REGISTERED NURSE II (Non-competitive)

Open Non-Competitive Job Opportunity

Exam Number: Y5134L

First Day of Filing: 3/3/2026, 8:00 A.M., PT, until the needs of the service are met and is subject to close without prior notice.

COVID-19 Vaccination Mandate: All Department of Health Services 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.

About Los Angeles County 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.

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.

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

Definition

This experienced level class provides professional nursing care and services to patients in a variety of settings.

• Effectively communicates and collaborates the patients, families, care givers, and/or co-workers pertinent information concerning discharge planning, changes in patient care, changes in treatment plan, patient medication administration, aftercare instructions, and follow-up appointments to deliver the best possible patient experience.
• Completes and maintains accurate as well as legible medical documentation in a clear, concise, and timely manner.
• Manages relationships with internal and/or external members of a healthcare organization.
• Participates in performance improvement activities; with a focus on patient experience, regulatory compliance, and/or departmental process improvements projects.
• Delegates, assigns, and/or supervises the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technician, clerical staff, and students.
• Participates in committees and projects at the unit, department, facility, and/or health system wide level.
• Seeks experiences that reflect current clinical practice to achieve and enhance professional/clinical competencies and professional practice.
• Serves as a liaison between committees, staff, and management.
• Participates in identifying and resolving ethical issues in the practice setting.
• Serves as a preceptor: expert or specialist who gives practical experience and training to new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area.
• Participates in product evaluation and product standardization activities.
• Participates in approved clinical investigations or research studies in accordance with departmental policies.

Essential Job Functions

Follows established policies and procedures within their scope of practice.

Complies with licensing and accreditation standards and other regulatory requirements. Interprets and supports standards and requirements to others.

Conducts self-assessment of performance and identifies own learning needs.

Seeks assistance and feedback regarding patient and clinical practice issues.

Accepts personal accountability and demonstrates initiative in continuing to develop nursing knowledge and skills.

Communicates and collaborates effectively as a member of an interdisciplinary health care team as needed.

Participates in patient care conferences, committee meetings, staff development, and educational programs to increase or maintain professional competency.

Seeks experiences that reflect current clinical practice to maintain and enhance professional and clinical skills and competencies.

Remains up-to-date on current professional skills, trends, and issues.

Maintains courteous and respectful relationships with patients, families, and co-workers.

Provides care in a non-judgmental, non-discriminatory manner.

Respects patient rights; adheres to and protects patient privacy, confidentiality, and security guidelines.

Completes and maintains accurate and legible documentation and records in a clear, concise, and timely manner.

Reports and may intervene in incidents involving patients, visitors, and employees.

May delegate, assign, and supervise the assigned work of others including Licensed Vocational Nurses (LVNs), nursing attendants, technicians, clerical staff, and students.

May serve as a preceptor*.

Participates in performance improvement activities. Recommends and facilitates implementation of changes in nursing practice.

May participate in approved clinical investigations or research studies in accordance with departmental policies.

May participate in product evaluation and product standardization activities.

May participate in organization-wide committees and projects.

May serve as a liaison between committees, staff, and management.

Participates in identifying and resolving ethical issues in the practice setting.

Assessment/Reassessment: An ongoing process which is continuous for the duration of the patient's stay.

Interviews patient and other individuals to collect information.

Observes and analyzes physical condition, including physically examining the patient.

Identifies economic, educational, and cultural barriers; patient values and beliefs; spiritual influences; age specific and biophysical needs according to accepted standards of practice.

Reviews all available information, including medical records, patient history, and other documentation.

Documents all findings and observations.

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

Recognizes deviations from baseline and interprets subtle changes in a patient's condition.

Planning:

Formulates nursing care plan based upon assessment and in accordance with provider orders, procedures, and/or protocols.

Identifies nursing care objectives.

Prioritizes patient care needs and activities as a member of an interdisciplinary team.

Evaluates and modifies plans of care, in collaboration with the interdisciplinary team, and develops measurable long and short-term goals.

Coordinates patient care in collaboration with other interdisciplinary patient care team members.

Develops appropriate interventions which may include consultation with interdisciplinary team.

Establishes patient goals and treatment plans.

Modifies plan of patient care based on reassessment findings and specific patient care needs, and/or changes in interdisciplinary treatment plan.

Identifies and incorporates discharge planning needs into the patient's plan of care.

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

Implementation:

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

Observes patient's response to interventions and treatments and monitors for side effects of medication administration.

Recognizes and responds to changes in patient status timely and appropriately. Intervenes when situations call for immediate action.

Performs efficiently in emergency situations.

Coordinates delivery of patient care with other services and disciplines to achieve optimal patient outcomes.

Provides patient/family education based on identified learning needs utilizing available teaching resources.

Counsels patients and care givers concerning patient care and treatment plans.

Communicates identified needs and patient responses to members of the interdisciplinary team.

Implements the integrated plan of care and coordinates patient care activities with members of the interdisciplinary team.

Provides discharge teaching including aftercare instructions, medication administration, follow-up appointments, and appropriate contact information.

Recognizes safety hazards in the patient care environment and initiates timely and appropriate intervention.

Uses patient equipment and devices safely; recognizes when equipment and devices are not functioning correctly and takes timely and appropriate action (e.