DEFINITION:
Consults with administrative, medical, and nursing personnel in hospitals, skilled nursing facilities, and related health facilities to assist them in achieving compliance with State and Federal nursing regulations, and with the professional staff of the County Health Facilities Inspection Division in evaluating nursing services provided by licensed health care facilities.

The Los Angeles County Department of Health Services (DHS) is the second-largest municipal health system in the nation. Through its unified system of 23 health centers and four hospitals, as well as its expanded network of community partner clinics, DHS annually provides direct care to over 500,000 patients, employs more than 23,000 staff, and has an annual budget exceeding $8.4 billion.

Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Science (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.

MISSION:
Our mission is to enhance the health of our patients and communities by delivering exceptional care.

Essential Job Functions

EXAMPLES OF DUTIES:

• Conducts audits, special studies, and critical reviews of clinical practices and process, to assess compliance with regulatory and legal mandates.
• Collects data necessary for the evaluation of infection prevention and control efforts from various sources including the medical record, laboratory results, etc.
• Acts as facility liaison for system wide programs focused on infection prevention and control.
• Provides staff support to Infection Control, QI, Patient Safety, and Risk Management related committees.
• Conducts surveys to measure clincal practice outcomes, and in consultation with stakeholders formulates solutions to improve outcomes. The survey process includes preparing survey questions, distributing surveys, following up on facility/program responses, and compiling and analyzing summary data.
• Functions as a Just Culture expert to provide consultation to facilities in the use and interpretation of the Just Culture model. Provides facility training in Just Culture concepts when requested.
• Assists with Risk Management and Patient Safety related functions, including staffing DHS' Risk Management and Patient Safety committees.
• Provides professional consultation to health facility administrators and nursing staff in the interpretation of laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, improving, or modifying nursing operations.
• Plans, develops, and conducts orientation and in-service training sessions for Division staff, conducts and participates in educational programs for health facility administrators, nurses and other health professionals, and develops guidelines and manuals for use in interpreting requirements for nursing care services.
• Conducts both internal and external surveys to determine standards of practice which includes preparing survey questions, distributing surveys, following up on facility/program responses, and compiling summary data.
• Visits health facilities and evaluates the quality of nursing service and compliance with laws and regulations; Notifies facilities in writing of findings and recommendations for correction of deficiencies, monitoring progress toward implementation of recommendations.
• Conducts audits, performs special studies and critical reviews of medical record, such as adverse event investigations, Joint Commission National Patient Safety Goal audits, and risk management audits to confirm compliance with facility enacted corrective actions.
• Functions as the chairperson for the Infection Control Committee, Quality Improvement Committee and Emergency Preparedness Subcommittee, which includes assisting department managers and directors to organize, interpret, and present data for committee meetings; Plans agendas and prepares minutes for the monthly Quality Improvement and Infection Control committee meetings.
• Assists in departmental improvement projects such as those related to hospital acquired pressure injuries, falls, workplace violence, etc.
• Performs reviews and critical analyses of Safety Intelligence (SI) incident reports submitted by facility frontline staff, to assess for appropriateness and thoroughness based on departmental policies. Identifies and notifies DHS Risk Management staff of events that may meet external reporting criteria such as CDPH Adverse Events and/or those that are at high risk for litigation.
• Updates and revises program materials, such as the "Patient Safety & Risk Management Handbook". Creates Patient Safety and Risk Management educational materials for facility staff.
• Maintains liaison with State and Federal agencies and professional organizations in connection with the development, analysis and interpretation of legislative and regulatory material in the area of nursing and its application to licensed health care facilities.

Requirements

SELECTION REQUIREMENTS:
Option I:
Five (5) years of experience as a Registered Nurse including two (2) years of experience in an administrative, Supervisory, or consultative capacity.

Option II:
A Master's Degree in Nursing from an accredited college or university AND four (4) years of experience as a Registered Nurse including two (2) years of experience in an administrative, supervisory, or consultative capacity.

LICENSE:
A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

Please ensure the certificates and licenses section of the application is completed. Provide the type of the required license(s), the number(s), the date(s) of issue, the date(s) of expiration and the name(s) of the issuing agency for each license as specified in the Selection Requirements.

Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Applications submitted without the required evidence of licensure will be considered incomplete.

Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/ or certification(s) must be active and unrestricted.

Successful applicants for positions that require driving must obtain and present a copy of his/her driving record from the California State Department of Motor Vehicles before final appointment. Applicants should not present a copy of their driving history until asked to do so by the hiring department. The County will make an individualized assessment of whether an applicant's driving history has a direct or adverse relationship with the specific duties of the job. License must not be currently suspended, restricted, or revoked.

PHYSICAL CLASS:
II - Light: Light physical effort which may include occasional light lifting to a 10-pound limit, and some bending, stooping or squatting. Considerable walking may be involved.

SPECIAL REQUIREMENT INFORMATION:

• Administrative capacity is defined as performing in an administrative services branch of an organizational unit, including responsibility for the development of procedures and participation in policy formulation.

Supervisory capacity is defined as planning, assigning, reviewing the work of staff, and evaluating employee performance.

Consultative capacity is defined as an expert in a specialized field, expressing views, providing opinions, and recommending courses of action to be taken on problems presented by others for resolution.

In order to receive credit for any college course work, or any type of college degree, such as master degree, you must include a legible copy of the official diploma or official transcripts which shows the area of specialization with your application at the time of filing or within 15 calendar days of filing.

DESIRABLE QUALIFICATIONS:
Additional credit will be given to applicants who possess the following desirable qualifications:

• Experience working as a Registered Nurse in a Risk Management, Quality Improvement, Patient Safety or Infection Control department.
• Experience as a Registered Nurse surveying, investigating, inspecting and evaluating hospitals, skilled nursing facilities and other health facilities, clinics and/or individual providers for conformity with and enforcement of Federal and State licensing and certification requirements relating to the quality of medical care.

Additional Information

EXAMINATION CONTENT:
This examination will consist of an evaluation of education and experience based upon application information, desirable qualifications, and supplemental questionnaire, weighted at 100%.

Candidates must meet the selection requirements and achieve a passing score of 70% or higher on this examination in order to be placed on the eligible register.

ELIGIBILITY INFORMATION:
Applications will be processed on an "as received" basis and those receiving a passing score will be promulgated to the eligible register in the order of their score group for a period of twelve (12) months following the date of eligibility.

No person may compete in this examination more than once every twelve (12) months.

AVAILABLE SHIFT:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.

VACANCY INFORMATION:
The resulting eligible register for this examination will be used to fill vacancies throughout the Department of Health Services as they occur.

APPLICATION AND FILING INFORMATION:

Applications must be filed online only. Applications submitted by U.S. mail, Fax, or in person will not be accepted. Applications electronically received after 5:00 p.m., PT, on the last day of filing will not be accepted.

Apply online by clicking the "APPLY" green button at the top right of this posting. You can also track the status of your application using this website.

The acceptance of your application depends on whether you have clearly shown that you meet the SELECTION REQUIREMENTS. Fill out your application and supplemental questionnaire completely to receive full credit for related education and/or experience in the spaces provided so we can evaluate your qualifications for the job. Please do not group your experience, for each position held, give the name and address of your employer, your position title, beginning and ending dates, number of hours worked per week, and description of work performed. If your application is incomplete, it will be rejected.

IMPORTANT NOTES:

• Please note that All information supplied by applicants and included in the application materials is subject to VERIFICATION. We may reject your application at any point during the examination and hiring process, including after an appointment is made.
• FALSIFICATION of any information may result in DISQUALIFICATION.
• Utilizing VERBIAGE from Class Specification and/or Selection Requirements serving as your description of duties WILL NOT be sufficient to demonstrate that you meet the requirements. Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered as a response; in doing so, your application will be REJECTED.
• It is recommended that you provide your work experience using statements that provide the following three elements: ACTION you took, the CONTEXT in which you took that action, and the BENEFIT that was realized from your action. Include specific reference to the impact you made in the positions you have held.

NOTE: If you are unable to attach documents to your application, you must email the documents to the Exam Analyst, Sylvia Jaimez at sjaimez@dhs.lacounty.gov within 15 calendar days of filing online. Please ensure to reference your attachment(s) by including your full name, examination number and examination title in the subject of your email.

SOCIAL SECURITY NUMBER LANGUAGE:
Please include your Social Security Number for record control purposes. Federal law requires that all employees have a Social Security Number.

COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES:
For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County.

NO SHARING USER ID AND PASSWORD:
All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.

FAIR CHANCE INITIATIVE
The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment. The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.

ADA COORDINATOR:
(323) 914-6365

CALIFORNIA RELAY SERVICES PHONE:
(800) 735-2922

DEPARTMENT CONTACT:

COUNTY OF LOS ANGELES

Employment Information

Any language contained in the job posting supersedes any language contained below.

This document is intended to provide general information about the recruitment process of the County of Los Angeles. Applicants with questions about a specific job posting should contact the exam analyst listed on the posting.

Equal Employment Opportunity/Non-Discrimination Statement:
The County of Los Angeles is an Equal Employment Opportunity Employer and is committed to non-discrimination in the County workforce, regardless of age (40 and over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical condition; genetic information; military and veteran status; national origin; race ; sex; gender; sexual orientation; or any other characteristic protected by State or federal law. For more information, please visit:

Testing Accommodations for Applicants:
The County of Los Angeles complies with all federal and state disability laws and makes reasonable accommodations for qualified applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. For more information on accommodations, please visit:

Fair Chance:
The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed. Qualified applicants with arrest or conviction records will be considered for employment in accordance with County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).

Employment Eligibility:
Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States.

Career PathFinder:
Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application at

Veteran’s Credit:
Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
For more information on veteran’s credit, please visit: (Download PDF reader)

Revised September 2025