Clinical Nurse I - Acute Rehabilitation

Salary : $151,382.40 - $184,000.96 Annually
Location : San Jose Metropolitan Area, CA
Job Type: Full-Time/Part-Time
Job Number: 25-S89-R
Department: Santa Clara Valley Health Care - Valley Medical Center
Opening Date: 03/11/2025
Closing Date: 3/25/2025 11:59 PM Pacific
Bargaining Unit: 04

Description
Definition

Under close supervision, to apply the theoretical concepts of the nursing profession while providing routine direct patient care within the parameters of established nursing policies and procedures in controlled patient care situations required by the assigned clinical setting; to develop the skills, knowledge, and abilities of nursing.

Distinguishing Characteristics
The Clinical Nurse I classification is the entry level classification in the Clinical Nurse classification series. The Clinical Nurse I is distinguished from the Clinical Nurse II in that the Clinical Nurse I is a graduate nurse or registered nurse (RN) with limited nursing experience. Incumbents work under close supervision of another registered nurse, providing only routine and general patient care assignments within well-defined guidelines.

The Clinical Nurse classification series is distinguished from the Public Health Nurse classification series in that the Clinical Nurse classification series works directly with individual patients or a defined patient assignment, where patients are injured, ill, or in life-threatening situations requiring nursing interventions, whereas the Public Health Nurse works in clinics, homes, and community settings caring for the health of the population to prevent disease and improve population health.
This recruitment is for career opportunities at Santa Clara Valley Medical Center (SCVMC) only.
SCVMC Rehabilitation comes alive each day with activity that few other centers in the country can match. As a comprehensive, acute care center, SCVMC operates specialized units for spinal cord injuries, traumatic brain injuries, strokes and other conditions that might require rehabilitation care. Physicians, Nurses, Physical Therapists, Occupational Therapists, Speech Therapists, Recreational Therapists, Case Managers, Psychologists and others bring enormous expertise and compassion to their work.

The Power of WE: Together, we can make a greater impact. Bringing better care and expanding healthcare services across the community.

Santa Clara Valley Healthcare (SCVH) is the second largest public health care system in California and includes three acute care hospitals, 14 clinics and 60+ specialty and sub-specialty services. Our mission is to provide high-quality, accessible healthcare and excellent service to everyone in Santa Clara County.

Santa Clara Valley Medical Center - SCVMC is a full-service tertiary acute care teaching hospital with 699 licensed beds providing a wide range of specialized services, including Rehabilitation, Burn, Trauma, and NICU. SCVMC was ranked by U.S. News and World Report as #6 Rehabilitation Hospital in the nation and #1 in the West and designated as a 2024 High Performing hospital for Maternity Care, Heart Failure, Stroke, Hip Fracture, and Pneumonia.
O'Connor Hospital - O'Connor Hospital (OCH) is a 358 licensed bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to residents of Santa Clara County. It was founded in 1889 as one of the first hospitals in the county. OCH has grown significantly over the past five years in both its inpatient volume and its Emergency Department visits. Along with these volume increases other ancillary and clinical departments like imaging, lab, pharmacy, and respiratory have seen growth as well.

St. Louise Regional Hospital - Since 1989, St. Louise Regional Hospital (SLRH) has been caring for the residents in Santa Clara and San Benito Counties, offering a wide range of inpatient and outpatient medical specialties. SLRH has 93 beds, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Located in Gilroy, SLRH maintains a CALSTAR 2 emergency helicopter base on the premises.
Learn more about Santa Clara Valley Healthcare: https://www.scvh.org/home and follow us on:
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Typical Tasks
The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.
Assessment

• Obtains data for nursing assessment from patient and/or family;

• Learns to utilize assessment data to formulate nursing diagnosis;

• Observes patient behavior and documents it in a clear, concise manner.

Planning

• Identifies obvious patient care problems and establishes priorities for care based on nursing and medical diagnoses;

• Under direction, initiates a patient care plan and collaborates with other staff members when appropriate; may suggest revisions to a patient care plan dependent upon the changing needs of the patient;

• Contributes to the development of unit standards of care;

• Under direction, plans patient teaching activities.

Implementation

• Complies with external and internal licensure regulations and accreditation body standards pertaining to nursing practice;

• Recognizes and implements legal and ethical responsibilities and duties of registered nurses;

• Establishes priorities and provides nursing care based on the patient care plan;

• Accepts accountability for all nursing care provided;

• Monitors compliance with safety standards and care protocols for self and others;

• Documents nursing care provided and patient's response to care;

• Assists in coordinating the activities needed to implement the patient care plan;

• Participates in implementation of patient discharge plan;

• Under direction, teaches patient and families;

• Seeks supervision and guidance in developing nursing skills, in performing procedures not yet mastered, and when functioning in unfamiliar situations.

Evaluation

• Evaluates the patient's response to care provided;

• Communicates evaluation outcomes to appropriate staff;

• Evaluates teaching provided by self and others.

• May be assigned as a Disaster Service Worker (DSW), as required*;

• Performs other related duties, as required.

Employment Standards
Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions;

OR

Possession of a California Interim Permit issued to a graduate of a California Board of Registered Nursing (BRN) approved registered nurse program.
Possession of a Bachelor of Science in Nursing (BSN) is preferred.
Special Requirements

• Must possess and maintain the following certification(s) during employment:

o Basic Life Saving Certification (BLS)

• For clinical specialty areas, must possess and maintain the following certification(s) during employment:

o Advance Cardiovascular Life Saving Certification (ACLS)

o Other identified specialty area certification for specialty patient populations at appointment, as required.

• Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver's license prior to appointment and the ability to qualify for and maintain a County driver authorization.

• *As a condition of employment, pursuant to California Government Code Sections 3100-3109 and Local Ordinance, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. A DSW is required to complete all assigned DSW-related training, and in the event of an emergency, return to work as ordered.

Knowledge of:

• California Nurse Practice Act;

• American Nursing Association Code of Ethics;

• Nursing Professional Practice Model;

• Federal and State healthcare laws and regulations appropriate to the operation of California hospitals;

• Current nursing and related medical theory necessary to administer nursing care within assigned clinical setting;

• Principles, practices, and methods of acute and primary care clinical nursing, including community aspects and continuity of patient care;

• Diagnosis and treatment of common medical problems as related to a clinical specialty area;

• Clinical systems, supplies, and equipment;

• Safety and Infection Control practices;

• Sciences basic to nursing (anatomy, physiology, pharmacology, microbiology);

• English usage, style, grammar, punctuation, and spelling;

• Common computer systems and charting applications.

Ability to:

• Build effective therapeutic relationships;

• Assume responsibility and accountability for patients;

• Collaborate with peers to develop and implement individualized teaching plans;

• Utilize educational resources available for promoting self-learning;

• Focus on the whole clinical picture of the patient;

• Integrate input from other disciplines for decision making;

• Respond in a timely manner to changes in patient condition;

• Model professional accountability for clinical practice;

• Respond to patient requests and needs with some ability to shuffle priorities;

• Escalate issues when demands exceed capacity;

• Read and understand material safety data sheets and other safety communications;

• Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures;

• Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies.

Physical Requirements
The physical requirements may include:

• Ability to work alternate work schedules, weekends, and holidays, as necessary;

• Ability to perform physical skills required to deliver patient care;

• Bend, stoop, reach, perform fine motor movements, see, hear, and touch.

• Strength to lift, move and transfer most patients; to restrain and carry children; to move and carry equipment; and to perform cardiopulmonary resuscitation (CPR), which requires sufficient body weight and adequate lung expansion;

• Mobility: bend, stoop, get down on the floor; combination of strength, dexterity, mobility, and coordination to assist patients; ability to move around physically and adequately in confined spaces (patient rooms, bathrooms, treatment settings, around patient equipment, etc.);

• Fine Motor Movements: manipulate syringes and IVs; assist patients with

feeding and hygiene; write appropriate notations; document in health record; and perform sterile procedures and other skilled procedures;

• Vision: Visualize patients in order to assess and observe their health status; skin tone, color changes, dermatological conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, etc.;

• Hearing: Hear and see patients, monitor signs and symptoms, hear alarms, patient voices, call lights, and assess patient conditions, non-verbal behaviors, changes in signs and symptoms of illness, health improvement or deterioration, hear through the stethoscope to discriminate sounds, and accurately hear on the telephone;

• Touch: Ability to palpate both superficially and deeply and to discriminate tactile sensations.

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits
The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account
The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)
The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D
The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)
The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial/legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness
The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement
A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE: Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.
01

Please answer the following questions. Completion of the following supplemental questions is REQUIRED and is an integral part of the evaluation process. Initially, it will be used to determine minimum qualifications. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete and consistent as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. A response of "see resume" or "see application" will deem your application incomplete. Do you understand the requirement to provide complete answers in order to determine relevant experience for each area in question?

• Yes
• No

02

Do you have an active California Registered Nurse License without restrictions?

• Yes
• No

03

If you have an active California RN license or Interim Permit California RN license, please indicate your RN license number and expiration. If not, type n/a.
04

What is your highest level of Nursing Education?

• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• AA/ AS/ Diploma, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MEPN with RN license pursuing MS
• BSN, Clinical Practicum concurrent with theory in a non-accredited Joint Commission acute care hospital
• BSN, Clinical Practicum concurrent with theory in an accredited Joint Commission acute care hospital
• MSN
• PhD
• None of the above

05

Is your ACLS certification current?

• Yes
• No

06

List all active national and international nursing certification. Indicate the first year certified. If none, type n/a.
07

Have you ever worked as a clinical nurse in an Inpatient Acute Rehabilitation department in an accredited rehabilitation hospital?

• Yes
• No

08

Are you currently working as a clinical nurse in an Inpatient Acute Rehabilitation Department of an accredited rehabilitation hospital? This does NOT include Long-Term acute care facility, Sub-Acute or Skilled Nursing facilities. Do not include time while in nursing school.

• Yes
• No
• Floated

09

Describe your clinical nurse experience in an Inpatient Acute Rehabilitation Hospital. Indicate location and duration of experience. If none, type n/a.
10

Indicate the number of months of experience up to 1 year working as a clinical nurse in an Inpatient Acute Rehabilitation Department of an Accredited Rehabilitation Hospital. Do NOT include experience from Long-Term acute care facility, Sub-Acute or Skilled Nursing facilities. Do NOT include time while in nursing school.

• No Clinical Nurse Rehabilitation Experiences
• Less than 2 months
• 2 - less than 4 months
• 4 - less than 6 months
• 6 - less than 8 months
• 8 - less than 10 months
• 10 - 12 months

11

Indicate the location of your current RN role

• No prior RN nursing experience
• Inpatient Acute Care Hospital
• Ambulatory Care Clinic
• Sub Acute Care Hospital
• Surgery Center
• Long Term Acute Care
• Acute Psychiatric Hospital
• Home Care
• Hospice
• Dialysis Center
• Specialty Care Clinic
• Skilled Nursing Facility

12

What is the ratio of RN to patient on your unit?

• Not Applicable
• 1:2
• 1:3
• 1:5
• Other

13

If you selected "Other" in question 12, please specify the patient ratio on your unit.
14

Indicate which unit within the Acute Rehabilitation Department you are willing to work.

• 3A- RRU-Respiratory Rehabilitation Unit
• 3A- Acute Rehabilitation Unit (Spinal Cord Injury)
• 4A- Acute Rehabilitation Unit (Brain Injury)

15

Indicate the commitment you are willing to work (Check all that apply).

• 1.0 FTE - 80 hours in two weeks
• .9 FTE - 72 hours in two weeks
• .8 FTE - 64 hours in two weeks
• .75 FTE - 60 hours in two weeks
• .7 FTE - 56 hours in two weeks
• .6 FTE - 48 hours in two weeks
• .5 FTE - 40 hours in two weeks
• Extra Help

16

Select all the shifts you are willing to work.

• Day 8 hour shift
• Evening 8 hour shift
• Night 8 hour shift

17

Do you have experience caring for Traumatic Brain Injury patients?

• Yes
• No

18

Do you have any experience caring for High Ventilator Dependent Tetraplegic patients?

• Yes
• No

19

Have you recently worked as a Hospital Service Assistant or Nursing Assistant in an Inpatient Acute Rehabilitation department in an accredited acute care hospital setting?

• Yes
• No

20

Do you have employment experience working for the County of Santa Clara in a County Public Hospital and Health System?

• Yes
• No

21

Briefly describe your RN experience (include patient populations: i.e. Acute Rehab, Oncology, Orthopedic, etc.) If not applicable, indicate "N/A."
22

Do you have experience with an electronic health records system?

• Yes
• No

23

Indicate type of electronic health record software you have experience using. Check all that apply:

• All Scripts
• ARCIS
• Cerner
• e Clinical Works
• EPIC
• Essentris
• GE EMR
• IBEX
• Intergy
• Meditech
• Other
• No exp with electronic health record software

24

How did you find out about this job?

• Contacted by County Recruiter
• Contacted by a Recruitment Firm
• County Employee Referral
• County of Santa Clara Career Website
• County of Santa Clara Job Interests Email Notification
• Facebook
• Instagram
• LinkedIn
• Indeed
• Virtual Job Fair
• In Person Job Fair
• In-Person Networking Professional Event
• Virtual Networking Event
• Community Event
• Glassdoor
• Governmentjobs.com
• Professional Association
• Search Engine (Google, Bing, online search, etc.)
• Hospital Website: SCVMC, O'Connor Hospital, St. Louise Regional Hospital Website
• Handshake
• Student Career Center
• County Text Message
• County Career Newsletter
• Other (Specify in the next question)

Required Question