Registered Nurse IV

Introduction

THIS IS A NEW ASSEMBLED EXAMINATION. The eligible list resulting from this examination will cancel any existing list and may last approximately one year but can be extended.

Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the Application or Supplemental Questionnaire will result in disqualification.

Applications and Supplemental Questionnaires will only be accepted online.

DESCRIPTION

THE POSITION:

Under general supervision, to provide program planning, development, review and evaluation of clinical and administrative activities in assigned program(s); direct, coordinate and oversee the nursing and other health care services of a program to clients across the age spectrum and/or targeted populations; to supervise a multidisciplinary team including professional, para-professional support staff, nursing student and interns; to ensure program regulations and procedures are followed; and to do related work as required.

THE VACANCIES:

We are currently recruiting to establish a countywide eligible list that will be used by any County department or agency needing to fill a vacancy in this classification. The same eligible list will also be used for selective certification purposes to fill vacant, specialty designated, positions in this class. There are immediate vacancies in the Community Development Agency and Alameda County Health's Public Health and Behavioral Health departments.

Applicants who only meet the general minimum qualifications will not be impacted by the additional experience/licensure required for the designated positions. Some of the current vacant positions have specialty designation criteria which must be met, in addition to the minimum qualifications below. To qualify for appointment into a designated position, candidates eligible for referral must also possess experience/licensure as defined by the specialty designation criteria.

The specific specialty designations and qualifying criteria are detailed in the supplemental questionnaire.

ALAMEDA COUNTY HEALTH

Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health's departments and programs focus on services and support that provide care for the whole person.

• The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience.
• The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases.
• The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases.
• Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities.

For more information about the agency, please visit: Alameda County Health

COMMUNITY DEVELOPMENT AGENCY

The Alameda County Community Development Agency's mission is to enhance the quality of life of Alameda County residents and plan for the future well-being of the County's diverse communities; to balance the physical, economic and social needs of County residents through land use planning, environmental management, neighborhood improvement, and community development, and to promote and protect agriculture, the environment, economic vitality and human health.

The Community Development Agency houses the following departments: Planning Department, Housing and Community Development, Agriculture Weights and Measures, Healthy Homes Department, and Economic and Civic Development Department.

For more information about the agency, please visit: Alameda County Community Development Agency.

THE IDEAL CANDIDATE:

The ideal candidate is an experienced nurse with strong clinical, supervisory, and program management skills. This individual is a proven problem solver and effective leader who exercises sound independent judgment, demonstrates initiative, and collaborates with community and health care partners. The ideal candidate is dedicated to ensuring high-quality services and providing timely, courteous, and knowledgeable consultation and education to clients, community partners, and staff. They bring a deep commitment to health equity and to improving outcomes for diverse populations served across Alameda County.

Additionally, the ideal candidate will possess the following critical attributes:

• Demonstrates attention to detail when reviewing case management documentation for accuracy, completeness, and compliance with established standards.
• Provides effective clinical and administrative supervision to nurses and multidisciplinary staff delivering assessment, investigation, case management, and care coordination services.
• Effectively plans, coordinates, monitors, and evaluates program activities and service delivery.
• Supports staff development through training, mentoring, coaching, and constructive performance feedback.
• Demonstrates a commitment to quality assurance, continuous improvement, and equitable access to services.
• Builds effective working relationships with individuals from diverse (racial, cultural, linguistic, and socioeconomic) backgrounds and provides culturally responsive services.
• Is an exceptional listener and analytical thinker with strong investigative, written, and verbal communication skills.
• Effectively interprets and implements nursing and health policies, procedures, and regulations and contributes to the development of program guidelines
• Demonstrates competence in assessment, nursing practice, staff supervision, resource management, leadership, and systems thinking.
• Utilizes data and evaluation findings to guide program planning, monitor quality, and inform decision making.
• Collaborates effectively with community providers, community based organizations, health systems, schools, and other partners to support coordinated, client centered services.
• Navigates and partners with multiple County entities including Public Health, Behavioral Health, the Office of the Agency Director, and the Community Development Agency, each with distinct mandates and operational structures.
• Demonstrates adaptability and skill in leading staff through organizational, regulatory, or practice changes.

MINIMUM QUALIFICATIONS

Education:

Possession of a bachelor's degree in Nursing from a recognized four-year college or university (180 quarter-units or semester 120 units).

AND EITHER I

Experience:

The equivalent of three years of full-time, recent experience within the last five years as a Registered Nurse III in Alameda County classified service.

OR II

Experience:

The equivalent of four years of full-time, recent experience within the last five years as a Registered Nurse II in the Alameda County classified service.

OR III

Experience:

The equivalent of five years of full-time, recent nursing experience within the last five years in a clinical and/or public health setting, which has included at least one year of full-time lead/supervisory experience.

Substitution:

Possession of a master's degree in business administration, public administration, health/healthcare management/administration, nursing or public health from an accredited college or university may be substituted for two years of experience in any pattern above.

License/Certificate:

• Possession of a current and valid license to practice as a Registered Nurse in the State of California.
• Possession of a valid Basic Life Support for Healthcare Providers certificate, which includes cardiopulmonary resuscitation (CPR) and Automated External Defibrillator (AED) training.
• Some positions may require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the State of California Board of Registered Nursing.
• 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.

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:

• Wellness to illness continuum, including major disease processes to evaluate the condition of clients or community.
• Nursing Practice Act rules and regulations and other related health care disciplines and procedures.
• Local, state and federal codes and regulations governing the field of nursing and public health nursing practices.
• Principles and theories of modern methods, principles, procedures, techniques, standards and practices of public health nursing, including understanding of medical terminology and documentation.
• Current principles, best practices and trends in service delivery systems, quality assurance and quality improvement.
• Principles and processes of personnel management which include leadership, supervision, coaching, performance evaluations, development and counseling.
• Disparities in health outcomes for vulnerable populations including socio-economic and environmental factors that affect health equity.
• Principles and practices of effective organization, management, monitoring, quality assurance and quality improvement indicators.
• Principles and practices of public health education and teaching. Interviewing, assessment, and counseling techniques.
• Ten Essential Public Health Services.
• Health systems, agencies community resources and patterns of referral.
• Principles, practices and methods of safety and infection control and prevention of communicable and chronic disease.
• Methods of prevention of accidents and abuse and neglect of children, spouses and the elderly.
• Methods of evaluating normal and abnormal behavior patterns.
• Complex health care systems and techniques of collaboration.
• Basic budgetary and financial record-keeping techniques.

Ability to:

• Plan, monitor and evaluate program and service delivery effectiveness in the programmatic area to which assigned.
• Analyze effectiveness of policies, procedures, operations and interventions; modify as needed to meet/improve programmatic objectives.
• Assess the health status and concerns of clients and communities.
• Exercise interpersonal sensitivity, political astuteness and group interaction skills to establish and maintain effective working relationships.
• Facilitate and model effective written and oral communication with attention to linguistic preferences and cultural proficiency.
• Maintain confidentiality.
• Supervise staff and program operations.
• Exercise independent judgment within the scope of authority and practice.
• Prepare, analyze and monitor program budget and other data.
• Prepare clear, accurate and effective reports, correspondence, policies, informational brochures and other written materials.
• Utilize basic modern office equipment and technology related to work. <