Nurse Practitioner

Exam Number

Y5121S

February 27, 2026, at 8:00 a.m. (PST)

This examination will remain open until the needs of the service are met and is subject to closure without prior notice.

This announcement is a re bulleted update of the examination content information regarding notification of exam results. Persons who have already applied need not reapply, but may contact the exam analyst if they would like to submit additional information.

Open Competitive Job Opportunity

$8,923.93 - $13,000.50 Per Month Effective 10/01/17

$9,102.41 - $13,260.51 Per Month Effective 04/01/18

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 sub‑specialty. 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.

The Mission: Our mission is to ensure access to high‑quality, patient‑centered, and cost‑effective healthcare for Los Angeles County residents through direct services at DHS facilities and through collaboration with community and university partners.

Definition: Works in collaboration with physicians and within written guidelines to provide complete physical examinations, diagnosis, and treatment of both chronic and episodic disorders.

Classification Standards: Positions allocable to this class are assigned principal responsibility for the primary health care of patients. The Nurse Practitioner is assigned full‑time to this role and receives professional medical supervision from physicians. Incumbents of this class proceed independently in the care and treatment of patients within the scope of practice defined and agreed to by medicine, nursing, and administration.

Incumbents seek the expert opinion or advice of a physician whenever the incumbent determines if a case falls outside the scope authorized by policies and protocol. The Nurse Practitioner plans and implements and a physician reviews and confirms health care goals for patients. The Nurse Practitioner remains responsible for the patient throughout the course of the treatment, provides the physical examination, the diagnosis, and the health care plan, determines when the patient has recovered, and releases the patient.

The Nurse Practitioner may refuse the patient to physicians for consultation or to specialized health resources for treatment but retains responsibility for clinical management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other medications as well as the characteristics of mental and emotional disorders.

• Assumes ongoing responsibility for each patient from discovery of the disorder to recovery.
• Performs complete physical examinations, including interviewing patients to obtain complete medical histories as well as ordering, interpreting and evaluating diagnostic tests and examinations.
• Diagnoses and treats both chronic and episodic disorders including complications of otherwise routine processes such as pregnancy or childhood development.
• Establishes and documents the health care plan and prognosis, maintaining records of each case that are detailed and complete for any physician…