Public Health Nurse I - REGULAR & BILINGUAL
County of Sonoma - Santa Rosa, CA

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This recruitment is being conducted to fill several current and anticipated full- and part-time Public Health Nurse (PHN) vacancies within the Public Health Division of the Department of Health Services (DHS). Some positions may be designated as either Fluent or Basic Bilingual (English/Spanish) only. The current vacancies will be filled at either the PHN I or II level. NOTE: If you are interested in applying at the II level, you will need to apply to the separate, concurrent recruitment being conducted for that classification.

The employment list established from this recruitment may be used to fill future full-time, part-time and extra-help regular or bilingual vacancies as they occur during the active status of the list. County employees who wish to be considered for future vacancies should consider applying to this recruitment.

Public Health Nurses provide services in the following programs: Disease Control, Children's Medical Services (CCS, CHDP & Foster Care), Maternal, Child & Adolescent Health (MCAH) Home Visiting Programs and Planning & Coordination, nursing services for the Adult & Aging Division within the Human Services Department (HSD) (MSSP, IHSS & APS). PHN's provide a wide range of services on behalf of vulnerable families and populations in the community, including: systems planning and coordination to ensure access to high quality health care and community resources; facility reviews and technical assistance to health care agencies to assure compliance with regulations and optimal quality of service; disease investigations; comprehensive case management; and referrals to address the many social determinants of health such as: access to food, affordable health care, housing, education, jobs, parenting information, family counseling, health education, legal assistance and violence prevention/early intervention resources.

The current positions being recruited for are within the following programs, and can be filled at either the PHN I or PHN II level: Maternal, Child and Adolescent Health Program (MCAH) Field Nursing
MCAH Field Nursing is a home visiting program serving low income, Medi-Cal eligible pregnant and parenting women and their children up to three years. The focus is on populations facing multiple risk factors inclusive of physical and/or mental health issues, substance use, domestic violence, and homelessness alongside the myriad of issues related to poverty. The PHN in this program performs home visiting to assess the physical, emotional, social, and environmental needs of women and their families, and to develop a therapeutic relationship with the clients utilizing concepts of reflection and motivational interviewing to maximize positive health outcomes. In addition, the PHN is responsible to develop and maintain relationships with community resources to support client referrals. In-Home Supportive Services (IHSS)
The IHSS program provides services to low-income seniors, and others of any age with a disability, who need assistance to remain at home. People who receive services through IHSS are either 65 years and over, blind, permanently disabled, or disabled children with extraordinary care needs who meet income and resource guidelines. The Public Health Nurse is located within the Human Services Division and reports to the managerial team on-site. The position is clinically overseen by a Supervising PHN within the Public Health Family Health Section. The PHN in this program visits each client in their home at the time of enrollment, and annually thereafter, to perform client assessment, reassessment, and needs determination based on ADL/IADL tasks. Each visit includes a health assessment, a functional assessment of client abilities, and a needs determination. Instruction and educational materials are provided to assist the client and caregiver with identified needs and resources. The PHN is responsible for all documentation in accordance with HSD and state guidelines, and for communication with physicians and community agencies. This position consults with and works in close collaboration with IHSS social workers who coordinate care. In addition the PHN participates in family/client case conferences within the division and with community agencies.

Children’s Medical Services (CMS)
CMS includes the California Children’s Services program (CCS), The Child Health Disability Prevention Program (CHDP), and the Foster Care Nursing program. In all of these programs, the PHN is responsible for care coordination, and in some instances, case management of children with complex medical conditions to ensure appropriate access to primary and specialty care, therapeutic, and social-emotional support services, medications, and medical equipment as needed. All of the programs work with low-income families from diverse backgrounds. The majority of the work is done in an office based setting with some community/group work. Communication with families and health care providers is primarily done over the telephone, although a component of the CHDP program requires conducting health care facility reviews to ensure high quality pediatric services are provided.

Disease Control (CD)
PHN’s in Disease Control investigate communicable diseases reported through Title 17 of the Health and Safety Code. This position will be responsible for HIV/AIDS surveillance, tuberculosis (tb) case management, participate in data collection during outbreaks, and work collaboratively with partner services. Utilizing data, the nurse will assist in directing HIV prevention activities in the community including trainings and education. The nurse is the Liaison with the State Office of Aids for surveillance and may attend yearly meetings related to HIV/AIDS updates. The nurse will also work closely with the tb PHN to assist with case investigations, medication management, and specimen collection. The PHN in this position must communicate effectively with community providers, organizations, and persons from various social-economical backgrounds.

The ideal candidate for these positions will :
Be able to function independently in a variety of home and community settings;
Have the ability to work one-on-one with individual clients and lead client groups from a diverse community; and
Be knowledgeable of public health principles and practices that relate to prevention and early intervention, coordination of multiple community services, and community engagement. The PHN I is the entry-level in which incumbents apply the necessary knowledge, skills, and abilities in learning to perform the full scope of public health nursing duties.

Please visit the DHS website for additional information about the programs, services, organization and partnerships at www.sonoma-county.org/health .

Application submissions require the supplemental questionnaire be completed.

Minimum Qualifications:
License : Possession of a California State Public Health Nursing Certificate.

Driver’s License : Possession of a valid driver's license at the appropriate level including necessary 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:
Working 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. Community aspects of public health nursing programs. Prevention, detection and treatment of communicable and chronic disease, handicapping conditions, mental illness and other disabling conditions; environmental, sociological, and psychological problems related to public health nursing programs. Principles and procedures involved in family planning, sexually transmitted disease control, and pre and post-natal care; and current literature and trends in community health.

Ability To : Organize and carry out public health nursing activities in assigned district or program; differentiate medical problems requiring immediate consultation with a physician rather than a deferred consultation; to follow prescribed protocols set up by physicians and to consult with physicians and other medical personnel; work effectively with families and individuals to assist them in solution to health problems; 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; and write and speak effectively and prepare and maintain clear and concise records and reports.

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 http://hr.sonoma-county.org/content.aspx?sid=1024&id=1464 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.

Please Note : Fluent (reading, writing, conversation) or Basic (conversational) Spanish may be required for some assignments. Applicants who do not indicate they possess this skill will not be considered for those assignments. An examination will be conducted prior to employment to confirm level of skill in this area.

ADDITIONAL INFORMATION

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. HOW TO APPLY

Applications are accepted on-line at www.yourpath2sonomacounty.org . 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: http://hr.sonoma-county.org/content.aspx?sid=1024&id=1304 HR Analyst: DP
HR Technician: KW

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