throughout the duration of employment a CCCRMC approved Crisis management and prevention certificate. Ambulatory Care or Detention Assignments: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility or ambulatory care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Special Requirements and Certifications: All ambulatory care specialty clinic and Detention assignments require training to perform standardized procedures in accordance with Board of Registered Nursing guidelines including successful completion of training and competency requirements and preceptorship for each applicable procedure, and specialty. AFI/NST (Amniotic Fluid Volume Assessment and Non-Stress Heart Rate) Monitoring Clinics must possess and maintain a CCRMC approved advanced fetal monitoring certificate. Hematology/Oncology clinics and Infusion Center require within six month of hire to be in possession of a valid chemotherapy provider card certification issued by the (ONS) Oncology Nursing Society, annual education related to oncology and demonstrated competency. Within 12 months of hire and every 12 months while employed perform three (3) chemotherapy starts and administer three (3) chemotherapy pushes every year.Must take and complete an ONS education class every two (2) years.' Public Health Division: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility or ambulatory care setting obtained in the United States within the last five (5) years. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Behavioral Health Division: Experience: One (1) year of full-time experience, or its equivalent, performing the duties of a Registered Nurse in a hospital, clinic, medical facility or detention obtained in the United States within the last five (5) years, six (6) months of which must have been in the Mental Health area. Certification: Valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider). Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Emergency Medical Services Assignment: Experience: Requires two (2) years of full-time experience, or its equivalent, performing duties as a Registered Nurse in an acute care setting, one (1) year of which must have been in an Emergency Department obtained in the United States within the last five (5) years. Substitution for Experience: Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. Contra Costa Health Plan Assignment: Experience: One (1) year of full time experience, or its equivalent, performing duties of a registered nurse in a hospital, medical facility, ambulatory care setting, or health plan case management setting obtained in the United States within the last five (5) years. Substitution for Experience : Possession of a BSN and six (6) months of experience as a Beginning Level Registered Nurse may be substituted for the one (1) year of required experience. OTHER REQUIREMENTS: A background investigation/fingerprint, and/or physical exam may be required prior to the start of employment. A COMPLETED SUPPLEMENTAL QUESTIONNAIRE IS REQUIRED AND YOU MUST ATTACH COPIES OF LICENSE & CERTIFICATIONS TO YOUR APPLICATION. Selection Process Application Filing: All applicants must apply on-line at www.cccounty.us/hr and submit the information as indicated on the job announcement by the final filing date. Application Evaluation: Depending on the number of applications received, an Application Evaluation Board may be convened to evaluate and select the best-qualified candidates for invitation to the next phase of the examination. Training and Experience Evaluation: Consists of an evaluation of each candidate's relevant education, training and/or experience as presented on the application and supplemental questionnaire. (Weighted 100%) The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices. COVID-19 Vaccine Requirements Please note that as of August 24, 2021, Contra Costa County enacted a mandatory COVID-19 vaccine requirement for employees. Proof of full vaccination will be required of all employees, including new hires. The policy requirements can be found here: https://www.contracosta.ca.gov/DocumentCenter/View/72164/2021824-Mandatory-Vaccination-Policy-PDF?bidId= CONVICTION HISTORY After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment. DISASTER SERVICE WORKER All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity , gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law. To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits Closing Date/Time: Continuous

DEPARTMENT OF HEALTH SERVICES FIRST DAY OF FILING: MARCH 01, 2019 at 8:00 A.M. (PST) EXAM NUMBER: Y5135J TYPE OF RECRUITMENT: OPEN COMPETITIVE JOB OPPORTUNITY REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO REOPEN THE EXAMINATION, UPDATE THE EXAMINATION CONTENT INFORMATION. Due to Manpower shortage recruitment, incumbents and appointees in the nursing of Integrated Correctional Health Service shall be compensated at Step 3. Manpower Shortage Recruitment established in the Los Angeles County Code Section 6.10.050. The recruitment rates shall remain in effect through June 30,2020. COVID-19 VACCINATION MANDATE: All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. DEPARTMENT OF HEALTH SERVICES: The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the juvenile justice system and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about 800,000 unique patients each year, employs over 23,000 staff, and has an annual operating budget of 6.9 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. THE MISSION: To advance the health of our patients and our communities by providing extraordinary care. DEFINITION: This proficient level class provides professional nursing care and services to patients and inmates in a variety of settings. CLASSIFICATION STANDARDS: Positions allocable to this proficient level class typically report to a supervisory or management level nurse. 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 inmate populations. 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. Serves as a Lead role or participate in patient care conferences, committee meeting, staff development and educational programs as needed. 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 in Basic Life Support (BLS). -AND- 3. Six years of full-time registered nursing experience*. Three years of which must be at the level of the Los Angeles County 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 in Basic Life Support (BLS). 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. All required licenses and certifications must be active and unrestricted or your application will not be accepted 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). Points will be award for additional Nursing experience SPECIAL REQUIREMENT INFORMATION: Training and Experience Requirements *Full-time experience is defined as a minimum of 40 hours worked per week and must be post-license only. ** Experience at the level of Registered Nurse II or Registered nurse II, Correctional Health 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 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. Additional Information EXAMINATION CONTENT: The examination will consist of: An evaluation of experience and Desirable Qualifications based on application information weighted 100%. CANDIDATES MUST ACHIEVE A PASSING SCORE OF 70% OR HIGHER ON THE EXAMINATION IN ORDER TO BE PLACED ON THE ELIGIBLE REGISTER. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add truocco@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. VACANCY INFORMATION: The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services, Correctional Health 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 of twelve (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 APPLIATION 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 or rescission of 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 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, and description of work performed. If your application is incomplete, it will be rejected. Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted. NOTE: If you are unable to attach documents to your application, you may email the documents to Teresa Ruocco at truocco@dhs.lacounty.gov within 15 calendar days of filing online . Please include the exam number and the exam title. 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 individualized 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. 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. NO SHARING USER ID AND PASSWORD All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. ADA COORDINATOR: (323) 914-6365 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Teresa Ruocco, Exam Analyst Telephone Number : (213) 288-7000 Email Address: truocco@dhs.lacounty.gov Closing Date/Time:

General Recruitment Information Recruitments for County positions are typically conducted to establish eligibility lists to fill countywide vacancies that occur during the active status of those lists (approximately 3 -12 months). Any person on a promotional eligibility list will be considered first by the hiring department(s) before persons on an open eligibility list. The County of Lake only accepts applications for permanent positions when actively recruiting. Only online applications are accepted. It is the responsibility of each applicant to review the full job description and requirements. The County is an Equal Opportunity-Affirmative Action Employer. Veteran's Preference. To apply for County examinations - All applications for County examinations must be submitted through the County's online application system. A completed Supplemental Questionnaire must be submitted with each online application. All permanent County recruitments will be posted at www.co.lake.ca.us with a link to the online application. The County of Lake reserves the right to limit the number of applications that will be accepted for any open recruitment, and any such limit will be included on the job posting. When a limit is posted, the recruitment is subject to close at any time prior to the final filing date. Completed online application packets must be submitted by the close of business on the date that the recruitment closes . All relevant experience must be included on the application to be considered - resumes and other attached documents will not be used to qualify an applicant. Relevant experience and/or education may be substituted at a ratio of 2 to 1 for the purpose of meeting minimum qualifications and applicants should contact the Human Resources department for details. Important Notice - The provisions listed on job postings, job descriptions, or other recruitment materials do not constitute an expressed or implied contract. Benefits may vary between bargaining units. Any provisions contained within job postings, job descriptions or other recruitment material may be modified or revoked without notice. All County of Lake applicants who are given a conditional employment offer must comply with the County's pre-employment medical review program before they may be appointed to the County position. Application and Testing Information This position may qualify for a Sign-On incentive. The appropriate Department Head with the County of Lake can request a Sign-On Incentive payment of 10% of the annual rate of pay to a newly appointed employee not to exceed $10,000.00, if the position meets qualifications. The hiring incentive will be made in two (2) payments (the total amount to be split in half). The first payment will be made to an employee within the next available pay period following the initial, first time hire of the employee with the County of Lake. The second payment will be made upon successful completion of employment probation. Employee must remain employed with the County for two (2) years or repay the hiring incentive; the employee shall authorize such repayment as a payroll deduction from the final paycheck, and/or repay any shortage not covered in the final paycheck with a personal check payable to the County of Lake within 15 days of termination. Minimum Qualifications LICENSED VOCATIONAL NURSE, SENIOR Licensing and Certifications: Possession of, or ability to obtain, a valid California Driver’s license. Possession of a valid license as a Licensed Vocational Nurse in California. Education and Experience: Five (5) years of full-time previous work experience working in mental health counseling, psychotherapy, and/or related medical or social services field in a public or certified private welfare or health agency at a level equivalent to a Licensed Vocational Nurse I/II with the County of Lake. REGISTERED NURSE I - MENTAL HEALTH Licensing and Certifications: Possession of, or ability to obtain, an appropriate valid California driver's license. Possession of a valid license as a Registered Nurse in California Education and Experience: Completion of sufficient education and experience to meet State of California certification requirements. Additional directly related experience and/or education may be substituted. REGISTERED NURSE II - MENTAL HEALTH Licensing and Certifications: Possession of, or ability to obtain, an appropriate valid California driver's license. Possession of a valid license as a Registered Nurse in California Education and Experience: Two (2) years of previous work experience working in mental health counseling, psychotherapy, and/or related medical or social services field in a public or certified private welfare or health agency at a level equivalent to a Registered Nurse I with the County of Lake. OR Education equivalent to a four (4) year degree in nursing, psychology, or a directly related field. Additional directly related experience and/or education may be substituted. Full Job Description LICENSED VOCATIONAL NURSE, SENIOR DEFINITION Under clinical and general supervision, provides a full range of rehabilitative mental health services and targeted case management services to clients of the behavioral health department; serves in crisis intervention roles; provides a variety of services in the rehabilitative and targeted case management models as defined in regulation that may include services to individuals, groups, and families but does not include the ability to independently diagnose or provide psychotherapeutic treatment; distributes prescribed medications to clients; provides medications support to clients, as needed; assists with education and training for other staff, community agencies, and the public; and performs related duties as assigned. DISTINGUISHING CHARACTERISTICS This is the advanced journey-level Licensed Vocational Nurse level in the Mental Health Nurse/Psychiatric Technician - Various Levels class series. This classification is distinguished from the Licensed Vocational Nurse II in that Licensed Vocational Nurse, Senior incumbents perform a broader range of the most complex work on a more independent basis. The Licensed Vocational Nurse, Senior is distinguished from the Psychiatric Technician, Senior in that the two positions require different licenses. The Mental Health Nurse/Psychiatric Technician - Various Levels class series is distinguished from the Nurse - Various Levels class series in that incumbents in the Mental Health Nurse/Psychiatric Technician - Various Levels class series primarily work with patients experiencing behavioral health issues while incumbents in the Nurse - Various Levels class series are performing more general public health duties and functions. When work knowledge has been developed, sound work demonstrated, and requirements have been met, an incumbent may reasonably expect promotion to the Licensed Vocational Nurse, Senior level. SUPERVISION RECEIVED AND EXERCISED Receives general supervision from Mental Health Nurse Supervisor; Nurse Practitioner/Physician’s Assistant; Staff Psychiatrist; Deputy Director, Behavioral Health; Director of Behavioral Health. This is not a supervisory classification. EXAMPLES OF ESSENTIAL DUTIES Class specifications are intended to present a descriptive list of the scope of duties performed by employees in this class and are not intended to reflect all duties performed within the job. Conducts telephone or in person interviews with individuals, families, and groups in a clinic, home, and community settings to develop client centered service plans. Interviews persons requesting outpatient mental health services. Prioritizes service requests according to standard triage criteria. Provides initial assessment, including provisional diagnoses and treatment plans, for assigned behavioral health clients. Works with individuals, families, and groups to develop client centered service plans. Assists clients with understanding their problems and developing plans to resolve them. Provides individual and group therapy for children and/or adults. Provides medication support services. Distributes prescribed medication to clients. Advises clients on available community resources and serves as a liaison with organizations and service agencies. Monitors the daily progress of persons being treated in psychiatric hospitals to verify receipt of appropriate treatment. Develops recommendations for discharge and follow-up treatment planning for clients and their families, including making appropriate referrals and other arrangements for client treatment. Works with clients’ families to secure their cooperation in treatment programs. Evaluates data and consults with other agencies as necessary to ensure that treatment services are available and adequate. Provides background information as needed to physicians involved in client treatment. Provides outreach services to clients unable to travel to mental health facilities. Evaluates persons presented as psychiatric emergencies at department clinics, hospital emergency rooms, law enforcement incidents, jails, and other appropriate community locations. Contacts staff of designated 5150 facilities to obtain admission authorization per code requirements. Participates in coordination of services with the office of County Counsel and the Public Guardian, related to LPS conservatorship administration. Prepares and maintains clinical and administrative records regarding services provided. Serves as a liaison with community organizations regarding continuing care services, providing information regarding policies and procedures utilized in the treatment of adults and children. Serves as a consultant for other behavioral health personnel. Cooperates with professionals from other disciplines in the development of team and collaborative diagnoses and treatment programs. May provide transportation if necessary. May authorize the detention of clients for further evaluation and treatment as provided by state code 5150. May develop, conduct, and participate in training programs, including the teaching of diagnosis and treatment methods for other departments and community agency staff. May provide some direction and training for paraprofessional staff. Performs related duties as assigned. MINIMUM QUALIFICATIONS Knowledge of: Principles, techniques, and trends in counseling, psychotherapy, and various treatment modalities. The concepts of recovery and resiliency and ability to translate these concepts into practice. Biological, behavioral, and environmental aspects of emotional disturbances, mental disabilities, retardation, and substance abuse and methods used for problem analysis and resolution. Methods, practices, and procedures of mental health programs, including but not limited to the areas of counseling, crisis intervention, psychotherapy, case management practices, and use of psychotropic medication. The scope and activities of available private and public community resources. Legislative and administrative rules and regulations pertaining to Lanterman-Petris-Short and Short-Doyle services. Emerging best practice models. Methods, practices, and procedures required for proper dispensation of medication to clients. Ability to: Perform a variety of supportive and rehabilitative services, which may include assisting with psychiatric social work, psychotherapy, and other services for behavioral health department clients. Assist with medication management. Develop and maintain cooperative, constructive relationships with families of clients, members of other professional disciplines, partner agencies, and other staff. Work with partner agencies, family members, and clients in developing innovative strategies to meet client needs. Develop clear and comprehensive case records and documentation. Prepare care plans and a variety of reports. Organize and manage a caseload. Understand the rehabilitation specialist role and deal with clients in a variety of circumstances and the settings accordance with professional standards and ethics. Conceptualize and prioritize the problems of individuals with mental illness and their families, determining their needs for services and support. Recognize potential crises and deliver crisis intervention services. Handle stress and unstable client behavior, concerns of family members, and partner agencies. Effectively represent the behavioral health department in contacts with clients, the public, community organizations, other county staff, and other government agencies. Regularly work well under pressure, meeting multiple and sometimes conflicting deadlines. Constantly demonstrate cooperative behavior with colleagues, supervisors, and customers/clients. Licensing and Certifications: Possession of, or ability to obtain, a valid California Driver’s license. Possession of a valid license as a Licensed Vocational Nurse in California. Education and Experience: Five (5) years of full-time previous work experience working in mental health counseling, psychotherapy, and/or related medical or social services field in a public or certified private welfare or health agency at a level equivalent to a Licensed Vocational Nurse I/II with the County of Lake. REGISTERED NURSE I - MENTAL HEALTH DEFINITION Under close clinical and general supervision, provides a variety of mental health services for individuals, families, and groups, including assessments, diagnoses, prognoses, counseling, and psychotherapeutic treatment for behavioral health department clients; distributes prescribed medications to clients; provides medications support to clients, as needed; assists with education and training for other staff, community agencies, and the public; serves in “crisis intervention” situations and responds to emergencies and hospitalizations; and performs related duties as assigned. DISTINGUISHING CHARACTERISTICS This is the entry and first working Registered Nurse level in the Mental Health Nurse/Psychiatric Technician various levels class series. Incumbents are Registered Nurses and work under close supervision in a community mental health setting. This classification is distinguished from Registered Nurse II in that Registered Nurse I incumbents perform a narrower range of duties under closer supervision. The Mental Health Nurse/Psychiatric Technician - various levels class series is distinguished from the Nurse - various levels class series in that incumbents in the Mental Health Nurse/Psychiatric Technician - various levels class series primarily work with patients experiencing behavioral health issues while incumbents in the Nurse - various levels class series are perform more general public health duties and functions. When work knowledge has been developed, sound work demonstrated, and requirements have been met, an incumbent may reasonably expect promotion to the Registered Nurse II level. Positions in the Registered Nurse- Mental Health series are flexibly staffed. Incumbents may advance to the higher classifications after gaining the knowledge, skill, experience, licenses, and certifications which meet the qualifications for and demonstrating the ability to perform the work of the higher-level class. SUPERVISION RECEIVED AND EXERCISED Receives general supervision from supervisory and/or management staff, depending on areas of work assignments. Exercises no supervision over staff. EXAMPLES OF ESSENTIAL DUTIES Class specifications are intended to present a descriptive list of the scope of duties performed by employees in this class and are not intended to reflect all duties performed within the job. Conducts telephone or in person interviews with individuals, families, and groups in clinic, home, and community settings to develop client centered service plans; interviews persons requesting outpatient mental health services. Learns to prioritize service requests according to standard triage criteria; learns to provide initial assessments, including diagnoses and treatment plan, for assigned behavioral health clients. Works with individuals, families, and groups to develop client centered service plans. Assists clients with understanding their problems and developing plans to resolve them. Provides individual, and group therapy for children and/or adults; provides medications support services. Distributes prescribed medication to clients; advises clients on available community resources and serves as a liaison with organizations and service agencies. Monitors daily progress of persons being treated in psychiatric hospitals to verify receipt of appropriate treatment. Develops recommendations for discharge and follow-up treatment planning for clients and their families, including making appropriate referrals and arrangements for client treatment. Works with clients’ families to secure their cooperation in treatment programs. Evaluates data and consults with other agencies, as necessary, to ensure that treatment services are available and adequate. Provides requisite background information to physicians involved in client treatment; provides outreach services to clients unable to travel to mental health facilities. Evaluates persons presented as psychiatric emergencies at department clinics, hospital emergency rooms, law enforcement incidents, jails and other appropriate community locations. Contacts staff of designated 5150 facilities to obtain admission authorization per code requirements. Participates in coordination of services with the office of County Counsel and the Public Guardian, related to LPS conservatorship administration. Prepares and maintains clinical and administrative records regarding services provided. Serves as a liaison with community organizations regarding continuing care services, providing information regarding policies and procedures utilized in the treatment of adults and children. Serves as a consultant for department personnel. Cooperates with professionals from other disciplines in the development of team and collaborative diagnoses and treatment programs. May provide some direction and training for paraprofessional staff. May provide transportation if necessary. May develop, conduct, and participate in training programs including the teaching of diagnosis and treatment methods for other department and community agency staffs. May authorize detention of clients for further evaluation and treatment as provided by state code 5150. Performs related duties as assigned. MINIMUM QUALIFICATIONS Knowledge of: Basic knowledge of principles, techniques, and trends in counseling, psychotherapy, and various treatment modalities. The concepts of “recovery” and “resiliency” and the ability to translate these concepts into practice. Basic knowledge of biological, behavioral, and environmental aspects of emotional disturbances, mental disabilities, developmental disabilities, and substance abuse and methods used for problem analysis and resolution. Basic knowledge of methods, practices, and procedures of mental health programs, including but not limited to, the areas of counseling, crisis intervention, psychotherapy, case management practices and use of psychotropic medication. The scope and activities of available public and private community resources. Methods used in identification of clients’ individual, social, and behavioral problems and their analysis and resolution in existing social contexts. Basic knowledge of legislative and administrative rules and regulations pertaining to Lanterman-Petris-Short and Short-Doyle services. Emerging “best practice” models. Methods, practices, and procedures required for proper dispensation of medication to clients. Ability to: Learn to perform psychiatric social work and psychotherapy for department clients. Assist with medication management. Develop and maintain cooperative, constructive relationships with families of clients, members of other professional disciplines, social agencies, and other staff. Work with partner agencies, family members, and clients in developing innovative strategies to meet client needs. Develop clear and comprehensive case records and documentation. Learn to prepare treatment plans, client treatment recommendations, and a variety of reports. Organize and manage a caseload. Learn and understand a therapist’s role and deal with clients in a variety of circumstances and settings in accordance with professional standards and ethics. Learn to conceptualize and prioritize the problems of mentally disordered persons, determining their needs, services, and appropriate treatment methods. Integrate a variety of clinical approaches into a unified treatment plan. Learn to recognize potential crises and deliver crisis intervention services. Handle stress and unstable client behavior. Effectively represent the behavioral health department in contacts with clients, the public, community organizations, other county staff, and other government agencies. Regularly work well under pressure, meeting multiple and sometimes conflicting deadlines. Constantly demonstrate cooperative behavior with colleagues, supervisors, and customers/clients. Licensing and Certifications: Possession of, or ability to obtain, an appropriate valid California driver's license. Possession of a valid license as a Registered Nurse in California Education and Experience: Completion of sufficient education and experience to meet State of California certification requirements. Additional directly related experience and/or education may be substituted. REGISTERED NURSE II - MENTAL HEALTH DEFINITION Under close clinical and general supervision, provides a variety of mental health services for individuals, families, and groups, including assessments, diagnoses, prognoses, counseling, and psychotherapeutic treatment for behavioral health department clients; distributes prescribed medications to clients; provides medications support to clients, as needed; assists with education and training for other staff, community agencies, and the public; serves in “crisis intervention” situations and responds to emergencies and hospitalizations; and performs related duties as assigned. DISTINGUISHING CHARACTERISTICS This is the journey level Registered Nurse level in the Mental Health Nurse/Psychiatric Technician various levels class series. Incumbents are Registered Nurses and have sufficient clinical experience to enable them to work with a high degree of independence in a community mental health setting. This classification is distinguished from Registered Nurse I in that Registered Nurse II incumbents perform a broader range of duties with a high degree of independence. The Mental Health Nurse/Psychiatric Technician - various levels class series is distinguished from the Nurse - various levels class series in that incumbents in the Mental Health Nurse/Psychiatric Technician - various levels class series primarily work with patients experiencing behavioral health issues while incumbents in the Nurse - various levels class series are perform more general public health duties and functions. Positions in the Registered Nurse- Mental Health series are flexibly staffed. Incumbents may advance to the higher classifications after gaining the knowledge, skill, experience, licenses, and certifications which meet the qualifications for and demonstrating the ability to perform the work of the higher-level class. SUPERVISION RECEIVED AND EXERCISED Receives general supervision from supervisory and/or management staff, depending on areas of work assignments. May provide lead direction, work coordination and training, as assigned. EXAMPLES OF ESSENTIAL DUTIES Class specifications are intended to present a descriptive list of the scope of duties performed by employees in this class and are not intended to reflect all duties performed within the job. Conducts telephone or in person interviews with individuals, families, and groups in clinic, home, and community settings to develop client centered service plans. Interviews persons requesting outpatient mental health services. Prioritizes service requests according to standard triage criteria. Provides initial assessments, including diagnoses and treatment plan, for assigned behavioral health clients. Works with individuals, families, and groups to develop client centered service plans. Assists clients with understanding their problems and developing plans to resolve them. Provides individual and group therapy for children and/or adults. Provides medications support services. Distributes prescribed medication to clients. Advises clients on available community resources and serves as a liaison with organizations and service agencies. Monitors daily progress of persons being treated in psychiatric hospitals to verify receipt of appropriate treatment. Develops recommendations for discharge and follow-up treatment planning for clients and their families, including making appropriate referrals and arrangements for client treatment. Works with clients’ families to secure their cooperation in treatment programs. Evaluates data and consults with other agencies, as necessary, to ensure that treatment services are available and adequate. Provides requisite background information to physicians involved in client treatment. Provides outreach services to clients unable to travel to mental health facilities. Provides transportation if necessary. Evaluates persons presented as psychiatric emergencies at department clinics, hospital emergency rooms, law enforcement incidents, jails and other appropriate community locations. Contact staff of designated 5150 facilities to obtain admission authorization per code requirements. Participates in coordination of services with the office of County Counsel and the Public Guardian, related to LPS conservatorship administration. Prepares and maintains clinical and administrative records regarding services provided Serves as a liaison with community organizations regarding continuing care services, providing information regarding policies and procedures utilized in the treatment of adults and children. Serves as a consultant for department personnel. Cooperates with professionals from other disciplines in the development of team and collaborative diagnoses and treatment programs. May provide some direction and training for paraprofessional staff. May authorize detention of clients for further evaluation and treatment as provided by state code 5150. May develop, conduct, and participate in training programs including the teaching of diagnosis and treatment methods for other department and community agency staffs. Performs related duties as assigned. MINIMUM QUALIFICATIONS Knowledge of: Principles, techniques, and trends in counseling, psychotherapy, and various treatment modalities. The concepts of “recovery” and “resiliency” and the ability to translate these concepts into practice. Biological, behavioral, and environmental aspects of emotional disturbances, mental disabilities, developmental disabilities, and substance abuse and methods used for problem analysis and resolution. Methods, practices, and procedures of mental health programs, including but not limited to, the areas of counseling, crisis intervention, psychotherapy, case management practices, and use of psychotropic medication. The scope and activities of available public and private community resources. Methods used in identification of clients’ individual, social and behavioral problems, and their analysis and resolution in existing social contexts. Legislative and administrative rules and regulations pertaining to Lanterman-Petris-Short and Short-Doyle services. Emerging “best practice” models. Methods, practices, and procedures required for proper dispensation of medication to clients. Ability to: Perform psychiatric social work and psychotherapy for department clients. Assist with medication management Develop and maintain cooperative, constructive relationships with families of clients, members of other professional disciplines, social agencies, and other staff. Work with partner agencies, family members, and clients in developing innovative strategies to meet client needs. Develop clear and comprehensive case records and documentation. Prepare treatment plans, client treatment recommendations, and a variety of reports. Organize and manage a caseload. Understand a therapist’s role and deal with clients in a variety of circumstances and settings in accordance with professional standards and ethics. Conceptualize and prioritize the problems of mentally disordered persons, determining their needs, services, and appropriate treatment methods. Integrate a variety of clinical approaches into a unified treatment plan. Recognize potential crises and deliver crisis intervention services. Handle stress and unstable client behavior. Effectively represent the behavioral health department in contacts with clients, the public, community organizations, other county staff, and other government agencies. Regularly work well under pressure, meeting multiple and sometimes conflicting deadlines. Constantly demonstrate cooperative behavior with colleagues, supervisors, and customers/clients. Licensing and Certifications: Possession of, or ability to obtain, an appropriate valid California driver's license. Possession of a valid license as a Registered Nurse in California Education and Experience: Two (2) years of previous work experience working in mental health counseling, psychotherapy, and/or related medical or social services field in a public or certified private welfare or health agency at a level equivalent to a Registered Nurse I with the County of Lake. OR Education equivalent to a four (4) year degree in nursing, psychology, or a directly related field. Additional directly related experience and/or education may be substituted. WORKING CONDITIONS, ADA, AND OTHER REQUIREMENTS The County of Lake is an equal opportunity employer and will comply with its obligations under the law to provide equal employment opportunities to qualified individuals with disabilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. Incumbents generally work in a typical office environment with adequate light and temperature. There may be occasional exposure?to?extreme temperatures, loud noise, fumes, noxious odors, dust, mist, gases, and poor ventilation; underground, confined, or restricted?workspaces; and heights more than five stories above ground level.? Incumbents may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures. Incumbents may also be subject to clients or members of the public afflicted with behavioral disorders or who are under emotionally stressful conditions. Positions in this class typically require: sitting, stooping, kneeling, crouching, reaching, standing, walking, pushing, pulling, lifting, fingering, grasping, talking, hearing, seeing, and repetitive motions. Sedentary Work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Light Work: Exerting up to 25 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. Positions in this class may require local and statewide travel as necessary. Incumbents are subject to "call back" to respond to urgent situations outside of scheduled work hours including nights, weekends, and holidays. Incumbents are subject to be scheduled for "standby" duty after regular work hours and are obligated to respond to urgent situations while on standby duty. A successful candidate will be required to submit to and pass a background check prior to the appointment. Depending upon the position and/or assigned department, the background check may include but is not limited to civil and criminal history check, reference check, Live Scan, and/or credit check (as allowed under state law). Disaster Service Workers: As members of the County of Lake Emergency Services Organization, all Lake County employees are designated as Disaster Service Workers during a proclaimed emergency and may be required to perform certain emergency services at the direction of the department and / or County. The contents of this class specification shall not be construed to constitute any expressed or implied warranty or guarantee, nor shall it constitute a contract of employment. The County of Lake assumes no responsibility beyond the general accuracy of the document, nor does it assume responsibility for any errors or omissions in the information contained herein. The contents of this specification may be modified or revoked without notice. Terms and conditions of employment are determined through a “meet and confer ” process and are subject to the Memorandum of Understanding currently in effect. RETIREMENT - County employees are members of the California Public Employee Retirement system (CalPERS).CalPERS provides a defined benefit pension at retirement for County employees.The pension formulas and employee contribution amounts may vary by bargaining unit, date of hire, prior qualifying service, and classification. Please contact Human Resources for more information. HEALTH AND INSURANCE BENEFITS - Medical, dental, hospital, vision, life and disability coverage is available to employees and their dependents. The County contributes $1,000 of the monthly premiums for the insurance plan options. VACATION ACCRUAL may be adjusted for current city or county government employees. VACATION - 80 hours per year during the first five years of service, 120 hours per year after five years, and additional accruals based on years of service beyond fifteen years. Pro-rated for part-time employees. SICK LEAVE - Accrues at a rate of 96 hours per year. Pro-rated for part-time employees. HOLIDAYS - An average of twelve paid 8-hour holidays per year. Pro-rated for part-time employees. SALARY - Lake County has an adopted salary schedule. The salary range for most classifications is in five increments with a provision for longevity increases. Appointments are normally made at the first step of the salary range. SOCIAL SECURITY - County employees participate in Social Security. CALIFORNIA STATE DISABILITY INSURANCE - SDI is available to some County employees. DEFERRED COMPENSATION PLANS and CREDIT UNION MEMBERSHIPS are available to County employees. Closing Date/Time: Continuous

The Position There is an additional 3.35% Management Differential which is added to the posted salary for this class. This is a continuous filing exam with. The next filing cut-offs are at 5:00 pm on: 2/6/23, 4/3/23, 6/5/23, 8/7/23, 10/2/23, 12/4/23 Effective June 18, 2023, a 4% COLA (Cost of Living Adjustment) will be added to the salary for this class. Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in this series. Incumbents work under general administrative supervision of a higher level Health Program Manager or Facility Manager and receive medical direction as needed from a physician or higher level professional nurse such as a Nurse Practitioner or the designated head of detention facility nursing. The focus of duties is on supervising, planning, organizing and reviewing the operations, programs, personnel of a medical care unit staffed by Registered Nurses, Licenses Vocational Nurses and other support staff. Positions are typically assigned to a detention facility medical services unit. Examples of Knowledge and Abilities Knowledge Of Basic principles and practices of supervision and personnel management Professional registered nursing principles, procedures and techniques State of California laws and regulations on nursing practices Normal course of illnesses and disabilities and their treatment Family planning methods Pre-natal, pregnancy and post-natal medical care, infant and child care, growth and development, including common illnesses Substance abuse symptoms and medical intervention techniques Mental illness symptoms and intervention techniques Symptoms, prevention, reporting requirements and treatment of child and adult abuse and neglect Techniques of planning and conducting classes and training sessions on a variety of health subjects Individual and group counseling techniques Common public and community health care resources Social and economic factors influencing individual and community health Differing cultural, religious and social attitudes about hygiene, family planning, child care and health treatment Proper handling and administering of biologicals Detection and treatment of common communicable diseases, environmentally based illnesses, sexually transmitted diseases and food and water-borne illnesses Standard medical record keeping 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 Supervise and train employees Effectively recommend employee selections, promotions, status changes and other personnel actions Plan, organize and control work of staff Develop and implement policies and procedures for work unit in accordance with department goals, policies and procedures Learn, comply with, and ensure staff compliance with laws, rules, regulations, protocols and procedures, including security requirements, applicable to the work unit Effectively communicate with and gain the cooperation of patients of various social, cultural, economic and educational background Work cooperatively with other health and social service providers and staff of other work units and departments Effectively plan, conduct and participate in in-service education and training programs Maintain patient confidentiality Employment Qualifications Minimum Qualifications : 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. And Either : One (1) year of experience in Sacramento County service as a Registered Nurse or any class requiring registered nurse license. Or : Two (2) years of experience as a registered nurse. 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, certificate/license requirement, applicants must submit proof of requirement (copy of diploma, transcripts, license, or certificate) with the application. Failure to submit proof of requirements may result in disqualification from the examination. Unofficial transcripts are acceptable. Document Required with Application : All applicants MUST record their RN license type, number, and expiration date in the space provided in the Experience and Training section of the application. Special Requirements - Person appointed to this class: May be required to regularly or periodically work evenings, nights, weekends and holidays. Will be subject to a confidential criminal history check and fingerprinting. Will be required to have, or obtain and maintain a valid CPR certificate. May be required to have or obtain a valid hearing testing certificate, emergency first aid certificate and/or other specialty training appropriate to registered nurses and necessary in their job assignment. Note : Some positions in these classes may require the ability to communicate fluently in language other than English in addition to English. 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. EMPLOYEE BENEFITS As an employee of the County of Sacramento, there will be a variety of benefits available to you. These benefits currently include: health, dental and life insurance; flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an employee assistance program (EAP). GENERAL BENEFITS: Most employee benefits are similar to the following for all County employees. However, some benefits differ, depending on the employee representation unit to which the employee's job classification is assigned. Information about the exact benefits applicable to a particular job classification may be obtained from the Sacramento County Department of Benefits or by visiting www.saccountyjobs.net. TEMPORARY POSITIONS: Most benefits do not apply to temporary positions. The explanations of benefits applies to employees in regular positions. SALARY STEP INCREASES: The beginning salary and the top of the salary range are usually shown on the job announcement. Upon satisfactory service, salary increases of approximately 5% are given annually until the top of the salary range has been attained. PAY: All employees are paid bi-weekly via direct deposit into the employee's bank account. The pay period covers fourteen (14) calendar days, starting on a Sunday and ending on the second Saturday thereafter. Salaries are generally paid on the Friday following the end of the pay period. Employees can set up their direct deposit and access their pay information via Employee Self Service in MySacCounty. VACATION: Generally, vacation with pay begins at 10 days annually. With increase over a period of years, the maximum annual vacation with pay is 25 days. HOLIDAYS: 14.5 holidays per year as recognized. SICK LEAVE: Equivalent to 15 days annually, unlimited accumulation. Upon retirement, unused sick leave is converted to retirement service credit. PARENTAL LEAVE: Entitles a regular County employee, with at least one year of continuous employment, to schedule a paid parental leave of up to 160 hours upon the birth or during the process of an adoption of a minor child. Parental leave shall be approved by the employee's appointing authority, except where the granting of the parental leave request would unduly interfere with or cause severe hardship upon department operations. TUITION REIMBURSEMENT: Dependent upon union agreements, regular County employees may be eligible to receive Tuition Reimbursement. The costs for course tuition/registration fees and required books/supplies are eligible for reimbursement. Tuition reimbursement amounts may vary depending upon union agreement. RETIREMENT: Social Security and Sacramento County Employees' Retirement System coverage. HEALTH INSURANCE: The County offers a variety of health plan design options to fit individual needs. DENTAL INSURANCE: The County provides a comprehensive dental benefit program for regular full-time and part-time employees and their eligible dependents. This plan pays on a set fee schedule that varies by procedure. Any amount over the fee schedule is the employee's responsibility. The yearly maximum is $2,000 per person, not including orthodontia. The orthodontic benefit is 50% of covered charges with a lifetime maximum of $1,000 per person. LIFE INSURANCE: The County of Sacramento provides a basic life insurance benefit of $15,000 to all eligible employees at no cost. Additional coverage may be purchased through payroll deduction. DEFERRED COMPENSATION: The County offers a Deferred Compensation Program which enables employees to save in a systematic way without paying income tax on either the payroll deduction or the earned interest, prior to withdrawal. EMPLOYEE ASSISTANCE PROGRAM: The County of Sacramento provides an Employee Assistance Program (EAP) for employees and their eligible dependents. The EAP offers confidential, professional counseling services in areas such as: Legal Advice/Difficult Decisions Marriage or Family Relationships Financial or Credit Worries/Elder Care Alcohol and Drug Abuse WELLNESS INCENTIVE PROGRAM: The County will recognize and award time off to eligible employees who maintain an excellent attendance record. FLEXIBLE SPENDING ACCOUNT: The County offers regular employees two separate Flexible Spending Accounts (FSA's). These accounts allow employees to set money aside, on a pre-tax basis via payroll deduction, to pay for medical, dental or dependent care expenses. DEPENDENT CARE REIMBURSEMENT ACCOUNT: Employees may set aside pre-tax dollars to pay for qualified childcare or dependent care expenses that are necessary for the employee and/or spouse to continue working. MEDICAL REIMBURSEMENT ACCOUNT: The Medical Reimbursement Account allows pre-tax dollars to be set aside to pay for out-of-pocket expenses that are not paid by insurance or reimbursed by any other benefit plan. WORKERS' COMPENSATION: In case of injury while on the job, each employee is protected under the Workers' Compensation laws of California. SACRAMENTO CREDIT UNION: The credit union offers loan facilities and systematic saving plans through payroll deduction. SELECTION AND PLACEMENT Sacramento County encourages applications from all persons regardless of race, color, ancestry, religious creed, national origin, gender, disability, political affiliation, or age. Certain age limits may be required by law, ordinance, or Civil Service direction for specific classifications such as those identified with hazardous occupations. FOR APPLICANTS WITH DISABILITIES ONLY: Every effort is made to provide reasonable accommodations to disabled applicants such as in the selection of test sites, aides, or other equipment which permits the disabled applicants to compete in the examination process. Applicants with disabilities requesting an applicable ADA testing accommodation must complete a Reasonable Accommodation Request Form filled out and signed by the applicant and their doctor. This form must be submitted to the Disability Compliance Office, 700 H Street, Room 5720, Sacramento, CA 95814, by the cut-off date or final filing date as listed in this job announcement. Download the Reasonable Accommodation Request Form by clicking here or contact by mail or in person the Sacramento County Employment Services Division or Disability Compliance Office. MINIMUM QUALIFICATIONS: Please read carefully the "Minimum Qualifications" section of your announcement. You must meet those qualifications by the application deadline date unless otherwise specified. Your application must clearly show you meet the minimum qualifications by the application deadline date, or it will not be accepted. All statements are subject to verification. "Experience" means full-time paid experience unless the announcement states that volunteer experience is acceptable. Part-time paid experience may be accumulated and pro-rated to meet the total experience requirements. PROMOTIONAL EXAMINATIONS: If the announcement indicates the examination is given on a promotional basis, candidates must hold permanent status in Sacramento County Civil Service by the application deadline date and must meet the minimum qualifications. OPEN EXAMINATIONS: Any person who meets the minimum qualifications may apply. CONTINUOUS FILING EXAMINATIONS: Applicants are eligible to reapply to and retake a continuous filing exam after 6 months from the date the previous exam results was received. ELIGIBLE LISTS: Names of qualified persons who made a passing score on an examination are entered, in order of their final grades, on an eligible list. To fill each vacancy, the hiring department will make a selection from among the top three ranks on the employment lists. EXAMINATION RATINGS: Unless otherwise stated on the announcement: To be successful, candidates must obtain a rating of at least 70% on each part of the examination. This may be an adjusted score or an arithmetic 70% of the total possible score as determined by the Director. APPEAL PROCESS: Persons who believe their applications have been improperly rejected may request the Employment Services Division to review its decision to reject the application. If the applicant desires to submit additional proof of qualifications, such proof must be received by Personnel Services not less than two (2) calendar days prior to the scheduled date for the examination. Persons who are disqualified in any phase of the examination may appeal such adverse action, in writing, to the Civil Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: (916) 874-5586 . Such appeals must be filed within thirty (30) calendar days after notice of the adverse action was mailed to the candidate. FOR MORE INFORMATION PLEASE VISIT OUR FREQUENTLY ASKED QUESTIONS (FAQs): https://personnel.saccounty.net/Pages/EmploymentServicesFAQs.aspx OTHER INFORMATION VETERAN'S PREFERENCE: Military veterans who have served during wartime shall be given preference in initial appointment to County service. Such preference shall apply, provided the veteran has first achieved a minimum passing score in the examination. The passing score of a veteran shall be annotated to indicate the veteran's score shall be regarded as 5 points or higher, OR 10 points higher for disabled veterans, only for the purpose of determining the three ranks along with which the veteran's name shall be certified. No score shall actually be changed and no new rank shall be created as a result of application of veteran's preference for certification purposes. "Disabled Veteran" means any veteran who has served during wartime and, who, as of the final filing date for an examination is declared by the United States Veterans Administration or military service department to be 10% or more disabled as a result of his/her military service. Persons claiming eligibility for disabled veteran's preference must submit to the employment office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within 1 year, which certifies the present existence of a service related disability of 10% or more, or other acceptable proof of such disability as a result of his/her military service. Persons claiming eligibility for veterans preference must submit a copy of Form DD 214 or other acceptable proof of veteran's status on or before the final filing date for the examination. For purpose of this rule "reserve" status does not constitute active duty. CITIZENSHIP OR AUTHORIZED ALIEN REQUIREMENT: As required by the Immigration Reform and Control Act, all County employees must be United States citizens or aliens lawfully authorized to work in the United States. Proof of citizenship or authorized status will be required prior to appointment. CONFLICT OF INTEREST CODE: Some County Civil Service positions are covered by financial disclosure requirements intended to identify potential conflicts of interest. CONCURRENT EMPLOYMENT: No employee may concurrently occupy more than one County position. SPECIAL SKILL QUALIFICATIONS (WHEN SPECIFIED ON THE APPLICATION): Persons who have special skills required by some (but not all) positions in a class may be certified ahead of others provided that: Such special skills are based on the duties and requirements of the positions and are in conformance with merit system and equal opportunity principles, and The certification of eligibles who possess special skills have been approved by the Civil Service Commission. PRE-EMPLOYMENT MEDICAL EXAMINATION & DRUG TESTING: The County of Sacramento is committed to maintaining a drug and alcohol free workplace. All persons selected for appointment to positions must pass a medical examination and a drug test, administered by the County at no cost to the applicant. DRIVER LICENSE: Possession of a valid California Driver License may be required for some positions. PROBATIONARY PERIOD: Regular positions are subject to a probationary period which is an extension of the selection process. Unless otherwise indicated on the announcement, the probationary period is six (6) months. AGENCY SHOP/FAIR SHARE FEE: Some positions require, as a condition of continued employment, that the person either: 1. Become a union member; 2. Pay a fair share fee to the union; or, 3. Meet specific requirements under which an equivalent amount must be paid to a charity. FINGERPRINTING AND CRIMINAL RECORD CHECKS: Fingerprinting and criminal record checks are required for some positions. 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 REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. TYPE OF RECRUITMENT OPEN COMPETITIVE JOB OPPORTUNITY * * THIS EXAMINATION WILL USED TO FILL VACANCIES IN THE NORTH COUNTY ONLY * * COVID-19 VACCINATION : All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES : The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four (4) acute hospitals - and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. For additional information regarding DHS please visit www.dhs.lacounty.gov . Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. MISSION: To advance the health of our patients and our communities by providing extraordinary care. DEFINITION: This proficient level class provides 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 adjusts patient/family education based on identified learning needs utilizing available teaching resources 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 patient educational 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-time registered nursing experience*. Three years of experience must be at the level of the Los Angeles County 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 experience must 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. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/ or certification(s) must be active and unrestricted. ***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. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add mteran1@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. ELIGIBILITY INFORMATION: Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to the eligible register accordingly. The names of candidates will be placed on the eligible register in the order of their score group 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. 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 or rescission 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, and description of work performed, 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 Martha Teran at mteran1@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) 914-6365 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT Martha Teran, Exam Analyst HR ESC phone number is (213) 288-7000 mteran1@dhs.lacounty.gov Closing Date/Time: Continuous

The Position This is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 1/10/23, 4/11/23, 7/11/23, 10/10/23 Effective June 18, 2023, a 4% COLA (Cost of Living Adjustment) will be added to the salary for this class. Note: Vacancies may be permanent or intermittent on-call. Level I - $7,320.18 - $8,898.33 Level II - $7,666.42 - $9,317.70 Registered Nurse Level I/II 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 maintain 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 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. (Notes: 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.) 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.) Note: 1) The level at which initial appointments to this class 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 appointment authority. 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 : 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. Special Requirements Persons appointed to these classes may be required to regularly or periodically work evenings, nights, and weekends and holidays.Persons appointed to these classes may be subject to a confidential criminal history check and fingerprinting.Persons appointed to these classes will be required to have, or obtain, and maintain a valid CPR certificate.Persons appointed to these classes 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 may require the ability to communicate fluently in a language other than English, in addition to English. 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 Email EmployOffice@Saccounty.net 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 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 EMPLOYEE BENEFITS As an employee of the County of Sacramento, there will be a variety of benefits available to you. These benefits currently include: health, dental and life insurance; flexible spending account options for dependent care and unreimbursed dental and/or medical cost; and an employee assistance program (EAP). GENERAL BENEFITS: Most employee benefits are similar to the following for all County employees. However, some benefits differ, depending on the employee representation unit to which the employee's job classification is assigned. Information about the exact benefits applicable to a particular job classification may be obtained from the Sacramento County Department of Benefits or by visiting www.saccountyjobs.net. TEMPORARY POSITIONS: Most benefits do not apply to temporary positions. The explanations of benefits applies to employees in regular positions. SALARY STEP INCREASES: The beginning salary and the top of the salary range are usually shown on the job announcement. Upon satisfactory service, salary increases of approximately 5% are given annually until the top of the salary range has been attained. PAY: All employees are paid bi-weekly via direct deposit into the employee's bank account. The pay period covers fourteen (14) calendar days, starting on a Sunday and ending on the second Saturday thereafter. Salaries are generally paid on the Friday following the end of the pay period. Employees can set up their direct deposit and access their pay information via Employee Self Service in MySacCounty. VACATION: Generally, vacation with pay begins at 10 days annually. With increase over a period of years, the maximum annual vacation with pay is 25 days. HOLIDAYS: 14.5 holidays per year as recognized. SICK LEAVE: Equivalent to 15 days annually, unlimited accumulation. Upon retirement, unused sick leave is converted to retirement service credit. PARENTAL LEAVE: Entitles a regular County employee, with at least one year of continuous employment, to schedule a paid parental leave of up to 160 hours upon the birth or during the process of an adoption of a minor child. Parental leave shall be approved by the employee's appointing authority, except where the granting of the parental leave request would unduly interfere with or cause severe hardship upon department operations. TUITION REIMBURSEMENT: Dependent upon union agreements, regular County employees may be eligible to receive Tuition Reimbursement. The costs for course tuition/registration fees and required books/supplies are eligible for reimbursement. Tuition reimbursement amounts may vary depending upon union agreement. RETIREMENT: Social Security and Sacramento County Employees' Retirement System coverage. HEALTH INSURANCE: The County offers a variety of health plan design options to fit individual needs. DENTAL INSURANCE: The County provides a comprehensive dental benefit program for regular full-time and part-time employees and their eligible dependents. This plan pays on a set fee schedule that varies by procedure. Any amount over the fee schedule is the employee's responsibility. The yearly maximum is $2,000 per person, not including orthodontia. The orthodontic benefit is 50% of covered charges with a lifetime maximum of $1,000 per person. LIFE INSURANCE: The County of Sacramento provides a basic life insurance benefit of $15,000 to all eligible employees at no cost. Additional coverage may be purchased through payroll deduction. DEFERRED COMPENSATION: The County offers a Deferred Compensation Program which enables employees to save in a systematic way without paying income tax on either the payroll deduction or the earned interest, prior to withdrawal. EMPLOYEE ASSISTANCE PROGRAM: The County of Sacramento provides an Employee Assistance Program (EAP) for employees and their eligible dependents. The EAP offers confidential, professional counseling services in areas such as: Legal Advice/Difficult Decisions Marriage or Family Relationships Financial or Credit Worries/Elder Care Alcohol and Drug Abuse WELLNESS INCENTIVE PROGRAM: The County will recognize and award time off to eligible employees who maintain an excellent attendance record. FLEXIBLE SPENDING ACCOUNT: The County offers regular employees two separate Flexible Spending Accounts (FSA's). These accounts allow employees to set money aside, on a pre-tax basis via payroll deduction, to pay for medical, dental or dependent care expenses. DEPENDENT CARE REIMBURSEMENT ACCOUNT: Employees may set aside pre-tax dollars to pay for qualified childcare or dependent care expenses that are necessary for the employee and/or spouse to continue working. MEDICAL REIMBURSEMENT ACCOUNT: The Medical Reimbursement Account allows pre-tax dollars to be set aside to pay for out-of-pocket expenses that are not paid by insurance or reimbursed by any other benefit plan. WORKERS' COMPENSATION: In case of injury while on the job, each employee is protected under the Workers' Compensation laws of California. SACRAMENTO CREDIT UNION: The credit union offers loan facilities and systematic saving plans through payroll deduction. SELECTION AND PLACEMENT Sacramento County encourages applications from all persons regardless of race, color, ancestry, religious creed, national origin, gender, disability, political affiliation, or age. Certain age limits may be required by law, ordinance, or Civil Service direction for specific classifications such as those identified with hazardous occupations. FOR APPLICANTS WITH DISABILITIES ONLY: Every effort is made to provide reasonable accommodations to disabled applicants such as in the selection of test sites, aides, or other equipment which permits the disabled applicants to compete in the examination process. Applicants with disabilities requesting an applicable ADA testing accommodation must complete a Reasonable Accommodation Request Form filled out and signed by the applicant and their doctor. This form must be submitted to the Disability Compliance Office, 700 H Street, Room 5720, Sacramento, CA 95814, by the cut-off date or final filing date as listed in this job announcement. Download the Reasonable Accommodation Request Form by clicking here or contact by mail or in person the Sacramento County Employment Services Division or Disability Compliance Office. MINIMUM QUALIFICATIONS: Please read carefully the "Minimum Qualifications" section of your announcement. You must meet those qualifications by the application deadline date unless otherwise specified. Your application must clearly show you meet the minimum qualifications by the application deadline date, or it will not be accepted. All statements are subject to verification. "Experience" means full-time paid experience unless the announcement states that volunteer experience is acceptable. Part-time paid experience may be accumulated and pro-rated to meet the total experience requirements. PROMOTIONAL EXAMINATIONS: If the announcement indicates the examination is given on a promotional basis, candidates must hold permanent status in Sacramento County Civil Service by the application deadline date and must meet the minimum qualifications. OPEN EXAMINATIONS: Any person who meets the minimum qualifications may apply. CONTINUOUS FILING EXAMINATIONS: Applicants are eligible to reapply to and retake a continuous filing exam after 6 months from the date the previous exam results was received. ELIGIBLE LISTS: Names of qualified persons who made a passing score on an examination are entered, in order of their final grades, on an eligible list. To fill each vacancy, the hiring department will make a selection from among the top three ranks on the employment lists. EXAMINATION RATINGS: Unless otherwise stated on the announcement: To be successful, candidates must obtain a rating of at least 70% on each part of the examination. This may be an adjusted score or an arithmetic 70% of the total possible score as determined by the Director. APPEAL PROCESS: Persons who believe their applications have been improperly rejected may request the Employment Services Division to review its decision to reject the application. If the applicant desires to submit additional proof of qualifications, such proof must be received by Personnel Services not less than two (2) calendar days prior to the scheduled date for the examination. Persons who are disqualified in any phase of the examination may appeal such adverse action, in writing, to the Civil Service Commission, 700 H Street, Room 2640, Sacramento, CA 95814, telephone: (916) 874-5586 . Such appeals must be filed within thirty (30) calendar days after notice of the adverse action was mailed to the candidate. FOR MORE INFORMATION PLEASE VISIT OUR FREQUENTLY ASKED QUESTIONS (FAQs): https://personnel.saccounty.net/Pages/EmploymentServicesFAQs.aspx OTHER INFORMATION VETERAN'S PREFERENCE: Military veterans who have served during wartime shall be given preference in initial appointment to County service. Such preference shall apply, provided the veteran has first achieved a minimum passing score in the examination. The passing score of a veteran shall be annotated to indicate the veteran's score shall be regarded as 5 points or higher, OR 10 points higher for disabled veterans, only for the purpose of determining the three ranks along with which the veteran's name shall be certified. No score shall actually be changed and no new rank shall be created as a result of application of veteran's preference for certification purposes. "Disabled Veteran" means any veteran who has served during wartime and, who, as of the final filing date for an examination is declared by the United States Veterans Administration or military service department to be 10% or more disabled as a result of his/her military service. Persons claiming eligibility for disabled veteran's preference must submit to the employment office, on or before the application deadline date, a certification from the United States Veterans Administration or a military service department, dated within 1 year, which certifies the present existence of a service related disability of 10% or more, or other acceptable proof of such disability as a result of his/her military service. Persons claiming eligibility for veterans preference must submit a copy of Form DD 214 or other acceptable proof of veteran's status on or before the final filing date for the examination. For purpose of this rule "reserve" status does not constitute active duty. CITIZENSHIP OR AUTHORIZED ALIEN REQUIREMENT: As required by the Immigration Reform and Control Act, all County employees must be United States citizens or aliens lawfully authorized to work in the United States. Proof of citizenship or authorized status will be required prior to appointment. CONFLICT OF INTEREST CODE: Some County Civil Service positions are covered by financial disclosure requirements intended to identify potential conflicts of interest. CONCURRENT EMPLOYMENT: No employee may concurrently occupy more than one County position. SPECIAL SKILL QUALIFICATIONS (WHEN SPECIFIED ON THE APPLICATION): Persons who have special skills required by some (but not all) positions in a class may be certified ahead of others provided that: Such special skills are based on the duties and requirements of the positions and are in conformance with merit system and equal opportunity principles, and The certification of eligibles who possess special skills have been approved by the Civil Service Commission. PRE-EMPLOYMENT MEDICAL EXAMINATION & DRUG TESTING: The County of Sacramento is committed to maintaining a drug and alcohol free workplace. All persons selected for appointment to positions must pass a medical examination and a drug test, administered by the County at no cost to the applicant. DRIVER LICENSE: Possession of a valid California Driver License may be required for some positions. PROBATIONARY PERIOD: Regular positions are subject to a probationary period which is an extension of the selection process. Unless otherwise indicated on the announcement, the probationary period is six (6) months. AGENCY SHOP/FAIR SHARE FEE: Some positions require, as a condition of continued employment, that the person either: 1. Become a union member; 2. Pay a fair share fee to the union; or, 3. Meet specific requirements under which an equivalent amount must be paid to a charity. FINGERPRINTING AND CRIMINAL RECORD CHECKS: Fingerprinting and criminal record checks are required for some positions. Closing Date/Time: Continuous

REGISTERED NURSE I: $7,290.08 - $10,912.31 MONTHLY RELIEF NURSE: $57.41 to $60.60 DEPARTMENT OF HEALTH SERVICES FILING DATES: 2/9/22, 8:00 A.M., PT, UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. EXAM NUMBER: YELRN4 OPEN COMPETITIVE JOB OPPORTUNITY COVID-19 Vaccination Mandate All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four acute care hospitals - and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. For additional information regarding DHS, please visit www.dhs.lacounty.gov . MISSION: To advance the health of our patients and our communities by providing extraordinary care. CLASSIFICATION STANDARDS: Positions allocable to this class typically report to higher-level nurses or providers. Incumbents apply recognized nursing principles and practices in providing professional nursing care and/or services under close 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. Incumbents serve as professional role models 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. DEFINITION: This class provides professional nursing care and services to 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. 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 Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association. 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. 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. 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 Certification and License Section of the application is completed. Provide the title(s) of your required license(s) and/or certification(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license(s) and certificate(s) 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. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted. Successful candidates are required to provide proof of their Registered Nurse (RN) License and Basic Life Support (BLS) Certificate from the American Heart Association during the selection interview process. Candidates who do not provide proof of the required RN License and BLS, will be removed from the eligible register. Additional Information Additional Information EXAMINATION CONTENT: This examination will consist of a multiple-choice and/or simulation assessment weighted 100% covering: Responsibility Fostering Team Cohesion Working Relationships Analyzing Information Learning Quickly Generating New Ideas Graduate Potential Using Time Efficiently Working to High Quality Standards Adapting to Change Coping with Setbacks and Criticism Striving to Achieve After filing an application online, candidates will receive a link via email to take an unproctored online multiple-choice work-style assessment (WSA). Applications received by 2:00 PM, PT, will receive the link for the WSA the same day. Applications received after 2:00 PM, PT, or on Saturday or Sunday, will receive the link the next business day. It is suggested that you plan to submit your online application well in advance of the 2:00 PM, PT, deadline to receive the WSA link the same day. Applicants who pass the WSA will be added to the eligible register. Applicants who fail the WSA will be allowed to retake it 30 days from their failed attempt. Applicants must meet the Selection Requirements and pass the WSA with a score of 70% or higher to be added to the eligible register. MULTIPLE CHOICE AND/OR SIMULATION ASSESSMENTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19. TRANSFER OF ASSESSMENT AND/OR SIMULATION COMPONENTS: Applicants who have taken identical components recently for other exams may have their scores automatically transferred to this examination. This examination contains assessment and/or simulation components that may be used in the future for new examinations and your assessment and/or simulation scores may be transferred. EXAM PREPARATION: Study guides and other assessment and/or simulation preparation resources are available to help candidates prepare for employment exams. While the guides will help you prepare for the exam, we advise you to review all related materials that you deem necessary. An interactive, Online Test Preparation System for taking practice exams may be accessed on the Department of Human Resources website at http://hr.lacounty.gov/ . Please click on "Find A Job" and then "Job Search Toolkit." Exam preparation information is located under the "Employment Test Assistance" section. Additional online practice exams are available at https://www.shldirect.com/en-us/practice-tests/ . You may also access test preparation materials for the computerized portion of the test by going to the website: https://www.shldirect.com/en/practice-tests. 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 for a period of twelve (12) months following the date of eligibility. Persons who pass the multiple-choice test may not compete in this examination more than once every twelve (12) months from the date they are added to the eligible register. If you have applied and did not meet the Requirements at the time of filing, or if you are not successful in passing the multiple-choice test, you may reapply 30 days from the date of your failed attempt. 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: Various 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., PT, on the last day of filing will not be accepted. Apply online by clicking the green "APPLY" button at the top right of this posting. You can also track the status of your application using this website. Applicants may be required/prompted to verify their email address when logging on to file an application. This only needs to be done once per email address, and if you already have a job seeker account on www.governmentjobs.com.careers/lacounty, you can verify at any time by logging in and following the prompts. This feature is to enhance the security of your online application and to ensure you do not enter an incorrect email address. This examination will remain open until the needs of the service are met. Application filing may be suspended at any time with or without advanced notice. Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS . Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. DO NOT GROUP YOUR EXPERIENCE . For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected. IMPORTANT NOTES: 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 the Class Specification and Selection Requirements serving as your description of duties WILL NOT be enough to demonstrate that you meet the requirements. Doing so may result in an INCOMPLETE APPLICATION and you may be DISQUALIFIED . SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. NO SHARING 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. 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. L. A. County Public Library has announced they are reopening some libraries with limited hours access throughout L. A. County. Refer to their website at https://lacountylibrary.org/reopening/ for more information. FAIR CHANCE INITIATIVE : The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. ADA COORDINATOR: (323) 914-6365 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Darlene Beamon-Thomas, Exam Analyst (213) 288-7000 Dbeamon-thomas@dhs.lacounty.gov Closing Date/Time:

Job Posting Title Registered Nurse II - Temporary Agency 340 OKLAHOMA STATE DEPARTMENT OF HEALTH Supervisory Organization 340 District 6 Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Part time Job Type Temporary Compensation The salary for this position isup to $29.10 an hour based on education and experience. Job Description The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. We value respect, collaboration, and service. OSDH is seeking a part-time Registered Nurse II providing support to Seminole County Health Department. This is a state employee position pin #34003651 governed by the Civil Service Rules , located in Wewoka, Oklahoma.The salary for this position isup to $29.10 an hour based on education and experience. Position Summary: Provide direct or indirect professional nursing services in a variety of settings. This includes providing nursing assessments, planning, interventions, evaluations, health related education, case management, and execution of the medical regime including administering medications and treatments prescribed by any person authorized to prescribe by state law. In addition, this position will serve to meet the expanded need in response to the COVID-19 pandemic. Position Responsibilities/Essential Functions: Assess health status of individuals, families, and communities; develops plans and implements appropriate nursing interventions. Evaluate and determine health resources necessary to meet individual, family and community health needs. Deliver professional nursing care in an assigned unit, clinic, home, or other setting. Educate individuals, families, communities, and members of the health care team about the principles of disease prevention and health promotion. Delegate tasks as may safely be performed by others, consistent with educational preparation and that do not conflict with the provisions of the Oklahoma Nursing Practice Act. Assure quality health care through use of various measures such as record review, peer review, direct observation, and assessment of individual, family, and community for the desired outcome. Perform specialized nursing functions as educationally prepared. Other duties as assigned. Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior. Works effectively in team environment, participating and assisting their peers. Minimum Qualifications: Requirements consist of possession of a valid Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) and one year of professional nursing experience, or, a Bachelor's in Nursing and possession of a valid permanent Oklahoma license as a Registered Nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC). Valued Knowledge, Skills and Abilities: Required at this level include knowledge of professional nursing theory, practices, and techniques; of health promotion and disease prevention; of nursing management of available health care resources; of nutrition and diet therapy; and of the functions of various clinical departments. Ability is required to assist in the development, organization, and implementation of an effective nursing care plan; to provide education and training; to assess condition and needs of patients, families and communities appropriate to the care setting; to take appropriate intervention; to counsel and teach patients and families; and to provide direction or guidance to non-licensed personnel in assigned area of responsibility to ensure quality care. Physical Demands and Work Environment: Must be able to move to provide examinations 80% of the time. Combination of office, vehicle, and homes. May be exposed to communicable diseases, bodily fluids, toxic substances, and medicinal preparations. Hepatitis B vaccination and TB test required. Varied activities including sitting, walking, stooping, lifting, bending, pushing, and reaching. Exposed to inclement weather conditions while driving to and from office, homes and daycares. Travel Requirements: Work related travel required. APPLICATION REQUIREMENTS: If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of interview. All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship. FOR ADDITIONAL INFORMATION ABOUT WORKING AT THE OKLAHOMA STATE DEPARTMENT OF HEALTH CLICK HERE Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current State of Oklahoma employees must apply for open positions through their Workday account. Go to Careers app on WD home screen>Click on 'Find Jobs-Internal State of Oklahoma'.

Job Posting Title Registered Nurse II Agency 340 OKLAHOMA STATE DEPARTMENT OF HEALTH Supervisory Organization 340 District 6 Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation The annual salary for this position is up to $60,531.46, based on education and experience. Job Description The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. We value respect, collaboration, and service. OSDH is seeking a full-time Registered Nurse II providing support to Pottawatomie County Health Department. This is a state employee position PIN 34003059 governed by the Civil Service Rules , in state government located in Shawnee, Oklahoma. OSDH offers a comprehensive Benefits packet,including a generous benefit allowance to offset the cost of insurance premiums for employees and their eligible dependents. For more information about the benefit allowance, follow this link Plan Year 2023 . The annual salary for this position isup to $60,531.46 based on education and experience. Position Summary: Provide direct or indirect professional nursing services in a variety of settings. This includes providing nursing assessments, planning, interventions, evaluations, health related education, case management, and execution of the medical regime including administering medications and treatments prescribed by any person authorized to prescribe by state law. In addition, this position will serve to meet the expanded need in response to the COVID-19 pandemic. Position Responsibilities /Essential Functions: Assesses health status of individuals, families, and communities; develops plans and implements appropriate nursing interventions. Evaluates and determines health resources necessary to meet individual, family and community health needs. Delivers professional nursing care in an assigned unit, clinic, home, or other setting. Educates individuals, families, communities, and members of the health care team about the principles of disease prevention and health promotion. Provides supervision to other professional or paraprofessional personnel; collaborates with other professionals in the management of health care. Delegate tasks that may safely be performed by others, consistent with educational preparation and that do not conflict with the provisions of the Oklahoma Nursing Practice Act. Assures quality health care through use of various measures such as record review, peer review, direct observation, and assessment of individual, family, and community for the desired outcome. Performs specialized nursing functions as educationally prepared. Other duties as assigned . Other Duties: Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior. Works effectively in team environment, participating and assisting their peers. Minimum Qualifications: Requirements consist of possession of a valid Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) and one year of professional nursing experience, or, a Bachelor's in Nursing and possession of a valid permanent Oklahoma license as a Registered Nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC). Valued Knowledge, Skills and Abilities: Required at this level include knowledge of professional nursing theory, practices, and techniques; of health promotion and disease prevention; of nursing management of available health care resources; of nutrition and diet therapy; and of the functions of various clinical departments. Ability is required to assist in the development, organization, and implementation of an effective nursing care plan; to provide education and training; to assess condition and needs of patients, families and communities appropriate to the care setting; to take appropriate intervention; to counsel and teach patients and families; and to provide direction or guidance to non-licensed personnel in assigned area of responsibility to ensure quality care. In addition, this job requires, knowledge of available health programs and resources; of federal and state rules and regulations concerning health services; of accreditation, certification and licensure standards; of preventive health practices; of principles and methods of teaching; of nursing standards; and of nursing policies and procedures. Ability is required to develop, plan, and implement an effective nursing care program and to provide education and training. Physical Demands and Work Environment: Must be able to move to provide examinations 80% of the time. Combination of office and exam offices. May be exposed to communicable diseases, bodily fluids, toxic substances, and medicinal preparations. Varied activities including sitting, walking, stooping, lifting, bending, pushing, and reaching. Travel Requirements: Work related travel required. Applicant must be willing to perform all job-related travel associated with this position. APPLICATION REQUIREMENTS: If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of interview. All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship. FOR ADDITIONAL INFORMATION ABOUT WORKING AT THE OKLAHOMA STATE DEPARTMENT OF HEALTH CLICK HERE Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current State of Oklahoma employees must apply for open positions through their Workday account. Go to Careers app on WD home screen>Click on 'Find Jobs-Internal State of Oklahoma'.

Job Posting Title Registered Nurse II Agency 340 OKLAHOMA STATE DEPARTMENT OF HEALTH Supervisory Organization 340 District 6 Job Posting End Date (Continuous if Blank) Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation The annual salary for the position is up to $60,531.46 based on education and experience. Job Description The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. We value respect, collaboration, and service. OSDH is seeking a full-time Registered Nurse II providing support to McClain County Health Department. This is a state employee position PIN 34002017 governed by the Civil Service Rules , in state government located in Blanchard, Oklahoma. OSDH offers a comprehensive Benefits packet,including a generous benefit allowance to offset the cost of insurance premiums for employees and their eligible dependents. For more information about the benefit allowance, follow this link Plan Year 2023 . The annual salary for this position isup to $60,531.46 based on education and experience. Position Summary: Provide direct or indirect professional nursing services in a variety of settings. This includes providing nursing assessments, planning, interventions, evaluations, health related education, case management, and execution of the medical regime including administering medications and treatments prescribed by any person authorized to prescribe by state law. In addition, this position will serve to meet the expanded need in response to the COVID-19 pandemic. Position Responsibilities /Essential Functions: Assesses health status of individuals, families, and communities; develops plans and implements appropriate nursing interventions. Evaluates and determines health resources necessary to meet individual, family and community health needs. Delivers professional nursing care in an assigned unit, clinic, home, or other setting. Educates individuals, families, communities, and members of the health care team about the principles of disease prevention and health promotion. Provides supervision to other professional or paraprofessional personnel; collaborates with other professionals in the management of health care. Delegate tasks that may safely be performed by others, consistent with educational preparation and that do not conflict with the provisions of the Oklahoma Nursing Practice Act. Assures quality health care through use of various measures such as record review, peer review, direct observation, and assessment of individual, family, and community for the desired outcome. Performs specialized nursing functions as educationally prepared. Other duties as assigned . Other Duties: Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior. Works effectively in team environment, participating and assisting their peers. Minimum Qualifications: Requirements consist of possession of a valid Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) and one year of professional nursing experience, or, a Bachelor's in Nursing and possession of a valid permanent Oklahoma license as a Registered Nurse as approved by the Oklahoma Board of Nursing or, Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC). Valued Knowledge, Skills and Abilities: Required at this level include knowledge of professional nursing theory, practices, and techniques; of health promotion and disease prevention; of nursing management of available health care resources; of nutrition and diet therapy; and of the functions of various clinical departments. Ability is required to assist in the development, organization, and implementation of an effective nursing care plan; to provide education and training; to assess condition and needs of patients, families and communities appropriate to the care setting; to take appropriate intervention; to counsel and teach patients and families; and to provide direction or guidance to non-licensed personnel in assigned area of responsibility to ensure quality care. In addition, this job requires, knowledge of available health programs and resources; of federal and state rules and regulations concerning health services; of accreditation, certification and licensure standards; of preventive health practices; of principles and methods of teaching; of nursing standards; and of nursing policies and procedures. Ability is required to develop, plan, and implement an effective nursing care program and to provide education and training. Physical Demands and Work Environment: Must be able to move to provide examinations 80% of the time. Combination of office and exam offices. May be exposed to communicable diseases, bodily fluids, toxic substances, and medicinal preparations. Varied activities including sitting, walking, stooping, lifting, bending, pushing, and reaching. Travel Requirements: Work related travel required. Applicant must be willing to perform all job-related travel associated with this position. APPLICATION REQUIREMENTS: If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of interview. All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship. FOR ADDITIONAL INFORMATION ABOUT WORKING AT THE OKLAHOMA STATE DEPARTMENT OF HEALTH CLICK HERE Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current State of Oklahoma employees must apply for open positions through their Workday account. Go to Careers app on WD home screen>Click on 'Find Jobs-Internal State of Oklahoma'.

The Job EXCELLENT TRAINING OPPPORTUNITY FOR NEW GRADS! *Salary increases contingent upon assessed values for previous fiscal year. The San Bernardino County Sheriff's Department Health Services Division employs professional staff with extensive skills providing healthcare to correctional patients of the San Bernardino County Sheriff's Department and is recruiting for caring and compassionate Registered Nurses determined to make a positive difference in healthcare, one patient at a time. Experienced and entry level Registered Nurses excited about the specialty field of correctional healthcare are encouraged to apply. Correctional healthcare offers a safe environment and a wide variety of experiences with clinical opportunities to develop extensive nursing skills in the areas of assessment, routine, urgent, and emergent healthcare. Opportunities to work with specialty services include orthopedics, GI, dialysis, women's health, oncology, oral surgery, wound care, rehabilitation, ophthalmology, etc. Nurses passionate about professional healthcare and patient education improve the lives and functioning of this unique patient population. There are many patients with chronic conditions identified that benefit from disease management, medication administration and lifestyle changing education. Apply today for an opportunity to join the proud legacy of the San Bernardino County Sheriff's Health Services Division. To learn more about the position, salary and benefits review the Nurse's Unit and Per Diem Nurse's Unit Memoranda of Understanding. CURRENT VACANCIES exist in the Sheriff's Department. The resulting eligibility list may be used to fill future vacancies in the Probation Department. We are also accepting applications for Registered Nurse II - Corrections, which require a separate application. *Official Title: Correctional Nurse I For more detailed information, view the Correctional Nurse I job description. THE DEPARTMENT The Sheriff's Health Services Division strives for excellence and professionalism, individually, and as a team. Extensive initial orientation and ongoing training is provided to entry level and experienced Registered Nurses to develop the clinical skills specific for correctional healthcare with post orientation mentoring. Correctional Registered Nurses work closely with Sheriff's custody staff as part of a team of partners in healthcare including physicians, dentists, specialists, mental health professionals, and support staff. The department offers a safe working environment, complimentary meals during working hours and an onsite gym. CONDITIONS OF EMPLOYMENT Certification: Must possess and maintain a current Basic Life Support certification. Shift: Must be available to work various 8-12 hour shifts on a 24 hour basis, which include day, night, swing, rotating, holidays and weekends. A shift differential of $2.25 per hour evening shift and $3.75 per hour night shift applies. Background: Candidates must not have been convicted of a felony and must successfully pass an extensive background investigation which includes a fingerprint check and polygraph . Physical Demands: Incumbents will be required to immediately respond to emergency situations while on duty which may involve hostile and volatile wards and inmates. Requires the following physical demands: balancing, bending, climbing, crawling, kneeling, sitting, squatting, standing, stooping, turning, twisting and walking long distances both indoors and outdoors in various weather conditions; hand and finger dexterity in both hands; ability to manipulate heavy duty security locks and doors; reaching or working above and below shoulder level; normal vision, including color discrimination; normal hearing; and carrying up to 10 pounds. Working Conditions: Working conditions involve exposure to hazardous and infectious materials and communicable diseases. Travel: Travel throughout the County may be required. Employees will be required to make provision for transportation. At the time of hire, a valid California Class C driver license and proof of automobile liability insurance must be produced for the individual providing the transportation. Promotion: Incumbents in the class of Correctional Nurse I are eligible for promotion to Correctional Nurse II upon meeting the minimum qualifications and upon receipt of a satisfactory work progress report . Employees must qualify for promotion to Correctional Nurse II within 12 months or be terminated. Interim Permit incumbents must successfully pass the NCLEX examination within six (6) months or may be terminated. COVID-19 Vaccination and Booster: In compliance with the California Department of Public Health (CDPH) COVID-19 vaccine requirements for health care workers in correctional facilities and detention centers, the County requires such employees to be fully vaccinated and boosted for COVID-19. Candidates will be required to submit proof of vaccination including the booster dose upon hire. A request for exemption from the vaccination and booster requirements may be submitted based on either religious belief or medical reasons. However, effective April 3, 2023, the vaccination and booster mandate will no longer be required. Minimum Requirements License: Must possess and maintain a current registered nurse Interim Permit or a license as a Registered Nurse in the State of California. -AND- Certification: Must possess a Basic Life Support (BLS) certification at the time of hire and maintain the certification. No experience required Selection Process There will be a competitive evaluation of your qualifications based on a review of the application material and supplemental questionnaire. It is to your advantage to be complete and thorough in your responses, do not refer to a resume as they will not be reviewed , only the most highly qualified applicants will be referred to the Department. Application Procedure: Applications are reviewed weekly. The recruitment may close at any time once a sufficient number of qualified applications are received. All communications regarding the selection process will be via e-mail. Applicants are encouraged to check their e-mail frequently to learn additional information regarding this recruitment. Check your Government Jobs account for notifications. Update your firewalls to allow e-mails from San Bernardino County through governmentjobs.com. Update your Spam, Junk, and Bulk settings to ensure it will not spam/block/filter communications from e-mail addresses with the following domain "@hr.sbcounty.gov". Finally, be sure to keep your personal information updated. Taking these steps now will help ensure you receive all communications regarding this recruitment. To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. Please note, if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application we have not received your application. If you require technical assistance , please click HERE to review the Government Jobs online application guide , or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the internet connection, computer or browser used to submit the application. EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants. ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline. Veterans' Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans' Preference points. Click here for information and instructions to request Veteran's Preference points. Please click HERE for important Applicant Information and the County Employment Process Closing Date/Time: Continuous

FIRST DAY OF FILING: December 17, 2020 at 8:00 a. m. (PST) Until the needs of the services are met and is subject to closure without prior notice. This announcement is being reposted to update the Transfer of Test Components information. EXAM NUMBER - Y5139B TYPE OF RECRUITMENT - OPEN COMPETITIVE JOB OPPORTUNITY The County of Los Angeles is currently offering a 20% bonus for full-time REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) hired by Correctional Health Services and working on-site in a designated facility to meet critical healthcare needs for the uniquely underserved jail population. COVID-19 VACCINATION: All Department of Health Services workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. We currently have 4 acute hospitals, 25 health centers, $6.9 billion dollar budget and 23,000 employees. For additional information regarding DHS please visit www.dhs.lacounty.gov . Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. THE MISSION: " To advance the health of our patients and our communities by providing extraordinary care" 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 care and services to inmate patients in Correctional Health facility. 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. Seek 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 members 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 ALCU inquiries, third party complaints, inmate complaints and court orders by providing complete and accurate information in accordance with departmental policies and procedures. 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 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 assessing the patient. Identifies economic, educational, and cultural barriers; spiritual influences; and age specific and biophysical needs. Reviews all available information, including medical records, 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 assessment in accordance with provider orders and/or approved departmental standardized procedures. Identifies nursing care objectives and makes appropriate referrals. 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 coordination with identified sources for discharge when available. Identifies appropriate tools and/or teaching methods for patient education. 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 appropriate. Intervenes when situations call for immediate action. 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 communicates the 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 transportation when needed to carry out job-related essential functions. Additional Information EXAMINATION CONTENT: This examination will consist of a multiple choice test, weighted 100%, covering the following areas: • Professional Potential • Achievement • Working Relationships • Analyzing Information • Learning Quickly • Generating New Ideas • Using Time Efficiently • Working to High Quality Standards • Adapting to Change • Coping with Uncertainty • Willingness to Learn • Responsibility • Deductive Reasoning NOTES: Applicants MUST MEET the SELECTION REQUIREMENT S and ACHIEVE a passing score of 70% or higher on the multiple choice test in order to be placed on the Eligible Register. MULTIPLE CHOICE TESTS ARE NOT REVIEWABLE BY CANDIDATES PER CIVIL SERVICE RULE 7.19. Test scores cannot be given over the phone. 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. TRANSFER OF TEST COMPONENTS: Applicants who have taken identical components recently for other exams may have their scores automatically transferred to this examination. This examination contains test components that may be used in the future for new examinations and your test scores may be transferred. TEST PREPARATION Study guides and other test preparation resources are available to help candidates prepare for employment tests. While the guides will help in preparing for the test, we advise you to review all related materials that you deem necessary. 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 " Find a Job" and then "Job Search Toolkit." Test Preparation Information is located under the "Employment Test Assistance" section. Additional practice tests are available at https://www.shldirect.com/en/practice-tests/ . Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add ibelmont@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. Applicants have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County. Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices. It is your responsibility to take the above steps to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test administration or rescheduling of a test component. 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. 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 . 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 may email the documents to the exam analyst, within 15 calendar days of filing online. Please include the exam number and the exam title. SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. 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 TELETYPE PHONE: (800) 899-4099 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Jessica Hernandez Gutierrez, Exam Analyst Telephone Number : (213) 288-7000 Email Address: jhernandezgutierrez@dhs.lacounty.gov Closing Date/Time:

OPEN NON-COMPETITIVE JOB OPPORTUNITY EXAM NUMBER : Y5135L FILING START DATE : 02/23/22 AT 08:00 A.M., PT FILING DATES: 02/23/22, 8:00 A.M., PT, UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. COVID-19 VACCINATION MANDATE : All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES : The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four (4) acute hospitals and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion. Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing. For additional information regarding DHS please visit www.dhs.lacounty.gov MISSION : To advance the health of our patients and our communities by providing extraordinary care. DEFINITION : This experienced level class provides professional nursing care and services to patients in a variety of settings. 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 Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association. -AND- 3. Six years of full-time r egistered nursing experience*. Three years of experience must be at the level of the Los Angeles County classification Registered Nurse II**. LICENSE AND CERTIFICATION INFORMATION : 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 license as specified in the Selection Requirements. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/ or certification(s) must be active and unrestricted. The 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 . 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. Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application without the required license number will not be considered. A current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association. 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 date. Applications submitted without the required evidence of BLS certification will be rejected. NOTE : If you are unable to attach documents to your application, you may email the documents to Martha Teran at mteran1@dhs.lacounty.gov within fifteen (15) calendar days of filing online or you will be rejected. Please include your full name (as it appears on your application), the exam number, and the exam title in the email message . 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 is defined as a minimum of 36 hours worked per week and must be post-license only. **For this examination, 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. Additional Information EXAMINATION CONTENT: An evaluation of training and experience based on application and supplemental questionnaire information weighted 100%. This is a noncompetitive examination. This examination is intended to merely qualify applicants. Applicants will be placed on an eligible register without indication of relative standing in the examination. 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 who qualify will be added to the eligible register for a period of twelve (12) months from the date of promulgation. 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. No person may compete in this examination more than once every twelve (12) months. AVAILABLE SHIFT: Appointees may be required to work any shift, including evenings, nights, weekends and holidays. 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., PT, on the last day of filing will not be accepted. Apply online by clicking the green "APPLY" 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 worked per week, and description of work performed. If your application is incomplete, it will be rejected. Please note that the Department of Health Services requires applicants to show that they perform the specified duties listed in the posted Requirements as their principal work activity . It is recommended that you provide your work experience using statements that provide the following three components: ACTION/S you took, the CONTEXT in which you took that/those action/s, and the BENEFIT that was realized from that/those actions. Include specific reference to the impact you made in the positions you have held. IMPORTANT NOTES : All information and documents provided by applicants 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 the Classification Specification and/or Minimum/Selection Requirements serving as your description of duties will not be sufficient to demonstrate that you meet the Requirements. Comments such as "See Résumé" or referencing other unsolicited materials/documents will not be considered as response; in doing so, your application will be rejected . SOCIAL SECURITY NUMBER : Please include your social security number for record control purposes only. 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 using computers at public libraries throughout Los Angeles County. L. A. County Public Library has announced they are reopening some libraries with limited hours access throughout L. A. County. Refer to their website at https://lacountylibrary.org/reopening/ for more information. NO SHARING OF USER ID AND PASSWORD : All applicants must file their applications 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. 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 individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed ." ADA COORDINATOR: (323) 914-6365 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT Martha Teran, Exam Analyst HR ESC phone number is (213) 288-7000 mteran1@dhs.lacounty.gov Closing Date/Time:

The Job *Salary increases contingent upon assessed values for previous fiscal year. The County is recruiting for Registered Nurses who provide professional nursing care and services in the Sheriff's and Probation departments within the juvenile and adult correctional facilities. Medical care is provided to inmates and wards from the time of booking through release. All inmates and wards are medically screened upon arrival and evaluated for medical and mental health conditions which could require continued care and treatment. As part of a team of health professionals, Registered Nurses II - Corrections provide a full range of services including daily sick call, medication administration, treatments, dialysis, radiology services, dental care, and psychiatric care. To learn more about the position, salary and benefits review the Nurse's Unit and Per Diem Nurse's Unit Memoranda of Understanding. The list established by this recruitment will be used to fill current and future Sheriff and Probation department vacancies as they arise while the list remains active. *Official Title: Correctional Nurse II For more detailed information, view the Correctional Nurse II job description. CONDITIONS OF EMPLOYMENT Certification: Must possess and maintain a current Basic Life Support certification. Shift: Must be available to work various 8-12 hour shifts on a 24 hour basis, which include day, night, swing, rotating, holidays and weekends. A shift differential of $2.25 per hour evening shift and $3.75 per hour night shift applies. Background: Candidates must not have been convicted of a felony and must successfully pass an extensive background investigation which includes a fingerprint check and polygraph. Physical Demands: Incumbents will be required to immediately respond to emergency situations while on duty which may involve hostile and volatile wards and inmates. Requires the following physical demands: balancing, bending, climbing, crawling, kneeling, sitting, squatting, standing, stooping, turning, twisting and walking long distances both indoors and outdoors in various weather conditions; hand and finger dexterity in both hands; ability to manipulate heavy duty security locks and doors; reaching or working above and below shoulder level; normal vision, including color discrimination; normal hearing; and carrying up to 10 pounds. Working Conditions: Working conditions involve exposure to hazardous and infectious materials and communicable diseases. Travel: Travel throughout the County will be required. Incumbents are required to make provision for transportation. A valid California Class C driver license and proof of automobile liability insurance must be maintained for the individual providing the transportation. COVID-19 Vaccination and Booster: In compliance with the California Department of Public Health (CDPH) COVID-19 vaccine requirements for health care workers in correctional facilities and detention centers, the County requires such employees to be fully vaccinated and boosted for COVID-19. Candidates will be required to submit proof of vaccination including the booster dose upon hire. A request for exemption from the vaccination and booster requirements may be submitted based on either religious belief or medical reasons. However, effective April 3, 2023, the vaccination and booster mandate will no longer be required. . Minimum Requirements Candidates must possess all of the following: License: Must possess and maintain a current license as Registered Nurse in the State of California. Certification: Basis Life Support (BLS) certification Experience: Two (2) years of experience as a Registered Nurse in a health care delivery setting involving direct patient care - OR - Six (6) months of experience as a Registered Nurse in a correctional or detention facility, hospital jail ward, psychiatric hospital or psychiatric jail ward. Selection Process There will be a competitive evaluation of your qualifications based on a review of the application material and supplemental questionnaire. It is to your advantage to be complete and thorough in your responses, do not refer to a resume as they will not be reviewed , only the most highly qualified applicants will be referred to the Department. Application Procedure: Applications are reviewed weekly. The recruitment may close at any time once a sufficient number of qualified applications are received. All communications regarding the selection process will be via e-mail. Applicants are encouraged to check their e-mail frequently to learn additional information regarding this recruitment. Check your Government Jobs account for notifications. Update your firewalls to allow e-mails from San Bernardino County through governmentjobs.com. Update your Spam, Junk, and Bulk settings to ensure it will not spam/block/filter communications from e-mail addresses with the following domain "@hr.sbcounty.gov". Finally, be sure to keep your personal information updated. Taking these steps now will help ensure you receive all communications regarding this recruitment. To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. Please note, if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application we have not received your application. If you require technical assistance , please click HERE to review the Government Jobs online application guide , or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the internet connection, computer or browser used to submit the application. EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants. ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline. Veterans' Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans' Preference points. Click here for information and instructions to request Veteran's Preference points. Please click HERE for important Applicant Information and the County Employment Process Closing Date/Time: 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, & Local laws and policies pertaining to environmental health, building construction, & 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 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: https://www.solanocounty.com/depts/ph/bureaus/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 eligible list created as a result of this recruitment will be used to fill full-time and part-time regular, limited-term or extra-help positions as vacancies occur throughout the County. 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 2022 calendar year is $ 1,671.27 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 full day fixed and 2 half day fixed paid holidays per year. Additionally, employees in this bargaining unit receive 2 floating paid holiday(s) 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 view the benefits for a regular position, 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 11/28/2022 - Deadline to submit application and required documents for 1st application review. 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 by the final filing date. Be sure to include the recruitment title (Clinic Registered Nurse) and the recruitment number (22-533010-01) in your email or fax. Previously submitted application materials (e.g., 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, business hours are 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 (22-533010-01). 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: Continuous

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. REBULLETIN INFORMATION: THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION. COVID-19 Vaccination All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department. 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 23,000 staff and has an annual operating budget of $6.9 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 To advance the health of our patients and our communities by providing extraordinary care. DEFINITION: This class provides professional nursing care and services to 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. 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. Recognizes deviations from baseline and interprets subtle changes in a patient's condition. Planning: Formulates nursing care plans based upon assessment and 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. Coordinates patient care in collaboration with other interdisciplinary patient care team members. Establishes patient goals and treatment plans. 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. Identifies appropriate tools and/or teaching methods for patient/family education. 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. -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, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted. The 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. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add AHarraway@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. ELIGIBILITY INFORMATION: Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to the eligible register 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, Alvonte Harraway at AHarraway@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) 914-6365 TELETYPE PHONE: (800) 899-4099 CALIFORNIA RELAY SERVICES PHONE: (800) 735-2922 DEPARTMENT CONTACT: Alvonte Harraway (213) 288-7000 AHarraway@dhs.lacounty.gov Closing Date/Time:

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

Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the supplemental questionnaire will result in disqualification. Applications will only be accepted on-line. DESCRIPTION ABOUT THE HEALTH CARE SERVICES AGENCY Alameda County's Health Services Program is administered by the Health Care Services Agency and includes the following program areas: Behavioral Health Care Services, Public Health, Environmental Health Services, and Office of the Agency Director. The ultimate mission of the Health Care Services Agency is to provide fully integrated health care services through a comprehensive network of public and private partnerships that ensure optimal health and well-being and respect the diversity of all residents. PUBLIC HEALTH DEPARTMENT The mission of the Alameda County Public Health Department is to work in partnership with the community to ensure the optimal health and wellbeing of all people. Alameda County Public Health Department has worked for over 80 years to improve the health and safety of its residents and the neighborhoods they live in. The Public Health Department staff are committed to the following values: H ealthy People in Healthy Communities E quity and Social Justice A ccountability and Quality L eadership and Innovation T rust and Transparency H umility and Respect Traditional public health concerns such as disease outbreaks, environmental hazards and access to health care are compounded by contemporary concerns such as: economic disenfranchisement and homelessness, racism, sexual and reproductive health and rights, crime, violence, and substance abuse. Each of these poses a threat to public health and wellness and calls for innovative solutions, in close partnership with impacted communities. For more information about our Alameda County Public Health Department, please visit the Alameda County Public Health Department Website and latest Annual Budget document found on www.acgov.org THE POSITION Registered Nurse II positions are located in the Health Care Services Agency, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. However the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children's Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver's home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client's health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients' ability to live safely in their home by evaluating the risk for institutionalization, monitoring client's progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. Special Requirements: 1. In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. 2. In Compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: • Theories, principles, procedures, techniques, standards and practices of public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of candidates' application to verify possession of minimum requirements. Those candidates who possess the minimum requirements for the class will move on to the next step in the examination process. A review of candidates' Supplemental Questionnaires to determine the best qualified. Those candidates considered the best qualified will move on to the final step in the examination process. Those candidates who have passed the Supplemental Questionnaire screening for the class will be placed on the eligible list based on an evaluation of education, training, and expertise. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the "What You Need to Know" section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:TBD Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County's Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing . Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website, www.acgov.org/hrs . BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 11 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@acgov.org www.acgov.org/hrs DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: Continuous