County of Alameda

Registered Nurse II (#5305)

Bargaining Unit: SEIU 1021 - Registered Nurses (003)
$49.38-$60.94 Hourly / $3,950.40-$4,875.20 BiWeekly /
$8,559.20-$10,562.93 Monthly / $102,710.40-$126,755.20 Yearly


DESCRIPTION
Under general supervision, to provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, to provide nursing assessment, planning, intervention and evaluation; coordinates care with other health care providers, professionals and other agencies and community representatives; to assist in the prevention of communicable diseases; and to perform related duties as required.

DISTINGUISHING FEATURES

Registered Nurse I/II positions are located in the Health Care Services Agency, Social Services Agency and Community Development Agency.

Registered Nurse II: This is the journey-level class where incumbents have had the required professional nursing experience and are capable of independently performing the full range of nursing care services. The Registered Nurse I/II's are distinguished from the next higher level of Registered Nurse III in that the latter acts as lead nurse providing consultation and assisting in the supervision of lower-level staff within a program, unit or site.

EXAMPLES OF DUTIES
NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Conducts home visits to clients and families for a variety of referrals; and gathers and assesses information about clients using the nursing process to meet the nursing needs of clients.
2. Provides nursing case management and assessment; monitors clients for significant and/or critical changes; and documents all interventions provided to clients, families and groups.
3. Educates clients and families about health care and disease prevention techniques to promote health and well-being; interprets clinical data procedures, regimens and services to clients and families; and prepares educational materials and other resources.
4. Coordinates and communicates with health care providers, professional and other agencies and community representatives.
5. Conducts contact investigation to determine high risk exposure; refers contacts for screening and treatment and follows up to assure appropriate treatment was received.
6. Services as a client advocate; assists clients with accessing health care providers and/or services; accompanies clients to appointments with other providers; and follows up on appropriate referrals to address unmet health care needs.
7. Reviews and triages confidential morbidity and laboratory reports; reviews epidemiological investigations; and conducts surveillance activities for communicable diseases and vaccine preventable diseases.
8. Provides direct immunization services to children, adolescents and adults.
9. Initiates required nursing procedures to ensure patient health and safety.
10. Develops, modifies and implements a nursing care plan, appropriate to the needs of the client, to ensure timely and appropriate assessment, diagnosis, treatment and evaluation.
11. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria to ensure appropriate level of clients' care.
12. Participates in community outreach and health education activities for patients and families and promotes utilization of preventive health services and positive health behaviors.
13. Interprets policies, procedures and regulations to meet standards set by State and National regulatory and accreditation agencies.
14. Provides guidance to ancillary workers for a given period of time by organizing, adjusting and accepting responsibility of activities to ensure quality of care is provided to clients.
15. Participates in staff meetings, health fairs, community meetings, interagency case conferences, forums and/or focus groups.
16. Conducts visual assessments of the environmental conditions in the home.
17. Conducts a baseline assessment of the client's psycho-social needs.

MINIMUM QUALIFICATIONS
For Both Levels I & II

License/Certificate:

- Possession of a current and valid license to practice as a Registered Nurse in the State of California.
- Some positions may require possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California
- 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.


For Level II

Either I
Experience:

The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.)

Or II

The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting.
Some positions may require one (1) year of experience in a specialty area.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

KNOWLEDGE AND SKILLS
NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the "Examples of Duties" section of this specification.

Knowledge of:

• Theories, principles, procedures, techniques, standards and practices of public health nursing.
• Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities.
• Principles and practices of the nursing process.
• Wellness to illness continuum.
• Nursing procedures, techniques, equipment and supplies.
• Contact investigation and infection control principles.
• Health systems, agencies, and patterns of referral.
• Major disease conditions, current prevention techniques, therapies, and treatments.
• Community resources and health systems.
• Collaborative health planning with multi-disciplinary teams.
• Principles and practices of effective organization.
• Computer applications related to the work.

Ability to:

• Maintain confidentiality.
• Communicate effectively orally and in writing.
• Teach and counsel patients, families, and staff.
• Exercise independent judgment.
• Interpret data.
• Analyze, evaluate and draw logical conclusions.
• Respond effectively to emergency situations.
• Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public.
• Practice effective nursing in diverse/multicultural environments.
• Plan, organize and prioritize.
• Make effective use of available materials and human resources.
• Provide safe, effective and efficient nursing care.

CLASS SPEC HISTORY
RS:lfm Revised/Retitled: 12/81
TMZ:pb Revised: 7/17/86
Old doc: 0442h
New doc: 5300-5305.doc
ys/3/01
CSC Date: 8/6/86
CC:pf Rev. 10/11/02
CSC Date: 3/17/04
SG:po Revised 7/8/09
CSC Date: 7/29/09

BENEFITS

Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

  • Medical – HMO & PPO Plans
  • Dental – HMO & PPO Plans
  • Vision or Vision Reimbursement
  • Share the Savings
  • Basic Life Insurance 
  • Supplemental Life Insurance (with optional dependent coverage for eligible employees) 
  • County Allowance Credit
  • Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
  • Short-Term Disability Insurance
  • Long-Term Disability Insurance
  • Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
  • Employee Assistance Program

For your Financial Future

  • Retirement Plan - (Defined Benefit Pension Plan)
  • Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

  • 11 paid holidays
  • Floating Holidays
  • Vacation and sick leave accrual
  • Vacation purchase program
  • Catastrophic Sick Leave
  • Group Auto/Home Insurance
  • Pet Insurance
  • Commuter Benefits Program
  • Guaranteed Ride Home
  • Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
  • Employee Discount Program (e.g. theme parks, cell phone, etc.)
  • Child Care Resources
  • 1st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.