Surgery Specialty Clinic Registered Nurse I/II.

Under general direction, the Primary Care Clinic Registered Nurse I/II (PCC RN I/II) will provide licensed nursing support across the Surgical Specialty Clinic, which includes Plastic Surgery, ENT, Urology, Neurosurgery, and General Surgery. The PCC RN I/II will support physicians and advanced practice providers with patient assessment, clinical triage, medication administration, procedures, patient education, specimen management, and pre- and post-operative care. The PCC RN will also provide licensed nursing support for Urology patients requiring intravesical bladder cancer treatments, including ordered gemcitabine therapy. In addition, the PCC RN will assist with Environment of Care rounds and ongoing clinic readiness, helping ensure patient-care areas meet safety, infection prevention, medication management, emergency preparedness, and regulatory requirements.

AGENCY/DEPARTMENT: Health Care Agency – Ambulatory Care Surgical Specialty Clinic

What We Offer:

• Educational Incentive for completion of: 2.5% for an Associate's degree, 3.5% for a Bachelor's degree, or 5% for a Master's degree.
• Bilingual Incentive: Some positions may be eligible for bilingual incentive depending on the applicable memorandum of agreement and the needs of the department. In order to qualify for this incentive, incumbents in eligible positions must take and pass the applicable bilingual fluency exam.
• Certification Pay: $0.813 per hour based on scheduled work week hours for each qualified certification up to a maximum of five (5) certifications. One of the five certifications may be paid at $2.00 per hour for a National Certification. List provided in the MOA, Exhibit 10 (please see attached list). CNA_Regular_Unit_Amendment_#5 (Download PDF reader)
• Flexible Credit Allowance: Biweekly contribution towards medical, dental, and/or vision insurance from authorized plans.
• Pension Plan: Participation in the County's defined benefit plan.
• To learn more about the benefits, please follow the link below:

Policies & Memorandum – Ventura County Human Resources

Primary Care Clinic Registered Nurse I/II is represented by the California Nurses' Association (CNA) and is eligible for overtime compensation. 

NOTE: Salary placement will be determined according to the current CNA memorandum of agreement.

The eligible list established from this recruitment may be used to fill current and future Regular (including Temporary and Fixed-Term), Per Diem Pool, Intermittent, and Extra-Help vacancies for this position only (TPO). There is currently one (1) Regular Full-Time vacancy.

Approximate Salaries:

PCC RN I: $46.83 - $49.22 hourly

PCC RN II: $55.51 - $66.37 hourly

TENTATIVE SCHEDULE

OPENING DATE: November 2, 2026

CLOSING DATE: November 16, 2026Duties may include but are not limited to the following:

Clinical Triage, Perioperative Care, & Patient Management

• Conducts clinical telephone triage, manages urgent patient concerns, addresses acute postoperative complications, and evaluates ER follow-up requests in collaboration with treating surgeons and Advanced Practice Providers (APPs) to determine appropriate disposition and care levels;
• Performs comprehensive pre-op assessments, surgical preparation, medication reviews, post-op wound assessments, drain management and follow-up care; plans, implements, and evaluates individualized nursing interventions;
• Provides specialized nursing care and administer intravesical bladder cancer treatments (including BCG and gemcitabine) following required training, established protocols, and demonstrated competencies;
• Facilitates comprehensive care delivery across Plastic Surgery, ENT, Urology, Neurosurgery, and General Surgery, following up on orders, referrals (ancillary services, physical therapy, specialty imaging), and providing case management for patients with high-risk or chronic conditions;
• Develops, implements and evaluates education programs covering surgical preparation, wound care, drain care, and post-procedure recovery instructions, tailored for age-appropriate care (infants through geriatrics);

Procedure Assistance & Clinical Operations

• Prepares patients, sterile fields, and exam rooms for specialized in-office procedures; assists providers intra-procedurally, monitors patient tolerance, and collects, processes, and handles lab/pathology specimens (including biopsy tissue);
• Assists providers with medication management, including protocol-driven refills and management of post-operative pain or antibiotic regimens;
• Manages high-volume patient workflows, answers phones, reviews and routes patient portal messages, monitors clinical areas to minimize wait times, and adapts efficiently to schedule changes or unexpected surgical events;

Clinical Leadership, Staff Support, & Quality Improvement

• Serves as a clinical resource for Medical Assistants (MAs) and Licensed Vocational Nurses (LVNs), assisting with clinical competencies, staff education, infection prevention, emergency preparedness, and patient safety;
• Participates in establishing patient care standards, clinic policies, procedures, protocols, and nursing committee activities while maintaining up-to-date knowledge of surgical specialty best practices;
• Ensures thorough, precise documentation within the electronic medical record (EMR);

Safety, Compliance, & Environment of Care

• Assists with Environment of Care rounds to ensure compliance with safety, infection prevention, medication management, emergency preparedness, and regulatory requirements;
• Maintains strict adherence to surgical asepsis, infection control rules, and at least two patient identifiers throughout care; maintain clean, safe, and sterile patient-care areas in accordance with established safety policies;
• Demonstrates strict adherence to HIPAA guidelines, cultural sensitivity, and knowledge of mandated reporting protocols (e.g., domestic violence, child and dependent abuse); promptly report safety incidents via reporting software; and
• Performs other duties as assigned.

These are entrance requirements and assure neither continuance in the process nor placement on an eligible list.

EDUCATION, TRAINING, and EXPERIENCE 

Primary Care Clinic Registered Nurse I: requires no experience; however, successful completion of the Health Care Agency Pharmacology examination within three (3) months of employment is mandatory for assignments within the Health Care Agency.

Primary Care Clinic Registered Nurse II: requires six (6) months of full-time professional registered nursing experience in the assigned area of specialty.

NECESSARY SPECIAL REQUIREMENTS:

• Must possess and maintain a current, valid license as a Registered Nurse issued by the State of California.
• Experience with direct patient care responsibilities involving the administration of intravesical bladder cancer medications, such as gemcitabine.
• Must have a current, valid Basic Life Support (BLS/CPR) certification by first day of employment.
• Must be willing and able to obtain and maintain a Chemotherapy Biotherapy Certification and an Oncology Nurse Certification within one (1) year of hire.

DESIRED:

• Bilingual in English and Spanish.
• Previous experience in Urology, Oncology, and/or ambulatory surgical specialty care.
• Chemotherapy Biotherapy Certification
• Oncology Nurse Certification

Knowledge, Skills, and Abilities:

Comprehensive Knowledge of:

• Principles, practices, and techniques of professional nursing within multidisciplinary specialty clinics (including Plastic Surgery, ENT, Urology, Neurosurgery, and General Surgery);
• Handling, administration protocols, side effects, and safety measures associated with intravesical bladder cancer treatments, including gemcitabine;
• Pre- and post-operative surgical care management, wound healing, surgical drain management, and clinical triage protocols;
• Patient and staff educational methods, quality assurance processes, and clinic administrative functions;
• Infection control standards, surgical asepsis, and Environment of Care (EOC) safety and regulatory requirements;

Working Ability to:

• Provide specialized nursing support for urology bladder cancer patients receiving intravesical therapies safely and efficiently;
• Provide clinical direction, serve as a resource, and guide clinical support staff;
• Comply with accreditation standards, safety policies, and federal, state, and local regulatory requirements;
• Complete required continuing education and maintain professional competencies across surgical specialties;
• Work proficiently and make sound clinical decisions in emergencies and/or stressful situations;
• Maintain strict confidentiality of patient information (HIPAA);
• Foster positive working relationships with medical staff, patients, the public, and hospital administration;
• Communicate effectively, both orally and in writing.

FINAL FILING DATE: Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on Monday, November 16, 2026.

To apply on-line, please refer to our website at www.venturacounty.gov/jobs. If you prefer to fill out a paper application form, please call (805) 677-5184 for application materials and submit them to County of Ventura Human Resources- Health Care Agency, 646 County Square Drive, Ventura, CA 93003.

Note to Applicants: It is essential that you complete all sections of your application and supplemental questionnaire thoroughly and accurately to demonstrate your qualifications. A resume and/or other related documents may be attached to supplement the information in your application and supplemental questionnaire; however, it/they may not be submitted in lieu of the application.

NOTE: If presently permanently employed in another "merit" or "civil service" public agency/entity in the same or substantively similar position as is advertised, and if appointed to that position by successful performance in a "merit" or "civil service" style examination, then appointment by "Lateral Transfer" may be possible. If interested, please click here for additional information.

SUPPLEMENTAL QUESTIONNAIRE – qualifying: All applicants are required to complete and submit the questionnaire for this exam at the time of filing. The supplemental questionnaire may be used throughout the exam process to assist in determining each applicant's qualifications and acceptability for the position. Failure to complete and submit the questionnaire may result in the application being removed from consideration.

APPLICATION EVALUATION – 100%: An application evaluation will be conducted. A score will be assigned to each application based on established criteria. Such score will be considered as the final score for placement on the eligible list.

Applicants successfully completing the exam process may be placed on an eligible list for a period of one (1) year.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, criminal background information and driving record is required for this position.

EQUAL EMPLOYMENT OPPORTUNITY

The County of Ventura is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

For further information about this recruitment, please contact Paula Hayes-Zanahuria by e-mail at Paula.Hayes-Zanahuria@venturacounty.gov or by telephone at (805) 677-5164.