Introduction

This examination is being given to fill one vacancy with San Joaquin Health Centers and to establish an eligible list to fill future vacancies throughout San Joaquin County.

Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline.

Offers of employment are contingent upon passing a background check and drug screen.

NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail.

TYPICAL DUTIES

• Elicits, records and/or reviews medical histories and performs acute primary care, annual, periodic and various other routine physical examinations utilizing the problem-oriented medical records or other appropriate systems; provides general and specific health and medical instructions to patients, clients and families.
• Coordinates individual and family health management, utilizing physicians resources or community agencies; provides guidance, instruction, treatment and referral in such areas as family planning, sexually transmitted diseases (STD), Acquired Immune Deficiency Syndrome (AIDS), drug abuse, child care and hygiene; assists patients with selection, fitting and placing of appropriate contraceptive devices.
• Performs early diagnostic examinations including vision, hearing, pap smears and other diagnostic tests; may order laboratory tests, x-rays, electrocardiograms and other diagnostic tests; may collect specimens for, perform and interpret selected laboratory tests and take action on abnormal tests as necessary; provides immunizations and gives injections.
• Identifies basic to complex medical conditions; determines if patient's medical, surgical and psychiatric problems require immediate consultations with the physician; treats conditions and manages stable phases of chronic illnesses on consultations with or following specific protocols established by physicians, including dispensing and/or administering medication when indicated; alerts appropriate medical agencies of potential community health problems as encountered.
• Provides routine prenatal care and postpartum follow-up for mothers; provides comprehensive health screening assessments; provides treatment of illness. Admits/evaluates clients in Family Maternity Center; independently manages clients or co-manages with attending physician, clients who may be at higher risk. Independently attends deliveries of these clients, manages second, third and fourth stages of labor. Refers clients outside scope of practice. Discharges both antepartum and postpartum clients independently.
• Observes and counsels and supports patients in the area of psychosocial problems and inter-relationships; provides emergency treatment or referral for patients with severe emotional upsets.
• May work in clinics; may make home and school visits; may lead ancillary clinic staff; may coordinate clinic activities; may orient and oversee nursing students, nurse midwifery students, medical students and other providers.
• Provides for quality assurance through review and audit of clinic charts to assure adequate medical management and follow-up; provides consultation to other providers.
• Keeps records and completes form, questionnaires and billing forms as required.
• Attends meetings and workshops; serves on committees as assigned; provides consultation and assistance in areas of specialty to other areas of Health Care Services; participates in and may conduct in-service training.
• Performs other duties as directed by the Chairperson for the Department of Obstetrics and Gynecology.

MINIMUM QUALIFICATIONS

Education: Completion of an approved nurse midwife educational program recognized by the American College of Nurse Midwives.

License and Certificates: Possess a current valid California Registered Nurse license and a valid California Nurse Midwife Certificate. Must possess a valid California Nurse Midwife furnishing number within one year of appointment to the class of Nurse Midwife.

KNOWLEDGE

Professional nursing; women's health care, pregnancy, childbirth, care of the newborn. menopause and family planning; a wide range of medical conditions affecting women and children; various diagnostic tests; treatment protocols for various medical conditions; various medications used to treat a variety of conditions; health screening assessment methods and techniques; psychosocial factors affecting women's health.

ABILITY

Perform a variety of diagnostic tests; identify various medical conditions and determine appropriate action; monitor women in childbirth and take appropriate action; establish effective work relationships with others; coordinate women and family health care.

PHYSICAL/MENTAL REQUIREMENTS

Mobility-Frequent standing and walking is required; occasional pushing/pulling; occasional bending/squatting; occasional walking; Lifting-Frequent lifting duties required of 5-70+lbs.; occasional restraining, lifting/turning of heavy objects and/or people; Vision-Constant overall vision; color perception; eye-hand coordination is required; occasional reading and close-up work; Dexterity-Constant holding, reaching, grasping and writing; Hearing/Talking-Constant hearing and talking in person and on the telephone; frequent hearing faint sounds; Emotional/Psychological-Occasional exposure to death, grief and trauma; constant public contact; occasional contact with hazardous materials; constant concentration and decision making is required.

BENEFITS

Health Insurance: San Joaquin County provides full-time employees and part-time employees eligible for benefits with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premiums. Dependent coverage is available for all plans.

Dental Insurance: The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense.

Vision Insurance: The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense.

For more detailed information on the County's benefits program, visit our website at www.sjgov.org under Human Resources/Benefits.

Life Insurance: The County provides eligible employees with life insurance coverage as follows:

1 but less than 3 years of continuous service: $1,000
3 but less than 5 years of continuous service: $3,000
5 but less than 10 years of continuous service: $5,000
10 years of continuous service or more: $10,000

Employees may purchase additional term life insurance up to a maximum of $200,000 at the group rate.

125 Flexible Benefits Plan: This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit).

Retirement Plan: Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at www.sjcera.org for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.

Deferred Compensation: The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22,500 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $30,000.The Roth IRA (after tax) is also now available.

Vacation: Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for part-time employees eligible for benefits.

Holiday: 14 paid holidays per year.

Educational Leave: Each fiscal year, department heads grant 40 hours to full-time employees or 24 hours to part-time employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year.

Sick Leave: 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive: An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one-half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year.

Bereavement Leave: 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child.

Merit Salary Increase: New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for part-time employees), they are eligible for a merit increase to the next step.

Standby Pay: Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate.

Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary:

• For those classifications that require an Associate's Degree of Nursing, the nurse has a Bachelor's of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelor's Degree in Pyschology or Social Worker for a degree in Nursing.)
• For those classifications that require a Bachelor's of Science in Nursing, the nurse has a Master's of Science in Nursing.
• Possess National or approved International certification in the specialty area in which the nurse currently is assigned.
• Possess CCRN Certification and active ACLS Certificate.
• Provide proof of completion of a critical care class and active ACLS Certificate.

License/Certificate Fees: The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered.

Pre-Employment Physical Exam: If required, will be conducted at San Joaquin County General Hospital at no cost to the employee.

Job Sharing: Any regular, permanent full-time employee may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources.

Educational Reimbursement Program: The County offers an Educational Reimbursement Program. Eligible employees (civil service and part-time eligible for benefits) may be reimbursed for career-related course work taken on the employee's own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year per fiscal year.

Parking Supplemental Downtown Stockton: The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.

School Activities: Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities.

Selection Procedures

Applicants who meet the minimum qualifications will go through the following examination process:

• Written Exam: The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
• Oral Exam: The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate's score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
• Written & Oral