The Monterey County Health Department, Clinic Services Bureau is seeking to fill Clinic Nurse Practitioner positions.
The Clinic Services Bureau operates ten clinics and provides care to the medically underserved population in Monterey County. The mission of the Bureau is to provide quality primary medical care services for all residents of Monterey County regardless of the ability to pay and assures that high quality services are provided at the lowest possible cost. Monterey County Health Department clinics are located in Salinas, Seaside and Marina and provide family practice, women's health, internal medicine, pediatric, behavioral health, and specialty services.
The Clinic Nurse Practitioner will provide primary care services in an ambulatory outpatient clinic setting. Incumbent will perform comprehensive medical assessment of patients and establish medical diagnosis for patients, both independently and in collaboration with physicians and other health care professionals. Clinic Nurse Practitioner may indirectly supervise Medical Assistants, and address action items according to medical standards and clinic policies and procedures.
The Eligible List established by this recruitment process may be used to fill current and future vacancies on a regular full-time, part-time, or temporary basis.
Examples of Duties
Under the supervision of a licensed physician, performs comprehensive medical assessment of patients with real or potential acute and/or chronic health issues to determine their physical, emotional and social status; by taking a complete medical history, performing physical exams, and initiating screening and diagnostic procedures; evaluate results of clinical findings and laboratory tests; establishes a medical diagnosis; report any abnormalities to a physician.
Identifies and manages, common illnesses and/or other health problems in an outpatient clinical setting; refers problems or illnesses that require immediate medical attention to the appropriate practicing physician; assumes on-going responsibility for follow-ups.
Plans a program of care, in collaboration with physicians and/or other medical professionals, as needed; orders appropriate treatments and prescribes/regulates medications per physician-agreed standards;
Furnish medication under the supervision of a physician and in accordance with standardized procedures; monitors individual response(s) to medication; and educates individuals and their families as needed.
Orders, evaluates, and interprets findings of a variety of diagnostic and laboratory tests which may include: x-rays, blood counts, chemistry panels, lipid panels, liver function tests, medical levels, EKG, etc.
Teaches and counsels patients, parents or other family members regarding health maintenance in the area of specialization; teaches individuals and families information and skills necessary to maintain and improve health; advocates for the promotion of good physical health and disease prevention.
Reviews patient charts; records, documents, and maintains accurate records of assessments, evaluations, nursing/medical care administered, patient responses, and follow-up accurately and timely; utilizes the electronic health record system according to protocol and procedures established by the appropriate agency.
Collaborates with multidisciplinary teams to deliver coordinated patient care; coordinates and facilitates referrals to other health or social agencies.
Performs and monitors therapeutic procedures
Maintain confidentiality in accordance with legal standards and County regulations.
THE SUCCESSFUL CANDIDATE:
Will have a proven track record demonstrating the following knowledge, skills, and abilities:
Thorough Knowledge of:
Laws and regulations governing Nurse Practitioners;
Laws and regulations and ethical standards governing medical treatment and medical records;
Medicare and Medi-cal regulations;
Principles, practices and procedures used in the causes, diagnosis and treatment of common health problems related to the area of practice in an outpatient or clinic setting;
Scope of responsibilities applicable under incumbent’s licensure.
Provisions of the Nurse Practice Act.
Medical laws and regulations and the ethics of patient care
Principles of health maintenance and communicable disease prevention and management.
Quality assurance and infection control practices and procedures.
Medical terminology, human anatomy and physiology;
Medications commonly used in family practice or clinical specialty including appropriate doses, indications, contraindications, side effects and adverse reactions.
Diagnostic protocols; sterile techniques; and infection control; clinical significance of laboratory test results.
Operations and care of medical equipment and instruments used in the area of specialty.
Ethics and laws, including the Nurse Practice Act, under which medicine is practiced and governed and roles and responsibilities of allied health professions.
Health care delivery systems, community resources and referral systems.
Skill and Ability to:
Perform physical assessments, including ordering, interpreting, and evaluating complex diagnostic tests and examination;
Provide health care services, which include taking a complete medical history and performing a physical examination, and other related clinical procedures; including multi-generational family assessments as needed.
Identify and manage health problems common to the area of practice.
Use common medical instruments.
Develop and implement treatment plans for patients according to prescribed policies, protocols, and scope of licensure
Analyze, interpret, evaluate and apply appropriate procedures and protocols and determine situations requiring consultation or referral of case to a physician.
Recognize social problems, which effect health and assist in securing adjustments.
Safely administer medication; monitor and record patient’s medication usage and results;
Prepare and maintain accurate medical records, medical reports, and case histories, as needed.
Educate patients and family members about health and medical conditions, preventative health measures, medications or treatment plans;
Remain knowledgeable and proficient in medical health practices common to the area of practice;
Communicate effectively in both oral and written forms for the purpose of gathering information, explaining procedures or a variety of other matters to individuals with varying degrees of knowledge.
Establish and maintain effective professional relationships with those contacted in the course of work.
Perform duties effectively under pressure and in stressful situations.
Adapt quickly and appropriately to a variety of situations and personalities;
Establish and maintain effective professional relationships with those contacted in the course of work at all organizational levels including patients and health care personnel, and the public.
Demonstrate a high degree of maturity, tact, diplomacy, compassion, integrity, initiative, and independent judgment.
Examples of Experience/Education/Training
Any combination of training, education, and/or experience which provides the knowledge, skills, and abilities and required conditions of employment is qualifying. An example of a way these requirements might be acquired is:
Successful completion of an approved Nurse Practitioner training program leading to licensure as a Nurse Practitioner by California Board of Nursing with any required specialty area and demonstrated ability to provide the full scope of patient care.
Three to five years of experience as a Nurse Practitioner with demonstrated ability to provide the full scope of care for higher acuity patients, in the area of specialty, with little supervision.
Pursuant to Section 2835 of the Business and Professions Code hold a valid and active California license as a Registered Nurse and Nurse Practitioner and possess training, experience and certification as set forth in the health system’s Practice Prerogative’s to practice in fields of Family and Adult Medicine, OB-GYN, Pediatrics, and other primary care services as may be determined by the Clinics.
Pursuant to Business and Professions Code Section 2836 must possess a “furnishing number to furnish drugs and/or devices.”
Pursuant to Business and Professions Code Section 2831.1 must possess a valid DEA number and certificate.
Ability to communicate effectively in English and Spanish is desirable for this position. Bilingual (English/Spanish) candidates must complete and receive a passing score on the bilingual oral and written exam upon hire in order to receive the bilingual pay stipend.
CONDITIONS OF EMPLOYMENT:
The required conditions of employment include, but are not limited to the following:
The Health Department will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check.
Possess and maintain a valid California Class C driver’s license or the ability to provide suitable transportation that is approved by the appointing authority.
Be available to work a flexible schedule, including evenings, weekends, holidays, and during times of disaster and/or emergency.
Monterey County offers an excellent benefits package. To view the S Unit Benefit Summary please visit our website Benefits Summary Sheet. This information is not legally binding, nor does it serve as a contract. The benefits listed in the Monterey County Personnel Policies and Practices Resolution or Memorandum of Understanding (MOU) prevail over this listing.
On July 30, 2021 the County of Monterey Board of Supervisors took action to mandate COVID-19 vaccination for all employees to include new hires. The vaccination requirement is in accordance with Section 25 of the County of Monterey Emergency Response Manual and COVID-19 Prevention Program Link. Applicants who accept employment with the County of Monterey, will be required to be fully vaccinated. However, individuals may request medical or religious exemptions and will be required to complete the appropriate request and certification forms for review and approval no later than their start date. Medical /Religion.
As a condition of employment, prospective employees may be required to submit to a background review which may include a review of information concerning present and/or prior employment, driving record, and record of any criminal convictions. Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the U.S.; a list of acceptable documents is available on the USCIS Form I-9. If you are hired into this classification in a temporary position, your rate of pay will be hourly, and you will not be eligible for the benefits listed in the summary
Hard copy applications may be obtained from and submitted during normal business hours,
Monday – Friday, 8:00 AM – 5:00 PM by contacting:
Monterey County Health Department
Attn: Human Resources
1270 Natividad Road
Salinas, CA 93906
Phone: (831) 755-4618 Fax: (831) 775-8084
The selection process is tentative, and applicants will be notified if changes are made. To assess applicants’ possession of required qualifications, the examination process may include an oral examination, pre-examination exercises, performance examination, and/or written examination. The competitive examination process includes submittal of required application materials. A complete application package will include:
Monterey County Employment Application
Response to the Supplemental Questions
Valid and active following licensures at the time of hire:
Valid and active California Registered Nurse License
Valid and active California Nurse Practitioner Certificate
Applicants who fail to provide all required materials by the final filing deadline will not be considered. Resumes, cover letters, letters of interest, and other correspondence will not be accepted as a substitute for required application materials. All required application materials will be competitively evaluated. Those applicants that are determined to be the most appropriately qualified will be invited to participate further in the selection process.
Monterey County is a drug-free workplace and an equal opportunity employer.