Under general direction, is responsible for providing Care/Case Management and Disease Management duties within the Ventura County Health Care Plan (VCHCP). Established during the 1993-1994 fiscal year, the VCHCP was developed as a practical and cost-effective option for providing health care services to County employees and their covered dependents.
The Senior Registered Nurse-Ambulatory Care series is distinguished from other nursing classifications in that they will provide Care/Case management, Disease Management, Wellness and Prevention, Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set (HEDIS) as well as writing reports and analyses in line with the National Committee for Quality Assurance (NCQA) regulatory requirements and programs affiliated with the Ventura County Health Care Plan. It requires that incumbents demonstrate advanced competency skills and knowledge specific to telephonically case managing complex cases, disease managing certain populations, performing utilization reviews, supervising HEDIS documentation, and writing required analyses to meet or align with NCQA standards in a managed care health plan. The incumbents are expected to work at the full scope of their licensure, with a decreasing amount of supervision commensurate with their experience.
PAYROLL TITLE: Senior Registered Nurse – Ambulatory Care
AGENCY/DEPARTMENT: Health Care Agency - Ventura County Health Care Plan
Senior Registered Nurse-Ambulatory Care is represented by the California Nurses Association (CNA) and is eligible for overtime compensation. Salary placement will be determined according to the current California Nurses' Association (CNA) memorandum of agreement.
The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-term), Intermittent, and Extra Help vacancies for this position only. There is currently one (1) Full-Time Regular vacancy in Utilization Management (UM) with the Ventura County Health Care Plan.
TENTATIVE SCHEDULE
OPENING DATE: 8/6/24
FIRST REVIEW DATE: 8/20/24
CLOSING DATE: Continuous
Duties may include but are not limited to the following:
These are entrance requirements to the examination process and assure neither continuance in the process nor placement on an eligible list.
EDUCATION, TRAINING, and EXPERIENCE:
Requires three (3) years of full-time professional registered nursing experience, including two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review.
NECESSARY SPECIAL REQUIREMENTS
FINAL FILING DATE: Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on Tuesday August 20th, 2024.
To apply on-line, please refer to our web site at www.ventura.org/jobs. If you prefer to fill out a paper application form, please call (805) 654-5129 for application materials. Our address is: County of Ventura, Human Resources Division, 800 S. Victoria Ave., Loc. # 1970, Ventura, CA 93009.
NOTE: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.
LATERAL TRANSFER OPTION: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.
SUPPLEMENTAL QUESTIONNAIRE – qualifying: All applicants are required to complete and submit the questionnaire for this examination at the time of filing. The supplemental questionnaire may be used throughout the examination process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire will result in the application being removed from consideration.
APPLICATION EVALUATION – Pass/Fail: An application evaluation will be conducted. A score will be assigned to each application based on established criteria. Such score will be considered as the final score for placement on the eligible list.
Applicants successfully completing the examination process may be placed on an eligible list for a period of one (1) year.
BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information, and driving record may be required for this position.
EQUAL EMPLOYMENT OPPORTUNITY:
The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.
For further information about this recruitment, please contact Brett Ramirez by e-mail at brett.ramirez@ventura.org or by telephone at (805) 654-2277.