County of Alameda

Registered Nurse V (#5325)

Bargaining Unit: ACMEA - HCSA Tech/Para Mgmt (R45)
$74.46-$88.89 Hourly / $5,956.80-$7,111.20 BiWeekly /
$12,906.40-$15,407.60 Monthly / $154,876.80-$184,891.20 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 program division or multiple nursing units; to act as the Division Director or Administrator in his/her absence; and to do related work as required.  


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

The classification of 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 program division or multiple nursing units.  It is further distinguished from the classification of Deputy Director, Public Health Nursing in that the latter has overall administrative and policy development responsibilities for the Public Health Nursing 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 and/or nursing units’ goals and objectives and promotes their achievement.
  2. Provides programmatic, administrative, and clinical leadership, direction, and oversight to nursing units within the division.
  3. Assists in the overall management and daily operations of the assigned division and/or nursing units.
  4. Provides consultation and guidance on program/division-wide directives, ensuring quality customer service and compliance with all federal, state, and local rules and regulations as well as agency and departmental policies and procedures.
  5. Promotes identification of service interventions needed to assign appropriate staff by using established workload standards and/or acuity levels for clients and communities.
  6. Oversees the preparation of assigned units’ budgets and monitors cost control activities relative to personnel, supplies, equipment, and facility expenditures.
  7. Oversees and provides clinical and administrative direction, training, evaluation, coaching, and discipline directly or through subordinate managers to assigned registered nurses/public health nurses and a multidisciplinary team, including professional, paraprofessional, support staff, nursing students and interns.
  8. Participates in public health emergency response activities.
  9. Participates in departmental-wide, or program-specific, on-call rotation; may participate in specific clinic initiatives or provide direct client care as needed.
  10. May render public health nursing services, tests, and assessments.
  11. Participates in on-call rotation as a First Call Duty Officer in response to reports of communicable disease(s).
  12. Monitors implementation and compliance of standards set by public health nursing, state and national regulations, and accrediting agencies.
  13. Interprets and implements policies, procedures, and regulations.
  14. Collaborates with state and local agencies, community health teams, other community programs and/or provides for coordination and implementation of services.
  15. Provides direction for Epidemiology 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.
  16. 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.
  17. Participates in the planning and implementation of educational programs for employees, volunteers, interns, and nursing students.
  18. Develops and conducts studies and research.
  19. Communicates regularly with immediate supervisor to report on the status of activities, studies, trends, resources, personnel, programs, needs, and problems.
  20. Provides required records and reports; prepares a variety of correspondence, narrative and statistical reports, program documentation, policies, procedures, and other written material.
  21. Operates a variety of standard office equipment and technology.
  22. Adheres to approved personnel policies 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).  




The equivalent of two (2) years’ full-time, recent (within the last five (5) years) experience as a Registered Nurse IV in the Alameda County classified service.



The equivalent of three (3) years’ full-time, recent (within the last five (5) years) experience as a Registered Nurse III in the Alameda County classified service.   



The equivalent of four (4) years’ full-time, recent (within the last five (5) years) experience as a supervisory nurse in a clinical and/or public health setting.  Two (2) years of the required recent full-time experience must include supervision of a multidisciplinary team.  


A Master’s degree in Nursing, business administration, public administration, health/healthcare management/administration, public health, or related field from an accredited college or university may substitute for the equivalent of one (1) year of experience.  


  • Possession of a current and valid license to practice as a registered nurse in the State of California.
  • Possession of a valid Basic Life Support for Healthcare Providers certificate, which includes cardiopulmonary resuscitation (CPR) and Automated External Defibrillator (AED) training.
  • 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 governing the field of nursing and public health nursing practices.
  • Principles and theories of modern methods, principles, procedures, techniques, standards, and practices of public health nursing, including the understanding of medical terminology and documentation.
  • Current principles, best practices and trends in service delivery systems, quality assurance and quality improvement.
  • 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.
  • Disparities in health outcomes for vulnerable populations including socio-economic and environmental factors that affect health equity.
  • Interviewing, assessment, counseling, and teaching techniques.
  • Ten Essential Public Health Services.
  • Health systems, institutions and community resources and referral systems.
  • Principles, practices, and methods of safety and infection control and prevention of communicable and chronic diseases.
  • Methods of prevention of accidents and abuse and neglect of children, spouses, and the elderly.
  • Methods of evaluating normal and abnormal behavior patterns.
  • Complex health care systems and techniques of collaboration.
  • Cultural, environmental, sociological, and psychological differences and problems encountered in public health nursing.
  • Process of developing goals and objectives and evaluating their achievement, including concurrent and retrospective audits.
  • Budgetary and financial record-keeping techniques.

Ability to:

  • Plan, monitor and evaluate program and service delivery effectiveness in the programmatic area(s) to which assigned.
  • Analyze policies, procedures, operations, and interventions and modify as needed to meet/improve programmatic objectives.
  • Assess the health status and concerns of clients and communities.
  • Facilitate and model effective written and oral communication with attention to linguistic preferences and cultural proficiency.
  • Develop, analyze, and monitor program 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, political astuteness and group interaction skills to establish and maintain effective working relationships.
  • Maintain confidentiality.
  • Exercise independent judgment within the scope of authority and practice.
  • Prepare clear, accurate, and effective reports, correspondence, policies, informational brochures, and other written materials.
  • Utilize basic modern office equipment and technology related to work.
  • Incorporate departmental core values and ethical standards of practice into all interactions with individuals, organizations, and communities.


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

AC:sa Revised 10/21/2020

CSC Date: 01/13/2021


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

  • 12 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.

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