NURSE PRACTITIONER
$137.32k - $205.56kCounty of Los Angeles, CA
Salary : $137,323.92 - $205,556.40 Annually
Location : Los Angeles County, CA
Job Type: Full time
Job Number: Y5121S
Department: HEALTH SERVICES
Opening Date: 02/26/2026
Position/Program Information EXAM NUMBER
Y5121S FIRST DAY OF FILING
February 27, 2026, at 8:00 a.m. (PST)
This examination will remain open until the needs of the service are met
are met and are subject to closure without prior notice. REBULLETIN INFORMATION:
THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION.
TYPE OF RECRUITMENT
Open Competitive Job Opportunity
SPECIAL SALARY INFORMATION:
$8,923.93 - $13,000.50 Per Month Effective 10/01/17
$9,102.41 - $13,260.51 Per Month Effective 04/01/18
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, as well as its expanded network of community partner clinics, DHS annually provides direct care to over 500,000 patients, employs more than 23,000 staff, and has an annual budget exceeding $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 Science (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.
THE MISSION: Our mission is to ensure access to high-quality, patient-centered, and cost-effective healthcare for Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners.
DEFINITION : Works in collaboration with physicians and within written guidelines to provide complete physical examinations, diagnosis, and treatment of both chronic and episodic disorders.
CLASSIFICATION STANDARDS: Positions allocable to this class are assigned principal responsibility for the primary health care of patients. The Nurse Practitioner is assigned full-time to this role and receives professional medical supervision from physicians. Incumbents of this class proceed independently in the care and treatment of patients within the scope of practice defined and agreed to by medicine, nursing, and administration. Incumbents seek the expert opinion or advice of a physician whenever the incumbent determines if a case falls outside the scope authorized by policies and protocol. The Nurse Practitioner plans and implements and a physician reviews and confirms health care goals for patients. The Nurse Practitioner remains responsible for the patient throughout the course of the treatment, provides the physical examination, the diagnosis, and the health care plan, determines when the patient has recovered, and releases the patient. The Nurse Practitioner may refer the patient to physicians for consultation or to specialized health resources for treatment but retains responsibility for clinical management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other medications as well as the characteristics of mental and emotional disorders. Essential Job Functions
SELECTION REQUIREMENTS: OPTION I. A Bachelor's degree* in Nursing or a closely related health field** from an accredited*** college or university AND a Master's degree* or higher in nursing.
OPTION II . An "accelerated" Master's degree* (in the absence of a Bachelor's degree) in nursing from an accredited*** college or university.****
LICENSE(S) REQUIRED:
PHYSICAL CLASS II- Light : Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. SPECIAL REQUIREMENT INFORMATION:
*In order to meet the Selection Requirements, applicants are required to attach a valid legible photocopy of Bachelor's degree and/or Master's degree with the application at the time of filing, or email the copies of degrees to exam analyst, Sylvia Jaimez at View email address on click.appcast.io within fifteen (15) calendar days from the date of filing your application online. Applications without the required degrees will be considered incomplete, and subject to disqualification. **Closely related health field includes:
EXAMINATION CONTENT:
This examination will consist of a self-assessment based on Supplemental Questionnaire weighted 100%, covering experience, professional development, collaboration, and leadership and management skills. Candidates must achieve a passing score of 70% or higher on this examination in order to be placed on the eligible register. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add and to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. ELIGIBILITY INFORMATION:
Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to eligible register accordingly. The names of the candidates receiving a passing score on this examination shall be added to the eligible register without indication of relative standing in the examination. Successful candidates will remain on the register for a period of twelve (12) months following the date of eligibility.
No person may compete in this examination more than once every twelve (12) months. SPECIAL INFORMATION:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays. AVAILABLE SHIFT:
Any VACANCY INFORMATION:
The Eligible Register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur. APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED.
Apply online by clicking on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website.
All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment . Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the requirements. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, description of work performed, and salary earned . If your application is incomplete, it will be rejected. Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted. SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING OF USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. ADA COORDINATOR PHONE
View phone number on click.appcast.io CALIFORNIA RELAY SERVICES PHONE
View phone number on click.appcast.io DEPARTMENT CONTACT Sylvia Jaimez, Exam Analyst Telephone Number: View phone number on click.appcast.io Email Address:
COUNTY OF LOS ANGELES Employment Information Any language contained in the job posting supersedes any language contained below. This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement:
The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race ; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit:
Testing Accommodations for Applicants:
The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit:
Fair Chance:
The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Employment Eligibility:
Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.
Career PathFinder:
Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at
Veteran's Credit:
Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
For more information on veteran's credit, please visit:
Revised September 2025
For detailed information, please click
01
The information you provide on this supplemental questionnaire will be evaluated and used to determine your eligibility to participate in the next phase of the examination process. Please be as specific as possible and include all information as requested. Please note that all information is subject to verification at any time in the examination and hiring process. Falsification of any information may result in disqualification or dismissal. Do you understand the above information and instructions?
02
Do you have a Bachelor's degree in one of the following fields?If you have a Bachelor's degree in one of the following fields, you must attach a legible copy of a degree or official transcripts at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
03
Do you have a Master's degree or higher in Nursing?If you have a Master's degree or higher in Nursing, you must attach a legible copy of a degree or official transcripts at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
04
Do you have an "accelerated" Master's degree (in the absence of a Bachelor's degree) in Nursing from an accredited college or university?If you have an "accelerated" Master's degree in Nursing, you must attach a legible copy of your diploma or official transcripts AND official letter from the accredited institution that indicates the "accelerated" program at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
05
Do you have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing? If yes, please provide the license number below.
06
Do you have a certificate to practice as a Nurse Practitioner issued by the California Board of Registered Nursing? If yes, please provide the license number below.
07
Do you have a current, active certification in accordance with the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program?If yes, you must attach a copy of certificate at the time of filing. If you are unable to attach required certificate, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and exam title.
08
NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORM INSTRUCTIONS
Review the four competency areas and their respective descriptions. Each competency area represents an individual's ability to perform as based on core competencies for the nurse practitioner disciplines.Review and consider your resume, education, experience, and achievements and extract pertinent information that demonstrates competence in each of the four areas.
09
EXPERIENCE- Questions 10-14 Candidate demonstrates commitment to direct patient care, skills that result in effective information exchange, and sensitivity to diverse patient populations.
10
How many years of experience do you have working as a Registered Nurse?
11
How many years of experience do you have working as a Nurse Practitioner?
12
Please select your Nurse Practitioner Specialty (Check all that apply)
13
How many years of specialty experience do you have working as a Nurse Practitioner?
14
How many years of experience do you have working with underserved populations (i.e. Minority, elderly, low-income patients, groups who face barriers to health care)?
15
PROFESSIONAL DEVELOPMENT- Questions 16- 18 Candidate demonstrates importance to advance to professional of nursing by participating with national nursing/medical organizations and by validating expertise with board certification.
16
Are you currently Board certified in a specialty by the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP)?
17
Are you a member of a local and/or national Professional Nursing/Medical Organization?
18
Have you been recognized by honor or achievement awards by a professional local/national organization and/or educational institution?
19
COLLABORATION- Questions 20 to 21 Candidate shares experience and knowledge through coaching and mentorship in the professional development of others.
20
Have you ever participated as a nursing preceptor in the past or present?
21
Do you have experience as nursing instructor in the past or present?
22
LEADERSHIP AND MANAGEMENT SKILLS- Questions 23 to 27 Candidate demonstrates experience in short/long-term planning, effective utilization of available resources, coordination of people, and material/capital monitoring in order to aid in management decision making to achieve pertinent goals.
23
How many years of full-time supervisory experience do you have as a nurse practitioner?
24
Do you have experience participating in collaborative Process/Quality Improvement Initiatives (Improvement to systems of healthcare)?
25
Do you have experience in clinical leadership that influences and progresses clinical care, policy and collaboration in a multidisciplinary setting?
26
Do you have experience with dynamic practice that incorporates application of high level of knowledge and skills in extended practice across stable, unpredictable and complete situations?
27
Do you have experience participating in a formal research projects, published journal articles, poster presentations, thesis or lectures related to specialty or are of interest?
Required Question
Location : Los Angeles County, CA
Job Type: Full time
Job Number: Y5121S
Department: HEALTH SERVICES
Opening Date: 02/26/2026
Position/Program Information EXAM NUMBER
Y5121S FIRST DAY OF FILING
February 27, 2026, at 8:00 a.m. (PST)
This examination will remain open until the needs of the service are met
are met and are subject to closure without prior notice. REBULLETIN INFORMATION:
THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT INFORMATION REGARDING NOTIFICATION OF EXAM RESULTS. PERSONS WHO HAVE ALREADY APPLIED NEED NOT REAPPLY, BUT MAY CONTACT THE EXAM ANALYST IF THEY WOULD LIKE TO SUBMIT ADDITIONAL INFORMATION.
TYPE OF RECRUITMENT
Open Competitive Job Opportunity
SPECIAL SALARY INFORMATION:
$8,923.93 - $13,000.50 Per Month Effective 10/01/17
$9,102.41 - $13,260.51 Per Month Effective 04/01/18
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, as well as its expanded network of community partner clinics, DHS annually provides direct care to over 500,000 patients, employs more than 23,000 staff, and has an annual budget exceeding $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 Science (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.
THE MISSION: Our mission is to ensure access to high-quality, patient-centered, and cost-effective healthcare for Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners.
DEFINITION : Works in collaboration with physicians and within written guidelines to provide complete physical examinations, diagnosis, and treatment of both chronic and episodic disorders.
CLASSIFICATION STANDARDS: Positions allocable to this class are assigned principal responsibility for the primary health care of patients. The Nurse Practitioner is assigned full-time to this role and receives professional medical supervision from physicians. Incumbents of this class proceed independently in the care and treatment of patients within the scope of practice defined and agreed to by medicine, nursing, and administration. Incumbents seek the expert opinion or advice of a physician whenever the incumbent determines if a case falls outside the scope authorized by policies and protocol. The Nurse Practitioner plans and implements and a physician reviews and confirms health care goals for patients. The Nurse Practitioner remains responsible for the patient throughout the course of the treatment, provides the physical examination, the diagnosis, and the health care plan, determines when the patient has recovered, and releases the patient. The Nurse Practitioner may refer the patient to physicians for consultation or to specialized health resources for treatment but retains responsibility for clinical management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other medications as well as the characteristics of mental and emotional disorders. Essential Job Functions
- Assumes ongoing responsibility for each patient from discovery of the disorder to recovery.
- Performs complete physical examinations, including interviewing patients to obtain complete medical histories as well as ordering, interpreting and evaluating diagnostic tests and examinations.
- Diagnoses and treats both chronic and episodic disorders including complications of otherwise routine processes such as pregnancy or childhood development.
- Establishes and documents the health care plan and prognosis, maintaining records of each case that are detailed and complete for any physician reviewing them to evaluate the effectiveness of the plan.
- Initiates drug therapy, taking responsibility for other reactions as well as therapy when performed prior to consultation with a physician.
- Determines when the patient has recovered from the disorder and releases the patient.
SELECTION REQUIREMENTS: OPTION I. A Bachelor's degree* in Nursing or a closely related health field** from an accredited*** college or university AND a Master's degree* or higher in nursing.
OPTION II . An "accelerated" Master's degree* (in the absence of a Bachelor's degree) in nursing from an accredited*** college or university.****
LICENSE(S) REQUIRED:
- A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner issued by the California Board of Registered Nursing . Applicant's must ensure the License and Certification Section of the application is completed. Provide the title(s) of your 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.
- A current, active certification in accordance with the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program. Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or within 15 calendar days from the application filing date. Applications submitted without the required evidence of BLS certification will be rejected.
- 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.
PHYSICAL CLASS II- Light : Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. SPECIAL REQUIREMENT INFORMATION:
*In order to meet the Selection Requirements, applicants are required to attach a valid legible photocopy of Bachelor's degree and/or Master's degree with the application at the time of filing, or email the copies of degrees to exam analyst, Sylvia Jaimez at View email address on click.appcast.io within fifteen (15) calendar days from the date of filing your application online. Applications without the required degrees will be considered incomplete, and subject to disqualification. **Closely related health field includes:
- Nursing Administration
- Nursing Education
- Health Science
- Healthcare Management
- Healthcare Education
- Healthcare Administration
- Public Health (for other than Public Health Nurses)
EXAMINATION CONTENT:
This examination will consist of a self-assessment based on Supplemental Questionnaire weighted 100%, covering experience, professional development, collaboration, and leadership and management skills. Candidates must achieve a passing score of 70% or higher on this examination in order to be placed on the eligible register. Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please add and to your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail. ELIGIBILITY INFORMATION:
Applications will be processed on an "as-received" basis and those receiving a passing score will be promulgated to eligible register accordingly. The names of the candidates receiving a passing score on this examination shall be added to the eligible register without indication of relative standing in the examination. Successful candidates will remain on the register for a period of twelve (12) months following the date of eligibility.
No person may compete in this examination more than once every twelve (12) months. SPECIAL INFORMATION:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays. AVAILABLE SHIFT:
Any VACANCY INFORMATION:
The Eligible Register resulting from this examination will be used to fill vacancies throughout the Department of Health Services as they occur. APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. APPLICATIONS SUBMITTED BY U.S. MAIL, FAX, OR IN PERSON WILL NOT BE ACCEPTED.
Apply online by clicking on the green "Apply" button at the top right of this posting. You can also track the status of your application using this website.
All information is subject to verification. We may reject your application at any time during the examination and hiring process, including after appointment has been made. Falsification of any information may result in disqualification or rescission of appointment . Fill out your application completely. The acceptance of your application depends on whether you have clearly shown that you meet the requirements. Provide any relevant education, training, and experience in the spaces provided so we can evaluate your qualifications for the job. For each job held, give the name and address of your employer, your job title, beginning and ending dates, number of hours worked per week, description of work performed, and salary earned . If your application is incomplete, it will be rejected. Applications electronically received after 5:00 p.m., PST on the last day of filing will not be accepted. SOCIAL SECURITY NUMBER: Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. NO SHARING OF USER ID AND PASSWORD: All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. ADA COORDINATOR PHONE
View phone number on click.appcast.io CALIFORNIA RELAY SERVICES PHONE
View phone number on click.appcast.io DEPARTMENT CONTACT Sylvia Jaimez, Exam Analyst Telephone Number: View phone number on click.appcast.io Email Address:
COUNTY OF LOS ANGELES Employment Information Any language contained in the job posting supersedes any language contained below. This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement:
The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race ; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit:
Testing Accommodations for Applicants:
The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit:
Fair Chance:
The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Employment Eligibility:
Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.
Career PathFinder:
Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at
Veteran's Credit:
Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
For more information on veteran's credit, please visit:
Revised September 2025
For detailed information, please click
01
The information you provide on this supplemental questionnaire will be evaluated and used to determine your eligibility to participate in the next phase of the examination process. Please be as specific as possible and include all information as requested. Please note that all information is subject to verification at any time in the examination and hiring process. Falsification of any information may result in disqualification or dismissal. Do you understand the above information and instructions?
- Yes
- No
02
Do you have a Bachelor's degree in one of the following fields?If you have a Bachelor's degree in one of the following fields, you must attach a legible copy of a degree or official transcripts at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
- Nursing
- Nursing Administration
- Nursing Education
- Health Science
- Healthcare Management
- Healthcare Education
- Healthcare Administration
- Public Health (for other than Public Health Nurses)
- N/A
03
Do you have a Master's degree or higher in Nursing?If you have a Master's degree or higher in Nursing, you must attach a legible copy of a degree or official transcripts at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
- Yes
- No
04
Do you have an "accelerated" Master's degree (in the absence of a Bachelor's degree) in Nursing from an accredited college or university?If you have an "accelerated" Master's degree in Nursing, you must attach a legible copy of your diploma or official transcripts AND official letter from the accredited institution that indicates the "accelerated" program at the time of filing. If you are unable to attach required documents, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and the exam title.
- Yes
- No
05
Do you have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing? If yes, please provide the license number below.
06
Do you have a certificate to practice as a Nurse Practitioner issued by the California Board of Registered Nursing? If yes, please provide the license number below.
07
Do you have a current, active certification in accordance with the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program?If yes, you must attach a copy of certificate at the time of filing. If you are unable to attach required certificate, you must e-mail the documents to the exam analyst within 15 calendar days of filing online. Please include the exam number and exam title.
- Yes
- No
08
NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORM INSTRUCTIONS
Review the four competency areas and their respective descriptions. Each competency area represents an individual's ability to perform as based on core competencies for the nurse practitioner disciplines.Review and consider your resume, education, experience, and achievements and extract pertinent information that demonstrates competence in each of the four areas.
09
EXPERIENCE- Questions 10-14 Candidate demonstrates commitment to direct patient care, skills that result in effective information exchange, and sensitivity to diverse patient populations.
10
How many years of experience do you have working as a Registered Nurse?
- Less than one year of experience working as a Registered Nurse
- 1-3 years of experience working as a Registered Nurse
- 3 or more years of experience working as a Registered Nurse
11
How many years of experience do you have working as a Nurse Practitioner?
- Less than one year of experience working as a Nurse Practitioner
- 1-3 years of experience working as a Nurse Practitioner
- 3 or more years of experience working as a Nurse Practitioner
12
Please select your Nurse Practitioner Specialty (Check all that apply)
- None
- Adult Nurse Practitioner
- Family Nurse Practitioner
- Adult-Gerontology Acute Care Nurse Practitioner
- Cardiac Nurse Practitioner
- Women's Health Nurse Practitioner
- Psychiatric and Mental Health Nurse Practitioner
- Orthopedic Nurse Practitioner
- Gerontological Nurse Practitioner
- Pediatric Nurse Practitioner
- Pediatric Acute Nurse Practitioner
- Neonatal Nurse Practitioner
- Oncology Nurse Practitioner
13
How many years of specialty experience do you have working as a Nurse Practitioner?
- Less than 1 year of experience working as a Nurse Practitioner in a specialty
- 1-3 years of experience working as a Nurse Practitioner in a specialty
- 3 or more years of experience working as a Nurse Practitioner in a specialty
14
How many years of experience do you have working with underserved populations (i.e. Minority, elderly, low-income patients, groups who face barriers to health care)?
- Less than 1 year of experience working with underserved populations
- 1-3 years of experience working with underserved populations
- 3 or more years of experience working with underserved populations
15
PROFESSIONAL DEVELOPMENT- Questions 16- 18 Candidate demonstrates importance to advance to professional of nursing by participating with national nursing/medical organizations and by validating expertise with board certification.
16
Are you currently Board certified in a specialty by the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP)?
- No
- Yes
- More than one Board Certification
17
Are you a member of a local and/or national Professional Nursing/Medical Organization?
- No
- Yes
18
Have you been recognized by honor or achievement awards by a professional local/national organization and/or educational institution?
- No
- Yes
19
COLLABORATION- Questions 20 to 21 Candidate shares experience and knowledge through coaching and mentorship in the professional development of others.
20
Have you ever participated as a nursing preceptor in the past or present?
- No nursing preceptor experience
- Less than 1 year participation as a nurse preceptor
- 1 year or more participation as a nurse preceptor
21
Do you have experience as nursing instructor in the past or present?
- No nursing instructor experience
- Less than 1 year experience as a nursing instructor
- 1 year or more experience as a nursing instructor
22
LEADERSHIP AND MANAGEMENT SKILLS- Questions 23 to 27 Candidate demonstrates experience in short/long-term planning, effective utilization of available resources, coordination of people, and material/capital monitoring in order to aid in management decision making to achieve pertinent goals.
23
How many years of full-time supervisory experience do you have as a nurse practitioner?
- Less than 1 year of full time nurse practitioner supervisory experience
- 1-3 years of full time nurse practitioner supervisory experience
- 3 or more years of full time nurse practitioner supervisory experience
24
Do you have experience participating in collaborative Process/Quality Improvement Initiatives (Improvement to systems of healthcare)?
- No experience in collaborative Process/Quality Improvement Initiatives
- Less than 1 year experience in collaborative Process/Quality Improvement Initiatives
- 1 year or more experience in collaborative Process/Quality Improvement Initiatives
25
Do you have experience in clinical leadership that influences and progresses clinical care, policy and collaboration in a multidisciplinary setting?
- No experience in clinical leadership
- Less than 1 year experience in clinical leadership
- 1 year or more experience in clinical leadership
26
Do you have experience with dynamic practice that incorporates application of high level of knowledge and skills in extended practice across stable, unpredictable and complete situations?
- No experience with dynamic practice
- Less than 1 year experience with dynamic practice
- 1 year or more experience with dynamic practice
27
Do you have experience participating in a formal research projects, published journal articles, poster presentations, thesis or lectures related to specialty or are of interest?
- No experience participating in a formal research projects, published journal articles, poster presentations, thesis or lectures related to specialty or are of interest
- Less than 1 year experience participating in a formal research projects, published journal articles, poster presentations, thesis or lectures related to specialty or are of interest
- 1 year or more experience participating in a formal research projects, published journal articles, poster presentations, thesis or lectures related to specialty or are of interest
Required Question
Vacancy posted 3 days ago
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