REGISTERED NURSE III (NON-COMPETITIVE)

OPEN NON-COMPETITIVE JOB OPPORTUNITY

EXAM NUMBER: Y5135L

FILING START DATE

03/03/2026 AT 08:00 A.M., PT

FILING DATES

03/03/2026, 8:00 A.M., PT, UNTIL THE NEEDS OF THE SERVICE ARE MET AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. 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. For additional information regarding DHS please visit

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.

ASSESSMENT

Evaluation of the nature and extent of nursing issues presented by a patient for the purpose of patient care planning. Assessment includes identifying less obvious or common relationships in collected data and taking appropriate steps to mitigate their impact on the provision and quality of nursing services. In addition, at this level, assessment involves predicting diverse patient need for care, potential need for care, and the validation of data collected by others. At this level assessment involves recognizing subtle trends before explicit diagnostic signs are evident. Collects and analyzes data from multiple sources. Assesses, evaluates and documents the patients' physical, medical and psychosocial circumstances; identifies economic or cultural barriers and determines their influence on the provision of care; refers patients based on patients' needs and risk factors involved. Synthesizes all available patient information including observations by other health care team members and the patient's significant others and predicts variances from the expected trajectory. Initiates additional assessment and/or reassessment of patients as necessary when a patient is currently or potentially at physiologic, psychological, and psychosocial risk. Identifies and utilizes resources to facilitate the appropriate assessment of diverse populations, patients, and families. Develops collaborative partnerships with patient and family to obtain complete health history, including present illness, current health status, and past medical, psychosocial, spiritual and family histories; integrates patients' values and beliefs when providing care. Creates, validates, and/or improves tools to ensure assessment data is collected and documented. Utilizes collected data and experience to assess risk for instability and rapidly identify deviations from baseline.

PLANNING

Developing a plan of care based on the assessment process. The purpose is to collaborate with all involved in the care of the patient (interdisciplinary team, patient, and their significant others). At this level, incumbents develop a comprehensive plan of care and prescribe nursing interventions that move the patient closest to desired outcomes. Interventions are individualized and address both short- and long-term needs. Uses complex problem solving skills and experience to identify a broad range of options in the development of a plan of care with realistic outcomes which are congruent with interdisciplinary goals. As patient responds to interventions, expeditiously modifies and communicates the plan of care in collaboration with the interdisciplinary team including clinical pathways as appropriate; for patients on clinical pathways, identifies when a change in patient condition requires discontinuation of the pathway and communicates to the provider the need to change the plan of care. Evaluates and integrates the presence of high-risk factors, at-risk behaviors, and other concerns into the plan of care. Initiates and leads patient care conferences with interdisciplinary team. Integrates and anticipates interdisciplinary discharge planning needs into plan of care. Identifies appropriate tools and/or teaching methods for patient/family education.

IMPLEMENTATION

Interventions that a nurse performs for a patient, including treatments, procedures, medication administration, education, referrals, and discharge planning. At this level, incumbents lead others during situations which require immediate, independent interventions and for those which call for planned interventions. Also at this level, incumbents demonstrate adaptability and respond quickly and decisively to very complex situations. Provides individualized, specialized nursing care to patients and administers medications and treatments to patients as prescribed.

SELECTION REQUIREMENTS

A license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

-AND-

Current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association. -AND- Six years of full-time registered nursing experience*. Three years of experience must be at the level of the Los Angeles County classification Registered Nurse II**.

LICENSE AND CERTIFICATION INFORMATION

Please ensure the License and Certification Section of the required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements. Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/or certification(s) must be active and unrestricted. The required license to practice as a Registered Nurse issued by the Department of Consumer Affairs, California Board of Registered Nursing will be verified at the following website: A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions. Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application without the required license number will not be considered. A current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certification issued by the American Heart Association. Applicants must attach a legible photocopy of their BLS certification to their application at the time of filing or within 15 calendar days from the application date. Applications submitted without the required evidence of BLS certification will be rejected. NOTE If you are unable to attach documents to your application, you may email the documents to Balik Sarkissian at View email address on click.appcast.io within fifteen (15) calendar days of filing online or you will be rejected. Please include your full name (as it appears on your application), the exam number, and the exam title in the email message. PHYSICAL CLASS III- Moderate Includes standing or walking most of the time, with bending, stooping, squatting, twisting, and reaching; includes working on irregular surfaces, occasionally lifting objects weighting over 25 pounds, and frequent lifting of 10-25 pounds.

SPECIAL REQUIREMENT INFORMATION

Providing professional nursing care and services to patients in a variety of settings. Serving as an expert or specialist who gives practical experience and training to a new graduate, a new hire, a re-entry, or a nurse that is transitioning into a new area.

EXAMINATION CONTENT

An evaluation of training and experience based on application and #J-18808-Ljbffr County of Los Angeles