Senior Public Health Nurse
County of Sonoma - Santa Rosa, CA

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The County of Sonoma Department of Health Services is seeking experienced nursing professionals to fill current and anticipated full-time vacancies as Senior Public Health Nurses (Senior PHN) in the Public Health Division. The employment list established from this recruitment may be used to fill future full-time, part-time, and extra-help vacancies as they occur during the active status of the list. County employees and others who wish to be considered for future vacancies should consider applying to this recruitment.

Under direction, a Senior PHN exercises technical and functional oversight in an assigned public health nursing program; assists in the development, implementation, evaluation, and oversight of community public health services; provides specialized services within an established program area.

Senior PHNs are assigned to various programs throughout the Public Health Division. The current vacancy is in the Multi-Purpose Senior Services Program (MSSP), and the two anticipated vacancies are in the Maternal, Child and Adolescent Health (MCAH) and the Immunization Programs.

Multi-Purpose Senior Services Program (MSSP)
The Senior PHN in this program completes mandates at enrollment and annually to assure that the client meets the level of care certification requirements for the program as delineated by the California Department of Aging and the Department of Health Services. Additionally, the Senior PHN works independently and in close collaboration with the DHS social workers regarding medical issues pertaining to all clients. Each MSSP visit includes a health assessment, memory testing (Saint Louis University Mental Status Examination), medication review/update, and functional assessment. He/she visits the client face to face to evaluate and coordinate services with the client’s physician and designated care team. Working with families and social workers, the Senior PHN employs lead nursing skills in the setting of multidisciplinary care conferences, at all times working in close collaboration with Human Services Department staff on the multidisciplinary team.

Maternal, Child and Adolescent Program (MCAH)
The Senior PHN assigned to this program will be responsible for serving in a lead or “expert level” role for the Home Visiting Programs focused on pregnant and/or parenting families with young children. Specifically, responsibilities include: facilitating a culture of quality and increased adoption of evidence-based practices through the implementation of the electronic medical record (EMR) and the development of standardized care procedures; developing customized clinical charting templates for the EMR, coordinating staff trainings, and facilitating orientation of new PHNs assigned to work in the MCAH home visiting teams. In addition, it is expected that this position will utilize a Collective Impact approach to work closely with partnering community-based organizations to facilitate the sharing of best practices and a universal triage and referral system, to ensure that all eligible families receive the appropriate level of service needed.

Immunization Program
The Senior PHN assigned to this program will promote the Immunization Registry to encourage patient reminder-recall, review vaccine data for usage trends, promote education/training for providers regarding best practice for immunization services; ensure vaccine accountability and management through clinic review of log sheets, inventory records. This position will review data for epidemiology and surveillance to assess population vaccination needs, and disease trends; collaborate and build relationships with the public, providers, schools, day cares, and various agencies to promote vaccine usage and awareness; and review the scope of work from the State Immunization Branch and work closely with them through audits, reports, and trainings.


The ideal candidate for all Senior PHN positions will be an experienced licensed RN with a PHN Certificate who possesses advanced practice experience in the area of assignment. A Master’s Degree is desirable and home visiting experience preferred. Familiarity with electronic medical records and Continous Quality Improvement is desirable.
Application submissions require the supplemental questionnaire be completed.

Minimum Qualifications:
Education & Experience : One year of experience equivalent to the Sonoma County class of Public Health Nurse II OR two years of public health nursing experience obtained after receipt of a California Public Health Nursing Certificate.


Possession of a California State Public Health Nursing Certificate.

Driver’s License : Possession of a valid driver's license at the appropriate level, including special endorsements as required by the State of California, may be required depending upon assignment to perform the essential job functions of the position.

Working Conditions : Duties may require exposure to hostile, emotionally disturbed or mentally ill persons and/or confrontational interpersonal situations; intermittently sit at a desk for long periods of time while reviewing patient charts and histories and preparing patient charts and reports; intermittently walk, stand, bend, climb and reach while making field visits, conducting clinics or making educational presentations or demonstrations; twist to reach equipment surrounding desk or treatment areas; perform simple grasping and fine manipulation; use telephone and write or use a keyboard to communicate through written means; see and hear with sufficient acuity to examine and assess patient conditions; lift moderate weight; may work in dangerous, high crime areas of the community; and/or standby, callback and work during non-routine hours.

Knowledge, Skills, and Abilities:
Considerable Knowledge Of : Modern principles, methods, and practices of public health nursing, including preventive medicine, epidemiology, public health education, gerontology, and sociological problems involved in public health nursing; principles and practices of public health program planning including environmental, social, physical, and psychological issues; Federal, State and local laws and regulations governing public health and nursing practices; community aspects of public health nursing programs. Procedures and practices used to promote maternal and child health and to assess infant, child, adolescent development and other special programs; principles and practices of work safety, especially as related to communicable diseases, differing cultural, religious, economic and social groups and their relationships to the delivery of and acceptance of health care services; and various preventive and early diagnostic techniques.

Working Knowledge Of : Principles and practices of supervision; techniques of organizing and conducting classes and training sessions on a variety of health subjects; services and functions of other social and health agencies and providers relative to public health nursing; and demographic, bio-statistical and data collection methods utilized in evaluating public health needs and problems.

Ability To : Plan, control and direct the activities of nursing and other staff in an specialized public health nursing program area; train, assign, review, evaluate, and lead and/or oversee the work of subordinate staff, consult with other staff and/or manage complex cases requiring advanced public health nursing skills and knowledge, assist in developing and implementing policies and procedures, assist in the evaluation of public health nursing program effectiveness, determine abnormalities in laboratory test reports; ability to differentiate medical problems that require immediate consultation with the physician rather than a deferred consultation; follow established protocols set up by physicians and to consult with physicians and other medical personnel; identify community health needs through analysis of demographic and bio-statistical data and information, write and speak effectively and prepare and maintain clear and concise records and reports; develop and maintain effective public relations with clients, staff, community groups and organizations; exercise independent judgment, analyze and evaluate situations independently and take appropriate actions; instruct in the prevention of disease and promotion of public health practices; work with various cultural and ethnic groups in a tactful and effective manner; use a computer, calculator, typewrite, telephone, facsimile machine, photocopy machine, and audio-visual equipment; and use clinical and instructional supplies and equipment including blood pressure cuff, stethoscope, audiometer, syringes and needles.

Selection Procedure:
The information contained in the application and responses to the supplemental questions will be evaluated and taken into consideration throughout the employment process. Applicants should list all employers and positions held within the last ten years in the work history section of your application and be as thorough as possible when responding to the supplemental questions. You may include history beyond ten years if related to the position for which you are applying. If you held multiple positions with one employer, please list each position separately. Failure to comply with these instructions may impact your competitiveness in this process or may result in disqualification.

For more detailed information about examination steps and the hiring process, you are encouraged to go to and review the Hiring Process Overview. Application submissions require the supplemental questionnaire be completed.

The selection procedure will consist of the following examination:

An Application & Supplemental Questionnaire Appraisal Examination (weight 100%) will be conducted to evaluate each applicant's application and supplemental questionnaire for satisfaction of minimum qualifications (pass/not pass), and for educational coursework, training, experience, knowledge, and abilities which relate to this position. Each applicant will be evaluated based on the following criteria:

Relevance of work history, related experience, and achieved level of education and/or training as described in the application and responses to the supplemental questions. Candidates demonstrating possession of the minimum qualifications will be placed on an employment list in order of most qualified to least qualified based on the achieved score received in the Application & Supplemental Questionnaire Appraisal Examination . Scores may be adjusted based on such factors as number of candidates, anticipated vacancies, past practice, and natural breaks in the scores achieved by this group of candidates.


A background investigation is required prior to employment. Candidates referred to departments for a selection interview are typically required to sign authorization and release forms enabling such an investigation. Failure to sign prescribed forms will result in the candidate not being considered further for that vacancy. Reference information will not be made available to applicants.

Additionally, a pre-employment medical examination, including a drug screening, will be required prior to employment.


Applications are accepted on-line at . Paper applications may be submitted by person, fax (707-565-3770), email, or through the mail. All applications and appropriate supplemental information as outlined in the job bulletin must be RECEIVED by the time and date specified on the first page of this job announcement. Applications received after the recruitment closes will not be accepted. The County of Sonoma is committed to a policy and actively pursues a program of equal employment and non-discrimination. More information can be found at:

HR Analyst: DP
HR Technician: KW