Clinical Service Assistant Jobs (NOW HIRING)

Salary : $44,586.08 - $54,835.26 Annually
Location : Madera, CA
Job Type: Full-Time
Department: Public Health
Division: Public Health Administration
Opening Date: 07/14/2026
Closing Date: 7/28/2026 11:59 PM Pacific
FLSA: Non-Exempt
Bargaining Unit: TCHNL
Under general supervision, performs routine public health or behavioral health service procedures and medical tasks in accordance with established policies and procedures; aids clinical and medical staff with examinations, patient preparation, and treatment, immunization, and virus and disease testing; maintains equipment and examination rooms; maintains related health and medical records; and performs related duties as assigned.
Supervision Received and Exercised
Receives general supervision from assigned management and/or supervisory personnel, and clinical supervision of a physician. Exercises no direct supervision over staff.
Examples of Duties
The job functions listed below are not inclusive or exclusive and are intended only as illustrations or examples of the various types of work that may be performed. Reasonable accommodation will be made when requested and determined by the County to be appropriate under applicable law.

• Assists in patient examination rooms and treatment; obtains and records patient history and vital signs; conducts basic clinical procedures under the supervision of healthcare professionals; charts medication dispensed.
• Performs injections including immunizations and skin testing; reviews patient vaccine history; administers virus and disease testing.
• Maintains and cleans examination rooms; cleans and sterilizes equipment; observes safe work methods relating to the work.
• Ensures lab specimens are properly packaged, labeled, and placed for pick up; obtains lab results as directed; advises appropriate staff on following up with patients on lab results.
• Sets up clinics and supplies; registers patients; assists with determining financial responsibility; records information obtained in the patient medical record; charts medication given in the patient medical record.
• Screens clients for program and services eligibility.
• Provides health and education materials and instruction to clients; assists in the preparation and maintenance of patient and clinic records; engages in clinical consultation with professional care providers.
• Ensures adequate supplies and proper equipment; performs routine inventory, ordering, and stocking of clinic supplies and materials; reviews vaccine inventory.
• Under clinical supervision and with authorization, administers medication by injection according to protocol.
• Participates in community outreach activities.
• Assists in the collection and analysis of community health data.
• Performs clerical procedures such as scheduling appointments, answering telephones, typing, data entry, and filing; contacts patients to remind them of follow-up appointments.
• Observes and complies with all County and mandated safety rules, regulations, and protocols.
• Performs cashiering and general clerical duties.
• Performs related duties as assigned.

Employment Standards / Minimum Qualifications
Knowledge of:

• Basic nursing methods and techniques, including universal precautions; general nursing procedures.
• Basic medical terminology and patient care procedures.
• Anatomy and physiology of the human body.
• Maintenance and operation of medical equipment and supplies.
• Available community organizations and resources.
• Recordkeeping methods and techniques.
• Safety procedures and use of personal protective equipment.
• Applicable federal, state, and local laws, codes, and ordinances relevant to the area(s) of responsibility.
• Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly.
• Techniques for providing a high level of customer service by effectively dealing with the public, vendors, contractors, and County staff.
• The structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar.
• Modern equipment and communication tools used for business functions and program, project, and task coordination, including computers and software programs relevant to the work performed.

Ability to:

• Perform routine health service procedures and basic patient care practices.
• Maintain medical records as per current legal requirements.
• Operate medical equipment.
• Provide health information to the community served.
• Administer treatments as instructed.
• Follow oral and written instructions.
• Provide information where judgment, knowledge and interpretation of procedures and regulations are necessary.
• Prepare clear, effective, and accurate reports, correspondence, and other written materials.
• Gather information and prepare and maintain accurate notes, records, documentation, and files.
• Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments.
• Understand, interpret, and apply all pertinent laws, codes, regulations, policies and procedures, and standards relevant to the work performed.
• Use tact, initiative, prudence, and independent judgment within general policy, and procedural guidelines.
• Effectively use computer systems, software applications relevant to the work performed, and modern business equipment to perform a variety of work tasks.
• Communicate clearly and concisely, both orally and in writing, using appropriate English grammar and syntax.
• Establish, maintain, and foster positive and effective working relationships with those contacted in the course of work.

EDUCATION AND EXPERIENCE
Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be:

• Equivalent to completion of the twelfth (12th) grade supplemented by college level or vocational coursework or training in public health, behavioral sciences, life sciences, or related field and one (1) year of increasingly responsible work experience as a Medical Assistant or equivalent

Licenses and Certifications

• Some positions may require possession of a valid Medical Assistant certificate from a program approved by the State of California.
• Possession and maintenance of a valid CPR certification.
• Some positions may require possession of, or ability to obtain, HIV Counseling certification.
• Some positions may require the possession of, or ability to obtain by the time of appointment, an appropriate California driver's license.

Physical Demands
Must possess mobility to work in office and clinic settings, support patients, and use varied medical and office tools and equipment, including a computer; vision to evaluate patients and read printed materials and computer screen; and hearing and speech to communicate in person and over the telephone. Standing in and walking between work areas is frequently required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate above mentioned tools and equipment. Positions in this classification frequently bend, stoop, kneel, and reach to perform assigned duties. Employees must possess the ability to lift, carry, push, and pull materials and objects up to 30 pounds or heavier weights with the use of proper equipment and assistance from other staff.
Environmental Conditions
Employees work in office, clinical, and community environments with moderate noise levels and variable temperature conditions and may include exposure to infectious disease. Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.
Application Process
The application review process will include screening to ensure applications are complete and meet all minimum qualifications. In addition to the application, the applicant is required to complete the Supplemental Questions to further evaluate their education, training and experience relative to the required knowledge, skills and abilities for the position. Applicants must submit answers that are as complete as possible.
Only qualified applicants who pass the minimum qualifications review, will be invited to the examination process which may be administered by a written examination, oral interview, or any combination of qualifications appraisal determined by the Department of Human Resources to be appropriate. The Department of Human Resources will make reasonable accommodation in the examination process for disabled applicants. If you have an accommodation request, please indicate such on your application.
Depending upon the number of applicants meeting the minimum qualifications, applicants may be scheduled for one or more of the assessments listed below. Of those passing the initial assessment, only the top 15 will move forward to the appraisal panel. Passing score is 70% out of 100% on each assessment section. If only one assessment is conducted, the weight for that assessment will be 100%.
THE WRITTEN EXAMINATION (100%) IS TENTATIVELY SCHEDULED FOR THURSDAY, AUGUST 6, 2026
To move forward in the application process, you must complete an online application through our website All job postings are also included via the TDD phone at 559-675-8970 and the 24-hour job line at 559-675-8685. Please attach a copy of your unofficial transcripts (indicating when degree was awarded), licenses, and certificates to your application or your application may be considered incomplete. Resumes may be uploaded but cannot be used in place of a completed application.
For an open recruitment, applicants claiming veteran's preference must submit a copy of their DD-214 form along with the application. Candidates who attain ranking on an eligible list and are involuntarily called to active duty may be considered for eligibility reinstatement upon their return.
PLACEMENT ON THE ELIGIBLE LIST:
The Civil Service Commission may limit the number of qualified applicants eligible to participate in the examination process. If two or more candidates have the same total final score on an examination, they shall be ranked in order of their scores in that portion of the examination which has the greatest weight. The names of two or more eligibles having final ratings which are identical shall be grouped on the eligible list as tie names with equal rank for certification and appointment purposes.
Candidates who are successful in all phases of the examination process will be placed on an eligible list, in rank order based on a calculation of their total score from the examination process. The eligible list established by this recruitment will be active for a minimum of six (6) months or one (1) year, unless otherwise determined by the Director pursuant to section 6-4 (b) and may be extended for up to an additional year by the Commission.
PRE-EMPLOYMENT MEDICAL REQUIREMENTS:
As a condition of employment with the County of Madera, a candidate must submit to a Tuberculosis (TB) screening, and related follow up testing as necessary. Designated classifications* are also subject to a medical examination, which includes a review of medical history. TB screenings and medical exams are administered by the Madera County Public Health Department and/or health care professional designated by the County.
Designated classifications required to submit to an employment medical examination generally include those that are physical in nature or as may be required by law. If you have any questions about the pre-employment requirements, please contact the Department of Human Resources at (559) 675-7705 or
ELIGIBILITY FOR EMPLOYMENT:
You will be required to submit verification of your identity and citizenship or legal right to work in the United States at the time of and as a condition of an offer of employment.
As a condition of employment, all prospective employees shall be required to be fingerprinted.
EQUAL EMPLOYMENT OPPORTUNITY
Madera County does not discriminate on the basis of race, color, religion, sex, gender, gender identity, gender expression, transgender status, national origin, age, disability (physical or mental), medical condition, pregnancy, genetic information, ancestry, marital status, sexual orientation, veteran or military status, political affiliation, or any other basis protected by Federal or State law.
Benefits of employment with the County of Madera include:

• 14 paid holidays per year;
• 1 sick leave day per month (unlimited accrual);
• 2 weeks paid vacation after 1 year, vacation accrual increasing thereafter with years of service (45 days maximum accrual);
• Membership in the California Public Employees' Retirement System (CalPERS), with an enhanced 2.7% @ 55 retirement benefit formula (based on the highest 12 months with the employee paying 8% toward the retirement cost) for those individuals with current or prior qualifying public sector service that establishes eligibility as a "classic member" pursuant to the provisions of California's 2013 Pension Reform Act (Act) and CalPERS Regulations. Individuals with no current or prior qualifying public sector service, and who are defined as new members or new employees under the Act, will be eligible for the 2% @ 62 retirement benefit formula (based on the average compensation over 36 consecutive months with the employee paying 7.75% toward the retirement cost);
• County participates in the Public Employees' Retirement System Health Benefit Program and for certain selected health plans, the County pays 95% of health insurance premium for employee and 50% for either two-party or dependent coverage;
• Additional salary increases after 10, 15, and 20 years of service.

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