Nurse Practitioner-Public Health Mobile Clinics - Limited-Term (POSTING ONLY)

Salary : $194,667.20 - $230,089.60 Annually
Location : County of San Mateo, CA
Job Type: Limited Term
Job Number: POSTING ONLY (F009)
Department: Public Health Policy and Planning
Opening Date: 04/10/2025
Bargaining Unit: 26

Description
San Mateo County Health's Public Health, Policy and Planning Division has exciting field-based opportunities for well qualified, and motivated Nurse Practitioners to provide both primary and urgent care to adults from vulnerable populations within our community-people experiencing homelessness and/or in shelters, monolingual Spanish Speakers and other new immigrants, those without insurance or underinsured, through our various Mobile Clinic's modalities and venues, including but not limited to street medicine, shelter medicine, and the mobile coach. We are looking for collaborative Nurse Practitioners to work in and lead various multidisciplinary service teams in the field to provide comprehensive, low threshold, client-centered care, and engagement.

Teams are staffed by a Nurse Practitioner (NP), Psychiatrist, Medical Services Assistant, AOD Case Manager and Patient Services Assistants. Teams work closely with our community partners from our Human Services Agency and community based organizations who locate and identify clients needing medical and/or mental health services as well as provide additional health, housing and social services in the field.

Under general supervision, Nurse Practitioners provide urgent care and primary health care services such as physical examinations, chronic disease management, such as diabetes and hypertension, and referrals/linkages to specialty clinics as appropriate.

Currently Public Health Clinics has two full-time, 40-hour per week, Limited-Term Nurse Practitioner vacancies, requiring flexible schedules working at different locations in the field. 65% of the NPs time will be in the field and the rest of the time will be spent in the office documenting notes, placing orders, coordinating with other staff as needed.

The ideal candidate has experience:

• In family practice addressing chronic disease management.
• In the diagnosis and treatment of sexually transmitted infections.
• Collaborating with interdisciplinary teams.
• With the underserved population, including those who are homeless.
• In a flexible, dynamic work environment.
• With electronic medical records.
• Using Spanish in a medical context.

The current vacancy is a limited term, at-will position. Limited Term Employees are assigned to assignments not to exceed three years. They receive medical and dental benefits, similar to regular employees, and a defined contribution retirement plan. The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties
Duties may include, but are not limited to, the following:

• Provide low threshold, comprehensive care for San Mateo County's most marginalized and vulnerable populations: including people experiencing homelessness, people living in homeless and transitional shelters, migrant and immigrant farmworkers, the recently incarcerated, the larger immigrant community, the uninsured, and people with financial challenges, to improve access to healthcare and positive health outcomes.
• Provide comprehensive and urgent care in a variety of non-traditional settings, including homeless encampments, other outside locations, shelters, and an RV mobile clinic.
• Demonstrate the ongoing ability to work closely and collaborate with a small team, ongoing, in often challenging circumstances and environments, i.e. homeless encampments, shelters, extreme weather, people under the influence of alcohol and other drugs, people living with mental health challenges.
• Assume the stewardship of the medical care of the geographic population and/or shelter that may be entrusted (to you).
• Outreach, engage, and build trust and develop long-term relationships with the above-described populations.
• Assess the health of patients to determine their physical, emotional and social status by taking a complete medical history, doing a physical examination, initiating screening and diagnostic procedures etc; evaluate results of clinical findings and laboratory tests;
• Identify and manage common illnesses and/or other health problems.
• Refer problems or illnesses that require immediate medical attention beyond your scope of practice of comfort-level to the appropriate provider, expert, specialty, or discipline.
• Deliver longitudinal care to the population in your designated geography and/or settings.
• Collaborate with other health professionals, as needed, regarding health problems and illnesses following established protocol relative to diagnosis and treatment of patients.
• Collaborate and build relationship with community partners to produce positive health outcomes and increase service provision.
• Counsel parents or other family members regarding health maintenance in the area of specialization.
• Coordinate and facilitate referrals to other health or social agencies.
• Maintain accurate records of assessments, follow-ups, and evaluations.
• Supervise the work of subordinate health workers and participate in professional and administrative meetings.
• Actively participate in quality improvement process within work area.
• Perform related duties as assigned.

Qualifications

Education and Experience:Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying.

• Education: Completion of an advanced nursing degree from a program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC) with emphasis in a Nurse Practitioner's specialty area.
• Experience: Minimum one (1) year of paid experience in acute and/or ambulatory care setting.

Licensure:

• Possession of a California license as a Registered Nurse.
• Possession of a California Board of Registered Nursing (BRN) Nurse Practitioner License.
• Possession of a California Board of Registered Nursing (BRN) Furnishing Number.
• Possession of a DEA Number.
• For positions assigned to OB-GYN, a Nurse Practitioner License may be substituted with Nurse Midwife License and at least one certification in women's health specialty.

Special Certification: Depending on assignment, position requires certification in at least one of the following specialty areas:
Family: Primary health care for patients of all ages.

Geriatric: Primary health care for older patients.

Knowledge of:

• Principles, practices and procedures used in the detection, diagnosis and treatment of common health problems as related to the clinical specialty.
• Fundamentals of clinical medicine as related to clinical specialty.
• Drugs commonly used in the area of specialty including the indications of their use, anticipated therapeutic effect, side effects and untoward reactions and contraindications.
• Safety and infection control practices and procedures.
• Normal and abnormal values of laboratory tests and their clinical significance.
• Operations and care of medical equipment and instruments used in the area of specialty.
• Laws and regulations pertinent to the practice of nursing and medicine applicable to assigned specialty.
• Community resources and referral systems.
• Provisions of the Nurse Practice Act.

Skill/Ability to:

• Assess the health status of patients.
• Provide health care services including the taking of a complete medical history, doing complete physical examination and other related clinical procedures.
• Identify and manage health problems common in the area of specialty.
• Develop and implement treatment plans for patients according to policies and protocol.
• Analyze and interpret health information/data including results of laboratory testing.
• Communicate effectively, orally and in writing.
• Establish and maintain effective working relationships with patients, professional staff and others.
• Follow safety practices and procedures.
• Maintain accurate records and preparing reports.

Application/Examination

Application/Examination
If you are interested in being considered for limited term positions, the following materials must be electronically submitted in a Word or PDF format.

• Resum
• Responses to these supplemental questions;

1. Describe your experience working with people experiencing homelessness. What was your role and what services did you provide?
2. Describe the challenges of providing medical services in the field (e.g. encampments, soup kitchens, shelters, etc.). How will you handle those challenges if hired for this position?
3. Give one work related example that best demonstrates your ability to use initiative and creativity in dealing with a difficult patient. Describe the situation, what you did and the outcome.
4. Describe your experience working with professionals of other disciplines whose points of view may have been different than your own. Identify the problem, and the outcome.
5. Are you bilingual in both Spanish and English? Yes or NO (A "no" response will not disqualify you from this process.
6. Please provide your California RN license number and your California NP license number and expiration dates.

7. Possession of a DEA Number is required to qualify for this recruitment. (Please provide your DEA Number and expiration date, and attach it with your resume.)

Please include the words "Nurse Practitioner - Mobile Clinics-Limited Term " in the subject area of email submissions to:
Anessa Farber, Public Health Clinics Manager

Public Health Policy and Planning

afarber@smcgov.org

Application materials will be reviewed as they are received and well-qualified candidates will be contacted for an interview.

Apply immediately. Resums will be accepted until the positions are filled. This posting is open on a continuous basis and selection may be made at any time within the process.

NOTE: Application materials are only accepted via e-mail. Materials sent via regular mail and/or fax will not be accepted. Submittals that do not include all required elements (responses to supplemental questions, writing sample, graphic design sample(s) and a resume) will not be considered.

About the County

San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.
The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels.
Analyst: Carolyn Burns (Nurse Practitioner-Public Health Mobile Clinics - F009)
Please visit for a complete listing of all benefits for this classification.
Benefits are offered to eligible employees of the County of San Mateo. All benefits are subject to change.
NOTE: Employees hired on or after January 1, 2013 may be subject to new Pension Reform retirement laws.

As an additional benefit, the County offers extensive training and development programs designed to improve skills and enhance career opportunities. Most programs are offered on County time at no cost to you.
County employees are also covered by the federal Social Security system and earn benefits for retirement based on salary and time worked.