County of Alameda

Registered Nurse V (#5325)

Bargaining Unit: ACMEA - HCSA Tech/Para Mgmt (R45)
$62.23-$74.30 Hourly / $4,978.40-$5,944.00 BiWeekly /
$10,786.53-$12,878.67 Monthly / $129,438.40-$154,544.00 Yearly

Under general direction, to administer the nursing and/or public health services of a major functional area and/or program(s); to assist in the overall management of a Division; to act as the Division Director in his/her absence;; and to do related work as required.


Registered Nurse V's are located within the Health Care Services Agency and report to a Public Health Division Director or Public Health Nursing Director. A Registered Nurse V may have functional and administrative supervision over a Registered Nurse IV and a multidisciplinary team including nursing, professional, paraprofessional and support staff assigned to these programs.

Registered Nurse V is distinguished from the next lower level class of Registered Nurse IV in that the latter has primary supervisory responsibilities for a public health nursing team in the assigned specialized program(s)/project(s). Whereas, the Registered Nurse V administers services of a major functional area and/or assist in the overall management of a Division. It is further distinguished from the director of a division in that the latter has overall administrative and policy development responsibilities for the assigned division.

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. Contributes to the establishment of division goals and objectives and promotes their achievement.

2. Assists in the overall management and daily operations of the assigned division.

3. Promotes identification of service interventions needed to assign appropriate staff by using established workload standards and/or acuity levels for clients and communities. Assures

4. Maximizes resources and personnel, provides budget oversight and assures program(s) is within budget limitations.

5. Oversees and provides clinical and administrative direction to assigned Registered Nurse IV's and a multidisciplinary team, including professional, paraprofessional and support staff.

6. Monitors implementation and compliance of standards set by public health nursing, state and national regulations and accrediting agencies.

7. Interprets and implements policies, procedures and regulations.

8. Collaborates with state and local agencies, community health teams, other community programs and/or provides for coordination and implementation of services.

9. Provides direction for EPI Investigation Team for communicable disease outbreaks; directs quality reviews of epidemiological investigations; and directs the analysis, interpretation and dissemination of surveillance data related to communicable disease control programs.

10. Provides skilled administrative consultation and direction to physicians; provides medical and administrative consultation to health care providers, staff, public health nursing, health facilities; health care plans, schools and other individuals in communities.

11. Participates in the planning and implementation of educational programs for employees, volunteers and students from affiliating school.

12. Develops and conducts studies and research.

13. Communicates regularly with immediate supervisor to report on status of activities, studies, trends, resources, personnel, programs, needs and problems.

14. Provides required records and reports; prepares a variety of correspondence, narrative and statistical reports, program documentation, policies, procedures and other written material.

15. Operates a variety of standard office equipment and technology.

16. Adheres to approved personnel polices and procedures.


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

Either I

The equivalent of two years' full-time, recent (within the last 5 years) experience as a Registered Nurse IV in Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.)


The equivalent of three years' full-time, recent (within the last 5 years) experience as a Registered Nurse III in Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.)

The equivalent of four years' full-time recent (within the last 5 years) experience as a supervisory nurse in a clinical and/or public health setting. Two full-time years must include supervision of a multidisciplinary team.


A Master's degree in Nursing or related field from an accredited college or university may substitute for the equivalent of one year of experience.


· Possession of a current and valid license to practice as a registered nurse in the State of California.
· Some positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the State of California Board of Registered Nursing.
· Some positions 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.

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:

· 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 regulations as it relates to public health nursing.
· Theories, principles, procedures, techniques, standards and practices of public health nursing.
· Theories and practices of public health.
· Quality assurance and quality improvement indicators.
· Principles and processes of personnel management which include leadership, supervision, performance evaluations, counseling and coaching staff.
· Principles and practices of effective organization, management, monitoring and quality assurance.
· Interviewing, assessment, counseling and teaching techniques.
· Health systems, institutions and community resources and referral systems.
· Safety and infection control principles, practices and methods.
· Complex health care systems and techniques of collaboration.
· Cultural, environmental, sociological and psychological differences and problems encountered in public health nursing.
· Medical terminology and documentation.
· Process of developing goals and objectives and evaluating their achievement, including concurrent and retrospective audits.
· Budget process and management.

Ability to:

· Communicate orally and in writing.
· Make decisions.
· Analyze and problem solve.
· Plan, organize and prioritize.
· Develop, analyze and monitor budgets and other data.
· Provide leadership.
· Be flexible and adapt to stress.
· Teach nursing procedures, techniques and effective and safe use of equipment and supplies.
· Respond effectively to emergency situations.
· Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public.
· Maintain confidentiality.
· Utilize basic modern office equipment and technology related to work.

RS:lfm 12/8l
TMZ:pb Revised: 11/87
Old doc: 0447h
New doc: Jobspecs/5325.doc
CSC Date: 12/2/87
TE:pf Rev. 10/11/02
CSC Date: 2/18/04
SG:po Revised 7/30/09
CSC Date: 8/26/2009


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)
  • Accidental Death and Dismemberment Insurance 
  • 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
  • Management Paid Leave**
  • 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.

** Non-exempt management employees are entitled to up to three days of management paid leave. Exempt management employees are entitled to up to seven days of management paid leave.