Registered Nurse IV

Job Description:

Registered Nurse IV

Description

Introduction

THIS IS A NEW ASSEMBLED EXAMINATION. The eligible list resulting from this examination will cancel any existing list and may last approximately one year but can be extended.

Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the Application or Supplemental Questionnaire will result in disqualification.

Applications and Supplemental Questionnaires will only be accepted online.

DESCRIPTION

THE COUNTY:

Established in 1853, Alameda County has a population of over 1.6 million residents, making it the second largest county in the Bay Area and the seventh largest in the State. The County encompasses 14 cities including Alameda, Albany, Berkeley, Dublin, Emeryville, Fremont, Hayward, Livermore, Newark, Oakland, Piedmont, Pleasanton, San Leandro, and Union City as well as six unincorporated communities and rural areas that span a total of 738 square miles.

Alameda County employs approximately 9,000 employees working in 21 different agencies and departments and has an annual budget of over $3 billion. As a major urban County, Alameda delivers a full spectrum of services, including general government and internal services, health care, social services, public works, criminal justice, and other public safety services for its community.

T he County celebrates the rich diversity of its workforce, which in large measure, reflects the cultural and ethnic diversity of the community it serves. The County’s mission is to enrich the lives of its residents through visionary policies and accessible, responsive, and effective services. Its vision is to be recognized as one of the best counties in which to live, work, and do business.

THE POSITION:

Under general supervision, to provide program planning, development, review and evaluation of clinical and administrative activities in assigned program(s); direct, coordinate and oversee the nursing and other health care services of a program to clients across the age spectrum and/or targeted populations; to supervise a multidisciplinary team including professional, para-professional support staff, nursing student and interns; to ensure program regulations and procedures are followed; and to do related work as required.

THE VACANCIES:

We are currently recruiting to establish a countywide eligible list that will be used by any County department or agency needing to fill a vacancy in this classification. The same eligible list will also be used for selective certification purposes to fill vacant, specialty designated, positions in this class. There are immediate vacancies in the Community Development Agency and Alameda County Health's Public Health and Behavioral Health departments.

Applicants who only meet the general minimum qualifications will not be impacted by the additional experience/licensure required for the designated positions. Some of the current vacant positions have specialty designation criteria which must be met, in addition to the minimum qualifications below. To qualify for appointment into a designated position, candidates eligible for referral must also possess experience/licensure as defined by the specialty designation criteria.

The specific specialty designations and qualifying criteria are detailed in the supplemental questionnaire.

ALAMEDA COUNTY HEALTH

Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health’s departments and programs focus on services and support that provide care for the whole person.

• The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience.
• The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases.
• The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases.
• Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities.

For more information about the agency, please visit: Alameda County Health

COMMUNITY DEVELOPMENT AGENCY

The Alameda County Community Development Agency's mission is to enhance the quality of life of Alameda County residents and plan for the future well-being of the County's diverse communities; to balance the physical, economic and social needs of County residents through land use planning, environmental management, neighborhood improvement, and community development, and to promote and protect agriculture, the environment, economic vitality and human health.

The Community Development Agency houses the following departments: Planning Department, Housing and Community Development, Agriculture Weights and Measures, Healthy Homes Department, and Economic and Civic Development Department.

For more information about the agency, please visit: Alameda County Community Development Agency.

THE IDEAL CANDIDATE:

The ideal candidate is an experienced nurse with strong clinical, supervisory, and program management skills. This individual is a proven problem solver and effective leader who exercises sound independent judgment, demonstrates initiative, and collaborates with community and health care partners. The ideal candidate is dedicated to ensuring high-quality services and providing timely, courteous, and knowledgeable consultation and education to clients, community partners, and staff. They bring a deep commitment to health equity and to improving outcomes for diverse populations served across Alameda County.

Additionally, the ideal candidate will possess the following critical attributes:

• Demonstrates attention to detail when reviewing case management documentation for accuracy, completeness, and compliance with established standards.
• Provides effective clinical and administrative supervision to nurses and multidisciplinary staff delivering assessment, investigation, case management, and care coordination services.
• Effectively plans, coordinates, monitors, and evaluates program activities and service delivery.
• Supports staff development through training, mentoring, coaching, and constructive performance feedback.
• Demonstrates a commitment to quality assurance, continuous improvement, and equitable access to services.
• Builds effective working relationships with individuals from diverse (racial, cultural, linguistic, and socioeconomic) backgrounds and provides culturally responsive services.
• Is an exceptional listener and analytical thinker with strong investigative, written, and verbal communication skills.
• Effectively interprets and implements nursing and health policies, procedures, and regulations and contributes to the development of program guidelines
• Demonstrates competence in assessment, nursing practice, staff supervision, resource management, leadership, and systems thinking.
• Utilizes data and evaluation findings to guide program planning, monitor quality, and inform decision making.
• Collaborates effectively with community providers, community based organizations, health systems, schools, and other partners to support coordinated, client centered services.
• N avigates and partners with multiple County entities including Public Health, Behavioral Health, the Office of the Agency Director, and the Community Development Agency, each with distinct mandates and operational structures.
• Demonstrates adaptability and skill in leading staff through organizational, regulatory, or practice changes.

MINIMUM QUALIFICATIONS

Education:

Possession of a bachelor’s degree in Nursing from a recognized four-year college or university (180 quarter-units or semester 120 units).

AND EITHER I

Experience:

The equivalent of three years of full-time, recent experience within the last five years as a Registered Nurse III in Alameda County classified service.

OR II

Experience:

The equivalent of four years of full-time, recent experience within the last five years as a Registered Nurse II in the Alameda County classified service.

OR III

Experience:

The equivalent of five years of full-time, recent nursing experience within the last five years in a clinical and/or public health setting, which has included at least one year of full-time lead/supervisory experience.

Substitution:

Possession of a master’s degree in business administration, public administration, health/healthcare management/administration, nursing or public health from an accredited college or university may be substituted for two years of experience in any pattern above.

License/Certificate:

• Possession of a current and valid license to practice as a Registered Nurse in the State of California.
  
• Possession of a valid Basic Life Support for Healthcare Providers certificate, which includes cardiopulmonary resuscitation (CPR) and Automated External Defibrillator (AED) training.
  
• Some positions may require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the State of California Board of Registered Nursing.
  
• Some positions may require a valid California Motor Vehicle Operator’s license.
  

Special Requirements:
In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job.
In Compliance with Medicare regulations, employees in this classification are required to complete the “Medicare Enrollment Process for Physicians and non-Physician Practitioners” through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.

KNOWLEDGE AND SKILLS

The most suitably qualified candidates will possess the following competencies:

Knowledge of:

• Wellness to illness continuum, including major disease processes to evaluate the condition of clients or community.
• Nursing Practice Act rules and regulations and other related health care disciplines and procedures.
• Local, state and federal codes and regulations governing the field of nursing and public health nursing practices.
• Principles and theories of modern methods, principles, procedures, techniques, standards and practices of public health nursing, including understanding of medical terminology and documentation.
• Current principles, best practices and trends in service delivery systems, quality assurance and quality improvement.
• Principles and processes of personnel management which include leadership, supervision, coaching, performance evaluations, development and counseling.
• Disparities in health outcomes for vulnerable populations including socio-economic and environmental factors that affect health equity.
• Principles and practices of effective organization, management, monitoring, quality assurance and quality improvement indicators.
• Principles and practices of public health education and teaching. Interviewing, assessment, and counseling techniques.
• Ten Essential Public Health Services.
• Health systems, agencies community resources and patterns of referral.
• Principles, practices and methods of safety and infection control and prevention of communicable and chronic disease.
• Methods of prevention of accidents and abuse and neglect of children, spouses and the elderly.
• Methods of evaluating normal and abnormal behavior patterns.
• Complex health care systems and techniques of collaboration.
• Basic budgetary and financial record-keeping techniques.

Ability to:

• Plan, monitor and evaluate program and service delivery effectiveness in the programmatic area to which assigned.
• Analyze effectiveness of policies, procedures, operations and interventions; modify as needed to meet/improve programmatic objectives.
• Assess the health status and concerns of clients and communities.
• Exercise interpersonal sensitivity, political astuteness and group interaction skills to establish and maintain effective working relationships.
• Facilitate and model effective written and oral communication with attention to linguistic preferences and cultural proficiency.
• Maintain confidentiality.
• Supervise staff and program operations.
• Exercise independent judgment within the scope of authority and practice.
• Prepare, analyze and monitor program budget and other data.
• Prepare clear, accurate and effective reports, correspondence, policies, informational brochures and other written materials.
• Utilize basic modern office equipment and technology related to work.
• Incorporate departmental core values and ethical standards of practice into all interactions with individuals, organizations, and communities.

EXAMINATION COMPONENTS

THE EXAMINATION WILL CONSIST OF THE FOLLOWING STEPS:

A review of applicants' applications to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. A review of candidates’ Supplemental Questionnaires to determine the best qualified. Those candidates considered the best qualified will move on to the final step in the examination process. An oral interview which will be weighted as 100% of the candidate's final examination score. The oral interview may contain situational exercises.

CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION.

We reserve the right to make changes to the announced examination components.

Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the “What You Need to Know” section of our website, hrs.alamedacountyca.gov.

RECRUITMENT AND SELECTION PLAN

Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency:

TENTATIVE RECRUITMENT PLAN Deadline for Filing: 5:00:00PM, Monday, November 2, 2026 Review of Minimum Qualifications: November 11, 2026 Review of Supplemental Questionnaire for Best Qualified: December 11, 2026 Virtual Pre-Recorded Civil Service Oral Examination:
Rating of Oral Examinations:
December 11 - December 21, 2026

December 22 - January 8, 2027
Notification of Results: Week of January 11, 2027 TENTATIVE SELECTION PLAN Departmental Hiring Interviews: January 2027

WE RESERVE THE RIGHT TO MAKE CHANGES TO THE ANNOUNCED RECRUITMENT & SELECTION PLAN

Reasonable Accommodation

Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the California Fair Employment and Housing Act (FEHA), the federal Americans with Disabilities Act (ADA), and Alameda County’s Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement no later than the recruitment filing deadline . If this is a continuous open recruitment without a filing deadline, please contact the assigned Human Resources Representative listed on the job announcement within ten (10) business days of submitting your application . Unless your disability is readily apparent (for example, you use a wheelchair and need wheelchair-accessible spaces), Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes.

For more information regarding our Reasonable Accommodation procedures, please visit our website, hrs.alamedacountyca.gov.

BENEFITS

The County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many employee discount, fitness and health screening programs focused on overall wellbeing. These benefits include but are not limited to*:

For your Health & Well-Being

• Medical - HMO & PPO Plans
• Dental - HMO & PPO Plans
• Vision or Vision Reimbursement
• Share the Savings
• Basic Life Insurance
• Supplemental Life Insurance (with optional dependent coverage for eligible employees)
• Accidental Death and Dismemberment Insurance
• County Allowance Credit
• Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
• Short-Term Disability Insurance
• Long-Term Disability Insurance
• Voluntary Benefits - Accident Insurance, Critical Illness, Long-Term Care, Hospital Indemnity and Legal Services
• Employee Assistance Program

For your Financial Future

• Retirement Plan - (Defined Benefit Pension Plan)
• Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

• 12 paid holidays
• Floating Holidays
• Vacation and sick leave accrual
• Vacation purchase program
• Management Paid Leave**
• Catastrophic Sick Leave
• Pet Insurance
• Commuter Benefits Program
• Guaranteed Ride Home
• Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
• Employee Discount Program (e.g. theme parks, cell phone, etc.)
• Child Care Resources
• 1 st United Credit Union

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a summary of the benefits offered and can be subject to change.

**Employees in management-designated classifications may be entitled to management paid leave. Refer to the applicable MOU or Salary Ordinance for more information.

Conclusion

All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, [email protected] , and [email protected] accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page.

Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment.

NOTE: All notices are generated through an automated email notification system. Replies to the email boxes [email protected] and [email protected] are routed to unmonitored mailboxes. If you have questions, please go to our website at hrs.alamedacountyca.gov . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied.

Angelica Cuevas, Human Resources Analyst

Human Resource Services, County of Alameda

(510) 271-5154 | [email protected]

hrs.alamedacountyca.gov

DISASTER SERVICE WORKER

All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY

Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment.

Closing Date/Time: 11/4/2026 5:00:00 PM

Salary:

$84.83 - $101.13/hour; $176,446.40 - $210,350.40/year