Nurse Practitioner (Extra Help Only)

There is currently one (1) Extra Help Nurse Practitioner position available within the Jail Based Services branch of the Health & Human Services Agency. Only Online Applications will be Accepted.

DEFINITION

Under general direction, to provide specialized health care services in physical diagnosis, psychosocial assessment, and management of health and illness needs consistent with the expanded role of a registered nurse, including screening physical examinations of children and adults.

SUPERVISION RECEIVED AND EXERCISED

Reports to the Public Health Nursing Manager (Director of Public Health Nursing) and receives medical direction from the Psychiatrist (Behavioral Health Medical Director) and the County Health Officer. May exercise supervision over lower level staff.

EXAMPLES OF ESSENTIAL FUNCTIONS

Conducts, updates, and records clinical assessments and treatment plans of clients; identifies the health status of children and adults by taking thorough histories, performing a complete physical examination and initiating appropriate diagnostic and screening tests. Evaluates medical complaints and performs appropriate physical examinations to determine the likely cause of the complaints. Orders and interprets a variety of routine tests which may include blood counts, chemistry panels, lipid panels, liver function tests, medication levels, and electrocardiograms. Provides direct and indirect clinical services to clients; initiates selected therapy for specific problems, utilizing standing orders signed by the Behavioral Health Medical Director or County Health Officer. Assists clients with obtaining community-based outpatient primary care for acute or chronic, pre-existing or newly diagnosed medical conditions. Provides psychiatric care to clients in consultation with the Behavioral Health Medical Director, which includes identifying medication needs and determining efficacy of the medication regimen. Collaborates with the clinical team and consulting psychiatrist to develop the most appropriate, culturally responsive and effective psychotropic medication regimen; evaluates medical complaints and performs appropriate physical examinations to determine the likely cause of the complaints. Arranges for hospital admission of patients and facilitates the referral of appropriate health facilities, agencies, and resources. Provides health education to clients who are being examined; identifies community health resources and guides individuals in their use. Assists in the implementation and maintenance of medical policies, procedures, and protocols within the individual programs as identified by medical management. Works in conjunction with management to orient and train other staff providing services for the agency. Other duties as directed by the Behavioral Health Medical Director, Director of Public Health Nursing, or County Health Officer and consistent with State B.R.N. guidelines.

MINIMUM QUALIFICATIONS

EDUCATION

Graduation from an accredited Nurse Practitioner Training Program and graduation from an accredited program of Registered Nursing.

EXPERIENCE

Experience utilizing the skills of the extended role of the RN including performance of physical exams and working under standard protocols of diagnosis and treatment is preferred.

ADDITIONAL REQUIREMENTS

Possession of a valid and current Nurse Practitioners Certificate issued by the State of California and a valid and current Registered Nurse License issued by the State of California. Possession of a valid CPR and first-aid certificate. Possession of a valid California driver’s license. Under certain circumstances, the Human Resources Director may accept a valid driver’s license from another State if applicant acknowledges his/her intent to acquire a California driver’s license within three months by signing an acknowledgement form.

EMPLOYMENT STANDARDS

Knowledge of: Federal, State, and local laws and regulations governing behavioral health and public health. Professional nursing principles, procedures, and techniques used in the care and treatment of patients. Causes and means of transmission and methods of control of communicable diseases. Child growth and development and procedures involved in promoting maternal and child health. The proper approach to a screening physical examination. Social, psychological, and physical factors of mental and emotional disorders. Current medication management strategies and their application to both medical and behavioral health patients, including management of opioid and benzodiazepine dependence. Laws and regulations relating to the practice of medicine and nursing in a behavioral health setting and/or public health agency. Principles and practices of diagnosis and treatment of common medical problems. Medical and social community resources available to patients. Ability to: Construct a complete medical history. Perform a physical exam. Identify problems and develop and implement treatment plans. Evaluate patient’s behavior. Maintain accurate written charts and records of patient activities and progress. Analyze situations accurately and take effective action. Communicate with pharmacies, substance abuse treatment entities, primary care physicians, and other affiliated health providers. Administer medications including psychotropic drugs; monitor and record patient’s medication usage and results. Educate patients and family members about mental health and medical conditions, preventative health measures, and medication/treatment plans. Establish and maintain cooperative relationships with public and private, social, and health agencies. Communicate effectively, orally and in writing, with patients, their families, facility and clinic staff, and others; prepare clear and concise communications, reports, and records. Use professional judgment to determine and apply appropriate intervention techniques with patients in crisis.

TYPICAL WORKING CONDITIONS

Work is normally performed in an office environment with some field visits. Interaction with clients requires adaptability when confronted with emergency, critical, unusual, or potentially dangerous situations. Potential exposure to infectious diseases.

TYPICAL PHYSICAL REQUIREMENTS

Requires the ability to sit at a desk for long periods of time and intermittently walk, stand, stoop, kneel, crouch and reach while performing office duties: lift and/or move light weights; use hands to finger, handle or feel objects, tools or controls. Must be able to maintain effective audio, visual discrimination and perception needed for making observations, communicating with others, reading and writing, and operating office equipment. Must be able to use a telephone to communicate verbally and a keyboard to communicate through written means, to review information and enter/retrieve data, to see and read characters on a computer screen. THIS CLASS SPECIFICATION LISTS THE MAJOR DUTIES AND REQUIREMENTS OF THE JOB AND IS NOT ALL-INCLUSIVE. INCUMBENTS MAY BE EXPECTED TO PERFORM JOB-RELATED DUTIES OTHER THAN THOSE CONTAINED IN THIS DOCUMENT.

EQUAL EMPLOYMENT OPPORTUNITY

The County of Mariposa is an equal opportunity employer committed to an active and effective Equal Employment Opportunity Program. It is the stated policy of the County of Mariposa that all employees, officers, officials, applicants for employment, volunteers, contractors, unpaid interns, and recipients of services shall receive equal consideration and treatment in employment and services without regard to race, religion, color, sex (including gender, gender identity, gender expression, transgender, pregnancy, and breastfeeding), national origin, ancestry, disability, medical condition, genetic characteristics or information, marital status, age, sexual orientation (including homosexuality, bisexuality, or heterosexuality), or any other basis protected by law. REASONABLE ACCOMMODATION FOR INDIVIDUALS WITH DISABILITIES The County of Mariposa makes reasonable accommodations for individuals with disabilities including an obligation to ensure that only the essential duties of the position are required to be performed. Individuals with disabilities requiring any accommodations in order to participate in the testing process must inform the Mariposa County Human Resources Office by calling View phone number on click.appcast.io or emailing View email address on click.appcast.io. Also, those applicants requiring such accommodations should document this request including an explanation as to the type and extent of accommodation needed to participate in the selection process and/or perform the duties of the job for which they have applied.

EDUCATION DOCUMENTS

If you are using education to meet the minimum qualifications for this recruitment, you must attach your transcripts or a copy of your diploma/degree to your application. Unofficial transcripts and evaluations are accepted. Please redact birthdates and social security numbers. #J-18808-Ljbffr Mariposa County