Clinic Registered Nurse (Senior)

The eligible list established from this recruitment will be used to fill part-time and full-time regular, limited-term or extra-help positions as vacancies occur or the need arises.

The Public Health Services Division of the Department of Health and Social Services is recruiting for regular positions assigned to Family Health Services in the Primary Care Clinic setting and a regular position assigned to the breastfeeding peer counseling clinic. The position assigned to the breastfeeding peer counseling clinic requires possession of certification as an International Board Certified Lactation Consultant (IBCLC).

Coordinates the operational activities of public health clinics; provides nursing services in a clinical environment and provides general administrative support to clinic operations; performs related duties as required.

This class is characterized by the responsibility to coordinate the operational activities of public health clinics in addition to providing nursing services in the clinical environment and/or to provide assistance, monitoring, or oversight of the trauma system program established by the Emergency Medical Services Agency. Incumbents work under the medical direction of a physician and within established protocols of the Health Department at the fully qualified professional level.

Oversees daily operations of assigned area or program such as immunization clinic, breastfeeding peer counseling clinic, trauma system program, or primary care clinic:

• Plans, develops, coordinates, administers, and evaluates programs, projects, policies, processes, procedures, systems, standards, and/or service offerings;
• Monitors attainment of operational goals and objectives;
• Recommends and implements operational improvement and quality improvement standards;
• Monitors and ensures compliance with federal, state, and local laws, regulations, codes, and/or standards;
• Ensures that appropriate records and patient traffic flow are maintained, referrals and follow‑up appointments are made;
• Disseminates information;
• Assists in providing direction to clerical staff in regards to patient process;
• Maintains inventory of medical supplies, medications and vaccines;
• Purchases equipment, supplies, and parts when necessary;·        
• Ensures that examination and/or consultation rooms are properly equipped, supplied and maintained.

Provides skilled nursing services:

• Conducts triage;
• Makes referrals;
• Schedules physician appointments;
• Collects blood samples and sputum specimens;
• Administers medications;
• Provides immunizations; and
• Manages a medical caseload.

Assists the Emergency Medical Services Agency Administrator in providing oversight, consultation, education, evaluation and quality improvement assessment for patient care, designated trauma centers, contract provider activities, family members, consumers and the community:

• Performs service evaluations and prepares survey analyses and reports associated with trauma centers;
• Reviews evaluations conducted by other state and Federal medical evaluation teams to determine relevance and impact on local trauma system;
• Reviews patient care and treatment reports, medication management and progress reports;
• Performs utilization review of hospitalized clients with other facilities or agencies and professionals;
• Plans, organizes, and develops the quality improvement and utilization review plan for local trauma care;
• Monitors, schedules and reviews provision of medical services in trauma centers on a recurring basis;
• Provides consultation and education to department staff, hospital providers, family members, consumers and the community in solving problems as they arise in the provision of qualify trauma care and services.

Supervises Clinic Registered Nurses, Medical Assistants, peer counselors, clerical staff and/or student interns: Plans, assigns, and schedules staff’s activities and work deadlines; establishes standards for acceptable work products; reviews work; assists in conducting the full range of personnel actions such as interviewing, selecting, hiring , training, and coaching staff; assists in conducting disciplinary and proposed termination actions; enforces policies and protocols; and evaluates employees’ performance.

Develops policies and procedures; prepares written procedures related to routine and emergency clerical operations and activities; prepares and reviews a variety of narrative and statistical reports; prepares monthly staffing schedules; collects, analyzes, and reviews a variety of reports, educational materials, and records related to area of responsibility.

Responds to patient complaints; answers patient questions; provides informational literature and makes referrals as needed.

Acts as liaison to other departments and agencies; collaborates with community, county and state programs in the development of resources, eliciting support for the applicable target population, etc.

Improves the quality of the program by, for example, investigating problems identified through the quality improvement and utilization review data evaluation process; providing the results of investigation to the Quality Improvement Committee and/or to the supervisor/manager; and by monitoring any corrective actions identified for execution.

Maintains professional knowledge in applicable areas and keeps abreast of changes in job-related rules, statutes, laws and new business trends; makes recommendations for the implementation of changes; reads and interprets professional literature; attends training programs, workshops and seminars as appropriate.

Performs other duties of a similar nature or level.

Experience:  

Three years of clinical nursing experience which included some responsibility for clinic operations and activities and overseeing the work of others.

Education/Training:  

Associate’s degree  from an accredited college or university in nursing or a nursing diploma from an accredited nursing program. 

All candidates must submit a copy of their college diploma (verifying the degree, date earned and area of specialization) or official/unofficial transcripts (verifying the courses and units completed), and their California Registered Nurse license.  Candidates who fail to submit their diploma or transcripts and license within five (5) days from the final filing date or for open until filled recruitments within five (5) days from the application submittal date will be disqualified from the recruitment. 

PLEASE NOTE THE FOLLOWING:  Candidates who attended a college or university that is accredited by a foreign or non-U.S. accrediting agency must have their educational units evaluated by an educational evaluation service.  The result must be submitted to the Human Resources Department no later than the close of the recruitment.  Please contact the local college or university to learn where this service can be obtained.

Possession of a valid Registered Nurse license issued by the California State Board of Registered Nursing.  

Current Adult, Child, and Infant CPR Certificate.

Current First Aid Certificate.

Driver’s License Class C.

For incumbents assigned to the breastfeeding peer counseling clinic: International Board Certified Lactation Consultant certification. 

Independent travel may be required.

Incumbents must be able to work in an environment which may include exposure to communicable disease.

Positions allocated to this class may require bilingual skills.

Candidates for employment must as a condition of employment sign a statement agreeing to comply with Section 11166 of the California Penal Code relating to child abuse reporting.

08/07/2012 Tentative date for initial review of applications.

08/13/2012 Tentative date for Human Resources to establish eligible list.

08/13/2012 Projected date to certify names to the hiring department.

SALARY POLICIES - The starting salary is ordinarily the first rate shown on the front of the announcement.  Salary advancement is authorized after satisfactory completion of additional periods outlined in the employee’s memoranda of understanding or the County’s Personnel and Salary Resolution.  Longevity, shift differential, bilingual, call-back and stand-by pay maybe available for some job classes. 

HOLIDAYS – Regular and limited-term employees receive 12 paid holidays per year.

ANNUAL/SICK LEAVE - Regular and limited-term employees accrue vacation leave at the rate of ten days per year.  After a certain period of continuous service, employees accrue vacation time at a higher rate as outlined in the employee’s memoranda of understanding or resolution. Regular and limited-term full time employees accumulate 12 sick leave days per year.

RETIREMENT - The County is a member of the Public Employee’s Retirement System (PERS), and benefits are coordinated with Social Security.  The County has reciprocity with all State PERS and County 1937 Act Retirement Systems agencies.  PERS retirement for miscellaneous employees is based on a formula of 2% @ 60.

HEALTH BENEFITS - Employees and their dependents are eligible for vision and dental insurance with 100% of the cost paid by the County of Solano.  The County also participates in a cafeteria medical plan administered by PERS HealthCare (eligibility is dependent upon job class). 

OTHER BENEFITS – Employees may also elect to participate in deferred compensation, credit union, life insurance, and flexible spending plan.  All County employees are eligible to purchase auto and/or home owners, renter insurance from Liberty Mutual Insurance.  An Employee Assistance Program is also provided.

EXTRA-HELP - Extra-help employees do not receive or accrue benefits of regular employees during their period of employment.

Based on the information provided in the application documents, the best qualified applicants will be invited for further examination. All applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. Depending upon the number of applications received, the selection process may consist of an initial application screening, a mandatory information meeting, a written and/or practical exam, an oral interview, or any combination listed. Information contained herein does not constitute either an expressed or implied contract.

All potential new hires (including new contract employees) and employees considered for promotion to management, confidential positions or unrepresented will be subject to a background and reference check after contingent job offer is accepted.  These provisions are subject to change.

All additional application materials as requested in the job announcement (e.g. copies of diploma and/or transcripts, certificates, DD-214) must be submitted with the Document Cover Sheet, available on the employment website or at the Department of Human Resources’ office,  and are due within five (5) calendar days of the final filing date or within five (5) calendar days from application submittal if the recruitment is Open & Continuous or Open until Filled. 

Please visit the County of Solano website, www.jobsatsolanocounty.com to apply.  Any further questions can be directed to the Department of Human Resources at (707) 784-6170 or at 675 Texas Street, Suite 1800 Fairfield 94533.  The office is open Monday-Friday, 8:00 a.m.-5:00 p.m.  Paper applications may be completed in person during office hours. EOE/AA

To be eligible, applicant must have served at least 181 consecutive days of active duty in the Armed Forces of the United States and have received either an honorable discharge or a general discharge under honorable conditions.  A COPY OF THE DD 214, SHOWING DISCHARGE TYPE, MUST BE RECEIVED IN THE HUMAN RESOURCES DEPARTMENT WITHIN FIVE (5) DAYS FROM THE DATE OF APPLICATION.  Applicants who have a service connected disability must submit a recent award letter from the VA stating they are receiving disability benefits for service connected reasons.  Disability must be rated at least 10% to be eligible for disabled veteran's points. 

Veteran applicants for initial County employment with an honorable or general under conditions discharge shall receive five (5) points added to their combined grade.  Disabled veterans shall have 10 points added to their combined grade.  Veteran scores will only be added to passing scores.

It is the policy of Solano County that all employment decisions and personnel policies will be applied equally to all County employees and applicants and be based upon the needs of County service, job related merit, and ability to perform the job.

APPLICANTS WITH DISABILITIES:  Qualified individuals with a disability, who are able to perform the essential functions of the job, with or without reasonable accommodation, and need special testing arrangements, must contact the Solano County Department of Human Resources at (707)784-6170, to obtain a Request for Testing Accommodation by Applicants with Disabilities Form.  This form must be received in the Human Resources Department within five (5) days from the final filing date of the recruitment.  Applicants will be contacted to discuss the specifics of the request.

DIRECT DEPOSIT: All persons hired will be required to participate in the direct deposit program.

DRUG FREE WORKPLACE ACT – Depending on the applicant’s job class, prospective employees may be required to undergo a Urine Drug Test in accordance with the Solano County Alcohol and Drug Free Workplace Policy once a conditional offer of employment has been made. Solano County employees are subject to the provisions of the Drug Free Workplace Act of 1988 and the California Drug-Free Workplace Act of 1990.

BACKGROUND PROCESS –The background process may include but not limited to conducting a reference check, completing a personal history statement, conducting a background interview, and live scan fingerprinting.  The County of Solano also utilizes e-Verify to verify employment eligibility. 

MEDICAL EXAMINATION - Prior to appointment, candidates may be required to pass a medical examination.  Candidates are encouraged not to quit or give notice to present employers until the medical examination has been completed and passed.

APPOINTMENT - At the time of appointment, all candidates will be required to execute an oath of allegiance to the United States and the State of California and may be fingerprinted.  Candidates will also be required to offer proof that they are a lawfully admitted alien or U.S. citizen.

EXAMINATION APPEALS – Applicants for Civil Service positions may appeal their disqualification in any phase of the examination process by submitting a written statement to the Director of Human Resources, within five (5) calendar days of the action.  Applicants must indicate the action being appealed, the specific basis for the appeal, and the remedy sought.

PROBATIONARY PERIOD - All new positions are required to successfully complete a minimum probationary period of 6 to 12 months, depending upon the job class.  A probationary period does not apply to "at will" positions.

DISASTER WORKERS - In accordance with Government Code Section 3100, County employees, in the event of a disaster are considered disaster workers and may be asked to respond accordingly.

EXTRA-HELP – An employee appointed to an extra-help position must meet all the requirements of the corresponding regular position.  Extra-help employees cannot work more than 999 hours in the fiscal year.  Extra-help employees are excluded from civil service and do not have rights to regular or continued employment. The provisions of this bulletin do not constitute an expressed or implied contract.  Any provision contained in this bulletin may be modified or revoked without notice.

"SOLANO COUNTY IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER"