Salary : $157,081.60 - $185,619.20 Annually
Location : County of San Mateo, CA
Job Type: Full-Time
Job Number: F027G
Department: San Mateo Medical Center
Opening Date: 07/24/2026
Closing Date: 8/7/2026 11:59 PM Pacific
Bargaining Unit: 25

Description
San Mateo County Health's San Mateo Medical Center (SMMC) is seeking experienced Long Term Care Nurses to join our on-campus skilled nursing unit. Long Term Care Nurses provide ongoing professional nursing care to patients with acute and chronic medical, physical, and mental health conditions who require skilled nursing services.
This is an excellent opportunity for experienced nurses who are comfortable working independently, coordinating patient care, and providing leadership and direction to nursing and paraprofessional staff. Long Term Care Nurses play an important role in maintaining continuity of care and supporting safe, effective staffing across shifts. Depending on experience and assignment, nurses may serve as a team leader or alternate Charge Nurse and provide coverage during staff absences and other operational needs.
Under direction, Long Term Care Nurses perform a full range of professional nursing duties requiring a high degree of clinical judgment. Responsibilities include assessing patients, developing and implementing nursing care plans, administering medications and treatments, monitoring changes in patient condition, coordinating care with interdisciplinary teams, and educating patients and families. Nurses may also organize and assign work, provide lead direction to nursing and paraprofessional staff, and support the orientation and training of new team members.
Located at 222 West 39th Avenue in San Mateo, California, San Mateo Medical Center is an integrated healthcare delivery system focused on serving the needs of the underserved within the County's system of care. SMMC includes a fully accredited acute care hospital, a 32-bed on-campus skilled nursing unit, and 11 outpatient clinics serving communities throughout San Mateo County.
Current Opportunities

There is currently one 0.6 FTE PM/Night Shift vacancy
The ideal candidate will be an experienced and adaptable registered nurse who is prepared to independently provide skilled nursing care and step into a leadership role when needed. The strongest candidates will:

• Have at least two years of paid nursing experience in a skilled nursing, long-term care, or comparable complex patient care setting.
• Be fully competent to independently perform a broad range of professional nursing duties and procedures requiring a high degree of clinical judgment.
• Have experience serving as a Charge Nurse, team leader, relief lead, or in another role involving the coordination of nursing staff and patient care.
• Demonstrate the ability to organize and assign work and provide lead direction to nursing and paraprofessional personnel.
• Be comfortable responding to changes in patient condition, prioritizing competing clinical needs, and making sound decisions during evening, night, or variable shifts.
• Demonstrate strong knowledge of skilled nursing and long-term care practices, including medication and treatment administration, care planning, patient assessment, and continuity of care.
• Work effectively with interdisciplinary teams and communicate clearly with patients, families, providers, and staff.
• Be dependable, flexible, and willing to support coverage needs across assigned shifts to help maintain safe and consistent patient care.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties
Duties may include, but are not limited to, the following:

• Complete patient assessments and triage, record patient histories, symptoms and observations.
• Establish and implement nursing care plans for each patient through assessment, development, activation and evaluation.
• Participate in patient case conferences and rounds.
• Organize, assign and supervise duties and responsibilities of other staff members as a team leader; orient and teach new staff members of the nursing team and students.
• Perform nursing care following prescribed rules, policies, protocol and procedures.
• Identify problems, assist in data gathering, propose solutions and participate in evaluation of quality assurance issues.
• Work with patient and their families to provide in-hospital and after-hospital follow-up through teaching and referral.
• Participate in educational programs to maintain level of expertise.
• Participate in non-clinical assignments, which may include maintaining records, preparing reports and/or serving on special committees.
• Maintain records and prepare reports.
• Operate a variety of medical machinery and equipment.
• Administer treatment and medications.
• Maintain knowledge of outpatient resources.
• Develop discharge plans for patients.
• Perform related duties as assigned and as required by assigned work setting, as described below.

Duties for nurses in this series may also include the following:

• Provide continuing care to patients with chronic physical or mental disorders confined in a skilled nursing facility.
• Assess needs of patients and develop plan of care based on assessment.
• Check vital signs, give injections and perform catheterization and Point of Care Testing.
• Wound care.
• Manage pain.
• Room patients.
• Manage inventory.
• Operate a variety of medical machinery and equipment.
• Intensive care and evaluation of patients on an almost continuous basis.
• Monitor patients in restraint and seclusion and maintain patient safety.
• Determine medical or psychiatric emergency need and provide intervention.
• Recognize symptoms of major psychiatric diagnosis.
• Educate patients in preparation for discharge to lower level of care.
• Perform related duties as assigned.

Qualifications
License/Certification:
Possession of a California license as a Registered Nurse or equivalent and a valid Basic Life Support (BLS) certification

Knowledge of:

• Nurse Practice Act.
• Current nursing and related medical theory and skills necessary to administer nursing care within assigned clinical setting.
• Safety and infection control practices.
• Clinical systems, supplies and equipment.

Skill/Ability to:

• Nurse Practice Act.
• Perform nursing procedures required for assigned clinical setting.
• Comply with clinical procedures and policies.
• Maintain professional nurse-patient relationships.
• Communicate with and educate patients, families, and the public who come from a diverse background.
• Work harmoniously with other personnel.
• Follow safety practices.
• Assist in the instruction of other nursing and paraprofessional personnel.
• Bend, kneel and squat as needed.
• Occasionally use upper extremities to exert force to push and pull patients/objects weighing up to 50 pounds or more.
• Work in a busy environment.

Application/Examination
Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.
Tentative Recruitment Timeline
Final Filing Date: Friday, August 7, 2026, at 11:59 PM PST
Application Screening: Week of August 10, 2026Panel Interviews: Week of August 24, 2026
01

IMPORTANT NOTE: Applicants must submit responses to the supplemental questions below. These responses are a critical part of the evaluation process and will be carefully reviewed by subject matter experts. Responses should be clear, detailed, and concise, describing your relevant work experience, training, and education as they relate to this position. Please address all parts of each question and provide specific examples that reflect your individual experience and expertise. Strong responses are authentic, well-organized, and demonstrate attention to detail, clarity of expression, and the ability to follow instructions. A resume will not be accepted in place of the required responses.

• I have read and understand this important information. Proceed to supplemental questions.

02

Possession of a current California license as a Registered Nurse is required to qualify for this recruitment. Do you possess a current California license as a Registered Nurse? (Please include your license number on the Certificates & Licenses section of the application. A "No" answer will disqualify you from this recruitment.)

• Yes
• No

03

Possession of Basic Life Support (BLS) certification is required for this position. Do you possess a current BLS certification? (Please include information on the Certificates & Licenses section of the application. A "no" answer will disqualify you from this recruitment.)

• Yes
• No

04

Please describe your experience working in a skilled nursing or long-term care setting. In your response, include your role, the types of patients or residents you cared for, and your responsibilities related to medication administration, treatments, care planning, and responding to changes in patient condition.
05

Please describe your experience serving as a Charge Nurse, team leader, relief lead, or otherwise providing direction to nursing and paraprofessional staff. Include how you coordinated assignments, prioritized patient care needs, responded to staffing or clinical issues, and supported continuity of care during your shift.
06

Please describe your experience supporting compliance with State and Federal requirements in a skilled nursing or long-term care setting. Include your involvement with licensing or regulatory surveys , if applicable, and specific practices you have used to maintain survey readiness and patient-centered care.
07

County of San Mateo departments sometimes need extra-help workers in addition to permanent employees. Extra Help positions offer temporary part-time or temporary full-time employment for 1040 hours (which equates to working full-time for approximately six months). However, employment might end sooner depending on the needs of the hiring departments. Extra Help positions are paid on an hourly rate basis. Some extra help positions are eligible for benefits under the Affordable Care Act. Extra-help workers are not guaranteed permanent status at the end of the extra-help assignment. Are you interested in extra-help employment? (A "No" answer to this question will not affect your application for permanent employment.)

• Yes
• No

08

How did you learn about this position?

• County of San Mateo Website
• County of San Mateo Job Interest Card Notification
• County Hosted Virtual Event
• County Hosted Job Fair
• Cal