County of Alameda

Registered Nurse III (#5315)

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Bargaining Unit: SEIU 1021 - Registered Nurses (003)
$65.74-$80.94 Hourly / $5,259.20-$6,475.20 BiWeekly /
$11,394.93-$14,029.60 Monthly / $136,739.20-$168,355.20 Yearly

Under general supervision, to act as lead nurse, to assist in providing direction, consultation, coordination and review of the work of professional nursing, and para-professional staff on an assigned team; to precept nursing students; to plan, implement, monitor and evaluate the delivery of nursing care services to both the individual and communities; assist in the management of a program/project; and to perform related duties as required.


These positions are located in the Health Care Services Agency, Social Services Agency and Community Development Agency.  Registered Nurse III's are assigned lead responsibility for Registered Nurses and multi-disciplinary staff on an assigned team and/or unit and assist in the management of a program/project.  This class is distinguished from the lower class of Registered Nurse I/II in that the latter provides a variety of nursing care services, case management, care plan, teaching, counseling and referral to clients and families.  This class is further distinguished from the next higher class of Registered Nurse IV in that the latter has primary supervisory responsibilities for a Public Health Nursing (PHN) team and the assigned specialized program(s)/project(s).

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.  Acts as a lead Registered Nurse providing consultation and direction to a professional nursing and paraprofessional multidisciplinary team.

2.  Receives, reviews and assigns referrals to PHN staff for case management and assists the supervisor in ensuring that work is completed within professional practice.

3.  Review's staff work load, analyzes information and adjusts workload accordingly.

4.  Assists the Registered Nurse IV with training, orientation, oversight and evaluation of Registered Nurses and a multidisciplinary staff, as well as precepting nursing students.

5.  Develops and implements the nursing process for the provision of care for clients.

6.  Plans and assists in implementation, monitoring and evaluation of quality assurance and improvement activities.

7.  Assesses the physical, psycho-social, health care status and needs of individual clients and/or families; interviews clients and/or family, collecting a health history and data regarding current health status and life situations; observes client and client family interaction in the home, and develops plan of care.

8.  Participates in epidemiological studies by conducting community investigations.

9.  Monitors documentation of services provided to clients, conducts case reviews and chart audits at required intervals.

10. Monitors implementation of current patient care standards or program standards/regulations set by State and Federal regulatory and/or accrediting agencies to ensure a safe and effective nursing practice.

11. Interprets and implements policies, procedures and regulations as they relate to nursing.

12. Assists the Registered Nurse IV in resolving problematic situations (e.g. patient care, medical services or personnel issues).

13. Assists in developing and updating educational and information material for staff and population served; provides health education to clients through advocacy, anticipatory guidance, and counseling in regards to wellness, lifestyle, health risks, and behavior changes to address the social determinants of health.

14. Collaborates with other health professionals to coordinate client care and assist in improving health status; refers clients and/or families to physicals or appropriate community/public agencies to obtain services or assistance to improve or maintain social function and health.

15. Assists the Registered Nurse IV in program/project planning, assessment, development, implementation, monitoring, and evaluation of program goals, objectives, policies and procedures.

16. Collects health data and reviews reports to assess the health of a community.

17. Assists RN IV with various meetings with staff, community organizations, health agencies, forums and/or focus groups to improve services and relationships; coordinates, facilitates and participates in meetings with assigned team(s), concerned individuals and interagency case conferences.

18. Provides required records and reports, and prepares a variety of correspondence, narrative and statistical reports and other written materials.

19. Operates a variety of standard office equipment; utilizes various medical tools and equipment; may drive a County or personal vehicle for public health and/or county business.

Either I


The equivalent of two years of full-time, recent experience within the last 5 years as a Registered Nurse II in the Alameda County classified service.


The equivalent of three years of full-time, recent nursing experience within the past 5 years, at a level of, or higher than, the Alameda County class of Registered Nurse II in a clinical and/or public health setting.


Possession of a current and valid license to practice as a Registered Nurse in the State of California.

Some positions may require a valid California Motor Vehicle Operator's license.


Possession of a valid Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), and Automated External Defibrillator (AED) certificates issued by the American Heart Association for professional healthcare providers.

Some positions may require possession of a current and valid California Public Health Nursing Certificate.

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.

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 nursing and public health nursing.
  • Current trends in public health and public nursing.
  • Local, State and Federal codes and regulations governing the field of nursing and public health nursing practice.
  • Wellness to illness continuum, including major disease processes to evaluate the condition of clients, families, and/or community.
  • Disparities in health outcomes for vulnerable populations, including socio-economic and environmental factors affecting health equity.
  • Ten Essential Public Health Services.  Principles and practices of public health education and teaching, and interviewing, assessment, and counseling techniques.
  • Health systems, agencies, community resources and patterns of referral.
  • Basic principles and practices of supervision and leadership.
  • Cultural, environmental, sociological and psychological differences and problems.
  • Safety and infection control principles, practices and methods.
  • Quality assurance and quality improvement indicators.
  • Control and prevention of communicable and chronic disease.
  • Mandated reporting requirements.
  • Medical terminology and documentation.
  • Basic auditing skills.

Ability to:
  • Facilitate and model effective written and oral communications with attention to linguistic preferences and cultural proficiency to influence behavior and improve health.
  • Plan, organize, assign and evaluate the work of others.
  • Understand, interpret, explain ad apply laws, regulations, policies and written and oral direction.
  • Exercise interpersonal sensitivity and group interaction skills to establish and maintain effective working relationships.
  • Gather and analyze data.
  • Problem solve and draw logical conclusions.
  • Prioritize work and coordinate several activities to meet critical deadlines.
  • Work independently and adapt to change.
  • Assess the health status and concerns of clients and communities.
  • Assess, monitor, implement and evaluate program services and operations.
  • Exercise sound independent judgement within scope of authority and practice.
  • Evaluate the effectiveness of nursing interactions.
  • Provide public health nursing services and case management.
  • Maintain patient confidentiality.
  • Respond effectively to emergency situations.
  • Incorporate departmental core values and ethical standards of practice into all interactions with individuals, organizations and communities.

RS:lfm Revised/Retitled: 12/8l
TMZ:pb Revised: 07/10/86
Old doc: 0443h
New doc: 5315.doc
CSC Date: 09/10/86
CC:pf 10/16/02
CSC Date: 04/14/04
SG:po Revised 07/08/09
CSC Date: 07/29/09
LC:jf  Revised 07/18/17
CSC Date: 11/20/18


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

  • 12 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.


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