Established: 02/90
FLSA: Non-Exempt
EEO: 2



Under general direction, to assess clients' health and functional status in order to determine the most appropriate and least restrictive service or resident placement setting to meet clients' medical and psychosocial needs; to authorize payments from applicable funding sources for services or placements; and to do other work as required.


The Pre-Admission Screening Nurse is a journey level classification which is primarily used within the Social Services Division. Incumbents in this class perform assignments with a high degree of independence. Decisions made by incumbents in this position have a direct impact on the level of care and services clients will receive. In addition, positions in this class work with a variety of professionals in developing, coordinating and implementing resident placement or service delivery plans for clients who are from varied socio-economic backgrounds.

The Community Health Nurse 2 is distinguished from the Pre-Admission Screening Nurse by its involvement in community health issues, which includes promoting good hygiene and health, teaching preventative and rehabilitative care and techniques, participating in epidemiologic investigations and providing direct patient care and treatment.

This classification also differs from the Case Manager series by the latter's responsibility in providing a broad array of direct case management activities to clients who are mentally and emotionally disturbed, developmentally or physically disabled; or drug and/or alcohol abusing.


Duties may include but are not limited to the following:

  1. Interviews clients, their families or collaterals and other appropriate sources to evaluate clients' service needs; conducts assessments of clients' health and functional status and support systems available to determine the most appropriate and least restrictive resident placement/services required and establish an initial level of care according to relevant criteria.
  2. Consults with agency staff, clients and their families or collaterals to develop and implement care and service plans; coordinates resident placements of clients with other medical professionals and agency staff; confers with agency staff prior to authorizing payments for services or placements.
  3. Evaluates care provided to clients to determine whether changes in the level of care or an alternate care plan is required; serves as an advocate for clients by monitoring the quality of medical and nursing care provided to clients at placement sites and takes appropriate action when necessary; may provide consultation or on-site evaluation on investigations regarding client abuse or neglect and protective service.
  4. Maintains up-to-date knowledge about program requirements, statutes and regulations having an impact on services that clients receive; assists in administering the pre-admission screening program.
  5. Provides consultation to agency staff regarding service delivery issues or problems; provides training to agency staff regarding pre-admission screening policies and procedures; monitors and assigns work to clerical staff.
  6. Maintains program statistics and prepares reports to supervisors and state agencies; represents the agency on community and statewide committees; attends conferences and workshops.


Thorough knowledge of: Principles, methods and procedures of nursing as applied to health practices and care in nursing or adult foster homes; medical and nursing care needs particular to the geriatric population; principles of mental health; examination and techniques used to analyze a variety of health situations.

Working knowledge of: Community resources available to assist in placing clients in an appropriate care setting; relevant federal and state statutes, rules and regulations governing service programs, service delivery systems, expenditure of funds and nursing care facilities; financial eligibility requirements/standards for types of placement and service required by clients; current trends and concepts relative to professional nursing practices.

Skill to: Evaluate and assess client's health and functional status; evaluate client's mental and emotional status; work with families or collaterals to assist them in resolving feelings of making decisions regarding issues about placement; provide assessment and intervention in situations involving client abuse or neglect; analyze situations accurately and take appropriate and effective actions; establish and maintain effective working relationships with medical professionals, agency staff, general public and other appropriate sources; recognize problems which may affect client's physical and mental health; plan and coordinate service/care plans with care providers and agency staff; communicate effectively, both orally and in writing.


Incumbents in this position may be exposed to unpleasant living conditions and behavior while working with varied socio-economic groups, clients and their families.


Possession of a license to practice as a Registered Professional Nurse in the State of Oregon at the time of appointment.

Must successfully pass a criminal history check which may include national or state fingerprint records check.

Must pass a pre-employment drug test.

Driving is required for County business on a regular basis or to accomplish work. Incumbents must possess a valid driver's license, and possess and maintain an acceptable driving record throughout the course of employment.


Possession of a license to practice as a Registered Professional Nurse in the State of Oregon, and any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.