The Department of Health and Human Services is currently hiring for extra help/temporary assignments in the position of Mid-Level Practitioner - II. These assignments will be part of the County’s Community Health and Clinic’s efforts in reducing the effects of the H1N1 pandemic currently impacting residents of Placer County.

To perform clinical services as a nurse practitioner or physician assistant; to assess and manage the medical care needs of patients in a clinic setting; to perform physical examinations and procedures; to interpret laboratory and other diagnostic tests; to make routine diagnosis of injury or illness; to arrange consultations as required; and when assigned to outlying areas, to provide lead supervision to staff and oversee clinic operations.

This is the full journey level class within the Mid-Level Practitioner series.  This class is distinguished from the Mid-Level Practitioner I by the assignment of the full range of duties.  Employees at this level receive only occasional instruction or assistance as new or unusual situations arise and are fully aware of the operating procedures and policies within the work unit.  Positions in this class are flexibly staffed and are normally filled by advancement from the entry level.
This class is distinguished from the Senior Mid-Level Practitioner in that the latter assesses and manages the most difficult and complex medical care needs of patients in a clinic setting and exercises first-line, direct supervision over professional, technical and clerical personnel.

Receives direction from Deputy Director, Public Health Nursing, Medical Services Manager and Health Officer, or a Senior Mid-Level Practitioner; may receive technical and functional supervision from other professional medical staff.

May exercise technical and functional supervision over technical and clerical staff.

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

• Provide for the care of superficial wounds and burns, removal of foreign bodies from the skin, incision and drainage of infections, suturing of wounds and incisions, casting or splinting of sprains and simple fractures.
• Order and interpret electrocardiography and radiography.
• Assist and consult with physicians regarding treatment of patients.
• Assess medical histories, perform comprehensive physical examinations, record findings and make evaluations.
• Order, interpret and may perform laboratory and other diagnostic testing.
• Perform routine and specialized therapeutic procedures.
• Diagnose, instruct and counsel patients and family members as appropriate, regarding medical problems.
• Develop and implement treatment plans under protocol.
• Evaluate basic dental diseases for referral.
• Provide emergency services in the absence of a physician, including life saving emergency procedures in order to stabilize a patient sufficiently to transport to a hospital facility.
• Participate in clinical investigations, collaborate with physician staff and appropriately refer complex medical conditions to a physician.
• Perform other related work as required within the guidelines established by the State of California Board of Registered Nursing and/or Medical Quality Assurance.
• Aid in the prevention and control of communicable disease through the instruction of preventive health measures.
• Participate in interagency conferences.
• When assigned to outlying areas, may provide lead supervision to staff and oversee clinic operations.
• Build and maintain positive working relationships with co-workers, other County employees and the public using principles of good customer service.
• Perform related duties as assigned.

Experience: Two years of responsible Nurse Practitioner or Physician Assistant experience performing duties similar to a Mid-Level Practitioner I with Placer County.

Training: Equivalent to completion of a formal Nurse Practitioner or Physician Assistant training   program at an accredited educational institution.

In addition to the qualifications for Mid-Level Practitioner I:

Training & Experience Rating (100%)

Before date of hire, applicant must pass a medical examination which may include a drug screening and possibly a psychological evaluation, sign a constitutional oath, and submit proof of U.S. Citizenship or legal right to remain and work in the U.S.  Applicants may also be required to submit proof of age, undergo a background check, be bonded, and/or be fingerprinted.

All new permanent employees, with the exception of law enforcement and management, shall be required to join the employee organization or pay an 'Agency Fee' as a condition of employment.

The eligible list(s) resulting from this recruitment may be certified as a substitute list for a substantially similar classification.  For this purpose, a substantially similar classification is one at a lower level in the same classification (example: entry level vs. journey) and/or a similar classification (similar work performed, similar training and experience qualifications required). If you are contacted for an interview by a County department, you will be informed of the classification and other relevant information. If you choose not to interview for a substantially similar classification, you will remain on the eligible list for which you originally applied.

Placer County now offers an expedited process for qualifying certain applicants for interviews. Candidates currently employed, or employed within the last year, by a public agency operating under a personnel civil service or merit system may be eligible to be placed on a Public Agency Eligible List and certified as eligible for appointment to a similar job assignment without going through the examination process. For more information on the Public Agency Eligible List, to download forms, or to apply, please visit our website at: http://www.jobaps.com/placer/sup/abfreenames.asp.

Thank you for your interest in employment with Placer County.  Placer County is an equal opportunity employer and is committed to an active, nondiscrimination program.  It is stated in the policy of Placer County that harassment is prohibited and that all employees and applicants shall receive equal consideration and treatment.  All recruitment, hiring placement, transfer and promotion will be based on the qualification of the individual for the positions being filled regardless of sex, sexual orientation, race, color, ancestry, religious creed, national origin, physical disability (including HIV and AIDS), mental disability, medical condition (cancer), age (over 40), or marital status.  Please contact the Personnel Department at least 5 working days before a scheduled examination if you require accommodation in the examination process.  Medical disability verification may be required prior to accommodation.

Bereavement Leave
May use up to five days of sick leave.

Call Back Pay
Receives a minimum of 2 hours pay at 1.5 times, receive up to 1 hours pay at 1.5 time when authorized work is performed but not required to physically return to work.

Deferred Compensation
Voluntary 457 and 401(k) are available through payroll deduction, no county match.

Education Allowance
Tuition reimbursement available for approved classes up to a maximum of $550.00 per year.

Health Insurance
The County of Placer provides Medical, Dental and Vision insurance for its employees and their dependents. MEDICAL: Several medical plans are offered including HMO and PPO plans. Depending on which plan the employee chooses, the maximum County contribution for medical insurance for a family is up to $1317.64/mo. DENTAL: The maximum County contribution for dental insurance for a family is $42.00/mo. VISION: The maximum County contribution for vision insurance for a family is $9.20 per month. (These are non-Tahoe rates.)

Holidays
13 days/yr.

Life Insurance
$10,000 coverage, employer paid at a cost of $2.40/mo.

Long-Term Disability
Employee paid LTD for the first 5 years of employment, County paid there after at a cost of $0.36/100 of pay.

Management/Administrative Leave
Deputy District Attorneys receive 72 hours per year.

Retiree Medical
Hired prior to 1/01/05 with 5 years of PERS service credit same as active employee. Hired after 1/01/05, must have 10 years PERS service credit with 5 years with Placer County to receive 50% of the County contribution paid medical with an additional 5% for each additional year.

Retirement
PERS 2.5% @ 55 Local Miscellaneous, Employer's contribution is 14.370%. Employees contribution is 8%, employer picks up 7% of the employee contribution. EPMC 7%. (Note: Placer County employees contribute 6.2% into Social Security and 1.45% into Medicare, which is matched by the County.)

Sick Leave
12 days per year unlimited accrual.

Special Assignment/Additional Pay
Tahoe Subsidy of $675/month and Tahoe Rural Health Subsidy of $2000 for single coverage and $3000 for family coverage per year. Access pay of an additional 5% if assigned. Additional 5% upon presentation of the certificate of Registration as a licensed Architect. Associate or Assistant Engineer receive additional 5% upon presentation of the Certificate of Registration as a Civil Engineer. 5% additional if assigned to a Medical Clinic. 5% additional for obtaining a CPA certificate. 5% additional pay for Client Service Practitioners who obtain a certificate as Licensed Clinical Social Worker or Marriage, Family or Child Counselor. Night shift differential of 7.5%. Additional 5% bilingual pay. Longevity pay of an additional 5% after 5 years at Step 5.

Stand-By Pay
$21 for weekdays and $24 for weekends and holidays paid for in units of 8 hours.

Uniform Allowance
Boot allowance for Surveying.

Vacation
Vacation time: 0 - 2 years = 10 days, 3 - 4 years = 12 days, 5 - 9 = 15 days, 10 - 19 years = 20 days and 20 or more years = 25 days. Maximum accrual of 400 hours with less than 10 years of service and 520 hours with more than 10 years of service.