Tulare County Health and Human Services

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration. Current vacancy is with the Health & Human Services Agency located in Visalia. The anticipated life of the list is six months. Spanish bilingual designated positions are entitled to an additional $.63 (cents) per hour. A Spanish proficiency exam will be required. Applicants must be fluent in the ability to read, write and speak in the Spanish language as well as in English. This position will receive a 3% Cost of Living Adjustment effective 6/30/2024. Typical Duties Manage a case load which includes cases of moderate difficulty involving basic types of social service problems; interview clients to ascertain the nature of their problems, determine social service needs, develop service plans, and carry out basic social service treatment plans; assist applicants and recipients in utilizing available resources for their needs; interpret policies, rules and regulations of the department to clients and others; make home calls in connection with case work assignments; prepare and maintain case records; refer clients to other social service agencies; participate in in-service training and other staff development activities to increase knowledge of the social work processes and achieve program and technical competence; receive casework consultation from professionally trained staff members; transport clients to appointments, community resources or agencies; may provide clients with training in the areas of parenting techniques, housekeeping skills, money management, self- care and hygiene; may conduct home evaluations for possible placement of children; prepare memos, letters, reports and case narratives; essential job duties may be assigned that are not listed above but are relative to this job classification. (Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.) Employment Standards MINIMUM QUALIFICATIONS Education: Equivalent to completion of two (2) years of college level study in the behavioral or social sciences or a closely related field OR directly related program specific experience may be substituted on a ratio of one (1) year specific experience equivalent to one (1) year of education. Experience: One (1) year of experience involving interviewing and counseling in a social services environment OR additional years of college level study may be substituted for the direct program experience on a year-for- year basis. Knowledge of: Basic social service principles and practices; counseling methods and techniques; interviewing methods and techniques; basic math including addition, subtraction, multiplication, and division. Skill/Ability to : Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; interview and counsel clients to obtain information and assist with problem solving; research and define problems, collect information, organize and analyze material, draw valid conclusions and formulate recommendations; negotiate with clients, establish goals and objectives and come to an agreement on a plan of action for resolving their problems; manage a caseload; read, interpret and apply laws, rules, regulations, policies and procedures; write clear, concise and grammatically correct case narratives, reports, records and correspondence; follow verbal and written instructions and seek guidance when appropriate; retain and recall information; adjust to changes in workload, coordinate work with others and work under stress of meeting deadlines; organize work in a step-by-step order; establish rapport and maintain effective working relationships with others; use patience, tact and courtesy in dealing with people under various circumstances and under emotional stress; keep systematic and accurate records; maintain confidentiality of all information and materials; work under stressful situations. DESIRABLE EMPLOYMENT STANDARDS Knowledge of : Applicable federal, state, and local laws, rules and regulations; dynamics of child abuse and neglect; problems faced by the aged and dependent adults; problems faced by the long term unemployed. Skill/Ability to : Speak, read and write Spanish, Hmong or other client language; plan, organize and make effective presentations. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act This may be 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: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/21/2024 11:59 PM Pacific

This recruitment will establish an employment list to fill current and any future vacancies within the Health & Human Services Agency. The anticipated life of the employment list is six months. If interested in employment for this position for current or future vacancies, please submit an online application for consideration. Current vacancy is with the Health & Human Services Agency located in Visalia & Tulare. The anticipated life of the list is six months. * Bilingual positions receive an additional sixty-three cents per hour. Typical Duties Prepare and deliver presentations to individuals, schools, and community groups on health topics such as child health and disability prevention, dental health, communicable disease, HIV/AIDS, family planning, nutrition, chronic disease prevention, obesity, and other Health Department services; assist in developing and reviewing health education/promotion exhibits, posters, displays, and materials for presentation at meetings, conferences, clinics, and public gatherings; research health information and prepare copies for bulletins, periodic reports, and educational materials; assist in preparing news releases and special features on assigned health topics; assist in planning and participating in workshops, forums, and discussion groups to promote public health and health education programs; coordinate work with task forces and other advisory groups in various public health-related activities; contact schools and other community groups to schedule presentations; assists with individual and community outreach activities; assist in orienting staff in the areas of program objectives and methods; assist interested community groups in the organization and development of various projects; may translate and interpret health education or program-related materials. Employment Standards Education: Bachelor's degree in public health, education, behavioral, life sciences, or related fields. EQUIVALENCIES: Education: Minimum of 30 units of college coursework, including at least nine (9) units in a science major, such as social science, health science, environmental science, life science, or closely related field. Experience: Direct program experience working with public health, behavioral health, or health programs may be substituted for the educational requirement on a ratio of one (1) year of direct experience for one (1) year of college education, up to three (3) years. Additional units in a science major may be substituted for the direct program experience on a ratio of nine (9) units for one (1) year of direct program experience. License or Certificate Possession of or ability to obtain an appropriate, valid California driver's license. Knowledge of: Concepts of public health education and services; education needs of the community; HIPAA rules and regulations. Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles, attitudes, and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; present ideas accurately, concisely, and effectively both orally and in writing; prepare and deliver effective presentations before community groups; write clear, concise, and technically accurate reports and letters to convey information using correct grammar, punctuation, and spelling; proofread and edit reports and letters; establish priorities, plan, and organize work schedules effectively; interpret and explain programs to groups and individuals; establish and maintain effective working relationships with a wide variety of agencies, organizations, and individuals; read, understand, analyze and recall program regulations; remain flexible to changes in workload and work schedules; communicate clearly and concisely, verbally, and in writing; perform simple or complex tasks quickly; work independently and in a team-oriented environment; work with various activities and multiple projects simultaneously in a fast-paced environment. DESIRABLE EMPLOYMENT STANDARDS Experience : Two (2) years of experience in public health education. Additional Information Conditions of Employment: Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions.An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions.Some job classes may also require a physical exam. College Cost Reduction Access Act : This may be 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 service or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/21/2024 11:59 PM Pacific

The Tulare County Health & Human Services Agency is currently recruiting for a Public Health Nurse (PHN). The desired candidate will have the ability to develop, implement, and interpret policies and procedures, analyze information, assess health statuses, and recommend appropriate courses of action. The PHNs are primarily oriented to the provision of community nursing services. These services focus on concepts of prevention, early intervention, communicable disease investigation, case management, and health education. Services may be delivered within the department, in homes, clinics, schools, and by liaison agreements with other agencies or organizations. These services include assessment of individual, family, or community health status; referral to appropriate organizations for treatment; demonstration and teaching of health concepts to individuals and groups; and mobilizing of community resources to provide for continuity of client care between acute and extended care facilities and the home. This recruitment will establish an employment list to fill immediate and future vacancies throughout the Agency’s Public Health and Child Welfare Services Division. The Public Health Branch offers a progressive and innovative working environment for employees while providing comprehensive health care in the community. The chosen candidate will work with public health programs with comprehensive case management for vulnerable populations. The successful candidate will coordinate with other professionals to assist in assessing family needs and make referrals to community resources. Incumbents will provide services to persons from a variety of social and economic backgrounds (a variety of ages, cultures, etc.). Public Health programs include California Children’s Services, the Child Health and Disability Program, General Public Health Nursing Field Services, Maternal, Child, and Adolescent Health programs, Communicable Diseases, Immunizations, and Tuberculosis programs. Candidates should have the ability to work with diverse populations in focusing on health promotion and education. The successful candidate must have the ability to maintain effective working relationships with the public, patients, staff, and other branches and agencies. The Tulare County Child Welfare Services (CWS) Division has a Public Health Nurse team that works under the direction of the Health Care Program for Children in Foster Care (HCPCFC). The HCPCFC, PHN, collaborates with business partners to identify and address health obstacles and barriers faced by foster youth. The goals and objectives of the HCPCFC PHN are to promote and improve access to comprehensive preventative health and specialty services for children in foster care. CWS public health nurses consult and collaborate with social workers to ensure the medical, dental, mental, and developmental needs of children and youth in foster care. Typical Duties Key Responsibilities for Public Health Nurse I Educate and counsel individuals, families, and groups regarding specific diseases or health conditions as well as health maintenance, promotion, and rehabilitation. Assist individuals and families with recognizing health problems and obtaining appropriate care. Provide nursing services to individuals in homes and demonstrate nursing care techniques to persons who will give care. Key Responsibilities for Public Health Nurse II Teach and counsel individuals, families, and groups regarding specific diseases or health conditions as well as health maintenance, promotion, and rehabilitation techniques. Assist in the development and planning of public health programs. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline : Level I: Graduation from an accredited college or university with a bachelor's degree in nursing California State Public Health Nursing certificate and a valid Registered Nurse license issued by the California Board of Registered Nursing Additional Requirements for Level II: Level II candidates must have two years of community nursing experience. Additional Requirements for CWS: Title 42 Code of Federal Regulations (CFR) 432.50(d) will required positions with Child Welfare Services submission of a resume at the time of application. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be 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 https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service. **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** If you are seeking an innovative, supportive, and satisfying work environment, please apply at http://agency.governmentjobs.com/tulare/ 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/20/2024 11:59 PM Pacific

Multiple vacancies with the Tulare County Health and Human Services Agency. This recruitment will establish an employment list to fill current and future bilingual and non-bilingual vacancies that may occur in multiple locations throughout Tulare County. The anticipated life of the list is six months. Spanish bilingual designated positions are entitled to an additional $.63 (cents) per hour. 3% cost of living increase effective June 30, 2024. A Spanish proficiency exam will be required for bilingual positions. Applicants must be fluent in the ability to read, write and speak in the Spanish language as well as in English. Self Sufficiency Counselor Video, Come Join Us! Typical Duties Manage a caseload involving determination of initial and ongoing eligibility for one or more public assistance programs; interview and assess applicants to assist them in completion of application and declaration forms upon which eligibility decisions are based; gather information to determine eligibility to receive public assistance; interpret regulations and program requirements and communicate these to applicants and the public; review applications and declarations for accuracy, completeness, and consistency; determine eligibility in accordance with established procedures and record information on case records; prepare case narratives, memos, correspondence, and other documentation; refer applicants and recipients who appear to need social services to designated social services staff after completing appropriate forms; prepare and maintain documents, case records, reports, files, and logs associated with the eligibility process; use of computers or other automated eligibility determination systems to determine client eligibility for public assistance; advise applicants, recipients, and the general public concerning rights and responsibilities associated with receipt of public assistance; compute amount of public assistance authorized and perform other similarly required computations; refer applicants or recipients who appear physically or emotionally unable to continue the interview to designated social services staff; may review, evaluate, and investigate selected assistance cases and appeals; determine and approve eligibility and exemptions; manage a full caseload; contact and interview applicants and representatives of businesses or government organizations for the purpose of verifying facts; determine the accuracy and completeness of all statements of fact completed by clients during eligibility determinations; provide information, counseling, resource materials and other assistance to help clients obtain and retain jobs, no-cost or low-cost health care, nutritional assistance, or other community resources; identify, analyze, and evaluate each variation of fact and substantiate pertinent eligibility information; prepare written reports with recommendations for appropriate corrective action when additional facts affecting eligibility are established. Essential job duties may be assigned that are not listed above but are relative to this job classification. (Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.) Employment Standards Education: Equivalent to completion of the twelfth (12th) grade. Experience: One (1) year of public contact experience, which would include basic interviewing for the purpose of gathering information to assist with determining eligibility for services and explaining policies, processes, or clarifying information needed of clients or customers. Equivalency for Experience: Or one (1) year experience equivalent to a Self Sufficiency Support Assistant. Or six (6) months experience equivalent to a participant in an employment training service or youth transition program(s) within Tulare County. Knowledge of: Basic math including addition, subtraction, multiplication and division of whole numbers, fractions, and percentages; interviewing techniques; record keeping principles; federal, State and local rules, regulations, policies and procedures governing eligibility for public assistance programs; public assistance case files documentation requirements; terminology relating to eligibility determinations and case data processing; categories of public assistance and social services available to clients; caseload management methods and techniques; common social, economic, and cultural issues and barriers encountered by unemployed persons and low-income working families. Skill/Ability to: Work and communicate effectively with people of various education and socioeconomic backgrounds by respecting beliefs, interpersonal styles and behaviors of both clients and co-workers; operate contemporary office equipment inclusive of computer, keyboard, and all applicable electronic equipment; communicate effectively to explain technical information and regulations to persons of various social, economic, cultural and educational backgrounds; read and interpret rules, regulations, policies, and procedures pertaining to public assistance to applicants and recipients; effectively apply interviewing and listening techniques sufficient to obtain information from applicants in various emotional states; accurately apply rules, regulations, policies and procedures governing eligibility for public assistance programs; collect and evaluate information, draw valid conclusions and make appropriate recommendations and referrals; assist with gathering verifications on information obtained from applicants; prepare materials for presentations to individuals and groups; write clear, concise and grammatically correct narratives, reports, records, and correspondence; follow written and verbal directions, seek guidance when appropriate; retain and recall pertinent information such as regulations and client data; adjust to changes in work loads and coordinate work with others under stress of deadlines; organize work effectively; maintain productivity despite frequent interruptions; use patience, tact, and courtesy in dealing with clients and co-workers; keep systematic and accurate records; maintain confidentiality of all business information and materials; proofread for accuracy and grammar; establish rapport and maintain effective working relationships with others; perform budget calculations accurately. DESIRABLE EMPLOYMENT STANDARDS Knowledge of: Community resources available to assist clients; local employment and training resources; Social Services client appeals process; training methods and techniques; principles of supervision, evaluation and training. Skill/Ability to : Speak Spanish, or other client language; learn and utilize automated eligibility determination systems; represent the department and give testimony at hearings; prepare, organize and give oral presentations; learn principles and practices of supervision, evaluation and training; train and instruct staff on policies, procedures and techniques. Selection Process: Applicants who have been convicted of Welfare Fraud will not be eligible for selection. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act This may be 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: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/14/2024 11:59 PM Pacific

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for a Physical Therapist to join the Public Health Services branch. This position will provide therapy services to disabled children in a school-based setting for the California Children’s Medical Therapy Program. The Medical Therapy Program is a special program within California Children’s Services that provides physical therapy, occupational therapy, and medical therapy conference services for children who have handicapping conditions, generally due to neurological and musculoskeletal disorders. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Human Services and Public Health branches. The Physical Therapist confers with the physician or senior therapist to determine types of treatment required in each case; adapts games, arts, and crafts as therapeutic treatment; and assists parents in understanding and handling children with chronic orthopedic and neuromuscular conditions. The chosen candidate will teach parents/caregivers and/or child exercises, activities, and techniques that will improve strength, range of motion, balance, equilibrium, stability, and functional mobility skills. The successful candidate will maintain relevant and timely documentation of treatments and services provided in accordance with the CCS Medical Therapy Program guidelines. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $25,000 for a 24-month work commitment. For more information on the loan repayment program, visit https://www.oshpd.ca.gov/HPEF/Programs/APHLRP.html Typical Duties Key Responsibilities Establishes treatment plans with functional goals and measurable objectives based upon evaluations and clinical observations incorporating concepts of family-centered care into the plan. Provides therapy treatment as prescribed by child’s physician. Confers and consults with other providers involved with child’s care, including but not limited to school personnel, equipment and orthotic providers, and social service workers. Educates parents and other caregivers re: home programs appropriate for child’s needs. Identifies needs and makes recommendations re: appropriate rehabilitation equipment and orthotics and ensures proper function and fit. Participates in medical therapy conferences, staff meetings, in-services, and parent meetings. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university and completion of an approved course in Physical Therapy. License to practice as a physical therapist by the Physical Therapy Board of California. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

The Tulare County Health & Human Services Agency is actively recruiting for the position of Mental Health Clinical Supervisor. This position is responsible for planning, organizing, and directing the activities of multiple licensed and/or unlicensed team members. The Mental Health Clinical Supervisor reports to the Mental Health Clinical Services Manager. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Mental Health Branch. The Mental Health Clinical Supervisor must understand diverse community needs, especially of underserved groups, and will establish working relationships with administrative personnel and staff within community-based organizations that include but are not limited to hospitals, clinics, and wellness centers. The successful incumbent may assist the administration in policy, procedure, and protocol development and implementation and have a working knowledge of general principles of public assistance policies and programs. The successful candidate must have effective organizational and time management skills and techniques. Additional responsibilities include reviewing records and information related to the delivery of care to individuals and families to ensure compliance with federal, state, and county regulations relating to standards of care and billing requirements, as well as performing a variety of assignments related to quality assurance and/or community-based crisis response programs. The Mental Health Branch is dedicated to addressing the needs of those living with mental illness and to promoting the overall mental health of the community. We are committed to promoting mental health as a critical part of overall wellness, including prevention services for all; early identification and intervention for those at risk; integrated care, services, and supports for those who need it; and recovery as the goal. Services include assessments, clinical and rehabilitative services, case management, peer support, and medication services within a wellness and recovery model. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $30,000 for a two-year work commitment and providing direct client care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/ . Typical Duties May serve as liaison to community based organizations; hospitals, clinics, wellness centers, and other community agencies Provide leadership within a multi-disciplinary team inclusive of administrative staff, QI/QA, E.H.R., service providers, division managers, deputy directors, and others Provide input to administration to resolve problems and to improve services Interprets policy, reviews records and information related to the delivery of care to individuals and families to assure compliance with departmental and state policies, procedures, standards of care, and billing requirements Will be responsible to lead/facilitate meetings and train new staff May provide clinical supervision to associate-level clinicians in accordance with BBS standards May assist administration in policy, procedure, and protocol development and implementation May conduct special studies, prepare reports, or oversee projects under the direction of management staff. Employment Standards Candidates must meet the qualifications listed below by the application deadline . Completion of master’s degree in one of the following areas: social work; marriage, family, and child counseling; marital and family therapy; psychology; clinical psychology; or counseling psychology, obtained from an accredited school, college, or university Two years of experience as a Licensed Social Worker or Licensed Mental Health Clinician Possession of a valid Licensed Clinical Social Worker (LCWS), Licensed Professional Clinical Counselor (LPCC), or Marriage and Family Therapy (MFT) license issued by the State of California, Board of Behavioral Sciences Possession of, or ability to obtain an appropriate, valid California driver's license. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be 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 https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 7 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual: 12 days per year with unlimited accumulation, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: 5/20/2024 11:59 PM Pacific

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for an Occupational Therapist to join the California Children’s Services program. The program is under the Public Health branch, which utilizes therapist staff to provide occupational and/or physical therapy services for neurologically and/or physically impaired clients from birth to 21 years of age. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Public Health branch. The Occupational Therapist confers with the physician and/or senior therapist to determine types of treatment required in each case; adapts games, arts, and crafts as therapeutic treatment; teaches self-care and functional activities; assists parents in understanding and handling children with chronic orthopedic and neuromuscular conditions; and maximizes the level of Activities of Daily Living (ADL) skills of the client. California Children’s Services Medical Therapy program sites are located in local public schools. Candidates accepting one of these positions may qualify to apply for a loan repayment of up to $25,000 for a twelve-month work commitment. For more information on the loan repayment program, visit https://www.oshpd.ca.gov/HPEF/Programs/APHLRP.html. Typical Duties Key Responsibilities Evaluates and develops therapy programs for children and young adults with physical disabilities who have medically eligible conditions. Establishes occupational therapy treatment plans with functional goals and measurable objectives based upon evaluations and clinical observations, incorporating the concepts of family-centered care into the plan. Provides occupational therapy treatment directed toward improving child’s and/or family’s abilities to perform activities of daily living as prescribed by the child’s physician. Identifies needs and makes recommendations re: appropriate rehabilitation equipment and bracing/splinting and ensures proper function and fit. May also fabricate custom hand splints. Manages caseload to ensure care is being provided efficiently and is in line with CCS productivity recommendations for scheduled treatment time. Documents evaluation and treatment according to therapy policies and procedures. Confers and consults with other providers involved with child’s care, including but not limited to school personnel, equipment and orthotic providers, and social service workers. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university and completion of an approved course in Occupational Therapy Certificate of Registration with the National Registry of Occupational Therapy Possession of a valid license as an Occupational Therapist, issued by the State of California, Department of Consumer Affairs, and Board of Occupation Therapy Desirable Qualifications Fabricate and apply splints as prescribed. Attend appropriate clinics, management meetings, and case conferences to discuss clients’ status. Make home or school visits as needed for consultation services. Identify needs and make recommendations regarding appropriate rehabilitation equipment and ensure proper function and fit. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a Continuous recruitment and can close at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is recruiting for an Extra Help Physical Therapist Assistant to join the Public Health Branch. This position will assist in providing therapy treatments to children with physical disabilities as assigned by the Licensed Physical Therapist. This recruitment will establish an employment list in order to fill immediate and future vacancies. The Extra Help Physical Therapist Assistant will assist with treatment documentation and carry out the physical therapy plan as set forth by the Physical Therapist, and will assist in the overall general maintenance and organization of the therapy unit. The successful candidate will assist the Physical Therapist in teaching mobility skills, positioning, and functional activities to the child, parents, and caregivers, and help parents and caregivers understand the best ways to care for physically disabled children. Candidates accepting one of these positions may be eligible for a loan repayment of up to $10,000 in exchange for a 12-month service obligation practicing and providing direct patient care in an underserved community. For more information on the loan repayment program, visit: https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/bsnlrp/. Typical Duties Key Responsibilities Use tact and understanding in dealing with patients, families, and caregivers Cooperate with other professional and paraprofessional staff to ensure coordinated patient care and training Assist with preparation of accurate, concise, treatment and care coordination notes Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Equivalent to completion of the twelfth grade, and completion of a physical therapist assistant education program approved by the State of California Physical Therapy Board. Possession of Physical Therapist Assistant license issued by the State of California Physical Therapy Board. Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Closing Date/Time: Continuous

The Tulare County Health & Human Services Agency (HHSA) is recruiting for a Physical Therapist Assistant to join the Public Health Branch. This position will assist in providing therapy treatments to children with physical disabilities as assigned by the Licensed Physical Therapist. This recruitment will establish an employment list in order to fill immediate and future vacancies. The Physical Therapist Assistant will assist with treatment documentation and carry out the physical therapy plan as set forth by the Physical Therapist, and will assist in the overall general maintenance and organization of the therapy unit. The successful candidate will assist the Physical Therapist in teaching mobility skills, positioning, and functional activities to the child, parents, and caregivers, and help parents and caregivers understand the best ways to care for physically disabled children. Typical Duties Key Responsibilities Use tact and understanding in dealing with patients, families, and caregivers Cooperate with other professional and paraprofessional staff to ensure coordinated patient care and training Assist with preparation of accurate, concise, treatment and care coordination notes Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Equivalent to completion of the twelfth grade, and completion of a physical therapist assistant education program approved by the State of California Physical Therapy Board. Possession of Physical Therapist Assistant license issued by the State of California Physical Therapy Board. Employment Standards Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. **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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice Are you looking to practice medicine and maintain a positive work/life balance? Tulare County’s Health Care Centers are currently recruiting for a Physician to join our team of health care professionals dedicated to improving the health and well-being of community members through quality health care services. The Tulare County Health &Human Services Agency operates two Federally Qualified Health Center (FQHC) Look-Alike clinics focused on providing primary care services to underserved populations throughout the county. Our vision is a safe and healthy community where patients have access to quality care. Through the FQHC program, our health care centers aim to remove the barriers many residents find to accessing health care and to ensure quality treatment regardless of ability to pay. By joining our team, you’ll be part of a progressive and innovative working environment where diversity is valued and teamwork is encouraged. Our health care team comprises health care professionals who specialize in family and internal medicine, pediatrics, women's health, and other specialty services. Physicians can expect to have a manageable patient workload with great work hours, and can enjoy a generous benefits package that includes a choice of health plans, paid time off, a retirement plan, incentives, and more. Tulare County Health Care Centers are Federally Qualified Health Care (FQHC) Look-Alike clinics and authorized National Health Service Corp (NHSC) sites. Medical providers accepting a position at these sites may qualify for loan repayment assistance. For more information on the loan repayment program, visit http://nhsc.hrsa.gov/loanrepayment/. Typical Duties Key Responsibilities Provide medical services in clinics in the field of Family Practice, Internal Medicine, or Pediatrics. Examine, diagnose, prescribe, and administer treatment to patients. Determine necessity for referral and refer persons requiring special diagnostic procedures or treatments to appropriate sources. Admit patients to area hospitals as necessary and in coordination with other physicians. Act as supervising physician for one or two mid-level practitioners. Maintain clinic records and prepare reports. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from a medical school approved by the Board of Medical Quality Assurance One year of experience as an intern at a hospital approved by the Board of Medical Quality Assurance; completion of a residency in Pediatrics, Internal Medicine, or Family Practice from a program approved by the American Board of Medical Specialties Possession of a valid Physician's and Surgeon's license issued by the State of California. Board eligible or certified in Family Practice, Internal Medicine, or Pediatrics Obtain a supervising physician certificate from the California Medical Board within the time frame required by the Director of Health Services Possession of admitting privileges at a local hospital or hospitals as determined by the Health Services Director. Applicants may be appointed with immediate application of hospital admitting privileges; continued employment is contingent upon obtaining the specified privileges. Additional Information THE COMMUNITY Tulare County offers a superior quality of life, complete with the friendly neighborhood small-town feel, that offers shopping, dining, and movie and live theater experiences for the whole family. Stretching from the mountainous Sequoia National Park to the fertile Central Valley, Tulare County is just two and a half hours from the Central Coast and midway between Los Angeles and San Francisco. Tulare County has something for everyone, from cities like Visalia, Tulare, and Porterville, to rural communities like Orosi and Pixley, and mountain areas such as Three Rivers and Springville. Working in Visalia doesn’t involve much of a commute from the many nearby communities. Tulare County’s geographic location makes it an ideal place to lead an active lifestyle. Here you can find a wide variety of easily accessible outdoor activities, including hiking, camping, river rafting, boating, fishing, skiing, and biking. Tulare County has a multitude of county and city parks, and an array of special events such as car shows, parades, and cultural festivals that make it easy and fun to spend quality time with family and friends. One of the top two agriculture-producing counties in the U.S., Tulare County has eight incorporated cities and over forty towns and communities. It offers a range of housing and schools to meet residents’ unique needs. There are a handful of colleges and universities within just a short drive, including College of the Sequoias (in Visalia), CSU Bakersfield, CSU Fresno, and Fresno Pacific University. FUN FACTS Tulare County’s $7.2 billion farm economy is the number 3 agricultural economy in the United States. In 2019 there were 120 different commodities, over 45 of which were valued at over $1 million. The county’s top ten crops in descending order by cash value are Milk, Cattle, Navel Oranges, Table Grapes, Pistachios, Silage Corn, Nectarines, Alfalfa Hay, Peaches, and Valencia Oranges. TULARE COUNTY HEALTH & HUMAN SERVICES AGENCY Mission: Dedicated to protecting and strengthening the well-being of the community through the development of effective policies, practices, and services delivered in a culturally and linguistically competent manner. Located in Visalia in the heart of Central California’s San Joaquin Valley, the Tulare County Health & Human Services Agency (HHSA) takes an innovative approach to providing a broad range of services to our community. Programs include services in Public Health, Behavioral Health, and Human Services. With a staff of nearly 2,000, HHSA provides the best client service by integrating staff and resources based on clients’ needs. Formed in 1995, HHSA combines several interrelated functions and services under a centralized administration. For more information, please review https://indd.adobe.com/view/b86bc3d8-4944-4557-a1fe-2e16a24526ab . Bargaining Unit 16 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 toward health, dental, vision, life and long-term disability insurance premiums, and retirement contribution. This benefit is pro-rated and paid on a pay period basis. Health Insurance: A choice of PPOand HMOmedical plans which includes PPOand HMOdental plans which include dental andvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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 : 16 days per year (0-3 years of service) 21 days per year (3-15 years of service) 26 days per year (15+ years of service) Limit of 300 hours. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D : $10,000; Provided by Standard Insurance Company. Long Term Disability Insurance :A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. Employees are covered by State Disability Insurance. The premium is paid by the employee. Deferred Compensation : A voluntary deferred compensation plan is available. Incentive Program : A patient satisfaction bonus program is available for some specialties. To view more detailed descriptions of Tulare County's benefits, please view the Benefits section of our Web site at https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Health & Human Services Agency (HHSA) is currently recruiting for Extra Help Primary Care Practitioners. As extra help positions become available, the Health & Human Services Agency will select the most qualified and appropriate applicant for the position available. The number of hours and duration of employment varies by each assignment. Extra help employees may work in a variety of departments in locations throughout the geographic county area. Extra help employees may not work more than 1,559 hours in any fiscal year from July to June. An extra help employee who mistakenly works in excess of 1,559 hours in a fiscal year does not become a probationary or regular employee. Applications will be active for six months. If you are hired for extra help and you complete a work assignment and then if you wish to be employed again, you must resubmit an Extra Help application online. There are no benefits associated with extra help positions. Tulare County’s Health Care Centers and California Children’s Services (CCS) Program are currently recruiting for an Extra Help Primary Care Practitioner to join our team of health care professionals dedicated to improving the health and well-being of community members through quality health care services. The Extra Help Primary Care Practitioner will support the CCS Medical Therapy Program (MTP) by providing medical direction for patients within the MTP. In addition to determine medical eligibility and medical benefits in accordance with the CCS rules and regulations The Tulare County Health and Human Services Agency operates two Federally Qualified Health Center (FQHC) Look-Alike clinics focused on providing primary care services to underserved populations throughout the county. Our vision is a safe and healthy community where patients have access to quality care. Through the FQHC program, our health care centers aim to remove the barriers many residents find to accessing health care and to ensure quality treatment regardless of ability to pay. Typical Duties Key Responsibilities Provide medical services in clinics in the field of Family Practice, Internal Medicine, or Pediatrics. Examine, diagnose, prescribe, and administer treatment to patients. Determine necessity for referral and refer persons requiring special diagnostic procedures or treatments to appropriate sources. Admit patients to area hospitals as necessary and in coordination with other physicians. Act as supervising physician for one or two mid-level practitioners. Maintain clinic records and prepare reports. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from a medical school approved by the Board of Medical Quality Assurance One year of experience as an intern at a hospital approved by the Board of Medical Quality Assurance; completion of a residency in Pediatrics, Internal Medicine, or Family Practice from a program approved by the American Board of Medical Specialties Possession of a valid Physician's and Surgeon's license issued by the State of California. Board eligible or certified in Family Practice, Internal Medicine, or Pediatrics Procurement of a supervising physician certificate from the California Medical Board within the time frame required by the Director of Health Services Additional Information Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted. Some job classes may also require a physical exam. 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Closing Date/Time: Continuous

One current vacancy with the Health & Human Services Agency located in Visalia. This recruitment will establish an employment list to fill current and future vacancies. The anticipated life of the list is six months. Salary Range: $110,000 - $171,633 Annually May be appointed within the salary range; appointment is At-Will Typical Duties Performs high volume, high-quality spay/neuter surgeries of shelter animals, including dogs and cats in a fast-paced environment; diagnoses and treats diseases, illness, and injuries of shelter animals including dogs, cats, pocket pets, and occasionally farm animals; oversees all aspects of veterinary surgical care including physical examination, surgery, pre-and post-operative care, anesthetic administration and monitoring, emergency care, restraint and treatment following all SOPs as put forth by Tulare County; perform pre-surgery physical examination on all surgical candidates; diagnose and treatment of post-surgical medical complications of animals; attend staff, management, and other requested meetings. Obtain continuing education as required by Tulare County and licensing requirements; examines animals to determine nature of disease or injury and recommends course of treatment or euthanasia with the support of a team decision; test animals for disease and inoculates animals against rabies; reviews animal bites and exposure reports concerned with rabies and other diseases and directs follow-up procedures; evaluate condition and coordinate maintenance of surgical equipment and supplies; hold and maintain the Veterinary Premise Permit for Tulare County Animal Services shelter and clinic; oversee controlled substance procurement, storage, record keeping and administration as it relates to shelter animals; develop and confer with Management on sanitary measures, feeding, preventative medicine, and general care to promote health of shelter animals; research and prepare medical reports for guidance on request; provide veterinary expertise and document/testify as needed on animal abuse and neglect cases; participates in humane investigations, prepares written veterinary statements, and testifies in court as appropriate for animal welfare/cruelty cases; vaccinates and gives emergency treatment to impounded animals; regularly reviews medical condition of animals quarantined at the shelter; gives follow-up treatment to injured animals as necessary; directs care and feeding of exotic or unusual animals; assists with public health duties as needed to prevent the spread of communicable diseases in the shelter and in the community; supervises assistants and oversees the clinical care provided by Veterinary Technicians, Animal Care Specialists and Animal Care Technicians as needed; provides input on veterinary protocols; provides consultation and education to members of the public on regulations and medical aspects of animal care; assist with natural disasters and the care of animals; provide information to the public regarding laws, regulations and department policies when necessary; prepare various forms, routine correspondence and run reports; compose Health Certificates; utilize custom animal software; attend and assist in animal shelter related events such as vaccine clinics; perform related duties as assigned. Essential duties may be assigned that are not listed but are relative to this position. Employment Standards MINIMUM QUALIFICATIONS Minimum qualifications are used as a guide for establishing the education, training, experience, special skills and/or license which are required and equivalent to the following. Education and Experience: Graduation from an accredited school of veterinary medicine with a degree of Doctor of Veterinary Medicine AND two (2) years of veterinary medical experience, one (1) year of which includes surgical experience in spaying and neutering. Knowledge of: Current veterinary principles, practices, and techniques relating to sick or injured animals; rabies control laws; veterinary forensics and animal cruelty laws; shelter practices and population medicine; United States Department of Agriculture (USDA) regulations regarding health certificates and transport of animals; high volume, high-quality spay and neuter techniques; bacteriology, pathology, serology, and other veterinary laboratory procedures; principles of public health related to animal carried diseases; supervisory principles and practices Skill/Ability to: Perform high volume, high-quality spay and neuter surgeries in a fast-paced environment.; work a flexible schedule, including evening and weekend hours; demonstrate genuine concerns, compassion and caring for animals; diagnose and treat diseases among animals; apply animal care knowledge in a shelter setting; establish and enforce quarantine of animals; gather evidence in case of violation of rules and regulations; establish and maintain cooperative working relationships; communicate in a manner that is both compassionate and informative when interacting with staff, clients and with the public; ability to address emotional situations with pet owners; maintain records and prepare reports; effectively supervise shelter staff as it relates to veterinary care or surgery; perform humane euthanasia; travel within and outside Tulare County for work related activities using County vehicle; work and communicate effectively with people of various educational and socioeconomic backgrounds by respecting beliefs, interpersonal styles, and behaviors of both customers and co-workers; organize work, determine priorities, exercise good judgment, and complete multiple tasks with deadlines under stressful conditions; follow safe work practices; understand and follow oral and written instructions; communicate clearly and concisely in person and over the telephone.; write clearly to convey ideas in memos, emails, and correspondence using correct grammar, spelling, and punctuation.; effectively utilize specialized animal software; file and maintain accurate records; plan and complete assignments independently; exhibit humane and sympathetic treatment of animals; work in a loud environment while exposed to animals, animal fluids, waste and smells, and pharmaceuticals; remain standing for long periods of time; demonstrate hand and finger dexterity; ability to demonstrate team approach to the job by cooperating with others, offering to help others when needed, and consider larger organization or team goals; demonstrate willingness to adapt and remain calm in a constantly changing and stressful work environment; exhibit comfort in performing a high volume of spay/neuter surgeries on a daily basis; ability to handle, position and restrain live animals of both small and large animal species; ability to handle, position, lift, and move materials, equipment and supplies; retain and recall information. License or Certificate: Possession of a current California State License to practice Veterinary Medicine. The required licenses MUST be current and unrestricted; a conditional, provisional, probationary or restricted license will NOT be accepted; possession of, or eligibility to obtain, a National Accreditation Number from the USDA; possession of and maintain DEA license for the procurement and use of controlled substances and clinic use; possession of, or ability to obtain, an appropriate, valid California driver's license. Special Requirement: Must be immunized against rabies and maintain immunity for the duration of employment. DESIRABLE EMPLOYMENT STANDARDS Knowledge of: General geography of the nonincorporated areas of Tulare County. Additional Information Conditions of Employment: Possession of, or ability to obtain, an appropriate, valid California driver's license. Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. College Cost Reduction Access Act : This may be 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 service or visit: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 20 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance : $10,000; Provided by Standard Insurance Company. Long Term Disability Insurance: A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. Provided by Standard Insurance Company. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Health & Human Services Agency is actively recruiting for the position of Mental Health Clinician - Licensed. Direction is provided by a Mental Health, Human Services, or Integrated Services Clinical Supervisor or Manager or a higher-level management position within the Agency. The Mental Health Clinician - Licensed provides professional behavioral health services, in accordance with State of California laws and regulations, to identify adults and children with mental, emotional, and/or substance use disorders. The incumbent may also provide behavioral health clinical oversight and direction to unlicensed clinicians, mental health paraprofessional staff, and student undergraduate/graduate placements. This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County’s Mental Health, Human Services Branches, or the Integrated Division. The successful candidate will respond to crisis, make assessments, provide triage, and follow through with appropriate treatments, including referrals and assessing for psychiatric hospitalizations. Incumbents working in the Mental Health Branch will work with complex casework in a variety of programs depending on current vacancies. These may include clinics, criminal justice, Alcohol and Other Drugs, administration homeless outreach, Integrated Services, children’s services, and other mental health settings. The ideal candidate will need to work well within a team setting and have a wealth of therapeutic skills to help problem-solve and make immediate decisions about challenging therapeutic cases. The successful candidate may also perform quality improvement activities for both mental health and substance use disorder programs and provide clinical expertise to programs and providers within the county behavioral health network. This may include l eading or participating in Quality Improvement projects, conducting chart reviews, investigating grievances and appeals, and supporting ongoing relationships with providers. The Tulare County Mental Health Branch has two outpatient adult mental health clinics, located in Visalia and in Porterville, and one children’s clinic in Porterville. All focus on the treatment of consumers with Severe Mental Illness. The Mental Health Branch works with community-based providers to ensure mental health services are available throughout the county. The Tulare County Child Welfare Services (CWS) Division has a clinical team that works primarily with adults and families involved with CWS. The successful candidate will provide mental health assessments, provide individual, family, and group psychotherapy, respond to crises in the field to support clients and social work staff, and consult with social workers and associated providers involved with cases. The Tulare County Integrated Services (IS) Division has a clinical team that will work as part of a multi-disciplinary team with representatives from programs across programs in Tulare County Health and Human Services Agency, community partners, community members, landlords, and other government agencies to identify services to meet the client’s needs. Candidates accepting one of these positions may qualify to apply for loan repayment of up to $30,000 for a two-year work commitment and providing direct client care in a qualified facility. For more information on the loan repayment program, visit https://hcai.ca.gov/loans-scholarships-grants/loan-repayment/lmhspep/ . Typical Duties Key Responsibilities Perform crisis intervention services over the phone or in the field as assigned; determine triage level and refer for appropriate services. May perform in-home or field crisis intervention or treatment services. Assist clients in accessing services to support the client’s need for treatment and care. Provide casework and program consultation to staff members, which may include serving as a clinical lead to unlicensed clinical team members in their development of client treatment plans. Establish and maintain effective working relationships at all organizational levels, as well as with other agencies, County departments, and the public. Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Completion of a master’s degree in one of the following areas: social work; marriage, family, and child counseling; marital and family therapy; psychology; clinical psychology; or counseling psychology; obtained from an accredited school, college, or university. Possession of a valid Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage Family Therapist (LMFT) license issued by the State of California Department of Consumer Affairs, Board of Behavioral Sciences (BBS). Desirable Qualifications for Mental Health Knowledge of federal Medicaid and state Medi-Cal regulations pertaining to clinical licensing, provider site certification, service documentation, and billing T raining and experience providing clinical supervision. Experience and knowledge of working with special populations such as Criminal Justice, Severe Mental Illness (SMI), Unhoused, or others. Desirable Qualifications for Human Services Knowledge of the child welfare system Experience with trauma-informed care Knowledge of issues/concerns related to child abuse and neglect. Desirable Qualifications for Integrated Services Knowledge of the CalAIM initiatives Experience with trauma-informed care and motivational interviewing Knowledge of issues/concerns of homeless and vulnerably housed populations Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position, candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** If you are seeking an innovative, supportive, and satisfying work environment, please apply at http://agency.governmentjobs.com/tulare/ EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 4 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. The Tulare County Public Health Branch under the Health & Human Services Agency (HHSA) is actively recruiting for a Supervising Therapist to join the California Children's Services program, particularly with the Medical Therapy Unit (MTU). This recruitment will establish an employment list to fill immediate and future vacancies throughout Tulare County's Public Health branch. The MTU Program utilizes therapist staff to provide occupational and/or physical therapy services for neurologically and/or physically impaired clients from birth to 21 years of age. There are two MTU locations, Visalia and Porterville, and a satellite location in Tulare. The Supervising Therapist will be stationed in Visalia but may have to travel to other sites if necessary. The Supervising Therapist will provide lead supervision for and coordinate the work of therapists, therapist assistants, therapy aides, and office assistants and confer with the medical consultant and Public Health Manager (CCS Administrator) to ensure that the therapy program is effective. The selected candidate will also review and authorize requests for rehabilitation-related durable medical equipment and orthotics. Typical Duties Key Responsibilities Plan, assign, coordinate and review the work of physical therapists and occupational therapists. Assign patient load to staff therapists and self. Confer and consult with physicians to interpret therapy prescribed, establish priority of treatments and vendor therapy services as needed. Evaluate children's disabilities, review treatment program and patients' records, and re-evaluate through discussions with physicians and other professionals, children's conditions to determine effect of treatment. Organize and manage medical therapy conferences and staff meetings. Employment Standards Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited school of physical or occupational therapy. Two (2) years as a physical therapist or occupational therapist evaluating and treating patients. Possession of a valid certificate to practice as a Registered Physical Therapist or Occupational Therapist in the State of California. Additional Information Conditions of Employment Candidates selected will be required to pass a pre-employment drug and alcohol screening. Additionally, a background investigation may also be conducted, which may include a re-investigation every 10 years for some positions. An Employment Eligibility Verification using E-Verify may be required on the first day of employment for some positions. Some job classes may also require a physical exam. If in a driving position candidates must be able to obtain and retain a valid California driver's license. Student Loan Forgiveness This may be 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: https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service **PLEASE NOTE: ONLY COMPLETE APPLICATIONS WILL BE CONSIDERED** EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER Bargaining Unit 19 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision, life and long-term disability).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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. FLSA exempt employees accrue an additional 5 days of vacation per year. Sick Leave Accrual : 12 days per year with unlimited accumulation, 48 hours of which may be used toward family sick leave. Group Term Life Insurance and AD&D: $10,000; Provided by Standard Insurance Company . Long Term Disability Insurance: A Long Term Disability plan is provided. This provides financial protection for you by paying a portion of your income while you are disabled. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. Are you looking topractice medicine and maintain a positive work-life balance? A career with theHealth & Human Services Agency (HHSA) allows you to focus on providingquality care without the burdens of maintaining an unrealistic patient load andschedule. Here, in a supportive, collaborative environment, and in conjunctionwith a dedicated physician, you will deliver primary care to our diversepatient population. HHSA is currently recruiting for multiple vacancies for PhysicianAssistants in the Public Health Branch. This recruitment will establish anemployment list to fill immediate and future vacancies throughout TulareCounty's Visalia Health Care Center. The Tulare County PublicHealth Care Centers offer a progressive and innovative working environment forour employees while providing comprehensive health care in the community.Services offered to the community include family and internal medicine,pediatrics, and women's health. These positions are responsible for performingphysical screening assessments, accurately diagnosing common medical problems,and initiating treatment or making referrals to a physician as indicated. Thesuccessful candidate will work collectively and collaboratively in amulti-disciplinary team setting, acting as a liaison between the Public Health Branchand other organizations. Visalia and Farmersville Health Care Centers areFederally Qualified Health Care (FQHC) look-alike clinics and authorizedNational Health Service Corp (NHSC) sites. Mid-level providers accepting a positionin these sites may qualify to apply for a loan repayment of up to $50,000 for atwo-year work commitment. For more information on the loan repayment program,visit http://nhsc.hrsa.gov/loanrepayment/ . Typical Duties Key Responsibilities Ability to accurately diagnose common medical problems and initiate treatment or make referral to physician as indicated Skill 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 Maintaining 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 Employment Standards Required Qualifications Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited college or university Physician Assistant program Possession of a Certificate or Letter of Approval to practice as a Physician Assistant issued by the California Board of Medical Examiners Additional Information Benefits Ability to earn up to $25,000 per year as a participant of our Incentive Plan 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 For more information about this position and Tulare County, please review the Physician Assistant flyer . Conditions of Employment Possession of, or ability to obtain, an appropriate, valid California driver's license. 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 position may 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . 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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous

This is a continuous recruitment and can be closed at any time without notice. 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. Incumbents working at VHC may also perform prenatal services and uncomplicated deliveries, basic gynecological examinations, take pap smears, and fit contraceptive devices. 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 $50,000 for a two-year work commitment. For more information on the loan repayment program, visit http://nhsc.hrsa.gov/loanrepayment/ . 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 https:// www.oshpd.ca.gov/HPEF/Programs/APHLRP.html. Typical Duties Key Responsibilities 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 Employment Standards Candidates must meet the qualifications listed below by the application deadline . Graduation from an accredited school of nursing Possession of a valid Registered Nurse certificate issued by the State of California and a certificate of completion as a Family Nurse Practitioner One year of experience as a registered nurse Additional Information 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 About the Community Tulare County offers a superior quality of life, complete with the friendly neighborhood small town feel, that offers shopping, dining, and movie and live theater experiences for the whole family. Stretching from the mountainous Sequoia National Park to the fertile Central Valley, Tulare County is just two and a half hours from the Central Coast and midway between Los Angeles and San Francisco. Tulare County has something for everyone, from cities like Visalia, Tulare, and Porterville, to rural communities like Orosi and Pixley, and mountain areas such as Three Rivers and Springville and the Tule River Reservation. Working in Visalia doesn’t involve much of a commute from the many nearby communities. Tulare County’s geographic location makes it an ideal place to lead an active lifestyle. Here you can find a wide variety of easily accessible outdoor activities, including hiking, camping, river rafting, boating, fishing, skiing, and biking. Tulare County has a multitude of county and city parks, and an array of special events such as car shows, parades, and cultural festivals that make it easy and fun to spend quality time with family and friends. One of the top two agriculture-producing counties in the U.S., Tulare County has eight incorporated cities and over forty towns and communities. It offers a range of housing and schools to meet residents’ unique needs. There are a handful of colleges and universities within just a short drive, including College of the Sequoias (in Visalia), CSU Bakersfield, CSU Fresno, and Fresno Pacific University. Benefits Ability to earn up to $25,000 per year as a participant in our Incentive Plan. I ncentive 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 Possession of, or ability to obtain, an appropriate, valid California driver's license. 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: http://studentaid.ed.gov/repay-loans/forgiveness-cancellation . **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 annualbenefit amountis provided and may be applied towards health insurance premiums (medical, dental, vision andlife).This benefit is pro-rated and paid on a pay period basis (24 pay periods). Health Insurance: A choice of PPO and HMOmedical plans which include PPOand HMO dental plans andinclude dentalandvision coverage. Dependent coverage is available. Providers include Anthem Blue Cross, Kaiser Permanente, Delta Dental, andVision 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, 50 hours of which may be used toward family sick leave. 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 https://tularecounty.ca.gov/hrd/benefits-wellness/health-plans-active-employees/ The Provisions Of This Bulletin Do Not Constitute An Expressed Or Implied Contract And Are Subject To Change. Closing Date/Time: Continuous