Nurse Practitioner

Salary : $122,107.66 - $148,816.70 Annually
Location : Visalia, CA
Job Type: Full-Time
Job Number: 24-032710-07
Department: HHSA
Opening Date: 07/01/2024
Closing Date: Continuous

Are you looking to practice medicine and maintain a positive work-life balance? A career with the Health & Human Services Agency (HHSA) allows you to focus on providing quality care without the burdens of maintaining an unrealistic patient load and schedule. Here, in a supportive, collaborative environment, and in conjunction with a dedicated physician, you will deliver primary care to our diverse patient population. HHSA is currently recruiting for multiple vacancies for Nurse Practitioners in the Public Health Branch, which includes the Tulare County Health Centers and the Prevention Service Programs, and the Mental Health Branch. Incumbents will provide services to persons with a variety of social and economic backgrounds (a variety of ages, different cultures, etc.). This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County's Health and Mental Health Care centers.

The Tulare County Health Care Centers offer a progressive and innovative working environment for employees while providing comprehensive health care in the community. Services offered to the community include family and internal medicine, pediatrics, and women's health. Nurse Practitioners are responsible for performing physical screening assessments, accurately diagnosing common medical problems, and initiating treatment or making referrals to a physician, as indicated. The successful candidate will work collectively and collaboratively in a multi-disciplinary team setting, acting as a liaison between the Health Center and other organizations. Incumbents are expected to provide input and support regulatory compliance initiatives, including HRSA designation and Patient-Centered Medical Home. The Visalia and Farmersville Health Care Centers are Federally Qualified Health Care (FQHC) look-alike clinics and authorized National Health Service Corp (NHSC) sites. Mid-level providers accepting a position at these sites may qualify to apply for a loan repayment through the National Health Service Corp (NHSC) of up to $75,000 for a two-year work commitment. For more information on the loan repayment program, visit .
The Tulare County Public Health Branch also offers opportunities in its Prevention Service programs. Incumbents may assist and consult with outside community partners in the development and delivery of policy guidance and presentations concerning relevant varietal public health concerns, including but not limited to Homeless Program Initiatives, reviewing California Children's Services case management activities and service authorizations, and providing clinical services in the Tuberculosis and Communicable Disease clinics. Other duties may include case management and authorization activities, infection prevention consultation and services, policy development and review, and acting in a lead capacity over programs or initiatives. Public Health programs include California Children's Services; the Child Health and Disability Program; Immunizations and Communicable Disease Programs; Public Health Nursing Community Health; Maternal, Child, and Adolescent Health; and Tuberculosis programs. Duties will include interaction with medical and mental health service providers on behalf of clients and HHSA staff.
Tulare County Mental Health has two adult mental health clinics, located in Visalia and Porterville, that work with community-based providers to ensure mental health services are available throughout the county. The Mental Health Branch is seeking a highly motivated Nurse Practitioner to practice medicine with physician supervision. The successful candidate will respond to crisis situations, make assessments, provide triage, and follow through with appropriate treatments, which may include ordering referrals as well as voluntary or involuntary hospitalizations. The successful candidate will conduct physicals and order diagnostic studies that may require interpretation. Candidates accepting a position at these sites may qualify to apply for a loan repayment through California's Office of Statewide Health Planning and Development (OSHPD) of up to $25,000 for a two-year work commitment. For more information on the loan repayment program, visit

Typical Duties

• Ability to accurately diagnose common medical problems and initiate treatment or make referral to physician, as indicated
• Skills to recognize and evaluate situations that call for a physician's immediate attention and, when necessary, initiate treatment procedures
• Experience with accurately documenting findings, notes, and results in an Electronic Health Records system
• Ability to maintain effective working relationships with patients, public, staff, and other departments and agencies
• Demonstrated interpersonal and written communication skills
• Team-oriented; dedicated to collaborative and collective accomplishments consistent with the Agency's priorities and goals
• Responsive, with a public service and project-delivery focus
• Committed to cultural competency in theory and practice

Key Responsibilities Specific for the Clinic Setting

• Perform prenatal services and uncomplicated deliveries
• Perform basic gynecological examinations
• Take Pap smears
• Fit contraceptive devices

Minimum Qualifications
Candidates must meet the qualifications listed below by the application deadline.

• Graduation from an accredited school of nursing
• One year of experience as a registered nurse
• A valid Registered Nurse license issued by the California Board of Registered Nursing.
• Possession of a Family Nurse Practitioner license issued by the California Board of Registered Nursing.
• Possession of Nurse Practitioner Furnishing license issued by the California Board of Registered Nursing within three months of start date.

Desirable Qualifications for the Health Care Setting
Knowledge of:

• Obstetrical services and labor and delivery

Skill/Ability to:

• Perform labor and delivery examinations and oversight
• Deliver newborns via normal vaginal delivery
• Promptly recognize complications and know when to contact physician for assistance

Education:

• Graduation from an accredited nurse practitioner program with certification as a nurse midwife.

Experience:

• One year of experience as a women's health nurse practitioner or nurse midwife

License or Certificate:

• Certification as a nurse midwife by the American College of Nurse Midwives

Additional Information
Benefits

• Ability to earn up to $25,000 per year as a participant in our Incentive Plan. Incentive pay is specific for direct care services within the Tulare County Health Care Centers.
• Monday-Friday schedule (half a Saturday once a month)
• Voluntary participation in deferred compensation plans (457K plan) employer match up to $1,500 annually
• Relocation allowance up to $3,500
• And much more...please refer to the Benefits tab

Conditions of Employment

• The selected candidate will be required to pass a pre-employment drug and alcohol screening; furthermore, a background investigation may be conducted. Some job classes may also require a physical examination.

Student Loan Forgiveness

• This is a qualifying position for student loan forgiveness through the College Cost Reduction and Access Act (CCRAA). Only student loan payments made after October 1, 2007, and in a qualified repayment plan are eligible. For more information you are encouraged to speak with your student loan servicer or visit:

**PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED**
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Bargaining Unit 6

The information listed is a general summary of benefits. These provisions do not constitute an expressed or implied contract and are subject to change.

Benefit Amount: An annual benefit amount is provided and may be applied towards health insurance premiums (medical, dental, vision and life). This benefit is pro-rated and paid on a pay period basis (24 pay periods).

Health Insurance: A choice of PPO and HMO medical plans which include PPO and HMO dental plans and include dental and vision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, and Vision Services Plan (VSP).

Retirement: The retirement plan is a defined benefit plan administered pursuant to the 1937 Act County Employees Retirement Act and integrated with Social Security. In addition to ordinary retirement benefits, the plan provides disability and death benefits. Retirement contributions are made by both the County and the employee. The County has reciprocity with the State of California, contracting PERS agencies, and all County 1937 Act Retirement Systems.

Paid Holiday Leave: 12 set days and 1 personal holiday.

Vacation Accrual:
2 weeks per year (0-3 years of service)
3 weeks per year (3-7 years of service)
4 weeks per year (7-11 years of service)
5 weeks per year (11+ years of service)
Limit of 300 hours.
Sick Leave Accrual: 12 days per year with unlimited accumulation, 60 hours of which may be used toward family sick leave.

Career Incentive Pay
Employees who have completed five (5) or more Years of Service with Tulare County and meet the eligibility criteria described in Administrative Regulation - 52, earn additional pay according to the schedule below.
Years of Service

% Increase

Total

5

3%

3%

10

2%

5%

15

3%

8%

20

2%

10%
Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company.

Disability Insurance: Employees are covered by State Disability Insurance. The premium is paid by the employee.

Deferred Compensation: A voluntary deferred compensation plan is available.
To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at

The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change.