Senior Registered Nurse- Emergency Services

Senior Registered Nurse - Hospital

Under general direction and following established medically approved policies and procedures, the incumbent implements specialized skilled nursing processes in the Emergency Department of the Ventura County Medical Center (VCMC) and Santa Paula Hospital.

The ideal candidate will promote excellence and safety in professional nursing practice, while maintaining high ethical standards. The Senior Registered Nurse-Hospital is distinguished from other staff nursing classifications in that incumbents demonstrate advanced competency skills reflecting specialized knowledge specific to the assigned hospital unit; participate in performance improvement processes; and provide technical direction. Incumbents are expected to work at the full scope of their licensure/specialty area with a decreasing amount of supervision commensurate with their experience.

The County of Ventura offers an attractive compensation and benefits package, subject to eligibility requirements, that includes:

• Educational/Bilingual Incentive: Incumbents may be eligible for an educational incentive of 2.5%, 3.5%, or 5% based on completion of an Associate's, Bachelor's, or Master's degree that is not required for the classification. Incumbents may also be eligible for bilingual incentive depending upon operational need and certification of skill. In order to qualify for this incentive, incumbents in eligible positions must take and pass the applicable bilingual fluency examination.
• Certification Pay: $0.813 per hour based on scheduled work week hours for each qualified certification up to a maximum of five (5) certifications. One of the five certifications may be paid at $2.00 per hour for a National Certification.
• Evening Shift Differential: 7.5%
• Night Shift Differential: 15%
• Weekend Shift Differential: $2.00 per hour
• Continuous County Service Incentive Pay: 1% for 7 years, 1.25% for 12 years and 1.5% for 17 years
• Preceptor Pay: $2.50 per hour
• House Supervisor Pay: $4.00 per hour
• Charge Nurse Premium Pay: $2.50 per hour
• Float Nurse Premium Pay: $3.50 per hour
• In-House Registry Pay: Non-overtime is 1.75 straight time base hourly rate. Overtime is 2 times base pay straight time base hourly rate
• Flexible Credit Allowance: Biweekly contribution towards medical, dental, and/or vision insurance from authorized plans.
• Pension Plan: Participation in the County's defined benefit plan.

Duties include but are not limited to the following:

• Implements nursing processes (assessment, planning, implementation of care plan, evaluation of patient response); revises plans as needed.
• Administers basic and advanced competency nursing care in accordance with VCMC/SPH policies and procedures and Patient Bill of Rights.
• Provides direction to others regarding complex health and patient problems.
• Provides patient and staff education including the coordination of educational programs.
• Participates in hospital and/or nursing administration care committee.
• Reviews, identifies, reports, and corrects deficiencies in practices, products, or equipment as necessary.
• Develops, implements and documents performance improvement processes.
• Recognizes problem situations and takes appropriate steps leading to correction.
• Coordinates patient care conferences.
• Serves as a preceptor for new graduates, re-entry nurses, etc.
• Performs other related duties as required.

These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list. Education, training, and experience: Requires two (2) years of full-time professional registered nursing experience in an Emergency Department. Necessary special requirements:

• Must possess and maintain a current, valid license as a Registered Nurse issued by the State of California
• Must possess a current, valid Basic Life Support (BLS/CPR) certification
• Must possess a current, valid Advanced Cardiac Life Support (ACLS) certification
• Must possess a current, valid Pediatric Advanced Life Support (PALS) certification OR a current, valid Emergency Nursing Peds Course (ENPC) certification
• Must possess a current, valid Trauma Nursing Core Course (TNCC) certification.
• Obtain a Mobile Intensive Care Nurse (MICN) within six (6) months of promotion and maintain good standing

Knowledge, skills, and abilities: Comprehensive knowledge of the principles, practices, and techniques used in advanced nursing care of emergency units. Working knowledge of performance improvement processes, hospital based/nursing committee practices, and patient and staff education methods. Working ability to provide direction to others; self-direct continuing education needs, provide a positive role model and public image; work proficiently in emergency and/or stressful situations; maintain confidentiality of patient/client information; effectively establish and maintain working relationships with medical staff, co-workers, patients and the public; and communicate effectively, both orally and in writing.

Applications must be received by County of Ventura Human Resources, Health Care Agency in Ventura, California, no later than 5:00 p.m. on Thursday, September 24, 2026. To apply online, please refer to our website at If you prefer to fill out a paper application form, please call View phone number on click.appcast.io for application materials and submit them to County of Ventura Human Resources - Health Care Agency, 646 County Square Drive, Ventura, CA 93003.