Salary : $198,756.48 - $266,383.52 Annually
Location : Throughout the County of Santa Clara, CA
Job Type: Full-Time
Job Number: 26-S39-E
Department: Santa Clara Valley Health Care - Valley Medical Center
Division: Renal Care Center
Opening Date: 08/27/2026
Closing Date: 9/11/2026 11:59 PM Pacific
Bargaining Unit: 04

Description

Under direction, to assess, plan, implement and evaluate education and to provide other health services for a specific patient population; to function as a consultant and educator to staff.

This position requires prior experience in End-Stage Renal Disease (ESRD) care, including coordination of dialysis vascular access, knowledge of hemodialysis treatment processes, and demonstrated experience with Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage (42 CFR 494), Quality Assurance and Performance Improvement (QAPI) programs, and dialysis Plan of Care requirements. Candidates must have day-one proficiency in dialysis-specific regulatory standards, quality metrics, and interdisciplinary care coordination.

Because we serve patients throughout multiple hospitals and clinics, you may have to work at different sites. We will meet any obligations we may have when this occurs.

Typical Tasks

• Assesses the patients' clinical needs and staffing requirements for specialty area;
• Analyzes and validates data taken from patient interviews; revises assessments based on patient behaviors;
• Identifies common recurrent patient problems, symptoms and behavioral changes in relation to standards of care and individual patient needs;
• Applies knowledge of a variety of conceptual models and previous clinical experience to patient care issues in order to consider alternatives that explain or predict present or potential patient problems and informs other medical staff as necessary;
• Attempts to determine reasons for patient's compliance or non-compliance;
• Establishes priorities for care based on nursing and medical diagnosis;
• Cares for complex problems by either direct patient care or delegation of responsibility;
• Uses evaluation data in collaboration with other health disciplines to influence the revision of the total patient care plan or program;
• Coordinates patient flow to ensure efficiency and continuity of care within the Health and Hospital System and in the community;
• Works closely with other health care providers and ancillary services to facilitate patient care;
• Develops and maintains good relations with local groups, community agencies, nursing homes, private physicians, and funding agencies;
• Collaborates with physicians and other health team members in assessing the physical, psycho-social and cultural needs and standards of care of the patient populations;
• Develops specialized knowledge of the patient population and serves as a consultant for assessment and care of those patients;
• Identifies educational needs of nursing staff related to specialty area;
• Provides guidance for staff in planning patient care;
• Develops and maintains policies and procedures;
• Proposes, develops, implements, and monitors management information systems as related to the patients;
• Involves patient, family and staff in education activities regarding recurrent health problems and health practices related to maintenance of wellness and prevention of disease;
• Develops educational materials about the specialty area for staff, patients, families, and community members;
• Evaluates and revises program goals, policies, procedures, standards and objectives as necessary;
• Develops and monitors Program budget, including assessing staffing and other resource needs;
• Participates in Quality Improvement activities;
• May assist in the development and writing of grants and may monitor Federal and State grant resources;
• May participate in conducting clinical research activities;
• May assist with experimental protocols;
• Utilizes the results of audit/quality improvement and/or research activities to improve patient care and as learning experiences for staff.

Employment Standards

Possession of the legal requirements to practice as a Registered Nurse as determined by the California Board of Registered Nursing and sufficient education and experience for a candidate to be able to demonstrate possession of the qualifications necessary to successfully perform the typical tasks noted above.

Experience Note: A candidate would typically acquire the education and experience necessary to successfully perform at this level by having graduated from a four year college or university with a BSN. Possession of a Master's Degree (MSN) is desirable. A qualified applicant would typically possess three years of clinical experience in the specialty area.
The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits
The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account
The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)
The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D
The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)
The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial/legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness
The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement
A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE: Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.
01

Completion of the following supplemental questions is REQUIRED for your application and is an integral part of the evaluation process. Initially, it will be used to determine minimum qualifications. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating process has begun. Please include the name of employer, job title, dates of employment and number of hours worked per week for questions asking about your experience. A response of "see resume" or "see application" will deem your application incomplete. Vague, incomplete or non-responsive answers could result in no or low scores in a competitive rating process.Do you understand this requirement?

• Yes
• No

02

What is your highest level of Nursing Education?

• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• MEPN with RN license pursuing MS
• MSN
• PhD
• Other

03

Please list the name of your degree, the level, and where it was obtained. If you do not have any write "N/A".
04

Do you have an active California Registered Nurse License without restrictions?If you answered Yes, you must attach a copy.

• Yes
• No

05

If you have an active California RN license, please indicate your RN license number and expiration.
06

Indicate the number of years you've worked as an RN providing direct clinical care or treatment for Renal patients in a Joint Commission accredited Ambulatory Care Setting.(Do not include years while in nursing school.)

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

07

Describe your experience working as an RN providing direct clinical care or treatment for Renal patients in a Joint Commission accredited Ambulatory Care Setting.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
08

Do you have experience with Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage (42 CFR 494) within a dialysis program?

• Yes
• No

09

Describe your experience working with CMS Conditions for Coverage (42 CFR 494) within a dialysis program.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
10

Do you have experience working with Quality Assurance and Performance Improvement (QAPI) within a dialysis program?

• Yes
• No

11

Describe your experience working with QAPI within a dialysis program.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
12

Do you have experience with End-Stage Renal Disease (ESRD) in a dialysis setting including coordination of vascular access?

• Yes
• No

13

Describe your experience working with End-Stage Renal Disease (ESRD) in a dialysis setting including coordination of vascular access.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
14

Do you have experience coordinating or participating in dialysis Plan of Care meetings?

• Yes
• No

15

Describe your experience with coordinating or participating in dialysis Plan of Care meetings.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
16

How did you find out/hear about this job?

• In Person Job Fair
• Contacted by County Recruiter
• Email Newsletter
• Virtual Event
• Community Event
• Social Media: Facebook or Instagram
• County of Santa Clara Job Interests Email Notification
• Student Career Center
• Handshake
• Professional Association
• Contacted by an External Staffing Firm
• Hospital Website
• Search Engine (Google, Bing, online search, etc.)
• Governmentjobs.com
• LinkedIn
• Indeed
• Employee Referral: Friends, Families and Coworkers
• County of Santa Clara Career Website
• Other (Specify in the next question)

17

How did you find out about this job? If "Other" is selected: Please describe how you heard about this job.
Required Question