Licensed Vocational Nurse I

Salary : $49,156.16 - $60,455.87 Annually
Location : Madera, CA
Job Type: Full-Time
Department: Public Health
Division: Public Health Administration
Opening Date: 09/10/2026
Closing Date: 9/24/2026 11:59 PM Pacific
FLSA: Non-Exempt
Bargaining Unit: PROFS

Under immediate supervision, performs a variety of technical nursing duties in support of client physical health, medication administration, and professional psychiatric and/or medical staff; distributes and administers medications in accordance with psychiatrist or physician orders and provides medication monitoring, support, and education to clients and staff; assists with the planning and conduct of clinics; charts, interprets, and executes oral and written orders received from professional medical staff; and performs related duties as assigned.

Supervision Received and Exercised
Receives immediate supervision from assigned supervisory or management personnel. Exercises no direct supervision over staff.

Examples of Duties


The job functions listed below are not inclusive or exclusive and are intended only as illustrations or examples of the various types of work that may be performed in various divisions/departments. Types of work performed shall be within the scope and licensure (if required) for the classification. Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.
Some duties may be performed in a learning capacity for entry-level (I Level) positions.

• Performs a wide variety of vocational nursing Functions including hands-on care, testing, and treatment of patients; interviewing patients and assisting them in follow-up care; maintaining medical supplies and medications; assisting in emergency medical treatment; administering medications; and maintaining medical charts and patient records.
• Participates as a team member of a multidisciplinary treatment team by providing technical psychiatric nursing care, including but not limited to physical assessments, medication administration, and coordinating various services to support client wellness and recovery.
• Monitors and responds to calls to the behavioral health nursing line; responds to medication and nursing requests for information and answers staff and pharmacy inquires related to behavioral health clients as appropriate.
• Assists with the planning and conduct of clinics including set-up and loading of supplies, equipment, and facilities.
• Performs client intake duties; assesses and monitors condition of clients; obtains client histories and records and conveys information to clinical and other professional and para-professional staff.
• Collaborates and consults with psychiatrists, pharmacists, registered nurses, drug representatives, clinicians, and various other program staff and service providers regarding client care.
• Assists in the development and implementation of educational outreach programs and related materials; disseminates educational information to clients.
• Provides education, training, and information to clients in areas such as vaccinations and communicable diseases; administers oral medications and intramuscular and subcutaneous injections.
• Coordinates and assembles client records for review by clinic staff.
• Charts, interprets, and executes oral and written orders received from professional medical staff; maintains nursing notes of changes in orders and patient progress, condition, and response to medications.
• Assists medical staff in a variety of examination and treatment procedures as required.
• Coordinates referrals to outside agencies for follow-up treatments; evaluates necessary referrals.
• Discusses medication effects with patients; assesses response to medications, including adverse effects, efficacy, etc.; reports effects to professional medical staff for needed action.
• Performs administrative tasks, including preparing records and reports, entering computer data, copying, and filing documents, answering the telephone, and ordering, stocking, and maintaining an inventory of supplies and equipment; processes and completes required documentation for patient admissions, status changes and discharges.
• Operates and assists in testing and maintaining unit equipment; prepares equipment, instruments, and supplies for use in treatments, procedures, etc., as directed.
• Cleans and maintains patient, treatment, work, and storage areas.
• Attends and participates in meetings to discuss assignments, treatment plans, and clinic coordination; attends in-service and continuing education programs.
• Follows safety regulations and takes necessary steps to ensure client and staff safety.
• Provides client and family health/medical instruction as appropriate or directed; schedules appointments and follow-up visits as necessary; refers clients to, and contacts, community agencies to provide additional care as appropriate.
• Performs other related duties as assigned.

Employment Standards / Minimum Qualifications


Some knowledge and abilities may be performed by positions at the entry (I) level in a learning capacity.

Knowledge of:

• Nursing protocols and treatment used in the care of individuals who experience mental, emotional, and/or behavioral disorders.
• Principles and practices of licensed vocational nursing.
• Medical terminology and processes related to the work.
• Client physical assessment and reporting techniques.
• Psychotropic medications, side effects, and interactions.
• Methods, materials, tools, and equipment commonly used in a healthcare setting.
• Medical and psychiatric terminology.
• Methods of medical case recording and report preparation.
• Aseptic techniques and infection control in a healthcare setting.
• Community resources related to the client's service needs.
• Basic mathematics.
• Applicable federal, state, and local laws, codes, and ordinances relevant to the area(s) of responsibility.
• Techniques for providing a high level of customer service by effectively dealing with the public, vendors, contractors, and County staff.
• The structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar.
• Modern equipment and communication tools used for business functions and program, project, and task coordination, including computers and software programs relevant to the work performed.

Ability to:

• Perform procedures and techniques in a clinic or home environment as permitted by vocational nursing certification.
• Provide specialized vocational nursing services related to the job assignment.
• Operate and maintain specialized nursing equipment.
• Conduct medical history data gathering.
• Provide community referrals to clients.
• Recognize critical and significant physical or behavioral changes in patients.
• Administer prescribed medications, injections, and vaccines.
• Learn to operate a wide variety of medical equipment safely and skillfully.
• Follow established policies, procedures, protocols, and standards, including safety regulations.
• Prepare and maintain a wide variety of accurate and detailed records and reports.
• Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments.
• Maintain professional boundaries and adhere to all professional ethical standards including abuse reporting and maintenance of client confidentiality.
• Use tact, initiative, prudence, and independent judgment within general policy and procedural guidelines.
• Understand, interpret, and apply all pertinent laws, codes, regulations, policies and procedures, and standards relevant to the work performed.
• Effectively use computer systems, software applications relevant to the work performed, and modern business equipment to perform a variety of work tasks.
• Communicate clearly and concisely, both orally and in writing, using appropriate English grammar and syntax.
• Establish, maintain, and foster positive and effective working relationships with those contacted in the course of work.

Education and Experience
Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be:

• Equivalent to a level of education and course of study, which would qualify as an accredited program for incumbents to obtain licensure as a Vocational Nurse or Psychiatric Technician in the State of California.
• No experience required.

Licenses and Certifications

• Possession of, or ability to obtain by the time of appointment, an appropriate California driver's license.
• Possession of, or ability to obtain by the time of appointment, a valid Vocational Nurse or Psychiatric Technician licensure issued by the California Board of Vocational Nursing and Psychiatric Technicians.
• Possession of, or ability to obtain, and maintain a valid CPR certificate.

Physical Demands
Must possess mobility to work in a standard office and/or medical setting and use standard office equipment, including a computer, and to operate a motor vehicle to visit various County and meeting sites; vision to read printed materials and a computer screen; and hearing and speech to communicate in person and over the telephone. Standing in and walking between work areas is frequently required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate standard office equipment. Positions in this classification frequently bend, stoop, kneel, and reach to perform assigned duties, as well as push and pull drawers open and closed to retrieve and file information. Employees must possess the ability to lift, carry, push, and pull materials and objects up to 25 pounds.


Environmental Conditions
Employees work in an office and medical environment with moderate noise levels, controlled temperature conditions, and may be exposed to blood and bodily fluids, and other hazardous physical substances. Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.

Application Process
The application review process will include screening to ensure applications are complete and meet all minimum qualifications. In addition to the application, the applicant is required to complete the Supplemental Questions to further evaluate their education, training and experience relative to the required knowledge, skills and abilities for the position. Applicants must submit answers that are as complete as possible.


Only the most qualified applicants who pass the minimum qualifications review, will be invited to the examination process which may be administered by a written examination, oral interview, or any combination of qualifications appraisal determined by the Department of Human Resources to be appropriate. The Department of Human Resources will make reasonable accommodation in the examination process for disabled applicants. If you have an accommodation request, please indicate such on your application.

Depending upon the number of applicants meeting the minimum qualifications, applicants may be scheduled for the assessment listed below. Passing score is 70% out of 100%.


THE ASSESSMENT (100%) IS TENTATIVELY SCHEDULED FOR MONDAY, OCTOBER 5, 2026

To move forward in the application process, you must complete an online application through our website All job postings are also included via the TDD phone at View phone number on click.appcast.io and the 24-hour job line at View phone number on click.appcast.io. Please attach a copy of your unofficial transcripts (indicating when degree was awarded) to your application or your application may be considered incomplete. Resumes may be uploaded but cannot be used in place of a completed application.


For an open recruitment, applicants claiming veteran's preference must submit a copy of their DD-214 form along with the application. Candidates who attain ranking on an eligible list and are involuntarily called to active duty may be considered for eligibility reinstatement upon their return.


PLACEMENT ON THE ELIGIBLE LIST:

The Civil Service Commission may limit the number of qualified applicants eligible to participate in the examination process. If two or more candidates have the same total final score on an examination, they shall be ranked in order of their scores in that portion of the examination which has the greatest weight. The names of two or more eligibles having final ratings which are identical shall be grouped on the eligible list as tie names with equal rank for certification and appointment purposes.


Candidates who are successful in all phases of the examination process will be placed on an eligible list, in rank order based on a calculation of their total score from the examination process. The eligible list established by this recruitment will be active for a minimum of six (6) months or one (1) year, unless otherwise determined by the Director pursuant to section 6-4 (b) and may be extended for up to an additional year by the Commission.


PRE-EMPLOYMENT MEDICAL REQUIREMENTS:
As a condition of employment with the County of Madera, a candidate must submit to a Tuberculosis (TB) screening, and related follow up testing as necessary. Designated classifications* are also subject to a medical examination, which includes a review of medical history. TB screenings and medical exams are administered by the Madera County Public Health Department and/or health care professional designated by the County.


Designated classifications required to submit to an employment medical examination generally include those that are physical in nature or as may be required by law. If you have any questions about the pre-employment requirements, please contact the Department of Human Resources at View phone number on click.appcast.io or


ELIGIBILITY FOR EMPLOYMENT:
You will be required to submit verification of your identity and citizenship or legal right to work in the United States at the time of and as a condition of an offer of employment.

As a condition of employment, all prospective employees shall be required to be fingerprinted.

EQUAL EMPLOYMENT OPPORTUNITY

Madera County does not discriminate on the basis of race, color, religion, sex, gender, gender identity, gender expression, transgender status, national origin, age, disability (physical or mental), medical condition, pregnancy, genetic information, ancestry, marital status, sexual orientation, veteran or military status, political affiliation, or any other basis protected by Federal or State law.
Benefits of employment with the County of Madera include:

• 14 paid holidays per year;
• 1 sick leave day per month (unlimited accrual);
• 2 weeks paid vacation after 1 year, vacation accrual increasing thereafter with years of service (45 days maximum accrual);
• Membership in the California Public Employees' Retirement System (CalPERS), with an enhanced 2.7% @ 55 retirement benefit formula (based on the highest 12 months with the employee paying 8% toward the retirement cost) for those individuals with current or prior qualifying public sector service that establishes eligibility as a "classic member" pursuant to the provisions of California's 2013 Pension Reform Act (Act) and CalPERS Regulations. Individuals with no current or prior qualifying public sector service, and who are defined as new members or new employees under the Act, will be eligible for the 2% @ 62 retirement benefit formula (based on the average compensation over 36 consecutive months with the employee paying 7.75% toward the retirement cost);
• County participates in the Public Employees' Retirement System Health Benefit Program and for certain selected health plans, the County pays 95% of health insurance premium for employee and 50% for either two-party or dependent coverage;
• Additional salary increases after 10, 15, and 20 years of service.

01


Do you possess a level of education and course of study that would qualify as an accredited program for incumbents to obtain licensure as a Vocational Nurse or Psychiatric Technician in the State of California? Proof of completion or transcripts must be attached

• Yes
• No

02


Do you possess, or have the ability to obtain by the time of appointment, a valid Vocational Nurse or Psychiatric Technician license issued by the California Board of Vocational Nursing and Psychiatric Technicians? (Please attach license if applicable)

• Yes
• No

03


I understand that I must indicate the specific time period and distinct job title in the applications work experience section. I understand that I am required to describe, in detail, my qualifying experience on my application.

• Yes, I understand.

Required Question