REGISTERED NURSE II

Definition Under the supervision of the Supervising Public Health Nurse and/or Director of Public Health Nursing, the Registered Nurse II provides evaluation and clarification of Physician Evaluations and reviews applications requiring medical assessment related to the risk of institutionalization. This role includes assessing an individual's ability to safely remain in their home, maintaining a limited caseload, monitoring client progress in rehabilitative programs, and performing other duties assigned within the classification. This position also supports individuals whose risk of institutionalization may be influenced by public-health impacts, including those associated with COVID-19, in alignment with the American Rescue Plan Act (ARPA) State and Local Fiscal Recovery Funds (SLFRF) category of "Other Public Health Services."


The Division of Public Health Nursing is seeking 2.0 FTE Registered Nurses to support our IHSS Nursing Program. We are looking for candidates with strong community based nursing experience, skill in conducting functional assessments, solid knowledge of chronic diseases, interdisciplinary coordination, and excellent clinical nursing skills.


Core Responsibilities
• Evaluate clients' ability to remain safely in their homes
• Assess risk for institutionalization
• Monitor client progress
• Coordinate case management with partnering health and social service agencies


Position Details
• Work Schedule: Monday-Friday, 8:00 am-5:00 pm (1 hour unpaid lunch) or 8:30 am-5:00 pm (30 minute unpaid lunch)
• Work Modality: Approximately 15% onsite for team meetings, check ins, training, and visit preparation; approximately 85% remote fieldwork conducting home visits across Alameda County
• At least one RN should be a Spanish speaker
• Specific RN II duties are outlined in the attached job description
• Requires travel to clients' homes and community sites within Alameda County
• Must have a clean driving record
• Must have reliable transportation, including a personal vehicle, for home visits


Distinguishing Features: This position functions within the IHSS program as part of a multidisciplinary team evaluating clients' ability to remain safely in their homes. Responsibilities include assessing risk for institutionalization, monitoring client progress, and coordinating case management with partnering health and social service entities. This classification differs from the Registered Nurse III, which provides program-level leadership and oversight of nursing services.


Major Tasks, Duties, and Responsibilities
Note: The following statements outline the primary duties of this position. They are intended to provide a general overview of the scope and nature of the work performed. They do not include every task that may be required, as responsibilities may vary according to program needs, client conditions, and departmental priorities. Additional duties may be assigned to support evolving public health goals, ensure continuity of care, and address urgent or emergent situations within the IHSS program.
1.Provides evaluation and clarification of Physician Evaluations and reviews applications for medical assessment and threat of institutionalization; assists with forms (paramedical, etc.)
2.Conducts assessments and reassessments of clients; reviews medical records for information regarding chronic conditions and to determine risk for institutionalization.
3.Handles a limited caseload of clients and provides case management services.
4.Serves as the subject matter expert in complex medical issues for all IHSS Social Workers.
5.Provides consultation and conducts joint home visits with social workers to assess clients' functional level and mental status; conducts follow-up home visits after hospital discharges or acute needs.
6.Assists clients in navigating the medical care system, including scheduling medical appointments and making referrals to physicians, health care providers, and community-based services and agencies.
7.Provides education regarding paramedical services, nutrition, home health care, management of chronic medical conditions, physical or mental illnesses, injury or surgical recovery, and physical or mental disabilities.
8.Collaborates with physicians, hospitals, social workers, and other agencies or departments regarding client referrals; participates in meetings to provide feedback and input on client care.
9.Performs other related duties as assigned.


Ideal Candidate Qualifications
1. Clinical & Community Nursing Expertise
• Strong background in community based nursing
• Experience conducting functional assessments
• Strong understanding of chronic diseases
• Ability to coordinate care across disciplines


2. Nursing Skills, including but not limited to:
• G tube care
• Wound care
• Diabetes management
• Tracheostomy care
• Home dialysis
• IV medication administration
• Other high acuity nursing tasks


3. Communication Skills
• Strong oral and written communication
• Skilled in conducting phone based interviews


4. Technical Skills
• Comfort using multiple computer systems and applications to access medical data and complete assessment documentation accurately and efficiently