Comprehensive Care Nurse I

County of Orange
Full Time 1.50 per per week $45 - $56 Per hour CA 405 W 5th St, Santa Ana, CA 92701, United States



In addition to performance-based merit increases, this position is scheduled to receive salary range increases on the following dates:

Effective June 28, 2024 – 4.25% increase

Effective June 27, 2025 – 4.00% increase

Please note we have a One Day Hiring Event for this position on Friday, January 19, 2024 from 8:30 am- 12:00 pm at our County Administration North building: 400 W. Civic Center Dr., Santa Ana, CA 92701.  Applicants are strongly encouraged to apply online but will also be able to apply in person. Please feel free to share this opportunity with anyone who may be interested.

Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.

Premium Pay

In addition to the hourly salary, eligible applicants may receive premium pay for the items listed below:

  • Bilingual pay: Qualified employees who meet the criteria found ( shall receive an additional seventy $0.70 cents per hour for all hours paid.
  • Night Shift Differential pay: Employees assigned to a night shift shall be paid a night shift differential for each hour actually worked on the assigned night shift. Pay rate is determined by assigned shift hours found   (page 15).
  • Nurse Hiring Incentive: Upon completion of new employee probation, eligible employees shall receive a one-time lump sum incentive of $1,000, within 2 pay periods.
  • Nurse Retention: Upon completion of 10,400 service hours (approximately 5 years of service) in a Nurse classification, you will receive 3% of your annual base salary as a one-time lump sum payment.
  • Jail Supplement pay: An employee in this classification who is assigned to work in an adult or juvenile correctional or institutional facility shall receive an additional $1.50 per hour for all paid hours.
  • Call-Back pay: An employee in this classification who returns to work because of an agency/department request shall be eligible for Call-Back pay as detailed (page 17).

This recruitment is open to the public.
This recruitment is being held to establish an open eligible list that will be used to fill current and future Comprehensive Care Nurse I positions within the Health Care Agency, Correctional Health Services. This recruitment may also be used to fill positions in similar and/or lower classifications.

This recruitment will remain open on a continuous basis until the needs of the County are met. Candidates who are placed on the eligible list will remain on the eligible list for six (6) months and may be considered/referred for selection/hiring interviews. After six (6) months, candidates must reapply to receive further consideration. 
The is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of five (5) service areas - Strategy and Special Projects, Behavioral Health Services, Correctional Health Services, Medical Health Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community.

The ,program provides medical, dental, nursing, infection control, health education and pharmaceutical services at a community standard of care. Mental Health services include 24-hour emergency triage and crisis intervention, suicide prevention, treatment beds, individual and group therapy, substance use counseling, medication assessment and discharge planning to all adult inmates in the County's five (5) correctional facilities.

The Comprehensive Care Nurse I is responsible for performing a variety of specialized duties:

  • Obtain vital signs such as: temperature, blood pressure, pulse, respiration, and pain scale assessment
  • Perform comprehensive and focused physical assessments, interpret data collected, and refer to higher level of care as necessary, including:
    • Obtaining comprehensive medical, mental health, family, and social history
    • Interpreting vital signs results
    • Wound care treatment and management
    • Documenting in SOAP (Subjective-Objective-Assessment-Plan) format on electronic health record
    • Treating clients based on nursing standardized procedures
  • Review of health records, summarize and synthesize patient information, and give a comprehensive hand off at shift change or outside facility transfers utilizing a discharge-summary form or verbal report
  • Participate in staff development and educational programs to maintain professional competency
  • Participate in 5150 training; must pass and maintain certification (training will be provided)
  • May perform other related duties as needed
The Comprehensive Care Nurse I is expected to become oriented to the Comprehensive Care Nursing duties and assume increasing levels of responsibility. Incumbents who are not promoted by the end of their probationary period shall not pass probation.

The ACHS facility is a 24-hour, 7-days per week facility. Therefore, incumbents must be able to work on weekends, evenings or night shift, and holidays. 
Nursing staff work six (6), twelve (12) hour shifts, and one eight (8) hour shift per two (2) week pay period. Days off are every other weekend and rotating week days. DESIRABLE QUALIFICATIONS AND CORE COMPETENCIES:
The ideal candidate will possess the knowledge, skills and abilities that demonstrates the following competencies:

Nursing Skills | Knowledge of:
  • Chronic illnesses that are medical and mental health related such as: substance use disorders, etc.
  • HIPAA (Health Insurance Portability and Accountability Act) guidelines
  • Performing triage and assessment 
  • Performing emergency, medical, mental health, prenatal care and other specialized care
  • Willing and having the ability to testify competently if subpoenaed by court
  • Using technology and other healthcare related systems effectively
Adaptability | Collaboration:
  • Working effectively in a changing and stressful environment, and adjusting as necessary
  • Working collaboratively with a multidisciplinary team and communicating professionally at all times
Critical Thinking | Safety:
  • Managing multiple clients needing triage effectively and efficiently
  • Making sound clinical treatment decisions
  • Being aware of any environmental hazards while working inside the jail facility
  • Being alert and aware of personal safety and security matters while providing care and/or treatment to medical and mental health clients
  • Reducing jail-related liability risks by being compliant with Federal and State laws and mandated standards
  • Incumbents must NOT have felony convictions or be on any form of probation.
  • Must be able to pass and maintain background investigation to the satisfaction of the Orange County Sheriff-Coroner. Background screening includes completion of a Personal History Form, interview with a background investigator, fingerprinting, and may include a polygraph test. Some of the areas considered in the background screening include prior convictions, traffic violations, drug use and credit problems, employment history, professional references, and education verification (i.e., degree, license, or official transcripts). Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.).
  • Correctional Health Services are a 24-hour, 7-days per week facilities. Incumbents must be able to work on weekends, evenings or night shift, and holidays.
MINIMUM QUALIFICATIONS: Click for a complete classification description and minimum qualifications, including physical and mental requirements, and environmental conditions. RECRUITMENT PROCESS:

Human Resource Services (HRS) will screen all applications to identify qualified applicants.  After screening, only those applicants who meet the minimum qualifications will be referred to the next step in the selection procedures. Candidates will receive notification via e-mail of further procedures applicable to their status in the competition.

Veterans Employment Preference

The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click

to review the policy.

Based on the Agency/Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure.
Eligible List:

Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies.