REGISTERED NURSE III, CORRECTIONAL HEALTH

Full Job Description

Due to Critical Shortage Recruitment, incumbents and appointees shall be compensated beginning at Step 3 of the salary range.

The Critical Shortage Recruitment was established in the Los Angeles County Code Section 6.10.050A.

The recruitment rates shall remain in effect through June 30, 2026, or until it is determined that a shortage no longer exists, whichever is sooner.

Correctional Health Services – 20% Recruitment and Retention Bonus
The County of Los Angeles is currently offering a bonus of up to 20% for full-time Registered Nurse III, Correctional Health positions hired by Correctional Health Services and working on-site in a designated facility to meet critical healthcare needs for the uniquely underserved jail population.

COVID-19 VACCINATION MANDATE:
All County workforce members must be fully vaccinated against COVID-19 as a condition of employment. Successful candidates for this position will be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department.

DEPARTMENT OF HEALTH SERVICES:

The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation.

Through its unified system of 23 health centers and four hospitals - and expanded network of community partner clinics – DHS annually provides direct care for over 500,000 outstanding patients, employs over 23,000 staff, and has an annual budget of over $8.4 billion.

For additional information regarding DHS please visit www.dhs.lacounty.gov.

Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R.

Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty.

In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.

THE MISSION:
To advance the health of our patients and our communities by providing extraordinary care.

DEFINITION:
This proficient level class provides professional nursing care and services to patients and inmates in a variety of settings.

CLASSIFICATION STANDARDS:
Positions allocable to this proficient level class typically report to a supervisory or management level nurse. Positions apply experienced judgment and nursing principles and practices in providing professional nursing care to patients under minimal supervision. Nurses at this level understand patients' needs as they progress across the continuum and develop effective relationships with the health care team to formulate integrated approaches to care. Incumbents recognize a wide range of subtle cues, extract information from cues, and demonstrate clinical forethought to anticipate likely clinical events and intervene decisively. Positions have responsibility for the coordination of multidisciplinary approaches to patient care. Positions also have responsibility for incorporating evidence-based practice, including current research and literature, best practice, consensus statements, community standards, and recommendations from professional organizations into care delivery. Assignments may include any inpatient or outpatient setting with a varying and highly complex patient population. Positions are responsible for assessing, planning, implementing, and evaluating care as part of an interdisciplinary team. Positions also precept, coach, and mentor other nursing and non-nursing staff. As a mentor, positions foster a nurturing relationship between professionals that is not confined to place or limited by time. The position demonstrates effective collaboration, skilled communication, an assertive leadership style, and independent judgment. Incumbents anticipate and prevent barriers to care through facilitation of and active participation in system changes. Practices in accordance with departmental policies and procedures, established standards of nursing care, and standards of professional performance.

Requirements

Assessment:

Evaluation of the nature and extent of nursing issues presented by a patient for the purpose of patient care planning.

Assessment includes identifying less obvious or common relationships in collected data and taking appropriate steps to mitigate their impact on the provision and quality of nursing services.

In addition, at this level, assessment involves predicting diverse patient need for care, potential need for care, and the validation of data collected by others.

At this level assessment involves recognizing subtle trends before explicit diagnostic signs are evident. Collects and analyzes data from multiple sources.

Assesses, evaluates and documents the patients' physical, medical and psychosocial circumstances; identifies economic or cultural barriers and determines their influence on the provision of care; refers patients based on patients' needs and risk factors involved.

Synthesizes all available patient information including observations by other health care team members and the patient's significant others and predicts variances from the expected trajectory.

Initiates additional assessment and/or reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk.

Identifies and utilizes resources to facilitate the appropriate assessment of diverse inmate populations.

Develops collaborative partnerships with patient and family to obtain complete health history, including present illness, current health status, and past medical, psychosocial, spiritual and family histories; integrates patients' values and beliefs when providing care.

Creates, validates, and/or improves tools to ensure assessment data is collected and documented.

Utilizes collected data and experience to assess risk for instability and rapidly identify deviations from baseline.

Planning:

Developing a plan of care based on the assessment process.

The purpose is to collaborate with all involved in the care of the patient (interdisciplinary team, patient, and their significant others).

At this level, incumbents develop a comprehensive plan of care and prescribe nursing interventions that move the patient closest to desired outcomes.

Interventions are individualized and address both short- and long-term needs.

Uses complex problem solving skills and experience to identify a broad range of options in the development of a plan of care with realistic outcomes which are congruent with interdisciplinary goals.

As patient responds to interventions, expeditiously modifies and communicates the plan of care in collaboration with the interdisciplinary team including clinical pathways as appropriate; for patients on clinical pathways, identifies when a change in patient condition requires discontinuation of the pathway and communicates to the provider the need to change the plan of care.

Evaluates and integrates the presence of high-risk factors, at-risk behaviors, and other concerns into the plan of care.

Serves as a Lead role or participate in patient care conferences, committee meeting, staff development and educational programs as needed.

Integrates and anticipates interdisciplinary discharge planning needs into plan of care.

Identifies appropriate tools and/or teaching methods for patient/family education.

Implementation:

Interventions that a nurse performs for a patient, including treatments, procedures, medication administration, education, referrals, and discharge planning.

At this level, incumbents lead others during situations which require immediate, independent interventions and for those which call for planned interventions.

Also at this level, incumbents demonstrate adaptability and respond quickly and decisively to very complex situations.

Provides individualized, specialized nursing care to patients and administers medications and treatments to patients as prescribed.

Qualifications

SELECTION REQUIREMENTS

1. A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

-AND-

2. Current certification in Basic Life Support (BLS).

-AND-

3. Six years of full-time registered nursing experience*. Three years of which must be at the level of the Los Angeles County classification Registered Nurse II**.

Please see Special Requirement Information

LICENSE:
A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Current certification in Basic Life Support (BLS).
A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.

All required licenses and certifications must be active and unrestricted or your application will not be accepted

PHYSICAL CLASS: Physical Class III – Moderate:
Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds.

DESIRABLE QUALIFICATIONS:
Credit will be given to applicants who possess the following desirable qualifications:

***Bachelor of Science in Nursing (BSN) or ***Master of Science in Nursing (MSN).Points will be award for additional Nursing experienceSPECIAL REQUIREMENT INFORMATION:Training and Experience Requirements*Full-time experience is defined as a minimum of 40 hours worked per week and must be post-license only.** Experience at the level of Registered Nurse II or Registered nurse II, Correctional Health in the County of Los Angeles is defined as:Providing professional nursing care and services to patients in a variety of settings.Serving as an expert or specialist who gives practical experience and training to a new hire, a re-entry, or a nurse that is transitioning into a new area.Applicants claiming experience in a state other than California must attach a copy of their registered nurse license from that state to the application at the time of filing or within 15 calendar days from the application filing date.

Applications submitted without the required evidence will be rejected.License and Certification InformationTo compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing - OR - have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America.Applicants who have a license to practice as a Registered Nurse issued by a State Government Board of Registered Nursing, within the United States of America, may compete in this examination.

However, the names of such candidates will be withheld from the certification list pending receipt of the required license authorized by the California Board of Registered Nursing.Please ensure the license and certification section of the application is completed.

Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements.Applicants must attach a legible photocopy of their BLS certification to their application at the time of filing or within 15 calendar days from the application filing date.

Applications submitted without the required evidence of BLS certification will be rejected.The original license to practice as a Registered Nurse issued by the California Board of Registered Nursing and BLS certification must be presented during the selection process and/or prior to appointment.The required license and certification MUST be current and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted.

Additional Information EXAMINATION CONTENT:The examination will consist of:An evaluation of experience and Desirable Qualifications based on application information weighted 100%.CANDIDATES MUST ACHIEVE A PASSING SCORE OF 70% OR HIGHER ON THE EXAMINATION IN ORDER TO BE PLACED ON THE ELIGIBLE REGISTER.Notification Letters and other correspondences will be sent electronically to the email address provided on the application.

It is important that applicants provide a valid email address.

Please add truocco@dhs.lacounty.gov and info@governmentjobs.com to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail.VACANCY INFORMATION:The eligible register resulting from this examination will be used to fill vacancies throughout the Department of Health Services, Correctional Health as they occur.ELIGIBILITY INFORMATION:Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to the eligible register accordingly.The names of candidates will be placed on the eligible register in the order of their score group for a period of twelve (12) months following the date of promulgation.No person may compete in this examination more than once every twelve (12) months.SPECIAL INFORMATION:Appointees may be required to work any shift, including evenings, nights, weekends and holidays.AVAILABLE SHIFT:Any shiftAPPLIATION AND FILING INFORMATION:***In order to receive credit for a college degree on this examination, you must include a legible photocopy of your "official" diploma(s), "official" transcripts, or "official" letter(s) from an accredited institution which shows the area of specialization, at the time of filing or within 15 calendar days of filing your application online.

APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX OR IN PERSON WILL NOT BE ACCEPTED.Apply online by clicking the "APPLY" tab for this posting.

You can also track the status of your application using this website.All information is subject to verification.

We may reject your application at any time during the examination and hiring process, including after appointment has been made.

Falsification of any information may result in disqualification or rescission of appointment.This examination will remain open until the needs of the service are met.

Application filing may be suspended at any time with or without advance notice.Fill out your application completely.

The acceptance of your application depends on whether you have clearly shown that you meet the REQUIREMENTS.

Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job.

For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, and description of work performed.

If your application is incomplete, it will be rejected.Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted.

NOTE: If you are unable to attach documents to your application, you may email the documents to Teresa Ruocco at truocco@dhs.lacounty.gov within 15 calendar days of filing online.

Please include the exam number and the exam title.The County of Los Angeles is a Fair Chance employer.

Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment.

The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s).

If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.SOCIAL SECURITY NUMBER LANGUAGEPlease include your Social Security Number for record control purposes.

Federal law requires that all employed persons have a Social Security Number.COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIESFor candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.NO SHARING USER ID AND PASSWORDAll applicants must file their applications online using their own user ID and password.

Using a family member or friend's user ID and password may erase a candidate's original application record.ADA COORDINATOR: (323) 914-6365CALIFORNIA RELAY SERVICES PHONE:(800) 735-2922DEPARTMENT CONTACT:Teresa Ruocco, Exam AnalystTelephone Number : (213) 288-7000Email Address: truocco@dhs.lacounty.gov