Mid-Level Practitioners (i.e., Nurse Practitioners and Physician Assistants) are Registered Nurses or Physician Assistants with graduate level training in diagnostic and health assessment allowing them to provide basic medical care.  Incumbents function at an expanded level of responsibility by combining services of the professional registered nurse and the physician assistant within the framework of mutually established medical protocols and guidelines.

Under the general direction of a physician, incumbents assess and diagnosis medical needs of ambulatory and medical clinic patients, develop and implement treatment and intervention plans and evaluate progress.  They also conduct education/referral; case management; health promotion; disease prevention; community outreach; and medication administration.

Important Notices:
This recruitment will remain open until the position is filled.  The recruitment is subject to close at anytime without notice.  Applications will be screened periodically beginning Monday, March 15, 2010.  You will be notified of your status for the recruitment within two to three weeks from the date you applied.

The resulting eligible list from this recruitment will be used to fill full-time, part-time, limited-term, and extra-help (non-benefited) positions.  The current vacancy is a regular, full-time position located in the Department of Health and Social Services' Family Health Service Clinics

Your Registered Nurse license, certifications, college diploma, transcripts, educational unit evaluation (if needed), and DD-214 (if needed) must be submitted with the Document Cover Sheet within five (5) days of your submitting the application.

Incumbents work under the general direction of a licensed physician.

• Assesses the health status and needs of individuals and families; diagnoses conditions; develops treatment plans; and furnishes and dispenses medication and medical devises.
• Interviews patients; takes medical histories; performs physical exams; makes diagnoses; orders laboratory tests; collects specimens; reviews lab results; treats conditions; administers immunizations; and performs triage and emergency aid.
• Prepares and maintains medical records, reports, charts and other documentation; coordinates with other clinicians and makes referrals for additional services.
• Counsels patients and families regarding diagnosis and treatment; provides case management; and conducts utilization reviews to determine appropriate actions.
• Performs other duties of a similar nature and level as assigned.   

Knowledge of:

• Principles and practice of medical care and the nursing process including assessment, diagnosis, planning, intervention/implementation, and evaluation
• Medical terminology, scientific methodology, and related medical theory
• Pathophysiology, pharmacology, epidemiology, bacteriology, and microbiology
• Infectious disease management and control
• Community health and social services health promotion, preventive health-care measures, and general nutrition
• Applicable federal, state, and local laws, rules, regulations, codes, and statutes
• Medical records management practices and procedures
• Community health and social services
• Universal precautions
• Diseases and health problems commonly treated in health clinics and correctional institutions
• Transmission, intervention, prevention, and treatment of communicable diseases including symptoms and disease process
• Clinic operations, practices, routines, and protocols
• Patient educational techniques and practices
• Health promotion, preventive health-care measures, and general nutrition
• Uses and effects of medications and immunizations

Master’s degree from an approved nurse practitioner program or an approved physician assistant program is required.

(1) All candidates must submit a copy of their college degree (verifying the degree, date earned, and clearly showing the area of specialization) or transcripts (verifying the courses and units completed).  Please note:  Any applicant, who indicates that they have a college degree or have taken any college units, must provide proof, even though the position may not require a degree or college units.

(2) Candidates who attended a college or university that is accredited by a foreign or non-US accrediting agency must have their educational units evaluated by an educational evaluation service.  The evaluation must include the name of the educational evaluation service, the date, and the name of the evaluator.  Contact a local college or university to learn where to obtain this service.

(3) Candidates must submit the required license and certifications as listed in the announcement.  The license, certifications, degree, transcripts, and/or educational unit evaluation must be submitted to the Human Resources Department no later than five (5) days of application submittal.  Failure to do so will disqualify the candidate from further advancement through the recruitment process.

• California Registered Nurse License
• Nurse Practitioner Certification or California Physician Assistant Certification
• Adult, Child, and Infant CPR Certificate
• Based upon assignment, additional certifications such as a DEA Certificate may be required

• May be subject to fumes, odors, blood and other bodily fluids, communicable diseases, and threatening environments including disruptive or aggressive behaviors from others
• May required shift and holiday work
• May require independent travel

It is the policy of Solano County that all employment decisions and personnel policies will be applied equally to all County employees and applicants and be based upon the needs of County service, job related merit, and ability to perform the job.

Appliants with Disabilities: If you are a qualified individual with a disability, that is, someone who is able to perform the essential functions of the job, with or without reasonable accommodation, and need special testing arrangements, contact the Solano County Department of Human Resources at 707.784.4194, for a Request for Testing Accommodation by Applicants with Disabilities Form.  This form must be received in the Human Resources Department within 5 days of application submittal.  A staff member will contact you and advise you how to proceed.

Important: If you are a Solano County employee with a disabling condition, and are unable to perform the essential functions of your present position with or without reasonable accommodation, you may be eligible for preferential certification to an alternative position.  Please immediately notify the ADA Coordinator @ 707.784.4194 to initiate review of this option.

SALARY POLICIES - The starting salary is ordinarily the first rate shown on the front of the announcement.  After satisfactory completion of approximately six months, a 5% salary advancement may be authorized.  Thereafter, further increases are possible upon completion of additional periods of six months, twelve months, and eighteen months, assuming satisfactory service.  Longevity, shift differential, bilingual, call back, and stand by pay are provided for some classes.  Effective December 1, 1998, all new hires are required to participate in the Direct Deposit Program.

HOLIDAYS & VACATIONS – Regular full-time employees receive twelve paid holidays per year, and accrue vacation at the rate of ten days per year.  After three years of continuous service employees accrue vacation time at the rate of fifteen days per year and at the rate of twenty days per year after ten years.

SICK LEAVE – Regular full-time employees accumulate twelve sick leave days per year.
 
RETIREMENT - The County is a member of the Public Employee’s Retirement System (PERS), and benefits are coordinated with Social Security.  The County has reciprocity with all State PERS and County 1937 Act Retirement Systems agencies.  PERS retirement for miscellaneous employees is based on a formula of 2.7% @ 55 with both employee and employer contributing.  The County reports the employer’s contribution to PERS as salary, thereby increasing employees pay upon retirement.

HEALTH BENEFITS - Employees and their dependents are eligible for vision and dental insurance with 100% of the cost paid by the County.  The County also participates in a cafeteria medical plan administered by PERS HealthCare (depending on the job class, employees may be eligible for cash back).

EMPLOYEE ASSISTANCE PROGRAM - An Employee Assistance Program is available.

OTHER BENEFITS – Employees may elect to participate in a deferred compensation and the credit union.  All County employees are eligible to purchase auto, home owners, and/or renter insurance from Liberty Mutual Insurance.  This is a group policy and therefore receives substantial savings on premiums.  Life insurance is also available for employees only.

Application review will begin on March 15, 2010

Based on the information provided in the application documents, the best qualified applicants will be invited for further examination.  All applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the exam.  Depending upon the number of applications received, the selection process may consist of a resume screening, written and/or practical exam, oral interview, or any combination.

Depending on the job class, candidates may need to successfully pass a post-offer drug screening test prior to employment.

Information contained herein does not constitute either an expressed or implied contract. All potential new hires (including new contract employees) and employees considered for promotion to management, confidential positions or unrepresented will be subject to a background and reference check after contingent job offer is accepted.  These provisions are subject to change.

All additional application materials as requested in the job announcement (i.e., copies of diplomas and/or transcripts, certificates, DD-214 form, etc.) must be submitted with the Document Cover Sheet and are due within five (5) calendar days of the application submittal.
 
Visit the County of Solano website, www.jobsatsolanocounty.com to apply.

Further questions can be directed to the Rebecca Iacobucci, (707) 784-2357.

Paper applications may be completed in person during office hours. EOE/AA

To be eligible, you must be an applicant for initial County employment, have served at least 181 consecutive days of active duty in the Armed Forces of the United States and have received either an honorable discharge or a general discharge under honorable conditions.

A copy of your DD 214, showing the discharge type, must be received in the Human Resources Department within five (5) days of application submittal.

If you have a service connected disability, you must submit a recent award letter from the VA stating you are receiving disability benefits for service connected reasons.  Disability must be rated at least 10% to be eligible for disabled veteran's points.

Veteran's preference 5 points * Disabled Veterans 10 points

PLEASE NOTE: All persons hired will be required to participate in the direct deposit program.

HIRING PROCEDURES - Depending on the number of qualified applicants, the selection process may consist of a resume screening, written and/or practical exam, oral interview, or any combination thereof.  Candidates must be successful in each part of the exam process.  For Civil Service positions, the appointing authority is entitled to certification of the top five candidates by score.

DRUG FREE WORKPLACE ACT – Depending on the applicant’s job class, prospective employees may be required to undergo a Urine Drug Test in accordance with the Solano County Alcohol and Drug Free Workplace Policy once a conditional offer of employment has been made.  Solano County employees are subject to the provisions of the Drug Free Workplace Act of 1988 and the California Drug-Free Workplace Act of 1990.

MEDICAL EXAMINATION - Prior to appointment you may be required to pass a medical examination.  Candidates are encouraged not to quit or give notice to present employers until the medical examination has been completed and passed.

APPOINTMENT - At the time of appointment you may be fingerprinted.  You will be required to execute an oath of allegiance to the United States and the State of California.  You will also be required to offer proof that you are a lawfully admitted alien or U.S. citizen.

EXAMINATION APPEALS - For Civil Service positions, individuals selecting to appeal their disqualification in any phase of the examination process must submit a written statement to the Director of Human Resources, within five (5) calendar days of the receipt of the action, indicating the action being appealed, their specific basis for the appeal, and the relief sought.

PROBATIONARY PERIOD - All new positions are required to successfully complete a minimum probationary period of six to twelve months, depending upon the position.  A probationary period does not apply to "at will" positions.

EXTRA HELP APPOINTMENTS - Appointments may be made from an eligible list for extra help (up to 999 hours/fiscal year, no benefits) positions.

DISASTER WORKERS - In accordance with Government Code Section 3100, County employees, in the event of a disaster are considered disaster workers and may be asked to respond accordingly.   The provisions of this bulletin do not constitute an expressed or implied contract.  Any provision contained in this bulletin may be modified or revoked without notice.