Nurse Practitioner I/II - Ambulatory
Nurse Practitioner I/II - Ambulatory
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Job Description
Introduction
TYPICAL DUTIES
- Elicits records and/or reviews medical histories and performs acute primary care preemployment annual periodic and various other routine physical examinations on patients ranging from newborn through geriatric utilizing the problemoriented medical record or other appropriate systems; provides general and specific health and medical instruction to patients clients and families.
- Coordinates individual and family health management utilizing physician resources or community agencies; provides guidance instruction treatment and referral in such areas of family planning sexually transmitted diseases (STD) Acquired Immune Deficiency Syndrome (AIDS) drug abuse child care and hygiene; assists patients with selection fitting and placing of appropriate contraceptive devices.
- Performs early diagnostic examinations including vision hearing pap smears and other examinations; may order laboratory tests xrays electrocardiograms and other diagnostic tests; may collect specimens for perform and interpret selected laboratory tests and take action on abnormals as necessary; provides immunization and gives injections.
- Identifies basic complex medical conditions; determines if patients medical surgical and psychiatric problems require immediate consultation with the physician; treats conditions and manages stable phases of chronic illnesses on consultation with or following specific protocols established by physicians including dispensing and/or administering medication when indicated; alerts appropriate medical personnel and/or agencies of potential community health problems as encountered.
- Provides routine prenatal care and postpartum followup for mother and child; conducts newborn and well child examinations; provides comprehensive health screening assessments; provides treatment of pediatric illness.
- Observes and evaluates emotional condition of patient; counsels and supports patients in the area of psychosocial problems and interrelationships; provides emergency treatment or referral for patients with severe emotional upsets.
- May work in hospital outpatient custodial public health satellite and mobile staff; may make home and school visits; may lead ancillary clinic staff; may coordinate clinic activities; may orient and oversee nursing students medical students and other providers.
- Provides for Quality Assurance through review and audit of clinic charts to assure adequate medical management and followup; provides consultation to other providers.
- Keeps records and completes forms and questionnaires as required.
- Attends meetings and workshops; serves on committees as assigned; provides consultation and assistance in areas of specialty to other areas of Health Care Services; participates in and may conduct inservice training.
MINIMUM QUALIFICATIONS
Experience (For Nurse Practitioner II):Two years as a Nurse Practitioner.
Licenses & Certificates:
Special Qualification: 1) In order to practice at San Joaquin General Hospital must be credentialed and granted privileges through the San Joaquin General Hospital Committee on Interdisciplinary Practice (CIDP) within ninety (90) days of appointment and in accordance with medical staff bylaws and state regulations. New employees may be granted temporary privileges by the Medical Director or designee pending Committee Interdisciplinary Practice approval; 2) Eligibles may be certified only to job vacancies in the area of specialization in which they possess specialized education and certification. Additionally the successful completion of approved nursing training programs possession of specific nursing experience or the possession of specified professional certificates may be required depending on the nature of the area of assignment.
KNOWLEDGE
ABILITY
PHYSICAL/MENTAL REQUIREMENTS
Equal Opportunity Employer
San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age ancestry color creed marital status medical condition national origin physical or mental disability political affiliation or belief pregnancy race religion sex or sexual orientation. For more information go to Equal Employment Opportunity Division ().
Accommodations for those covered by the Americans with Disabilities Act (ADA):
San Joaquin County complies with the Americans with Disabilities Act and upon request will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.
BENEFITS
Health Insurance: San Joaquin County provides fulltime employees and parttime employees eligible for benefits with a choice of three health plans: a Kaiser Plan a Select Plan and a Premier Plan. Employees pay a portion of the cost of the coverage is available for all plans.
Dental Insurance: The County provides employees with a choice of two dental plans: Delta Dental and United Health CareSelect Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employees expense.
Vision Insurance: The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employees expense.
For more detailed information on the Countys benefits program visit our website at under Human Resources/Benefits.
Life Insurance: The County provides eligible employees with life insurance coverage as follows:
1 but less than 3 years of continuous service: $1000
3 but less than 5 years of continuous service: $3000
5 but less than 10 years of continuous service: $5000
10 years of continuous service or more: $10000
Employees may purchase additional term life insurance up to a maximum of $200000 at the group rate.
125 Flexible Benefits Plan:This is a voluntary program that allows employees to use pretax dollars to pay for healthrelated expenses that are not paid by a medical dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit).
Retirement Plan: Employees of the County are covered by the County Retirement Act of 1937. Please visit the San Joaquin County Employees Retirement Association (SJCERA) at for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees Retirement Act of 1937 or from any governmental agency covered by the California Public Employees Retirement System (PERS) you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance.
Deferred Compensation:The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $22500 or 100% of your includible compensation whichever is less. Individuals age 50 or older may contribute to their plan up to $30000.The Roth IRA (after tax) is also now available.
Vacation: Maximum earned vacation is 15 days each year up to 10 years; 20 days after 10 years; and 23 days after 20 years. Accrual rate is prorated for parttime employees eligible for benefits.
Holiday: 14 paid holidays per year.
Educational Leave: Each fiscal year department heads grant 40 hours to fulltime employees or 24 hours to parttime employees eligible for benefits of educational leave that are not carried beyond the end of the fiscal year.
Sick Leave: 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive: An employee is eligible to receive eight hours administrative leave if the leave balance equals at least onehalf of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year.
Bereavement Leave: 3 days of paid leave for the death of an immediate family member 2 additional days of accrued leave for death of employees spouse domestic partner parent or child.
Merit Salary Increase: New employees will receive the starting salary which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range (1840 hours for parttime employees) they are eligible for a merit increase to the next step.
Standby Pay: Employees designated by appointing authority to be in standby status is compensated at 33.33% of their regular hourly rate.
Educational Supplement: Any bargaining unit nurse who meets at least one of the following criteria will receive an Educational Supplement equal to 5% of their base salary:
- For those classifications that require an Associates Degree of Nursing the nurse has a Bachelors of Science in Nursing. (Nurses who work in Mental Health may substitute a Bachelors Degree in Pyschology or Social Worker for a degree in Nursing.)
- For those classifications that require a Bachelors of Science in Nursing the nurse has a Masters of Science in Nursing.
- Possess National or approved International certification in the specialty area in which the nurse currently is assigned.
- Possess CCRN Certification and active ACLS Certificate.
- Provide proof of completion of a critical care class and active ACLS Certificate.
License/Certificate Fees: The County provides reimbursement for specific classifications under the CNA MOU for fees required to renew State required license/certification. Fees associated with initial license/certification will not be covered.
PreEmployment Physical Exam: If required will be conducted at San Joaquin County General Hospital at no cost to the employee.
Job Sharing: Any regular permanent fulltime employee may agree to jobshare a position subject to approval by a Department Head and the Director of Human Resources.
Educational Reimbursement Program: The County offers an Educational Reimbursement Program. Eligible employees (civil service and parttime eligible for benefits) may be reimbursed for careerrelated course work taken on the employees own time up to $850 per fiscal year; an employee enrolled in an approved degree program may be reimbursed up to$800 per semester for a maximum of $1600 per fiscal yearper fiscal year.
Parking Supplemental Downtown Stockton: The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area.
School Activities: Employees may take up to 40 hours per year but not more than eight (8) hours per month to participate in their childrens school activities.
Selection Procedures
Applicants who meet the minimum qualifications will go through the following examination process:
- Written Exam: The civil service written exam is a multiple choice format. If the written exam is administered alone it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
- Oral Exam: The oral exam is a structured interview process that will assess the candidates education training and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidates score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list.
- Written & Oral Exam: If both a written exam and an oral exam is administered the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list.
- Rateout: A rateout is an examination that involves a paper rating of the candidates application using the following criteria: education training and experience. Candidates will not be scheduled for the rateout process.
Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points.
Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at (209)prior to the examination date.
Veterans Points: Eligible veterans unmarried widows and widowers of veterans of the United States Armed Forces who have been honorably discharged and who have served during wartime shall be given veterans points in initial appointment to County service. Eligible veterans receive 5 points and eligible disabled veterans receive 10 points. Disabled veterans must submit a recent award letter stating a 10% service connected disability issued by the United States Veterans Administration. Note: A copy of your DD214 showing the discharge type must be received in the Human Resources by the date of the examination.
Acceptable wartime service dates:
September 16 1940 to December 31 1946
June 27 1950 to January 31 1955
August 5 1964 to May 7 1975
Persian Gulf War August 2 1990 through a date to be set by law or Presidential Proclamation.
Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months but may be extended by the Human Resources Director for a period which shall not exceed a total of three years from the date established.
Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods.
- Rule of the Rank: The top rank orranks of eligibles will be referred for hiring interviews. The minimum number of names to be referred will be equal to the number of positions plus nine or 10% of the eligible list whichever is higher. When fillingnine or more positions in a department at the same time the top rank or ranks will be referred and the minimum number of names shall be two times the number of positions to be filled or 10% of the eligible list whichever is higher. This applies only to open competitive recruitments.
- Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination.
- Rule of the List: For classifications designated by the Director of Human Resources the entire eligible list will be referred to the department.
Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities.
PreEmployment Drug Screening Exam: Some classifications require a new employee successfully pass a preemployment drug screen as a condition of employment. Final appointment cannot be made until the eligible has passed the drug screen. The County pays for the initial drug screen.
Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship (parent child grand parent grand child or sibling) either by blood or marriage may not be appointed promoted transferred into or within the department when;
They are related to the Appointing Authority or
The employment would result in one of them supervising the work of the other.
Department Head may establish additional limitations on the hiring of relatives by departmental rule.
Proof of Eligibility: If you are offered a job you will be required to provide proof of U.S. citizenship or other documents that establish your eligibility to be employed in the U.S.
HOW TO APPLY
Apply Online:
San Joaquin County Human Resources
44 N. San Joaquin Street Suite 330
Stockton CA 95202
Office hours:
Monday Friday 8:00 am to 5:00 pm; excluding holidays.
Phone: (209)
Job Line:
For currentemployment opportunitiesplease callour 24hour job line at (209).
San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees.
Equal Opportunity Employer: San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age ancestry color creed marital status medical condition national origin physical or mental disability political affiliation or belief pregnancy race religion sex or sexual orientation. For more information go to
Employment Type
Full-Time
Key Skills
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