Clinical Nurse III - Ambulatory Care

Salary : $176,544.16 - $236,620.80 Annually
Location : Throughout the County of Santa Clara, CA
Job Type: Full-Time/Part-Time
Job Number: 25-S75-G
Department: County-Wide Recruitment
Opening Date: 03/06/2025
Closing Date: 3/21/2025 11:59 PM Pacific
Bargaining Unit: 04

Description
Under general supervision, to apply the theoretical concepts of the nursing profession while providing direct patient care within the parameters of established nursing policies and procedures in patient care situations required by the assigned clinical setting; to initiate and perform established nursing interventions utilizing current clinical knowledge.

Santa Clara County Health System is seeking full-time, part-time, extra-help, and per diem Clinic Nurses to work in various Primary and Specialty Care departments within their Ambulatory Care network.
The list established may be used for other vacancies as they occur in Ambulatory Care, which includes (but not limited):

All Hospitals - Employee Health

St. Louise Regional Hospital - Wound Clinic
O'Connor Hospital - Wound Clinic
O'Connor Hospital - Infusion

Santa Clara Valley Medical Center Community Based Outreach and Clinical Disaster Response Team
Valley Specialty Centers
Regional Medical Center
Primary Care
Valley Medical Center - HEALTH CENTERS

• Valley Health Center Bascom
• Valley Health Center Downtown
• Valley Health Center East Valley
• Valley Health Center Gilroy
• Valley Health Center Lenzen
• Valley Health Center Milpitas
• Valley Health Center Moorpark
• Valley Health Center Sunnyvale
• Valley Health Center Tully
• Valley Specialty Center
• Valley Homeless Health Care Program (VHHP)
• Valley Health Center Vietnamese American Service Center
• Etc.

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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

• Analyzes and validates data taken from interviews of patients; revises assessments based on observation of patient behaviors;

• Identifies common recurrent patient problems, symptoms, and behavioral changes in relation to standards of care and individual patient needs;

• Assesses the needs of a specific patient population by making purposeful rounds, participating in clinical conferences, and collaborating with physicians and other healthcare team members;

• Assesses the competencies of personnel assigned to a specific patient group;

• Assesses the need for development of standards of care for a specific patient population;

• Assesses the numbers and levels of personnel needed to provide nursing care for a specific patient population.

Planning

• Identifies patient care problems, establishes priorities, and develops individual patient care plans based on nursing and medical diagnosis;

• Plans strategies for solving patient care problems with other members of the healthcare team;

• Plans for patient needs within current assignment to determine amount and type of assistance needed;

• Develops a plan for teaching patients and family regarding recurrent health problems, coping mechanisms, and health practices related to maintenance of wellness and prevention of disease;

Implementation

• Collaborates with appropriate personnel in performing new procedures and/or in functioning in unfamiliar situations;

• Coordinates activities needed to implement the plan of care;

• Coordinates patient and family teaching;

• Coordinates discharge plans with appropriate support personnel;

• Complies with external and internal regulations pertaining to nursing practice;

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

• May participate in conducting research activities;

• When assigned charge responsibility, makes recommendations for the unit level staffing pattern and assigns personnel to provide for patient care during an 8-hour period;

• Assists in teaching students and staff;

• May assume role of primary nurse with accountability to specific assigned patients;

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

• Performs other related duties, as required.

Employment Standards
Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities:
Training and Experience Note: The required knowledge and abilities are attained through possession of an active California Registered Nurse License without restrictions;

and

Three (3) years of full-time Registered Nurse (RN) experience, of which one (1) year must have been within the last three (3) years, in an accredited hospital, clinic, or healthcare setting.

and

One (1) year of full-time RN experience, within the last three (3) years, in the nursing specialty area. A nursing specialty is a field of nursing that focuses on either a particular patient population or a health condition.
Possession of a Bachelor of Science in Nursing (BSN) and possession of a nationally recognized certification in a specialty area 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(s) 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:

• Establish relationships with patients/families in difficult or crisis situations;

• Advocate for the patient/family perspective and work toward resolution of conflict;

• Develop and implement complex teaching plans;

• Be a subject matter expert and be recognized by other staff nurses and physicians for their expert knowledge;

• Support less experienced Registered Nurses;

• Recognize and report subtle variations in patient responses;

• Anticipate and identify the needs of other patients and the capabilities of the nurses assigned to them;

• Develop innovative strategies to enhance patient care;

• Model high performance leadership behaviors (e.g., thoughtful listening, effective questioning, and empowerment);

• Act as a change agent and facilitate implementation and evaluation of change;

• Perform skillfully under pressure;

• Juggle and integrate needs and requests of multiple patients without losing important information or overlooking significant needs;

• 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.);

• Be able to perform all physical skills required to deliver patient care;

• 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

Completion of the following supplemental questions is REQUIRED and is an integral part of the recruitment evaluation process. Initially, it will be used to determine if an application Passes or Fails at the review stage. For those applications passing employment standards, this information could be critical in subsequent assessments. Answers should be as complete as possible, a response of "see resume" or "see application" will deem an application incomplete and the application will be rejected.
When prompted to describe your experience, please include a detailed description in the following format for EACH employer referenced:
a) Employer name
b) Job title
c) Description of work performed, pertaining to the question asked.
d) Hours worked per week.

Do you understand the requirement to provide complete answers?

• Yes
• No

02

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
• BSN, 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 an accredited Joint Commission acute care hospital
• MSN
• PhD
• I have not completed any nursing education

03

Please list any and all degrees that you possess including any nationally recognized certifications in specialty areas.
04

Do you have an active California Registered Nurse License without restrictions? If you answered Yes, you must attach a copy.

• Yes
• No

05

If you have an active California RN license, please indicate RN license number and expiration date.
06

Is your Basic Life Saving (BLS) certification current?

• Yes
• No

07

If you have a current BLS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter "N/A".
08

Do you have 3 or more years (of which one (1) year must have been within the last three (3) of experience as an RN in an Accredited hospital, clinic, or healthcare setting? (Do not include years while in nursing school.)

• Yes
• No

09

Indicate the number of years you've worked as a RN in an Accredited hospital, clinic, or healthcare setting. (Do not include years while in nursing school.)

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

10

Describe your experience working as an RN in an Accredited hospital, clinic, or healthcare setting. (Do not include years while in nursing school.) Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
11

Is your Advanced Cardiovascular Life Saving (ACLS) certification current?

• Yes
• No

12

If you have a current ACLS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter "N/A".
13

Is your Pediatric Advanced Life Support (PALS) certification current?

• Yes
• No

14

If you have a current PALS certification, please indicate the Agency who issued it, the date it was issued and expiration date. If not, enter "N/A".
15

Indicate the number of years you've worked as a RN in an Accredited Acute Care hospital. Do not include years while in nursing school.

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

16

Describe your experience working as an RN in an Accredited Acute Care Hospital. (Do not include years while in nursing school.) Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
17

Indicate the number of years you've worked as a RN in an Accredited Ambulatory Care Clinic. Do not include years while in nursing school.

• None
• Less than one year
• One to less than two years
• Two to less than three years
• Three to less than four years
• Four to less than five years
• Five to less than six years
• Six to less than seven years
• Seven to less than eight years
• Eight to less than nine years
• Nine to less than ten years
• Ten years or more

18

Describe your experience working as an RN in an Accredited Ambulatory Care Clinic. (Do not include years while in nursing school.) Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
19

Are you certified in any of the following? (Select all that apply)

• Biotherapy
• Chemotherapy
• Immunotherapy
• International Board Certified Lactation Consultant (IBCLC)
• Lactation Educator
• Wound Care
• Other related certification
• I do not have any of the above certifications

20

Indicate the location of your most recent RN role. (1 year in the last 3 years) (Select all that apply)

• Ambulatory Care Clinic/Center
• Dialysis Cener
• Comprehensive Perinatal Services Program (CPSP)
• Home Care
• Hospice
• Hospital Based Wound Care Center
• Accredited Acute Care Hospital (Inpatient)
• Long-Term Care
• Sub-Acute Care Hospital
• Surgery Center
• Other
• None of the above

21

Do you have clinical nursing experience in the following: (Select all that apply)

• County Health Care System
• Undersea and Hyperbaric Medical Society (UHMS) certified facility
• Teaching Hospital
• Other
• None of the above

22

Indicate the specialty of your most recent RN role(s), within the last three years. (Select all that apply)

• Allergy/Immunology
• Ambulatory Care Clinic
• Ambulatory Palliative Care
• Cardiac Care
• Critical Care RN experience
• Diabetes
• Dialysis Center
• Emergency Room
• GI Clinic
• Hemodialysis
• HIV/Infections Disease
• Home Care
• Hospice
• Hospital Based Wound Care Center
• Inpatient Acute Care Hospital
• Long-Term Care
• Medical Surgical
• OB/GYN
• Operating Room/Perioperative
• Oncology
• Ophthalmology
• Orthopedics
• Outpatient Urology Clinic
• Pediatric
• Plastics/Burn
• Procedural and/or Recovery
• Radiation Oncology
• Sub-Acute Care Hospital
• Surgery Center
• Urgent Care
• Urodynamics
• Other
• None of the above

23

Do you have experience performing the following? (Select all that apply)

• Dressing Changes
• Hospital based Wound Care
• Moderate Sedation
• PICC lines
• Population Health Management
• Procedural Areas
• Recovery Areas
• None of the above

24

Please indicate which electronic health record software you have used. (Select all that apply)

• AllScripts
• ARCIS
• Avatar
• Cerner
• e Clinical Works
• EPIC
• Essentris
• GE EMR
• IBEX
• Intergy
• Meditech
• Other health record software
• I do not have experience using electronic health records

25

Do you have RN experience with Palliative Care and End of Life Care including Comfort Care in an Accredited Acute Care Hospital?

• Yes
• No

26

Please describe your experience with Palliative Care and End of Life Care, including Comfort Care at an Accredited Acute Care hospital.Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "None."
27

Indicate the Ambulatory Care Clinic location or Enterprise Program you are willing to work. (Select all that apply)

• Child Advocacy Center
• De Paul Health Center - Ambulatory Clinics
• Employee Health Services
• Express Care
• Homeless Healthcare Program
• Infusion Center
• Multi-Specialty Clinic and Pharmacy- Mountain View
• O'Connor Hospital (OCH) - Ambulatory Clinics
• Primary Care Administration
• Regional Medical Center (RMC) - Ambulatory Clinics
• Saint Louise Regional Hospital (SLRH) - Ambulatory Clinics
• Santa Clara Valley Medical Center Community Based Outreach and Clinical Disaster Response Team
• Valley Health Center- Bascom
• Valley Health Center - Downtown Clinic
• Valley Health Center- East Valley
• Valley Health Center - Fair Oaks
• Valley Health Center- Gilroy
• Valley Health Center- Lenzen
• Valley Health Center- Milpitas
• Valley Health Center- Moorpark
• Valley Health Center- Morgan Hill
• Valley Health Center- PACE & ID Clinic
• Valley Health Center- Sunnyvale
• Valley Health Center- TB & Refugee Clinic
• Valley Health Center- Tully
• Valley Health Center- Vietnamese American Service Center
• Valley Specialty Center
• VMC Renal Care Center
• Wound Care Center
• Not Interested in Ambulatory Care location

28

Indicate the Specialty Clinics where you desire employment. (Select all that apply)

• Burn Center
• Cancer Center
• Cardiovascular
• Clean Slate
• Clinic Float
• Dermatology
• Diabetes
• Employee Health
• Endocrinology
• Ear, Nose, and Throat
• Eye
• Gastroenterology & Hepatology
• General Surgery
• Genetics
• Geriatrics
• Homeless Healthcare Center
• Infusion
• Neurosciences
• Neurosurgery
• NICU Homecare
• OB/ GYN
• Oncology
• Orthopedics
• PACE - Partners in AIDS Care and Education
• Pediatrics
• Plastic Surgery
• Podiatry
• Primary Care
• Pulmonary Medicine
• Radiation Oncology
• Rehabilitation
• Renal Care
• Stress Lab
• Urodynamics
• Urology
• SLRH - Employee Health
• SLRH - Wound Clinic
• OCH - Employee Health
• OCH - Infusion Center
• OCH - Wound Clinic
• Other
• None of the above

29

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
• Other (Specify in the next question)

30

If you selected an event/fair or other in the question above, please specify. If not, type N/A.
Required Question