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Position Description The Monterey County Health Department is recruiting for Contract Physicians in its Clinic Services and Behavioral Health Bureaus.  The Monterey County Health Department's mission is to enhance, protect and improve the health and well-being of individuals in Monterey County. The Department provides a wide variety of health services to the health safety net population in the County to ensure that every resident has access to quality, evidence-based health services regardless of ability to pay.   Monterey County Clinic Services :   Monterey County Clinic Services Bureau operates nine clinics located in Salinas, Seaside, and Marina.  We provide primary and specialty care to all ages, including pregnant women, children and adults.  Monterey County Clinic Services is recruiting board certified/board eligible primary care physicians for outpatient care, especially those specializing in Family Medicine, Pediatrics, and Internal Medicine.  Our ideal candidate is committed to quality health care and social equity by addressing the mental and physical health needs of everyone, including the traditionally underserved populations. Our physicians practice medicine in collaboration with a multidisciplinary team of nurse practitioners, physician assistants, medical assistants, registered nurses, case managers, social workers, psychiatrists, OB/GYN providers, and a variety of specialists.  Opportunities to teach Family Medicine residents and medical students may be a part of this position, if desired. You must hold or be eligible for California Medical Licensure. Fluency in Spanish is a plus. Full or part-time candidates will be considered.   For positions in Clinic Services, please email your Curriculum Vitae to Caroline Kennedy, MD.  kennedyci@co.monterey.ca.us     Monterey County Behavioral Health   Four Adult Psychiatric Opportunities:  Inpatient Hospitalist, Outpatient Specialist, Forensic Psychiatrist, & Outpatient Addiction Psychiatrist  The Monterey County Health Department's mission is to enhance, protect and improve the health and well-being of individuals in Monterey County.  The Department provides a wide variety of health services to the health safety net population in the County to ensure that every resident has access to quality, evidence-based health services regardless of ability to pay.  The Behavioral Health Bureau is responsible for managing behavioral health access to a continuum of services ranging from community outpatient to intensive inpatient levels of care for children, adolescents and adults with moderate to serious mental illness.   The Behavioral Health Bureau uses an innovative and collaborative community approach to provide evidence improve access, provide evidence-based treatments, and reduce health disparities for residents.     Inpatient Specialist:   A full time inpatient psychiatric attending position is available on our adult psychiatric unit at Natividad Hospital.    Psychiatrist are responsible for admission, discharges, and ongoing treatment for patients admitted to the hospital.  Reasonable caseloads allow for ample time with patients and connecting with unit staff.  Daily multi-disciplinary rounds, teaching of residents and medical students, peer supervision, and monthly administrative staff meetings are an integral component of this position.  Consultation to medical floors and ED can be incorporated into duties. Weekend call optional and is for additional pay. Click Here to See Inpatient Specialist Brochure   Outpatient Specialist:   Positions are available in our outpatient clinics at a variety of County locations.   Psychiatrists are responsible for assessments and treatment of patients.  Psychiatrists work as part of a multi-disciplinary outpatient teams that focuses long term on stabilization, recovery, and whole person health.  Psychiatrists enjoy manageable caseloads with ample time for follow up patient care.   All psychiatrists have support from both case managers and medical assistants.  Weekly clinical team meetings, peer supervision, and administrative support are part of our team approach. Click Here to See Outpatient Specialist Brochure   Forensic Psychiatrist:   The Behavioral Health Bureau seeks a forensic psychiatrist to help lead and develop programming focused on serving our patients involved in our forensic programs.  The position entails time for program development, supervising other psychiatrist in the treatment and management of high-risk cases, working closely with our forensic services team, and providing direct service to patients.  The forensic psychiatrist will work collaboratively as part of a multidisciplinary mental health team made up of psychiatrists, advance practice mental health providers, nurses, case managers and social workers.  The forensic psychiatrist will work as a liaison to the public guardian's office, the courts, community, and law enforcement.  The position involves teaching, supervision, and leading our high-risk case reviews.  Our outpatient teams work with our patient population long term with a focus on stabilization, recovery, and whole person health.  Psychiatrists enjoy manageable caseloads with ample time for follow up patient care.   All psychiatrists have support from both case managers and medical assistants.  Weekly clinical team meetings, peer supervision, and administrative support are part of our team approach. Click Here to See Forensic Psychiatrist Brochure   Outpatient Addiction Psychiatrist:   The Behavioral Health Bureau seeks an addiction psychiatrist to help lead and develop programming focused on serving our patients who have both SUD and SMI.  The position entails time for program development, supervising other psychiatrist in treatment of substance use disorders, working with our SUD team, interacting with contractors, and providing direct service to patients. One component of our SUD service expansion is to create capacity to provide MAT at our outpatient treatment sites.  The addiction psychiatrist will work collaboratively as part of a multidisciplinary mental health team made up of psychiatrists, advance practice mental health providers, nurses, case managers and social workers.  The addiction psychiatrist will work in our Access clinic to both evaluate patients and consult with the Access team on level of care determination after evaluation.  Our outpatient teams work with our patient population long term with a focus on stabilization, recovery, and whole person health.  Psychiatrists enjoy manageable caseloads with ample time for follow up patient care.   All psychiatrists have support from both case managers and medical assistants.  Weekly clinical team meetings, peer supervision, and administrative support are part of our team approach. Click Here to See Outpatient Addiction Psychiatrist Brochure   Philosophy: The Monterey County Health Department's Behavioral Health Bureau supports a collaborative patient centered work environment that promotes individual recovery and whole person health.  Psychiatrists are a valued part of a multidisciplinary team made up of psychiatrists, advance practice mental health providers, nurses, case managers, peer supports, and social workers.  Psychiatrists help direct treatment interventions for patients presenting with complex psychiatric and health conditions.   The Behavioral Health Bureau team is mission driven and devoted to providing high quality evidence-based care to those most in need.   Monterey County provides great benefits and is a beautiful place to work and play!   Enjoy hiking at Big Sur, surfing at Monterey Bay, the rodeo in Salinas, a day trip to San Francisco, music at the jazz festival, or a pastry at a local bakery.  Benefits include competitive salary, health insurance, pension, and CME allowance.  Candidates must hold or be eligible for California Medical Licensure, and be board certified or eligible in adult psychiatry.  Fluency in Spanish is a plus.  Full or part-time candidates will be considered.   For positions in Behavioral Health, please email your Curriculum Vitae to Mark Alexakos, MD.  AlexakosM@co.monterey.ca.us Closing Date/Time: Continuous

Position Description Final filing date: OPEN UNTIL FILLED Exam #16/54C03/06KG   Summary of Position The Monterey County Health Department is seeking Physician Assistants to fill regular and temporary positions in the Clinic Services Bureau.   The Clinic Services Bureau offers care to the medically underserved in Monterey County. The mission of the Bureau is to provide quality primary medical care to ensure that every resident of Monterey County has access to healthcare and public health services regardless of ability to pay, and assures that high quality services are provided at the lowest possible cost. Monterey County Health Department clinics are located in Salinas, Seaside and Marina and provide family practice, women's health, internal medicine, pediatric, behavioral health, and specialty services.   The Eligible List established by this recruitment process will be used to fill current and future vacancies, both regular and temporary, as they arise in Clinic Services or Behavioral Health.   Examples of Duties THE IDEAL CANDIDATE Will   demonstrate the following knowledge, skills, and abilities :   Diagnosis and treatment of disorders and diseases with patients of all ages. Coordinating care for patients with chronic disease. Sensitivity to a culturally diverse patient population. Working in team based care. 1:2 Physician/Medical Assistant ratio. Strong desire to serve critically underserved populations.   Characteristics of the Ideal Candidate: Compassionate Establish and maintain a warm and caring atmosphere with patients from diverse social and cultural backgrounds Clear and effective communicator Team player Reliable Proactive Examples of Experience/Education/Training Required Condition of Employement: Minimum Qualifications: Pursuant to Section 3503 of the Business and Professions Code, possess and maintain a license to practice as a Physician Assistant issued by the Physician Assistants Committee of the Medical Board of California. Possess and maintain a valid Class C Driver's License with a satisfactory driving record or be able to provide suitable transportation that is approved by the appointing authority. Within one year of appointment must possess and maintain National Physician Assistant Certification. Desired Qualifications: Bilingual in English/Spanish Experience with electronic health record, preferably EPIC Condition of Employment: The Health Department will conduct a thorough background and reference check process which include a Department of Justice fingerprint check. Additional Information APPLICATION & SELECTION PROCEDURES Submit the following application materials to the Monterey County Health Department, Human Resources Division, 1270 Natividad Road, Salinas, CA 93906. Resumes may be submitted in addition to, but will not be accepted in lieu of required application materials . Final filling date: OPEN UNTIL FILLED. Monterey County Employment Application form Response to the Supplemental Questions Valid Copy of Physician Assistant License Valid Copy of National Physician Assistant Certificate   Application materials will be competitively evaluated.  Those applicants who are determined to be most appropriately qualified will be invited to participate further in the process.  To further assess the applicant's possession of required qualifications , this recruitment may include an oral examination, pre-exam exercise, performance exercise, performance exam, and/or written examination .   For more information or to receive application materials, contact the Health Department Human Resources Division at (831) 755-4524.   Or apply on-line at www.co.monterey.ca.us/personnel   NOTE:  If you believe you possess a disability that would require test accommodation, please call the Health Department Human Resources Office at (831) 755-4524. Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the U. S.. If you are hired into this classification in a temporary position, your salary will be hourly and you will not be eligible for the benefits listed above.   BENEFITS: The County offers an excellent benefits package (H Bargaining Unit) The County of Monterey offers a premium benefit package that includes 22 days of annual leave; 11 holidays per year; health, dental, and vision insruance; life insurance; and CALPERS retirement. For more benefits information please contact the Health Department Human Resources Division at (831)755-4524. Benefits Summary Sheet: http://www.in.co.monterey.ca.us/personnel/benefits/summary/H-Benefits%20Summary%20Sheet%2001-2016.pdf   The information listed above is a general summary of benefits for this position.  This information is not legally binding, nor does it serve as a contract.  The benefits listed in the Monterey County Personnel Policies and Practices Resolution prevails over this listing.   Closing Date/Time: Continuous

Definition and Class Characteristics Come join our dynamic, professional team committed to keeping Nevada County's residents safe and healthy! The Temporary Nurse Practitioner position provides clinic coverage Monday, Wednesday, and Thursdays as needed (per diem). Responsibilities include performing gynecological examinations and procedures, STI screening and treatment, family planning counseling and guidance. The ability to speak, read, and write in Spanish in addition to English would be an asset in this position, but is not required. You would be working with people who not only enjoy the work that they do, but also enjoy the camaraderie of an amazing team. Under the immediate supervision of the Director of Public Health Nursing, organizes, directs and provides a spectrum of primary health care and other clinical services for clients in a general or specialized health clinic;  works collaboratively with the Public Health Officer in the formulation and implementation of selected policies, standardized procedures, and professional protocols related to assigned functions; oversees, directs and supervises the day-to-day operations of health care delivery; and performs related work as required. This classification combines the professions of Nurse Practitioner and Physician Assistant. Incumbents may be assigned to different areas of specialty, consistent with their academic and clinical training. Incumbents provide health care services and perform clinical procedures requiring possession of advanced knowledge and skills and the exercise of a high degree of clinical judgment in the assessment, diagnosis and treatment of patients. Medical direction is received from a licensed physician, and administrative direction from a program manager and director.   This is a broad classification encompassing a variety of specialized knowledge and advanced practice skill levels. More experienced incumbents may provide training and direction to less experienced employees and/or contract or temporary employees.   This class is distinguished from the Registered Nurse, Public Health Nurse and Behavioral Health Nurse classes in that this class is licensed to perform diagnostic and therapeutic procedures which are beyond the scope of the Registered Nurse license or the Public Health Nurse certificate.  It is further distinguished by its operational responsibilities over assigned areas.    Examples of Duties Essential: Organizes, directs and provides health care services in a general or specialized health clinic, such as, but not limited to, Family Planning, Adult, and/or Pediatric Assists the Public Health Officer and Director of Nursing in formulating and implementing program policies, procedures and protocols; provides health care services in compliance with program regulations and requirements Serves as clinical liaison to and coordinates clinic services with other community health and social services; facilitates referrals Provides direction concerning the medical management of clients to nursing and other treatment team members; may demonstrate procedures and act as an advisor Assesses client health by obtaining medical/health history, performing physical examinations, and initiating appropriate diagnostic and screening tests; evaluates findings and results and prescribes medical treatment; refers complex or emergent cases as appropriate Performs gynecological examinations, procedures and screening services to women to identify any abnormal conditions, and takes appropriate follow-up action; provides family planning counseling and guidance to clients including selection of appropriate contraceptive devices, fitting and placing those devices, prescribing of appropriate contraceptives and treatment for disease processes Performs routine procedures in area of specialization, as authorized by physician and in accordance with County and State protocols and regulations; may perform more complex examinations and procedures, such as sexual assault exams or colposcopies, consistent with training, skills and regulations Maintains accurate records of assessments, evaluations, treatments and follow-ups Teaches and counsels individuals, families and groups regarding health mainte­nance in area of specialization Evaluates needs and develops and presents community education and in-service training programs Important: Attends a variety of internal and external meetings and conferences Knowledge and Skills Required Knowledge of: Advanced nursing principles, practices, methods and techniques Principles, practices and procedures used in the detection, diagnosis, treatment and documentation of health problems within the area of specialty Pharmacology relevant to area of specialty, including indications, reactions, interac­tions and contraindications Laws, rules, regulations, protocols and requirements pertinent to the practice of nursing and the area of specialty Safety and infection control practices and procedures Counseling and interviewing techniques Environmental, sociological and psychological problems related to medical care within the area of specialty Principles and practices of health promotion and disease prevention and control Community medical and social agencies and resources   Skill in: Organizing and directing health care clinics Understanding, interpreting and applying laws, regulations, program require­ments, policies and protocols Conducting complete physical and/or psychosocial assessments of clients, developing and implementing treatment plans, and making appropriate referrals Performing diagnostic and therapeutic procedures specific to area of assignment Evaluating findings and results, determining deviations from normal, and prescribing appropriate measures Applying teaching principles and providing education and counseling Providing health care services to dysfunctional, stressed and/or uncooperative clients Exercising sound independent judgment within scope of authority and practice Preparing and maintaining organized, detailed and accurate medical records Collaborating with other members of the health care team on an ongoing basis Demonstrating sensitivity to the effects of culture, ethnicity, and socioeconom­ic background on health issues Establishing and maintaining effective working relationships with those contacted in the course of work Education and Experience Required REQUIRED DOCUMENTS LISTED HERE MUST BE SUBMITTED AT TIME OF APPLICATION. THESE INCLUDE: COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES  AND/OR LICENSES . Bachelor of Science degree from an accredited college or university in nursing or related field.  Post-graduate coursework sufficient to meet licensure.  One year of clinical experience in the desired specialty area. Licenses and Certificates: Possession of a valid driver's license within 30 days of hire. Possession of a valid license to practice as a Registered Nurse AND certifica­tion as a Nurse Practitioner issued by the California Board of Registered Nursing OR possession of a valid certificate as a Physician Assistant issued by the Medical Board of California OR possession of a valid certificate as a Certified Nurse Midwife issued by the California Board of Registered Nursing. Possession of a current CPR certificate. Physical Demands and Working Conditions: Mobility to work in both office and clinical settings, and to travel to various sites; strength to lift, carry and position supplies and equipment; touch and manual dexterity to conduct physical health assessments; vision to read handwritten and printed materials, and examine and observe clients; hearing and speech to converse in person and by telephone. Working in exposure to communicable diseases and bloodborne pathogens. Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.  Closing Date/Time: Continuous

Definition and Class Characteristics The Public Health Department is pleased to be hiring a temporary Registered Nurse or Public Health Nurse! Passionate about public health efforts in our community and want to make a difference in the lives of citizens? If so, come join a lively team of creative people who work and collaborate on various prevention and education efforts. Apply to work for our organization and help us protect lives, prevent disease, and promote health for our county's residents! The temporary RN or PHN will work as part of the Public Health Department's Communicable Disease Team to address various aspects of the COVID-19 pandemic. This will likely include case investigations, contact tracing, and case management. They will also provide some clinical services, such as collecting swab specimens and administration of vaccines when available. The RN / PHN may train and lead teams of other Public Health or other County staff members who are redeployed to contain and/or mitigate the spread of the virus. We are an equal opportunity employer, and we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Under clinical and administrative direction, provides health education, community outreach, case management, medication support, and health counseling services for designated clients within an assigned program; applies and implements professional nursing and public health expertise and skill sets for the purpose of the prevention, treatment, and control of diseases, health risks, and /or other adverse health conditions within an assigned program; to network with local and regional health and welfare communities to ensure clients' well being; to perform a variety of administrative and operational tasks in support of assigned program; and to perform related duties as assigned. Public Health Nurse II: This is the journey-level class in the series, fully qualified to independently perform the full range of duties. Under clinical and administrative direction, incumbents exercise considerable independent judgment to provide and coordinate public health services for an assigned client caseload, including client assessment, teaching, counseling, direct care, referral and case management. Incumbents often function as members of multi-disciplinary teams and may provide training, direction and guidance to other team members and less experienced employees. Depending upon assignment, work may include participation in the implementation and/or service delivery coordination of a specialized program, under the direction of a lead nurse or program manager. Examples of Duties Essential: Provides public health nursing and case management services to individuals and families in homes, schools, community facilities, and specialized clinics by assessing health care requirements, counseling, teaching, and providing or coordinating follow-up health and social services Participates in the operation of public health clinics by interviewing and counseling clients, performing screening tests, administering medications and treatments, recording data, making referrals, and related client care duties; may instruct and guide other health care personnel and volunteers; may organize, coordinate and direct specialized clinic operations Provides case management services; develops and monitors care plans and ensures that follow-up services are provided and documented; acts as client advocate Prepares and administers oral and/or injectable medications/immunizations in accordance with a physician's order; monitors and records client response to medication and documents any adverse reactions; instructs clients/family/caregiver on safe and effective use of medications Participates in epidemiological investigations and communicable disease control activities, including contact tracing and surveillance Participates in community outreach and health promotion and health education events such as health fairs, blood pressure and flu clinics, radio shows, etc.; provides preventive health care services and promotes public awareness of program; drafts and/or distributes newspaper articles, educational pamphlets and related information Assists in coordinating nursing activities for individual clients and families with other community social and health agencies and programs Audits medical records, department records and contract providers to assure compliance with Federal, State, Medi-Cal and Medicare standards Assists department in training office staff and clinicians in MediCal/Medicare documentation standards; reviews and monitors non-compliant medical records Compiles and maintains records, reports, charts and statistics, and participates in quality assurance activities Attends a variety of internal and external staff meetings, in-service training, team meetings, and case conferences   Important: Assists in preparation of procedure manuals, forms, instructional and informational materials, reports, charts, and other documentation; may participate in surveys, needs assessments and data-gathering activities Participates in providing or coordinating service delivery to target population as part of a specialized program; may collaborate with community-based organizations, other service providers, other County or State departments, and community and business organizations regarding program services Knowledge and Skills Required Knowledge of: Principles, practices, methods and procedures of public health nursing, health promotion, and disease prevention and control General nursing principles, practices and techniques, including assessment, client care planning and delivery, client education, and evaluation of outcomes Medical terminology and equipment Nursing routines and protocols specific to area of assignment Principles and techniques of drug administration, and uses and effects of medications Principles, practices and techniques of safety and infection control Techniques and methods used in crisis intervention with ill clients and/or families Laws, rules and regulations governing the practice of public health nursing Community medical and social agencies and resources Environmental, sociological and psychological problems affecting public health nursing   Skill in: Independently planning, organizing and implementing nursing activities Assessing community, individual and family health needs and problems Developing and implementing client care plans and/or referrals Administering medications/immunizations, performing skilled nursing treatments and procedures, and adapting nursing skills to various environments and situations Applying teaching principles and providing education and counseling Exercising sound independent judgment within scope of authority and practice Preparing and maintaining organized, detailed and accurate medical records Collaborating with other members of the health care team on an ongoing basis Demonstrating sensitivity to the effects of culture and ethnic background on health issues Establishing and maintaining effective working relationships with those contacted in the course of work Working in, and with individuals from, various cultural, physical, behavioral and environmental settings   Education and Experience Required COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES OR LICENSES LISTED AS REQUIRED IN THIS SECTION MUST BE ATTACHED TO THE APPLICATION Level II: Bachelor's degree in Nursing from an accredited college or university plus two years of nursing experience comparable to a Public Health Nurse I. Licenses and Certificates: Possession of a valid driver's license within 30 days of hire. Possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing and a valid certificate as a Public Health Nurse issued by the California State Department of Public Health.   Physical Demands and Working Conditions: Mobility to work in both office and clinical settings, and to travel to various sites; strength to lift, carry and position supplies and equipment; touch and dexterity to conduct physical health assessments; vision to read handwritten and printed materials, and examine and observe clients; hearing and speech to communicate in person and by telephone.   Working in exposure to communicable disease and/or blood-borne pathogens.   Some positions may require work outside normal daytime business hours.   Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.   Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive.  Not all duties are necessarily performed by each incumbent.  Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.    Closing Date/Time: Continuous

Definition and Class Characteristics The Public Health Department is pleased to be hiring a temporary Registered Nurse or Public Health Nurse! Passionate about public health efforts in our community and want to make a difference in the lives of citizens? If so, come join a lively team of creative people who work and collaborate on various prevention and education efforts. Apply to work for our organization and help us protect lives, prevent disease, and promote health for our county's residents! The temporary RN or PHN will work as part of the Public Health Department's Communicable Disease Team to address various aspects of the COVID-19 pandemic. This will likely include case investigations, contact tracing, and case management. They will also provide some clinical services, such as collecting swab specimens and administration of vaccines when available. The RN / PHN may train and lead teams of other Public Health or other County staff members who are redeployed to contain and/or mitigate the spread of the virus. We are an equal opportunity employer, and we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. ??????? Under clinical and administrative direction, provides health education, community outreach, case management, medication support, and health counseling services for designated clients within an assigned program; applies and implements professional nursing and public health expertise and skill sets for the purpose of the prevention, treatment, and control of diseases, health risks, and /or other adverse health conditions within an assigned program; to network with local and regional health and welfare communities to ensure clients' well being; to perform a variety of administrative and operational tasks in support of assigned program; and to perform related duties as assigned.   Public Health Nurse I: This is the entry level class in the series. Initially under close supervision, incumbents learn and perform duties of increasing complexity. This class is flexibly staffed with Public Health Nurse II, and incumbents normally advance to the higher level after gaining sufficient experience and demonstrating proficiency to meet the requirements of the Public Health Nurse II. Examples of Duties Essential: Provides public health nursing and case management services to individuals and families in homes, schools, community facilities, and specialized clinics by assessing health care requirements, counseling, teaching, and providing or coordinating follow-up health and social services Participates in the operation of public health clinics by interviewing and counseling clients, performing screening tests, administering medications and treatments, recording data, making referrals, and related client care duties; may instruct and guide other health care personnel and volunteers; may organize, coordinate and direct specialized clinic operations Provides case management services; develops and monitors care plans and ensures that follow-up services are provided and documented; acts as client advocate Prepares and administers oral and/or injectable medications/immunizations in accordance with a physician's order; monitors and records client response to medication and documents any adverse reactions; instructs clients/family/caregiver on safe and effective use of medications Participates in epidemiological investigations and communicable disease control activities, including contact tracing and surveillance Participates in community outreach and health promotion and health education events such as health fairs, blood pressure and flu clinics, radio shows, etc.; provides preventive health care services and promotes public awareness of program; drafts and/or distributes newspaper articles, educational pamphlets and related information Assists in coordinating nursing activities for individual clients and families with other community social and health agencies and programs Audits medical records, department records and contract providers to assure compliance with Federal, State, Medi-Cal and Medicare standards Assists department in training office staff and clinicians in MediCal/Medicare documentation standards; reviews and monitors non-compliant medical records Compiles and maintains records, reports, charts and statistics, and participates in quality assurance activities Attends a variety of internal and external staff meetings, in-service training, team meetings, and case conferences   Important: Assists in preparation of procedure manuals, forms, instructional and informational materials, reports, charts, and other documentation; may participate in surveys, needs assessments and data-gathering activities Participates in providing or coordinating service delivery to target population as part of a specialized program; may collaborate with community-based organizations, other service providers, other County or State departments, and community and business organizations regarding program services     Knowledge and Skills Required QUALIFICATIONS NOTE:  The required level and scope of the following knowledge and skills relate to the level of the position as defined in the class characteristics.   Knowledge of: Principles, practices, methods and procedures of public health nursing, health promotion, and disease prevention and control General nursing principles, practices and techniques, including assessment, client care planning and delivery, client education, and evaluation of outcomes Medical terminology and equipment Nursing routines and protocols specific to area of assignment Principles and techniques of drug administration, and uses and effects of medications Principles, practices and techniques of safety and infection control Techniques and methods used in crisis intervention with ill clients and/or families Laws, rules and regulations governing the practice of public health nursing Community medical and social agencies and resources Environmental, sociological and psychological problems affecting public health nursing  Skill in: Independently planning, organizing and implementing nursing activities Assessing community, individual and family health needs and problems Developing and implementing client care plans and/or referrals Administering medications/immunizations, performing skilled nursing treatments and procedures, and adapting nursing skills to various environments and situations Applying teaching principles and providing education and counseling Exercising sound independent judgment within scope of authority and practice Preparing and maintaining organized, detailed and accurate medical records Collaborating with other members of the health care team on an ongoing basis Demonstrating sensitivity to the effects of culture and ethnic background on health issues Establishing and maintaining effective working relationships with those contacted in the course of work Working in, and with individuals from, various cultural, physical, behavioral and environmental settings Education and Experience Required COPIES OF DEGREES, TRANSCRIPTS, CERTIFICATES OR LICENSES LISTED AS REQUIRED IN THIS SECTION MUST BE ATTACHED TO THE APPLICATION Level I: Bachelor's degree in Nursing from an accredited college or university.    Licenses and Certificates: Possession of a valid driver's license within 30 days of hire. Possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing and a valid certificate as a Public Health Nurse issued by the California State Department of Public Health.   Physical Demands and Working Conditions: Mobility to work in both office and clinical settings, and to travel to various sites; strength to lift, carry and position supplies and equipment; touch and dexterity to conduct physical health assessments; vision to read handwritten and printed materials, and examine and observe clients; hearing and speech to communicate in person and by telephone.   Working in exposure to communicable disease and/or blood-borne pathogens.   Some positions may require work outside normal daytime business hours.   Some accommodations may be made for some physical demands for otherwise qualified individuals who require and request such accommodations.   Other Requirements: This class description lists the major duties and requirements of the job and is not all-inclusive.  Not all duties are necessarily performed by each incumbent.  Incumbents may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.    Closing Date/Time: Continuous

Position Description Final Filing Date: Continuous  Exam #19/50U42/07MG The Monterey County Health Department exists to enhance, protect and improve the health of the people in Monterey County. The Health Department's Clinic Services Bureau is looking for Medical Assistants to work in a fast-paced environment providing direct patient care, physician support services, assistance with medical examinations, basic laboratory procedures, operate an electronic medical record program (EPIC), schedule appointments, and register patients in one of the Monterey County Health Department clinics, that are located in Salinas, Seaside and Marina which provide family practice, women's health, internal medicine, pediatric, behavioral health and specialty services. The Clinic Services Bureau operates seven clinics and two satellite clinics, including the Alisal Health Center, Seaside Family Health Center, Monterey County Health Clinic at Marina, four Laurel Clinics located in Salinas, which include Family Practice, Internal Medicine, Vista and Pediatrics, and two Bienestar behavioral health integration clinics in Seaside and Salinas.   The Clinics offer care to the medically underserved in Monterey County. The mission of the Clinic Services Bureau is to provide access to high quality medical care to all residents of Monterey County regardless of their ability to pay.     The Eligible List established by this recruitment process will be used to fill current and future vacancies, both regular and temporary, as they arise in Clinic Services or Behavioral Health. Examples of Duties THE IDEAL CANDIDATE Will have a proven track record demonstrating the following knowledge, skills, and abilities: Assist with medical examinations and basic laboratory and other medical procedures Measure and record vital signs and record patient visit information in electronic medical record Prepare and administer medications according to established protocols Prepare appropriate equipment for exams or treatment Notify patients of lab results over the phone and respond to incoming phone calls/messages according to established protocols Educate patients regarding good health habits, preparation for surgery or tests Input data into electronic medical record (EPIC for Clinic Services; Avatar for Behavioral Health) Characteristics of the Ideal Candidate: Proactive Independent Worker Takes initiative Reliable Trustworthy Team Player Clear and effective communicator Establish and maintain a warm and caring atmosphere with patients from diverse social and cultural backgrounds Examples of Experience/Education/Training Minimum Qualifications: ***You must submit a copy of the document with your application*** Pursuant to the state of California Business and Professions Code, •2069 and •2070 and Administrative Code, Sections •1366 and •1366.1, Medical Assistants shall possess of a valid California Medical Assistant Certificate   Condition of Employment: The Health Department will conduct a thorough background and reference check process which include a Department of Justice fingerprint check.   For complete information see the class specification/job description on our website at: http://www.co.monterey.ca.us/personnel/documents/specifications/50U42.pdf Additional Information APPLICATION & SELECTION PROCEDURES Submit the following application materials to the Monterey County Health Department, Human Resources Division, 1270 Natividad Road, Salinas, CA 93906:   •  Monterey County Employment Application form • Response to the Supplemental Questions • Medical Assistant Certificate  • Cover Letter  • Resume     ***The National Healthcareer Association (NHA) certificate will not be accepted without certificate from accredited school.***   Or apply on-line at   www.co.monterey.ca.us/personnel   Please be aware if the application form and responses to supplemental questions, are not submitted timely with other required application materials, the application will be removed from further consideration and not be considered further. Final filing date: Continuous    Resume may be submitted in addition to, but will not be accepted in lieu of required application materials.   Application materials will be competitively evaluated.  Those applicants who are determined to be most appropriately qualified will be invited to participate further in the process.  To further assess the applicant's possession of required qualifications, this recruitment may include an oral examination, pre-exam exercise, performance exercise, performance exam, and/or written examination .   For more information or to receive application materials, contact the Health Department Human Resources Division at (831) 755-4515.   NOTE:  If you believe you possess a disability that would require test accommodation, please call the Health Department Human Resources Office at (831) 755-4515. Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the U. S. If you are hired into this classification in a temporary position, your salary will be hourly and you will not be eligible for the benefits listed above.   BENEFITS : The County offers an excellent benefits package (H Bargaining Unit) The County of Monterey offers a premium benefit package that includes 22 days of annual leave; educational leave; 11 holidays per year; health, dental, vision; life insurance; and CALPERS retirement. For more benefits information please contact the Health Department Human Resources Division at 831-755-4515.   Benefits Summary: http://www.co.monterey.ca.us/personnel/benefits/summary/2017/H-Benefits%20Summary%20Sheet%2002-2017.pdf   The information listed above is a general summary of benefits for this position.  This information is not legally binding, nor does it serve as a contract.  The benefits listed in the Monterey County Personnel Policies and Practices Resolution prevails over this listing. Closing Date/Time: Continuous

DEFINITION Under general direction of the Director of Behavioral Health, plans, organizes, manages, evaluates and supervises the activities that ensure the quality of client care and over-all quality/effectiveness of major programs within the County Behavioral Health Department; assigns and evaluates the work of multidisciplinary professional and paraprofessional staff and other support personnel, may plan and provide a variety of direct client behavioral health services, performs a variety of administrative work functions associated with ensuring fiscally sound utilization of behavioral health services; serves a primary role in the completion of the departments Performance Improvement Projects; serves as the departments Compliance Officer; serves as a liaison for the department with contracted direct service providers, community, regional, or State agencies DISTINGUISHING CHARACTERISTICS This is middle level management position with primary responsibility for the administration of the quality improvement and compliance plans of a major department with multiple programs that include mental health and substance abuse branches. Incumbents are responsible for maintaining the quality of both staff and program performance and workload standards. This classification requires strong management and communication skills as well as problem solving skills and the ability to participate effectively in decision-making processes. This classification also requires a high degree of professional knowledge in the areas of mental health and substance abuse treatment/support services, federal and state laws and regulations related to MediCal and Medicare reimbursement and program operations. REPORTS TO Director of Behavioral Health CLASSIFICATIONS SUPERVISED This classification has no direct supervisor responsibility of specifically assigned staff, however the responsibilities of the position requires oversight, and evaluation of the work produced by multidisciplinary professional and paraprofessional staff and other support personnel. PHYSICAL REQUIREMENTS Sit for extended periods; frequently stand and walk; normal manual dexterity and eye-hand coordination; lift and move objects weighing up to 25 lbs.; corrected hearing and vision to normal range; verbal communication; use of office equipment, including computer, telephone, calculator, copiers, and FAX. TYPICAL WORKING CONDITIONS Work is performed in an office, clinic, homes, school, or community environments; work is performed with people who may exhibit unstable and potentially violent behavior; continuous contact with other staff and the public. Examples of Duties / Knowledge & Skills EXAMPLES OF IMPORTANT AND ESSENTIAL DUTIES (The following is used as a partial description and is not restrictive as to duties required.) Reviews client admission data and clinical documentation to ensure compliance with County and State regulations and policies relating to medical necessity and case documentation: when appropriate interviews clients, significant others, and consults with outpatient professional staff, and contract provider staff regarding client diagnoses, medical necessity, length of treatment and case documentation. Reviews case records and assesses for appropriate levels of care, aftercare and discharge planning. Represents the County in disputes with contract providers over appropriateness of treatment plans and length of stay in care. Advocates on behalf of the County with contract provider staff for appropriate client care. Provides training for professional, paraprofessional and contract provider staff on information about utilization and documentation requirements. Facilitates and participates with department staff in utilization review and quality improvement meetings. Evaluates financial status of inpatients at contactor inpatient facilities to identify payer sources; Posts and reconciles all payments from all payer sources for inpatient physician services and bed day charges; Records MediCal and Medicare payments, cutbacks and denials. Prepares comprehensive reports related to program operations and activities Works in a primary staff role in fulfilling the responsibilities for the design, implementation and completion of the departments Performance Improvement Projects Fulfills the responsibilities of the Compliance Officer as identified in the departments Compliance Plan Ensures the adherence to and fulfillment of the responsibilities of the department as described in the department's Annual Quality Improvement Plan Responds to requests for information and assistance Assists in the preparation for and participates in various state and federal program audits to ensure department compliance with MediCal and Medicare regulations Monitors and evaluates overall activities of assigned programs/functions, including contracted service providers/programs, methods and procedures for effectiveness and consistency with program goals and objectives, recommending and implementing upon Director approval changes in program, policies, and procedures as necessary. Files MediCal updates Operates a computer and updates files, records The contents of this class specification shall not be construed to constitute any expressed or implied warranty or guarantee, nor shall it constitute a contract of employment. The County of San Benito assumes no responsibility beyond the general accuracy of the document, nor does it assume responsibility for any errors or omissions in the information contained herein. The contents of this specification may be modified or revoked without notice. Terms and conditions of employment are determined through a "meet and confer" process and are subject to the Memorandum of Understanding currently in effect . Minimum qualifications & Requirements Any combination of training and experience which would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: At least three years of licensed professional experience in a multidisciplinary Behavioral Health program which includes experience in administrative management and /or clinical supervision that demonstrates possession of the knowledge and abilities. AND Completion of academic coursework and training as defined in Title IX for the California Administrative Code in one of the following: Ph.D. in clinical psychology from an accredited school; Master's degree in Social Work from an accredited school of social work; Master's degree in Marriage, Family and Child Counseling, Psychology, or Counseling from an accredited school. Registered Nurse, meaning a person licensed as a registered by the California Board of Registered Nursing. Supplemental information Knowledge of: Quality review/quality assessment principles, practices, methods and techniques Pertinent laws and regulations regarding health and social service programs, including guidelines pertaining to reimbursement of health care services Federal, state and county regulations and policies pertaining to utilization review Laws and regulations pertaining to client's legal rights Basic pharmacology and the utilization of prescription drugs for treatment: Methods and procedures of admissions, discharges, and client care in outpatient and acute care psychiatric settings Principles, practices, and techniques of psychotherapy and psychiatric casework and substance abuse treatment Social aspects, attitudes, characteristics and behaviors of mental illness, emotional disturbances and addiction to drugs and alcohol Current developments in the field of Mental Health and Substance Abuse Treatment Community resources available to mental health and substance abuse programs Cultural, socio-economic and language factors that affect service delivery to ethnic populations Basic training and employee development principles and practices Basic mathematics and basic computer applications and techniques. Ability to: Review and interpret healthcare documentation, including interpretation of clinical data and medical terminology pertaining to diagnosis, treatment and medication Ascertain facts through examination of records Collect, interpret and evaluate data Interpret complex regulations, laws and guidelines, formulate policies and procedures, rationalize and project consequences of decisions, and /or recommendations Establish and maintain effective relations with clients, the general public, contract providers and personnel at all organizational levels Prepare concise, logical oral and written reports and explain policies, procedures and recommendations Communicate effectively both orally and in writing Prepare and maintain accurate records Operate standard office equipment, utilize various software programs relevant to the responsibilities of the position Operate a motor vehicle; Assist in the establishment of program goals and objectives and evaluate their attainment, train, evaluate and motivate professional and support staff. NOTE: The selection process will likely consist of a Training and Experience Evaluation (T&E) to produce a score in order to be placed on the eligible list. In a typical T&E, your training and experience are evaluated in relation to the background, experience and factors identified for successful job performance during a job analysis. For this reason, it is recommended that your application materials clearly show your relevant background and specialized knowledge, skills, and abilities. It is also highly recommended that the supplemental questions within the application are completed with care and diligence. Responses such as "See Resume" or "Refer to Resume" are not acceptable and may disqualify an applicant from further evaluation. In accordance with California Government Code section 3100, et., seq., all County of San Benito employees are considered disaster service workers who may be required to report for duty, or remain on duty to address disaster service activities in the event of an emergency or disaster and are required to undertake an applicable loyalty oath. Closing Date/Time: Continuous

Summary Please refer to this bulletin for information regarding pay rate, the area and our ideal candidate. (Annual salary under review and negotiable within the posted salary range.) Under administrative direction, in collaboration with the Assistant Director of Clinical Services, plans, organizes and manages the medical services component of the Butte County Department of Behavioral Health; coordinates and supervises the medical practice and all clinical services components of all staff and contracted psychiatrists; oversees the compliance of mental health medical providers and services with applicable community standards of care, State and Federal laws and other regulatory requirements; serves as a member of the Department of Behavioral Health executive management team; and performs related duties as required. FLSA: Exempt Essential Job Functions Essential functions, as defined under the Americans with Disabilities Act, may include any of the following tasks, knowledge, skills and other characteristics. The list that follows is not intended as a comprehensive list; it is intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks. In collaboration with the Assistant Director of Clinical Services, directs, evaluates, plans, establishes, and implements the medical services component and all clinical services of the Mental Health Department; participates in the coordination of services across county departments and agencies; provides medical direction and consultation to all mental health programs and consultation to its contracted agencies, particularly in the areas of quality improvement, medication monitoring, and peer review. Provides leadership to psychiatrists and other staff by modeling values such as ongoing professional development; flexibility; professional, ethical and responsible behavior; and respect for clients including promoting clients' recovery. Provides consultation and support to other Department managers and psychiatrists around the provision of the highest quality of psychiatric services, including consultation regarding complex client situations; and assures that psychiatrists are appropriately integrated in all Department teams and programs. Participates in the hiring of professional staff, serves on or chairs committees, medication monitoring, peer review, team/program, Department case conferences, and quality assurance; reviews Treatment Plans and client Incident Reports and participates in Utilization Review and other processes to insure conformance with program and licensing standards; adjusts treatment procedures as needed. Acts as medical liaison with private physicians and representatives of hospitals, agencies, departments, and community organizations who work with mental health psychiatrists and clients/patients; works with graduate and/or medical school representatives to obtain graduate and/or psychiatric resident assistance; coordinates and negotiates with public and privately operated hospitals regarding provision of services to County mental health clients. Ensures adequate psychiatric coverage for division programs by overseeing staff scheduling, recruitment, hiring, coaching, orientation, and training. In collaboration with Program Managers, completes performance evaluations of staff psychiatrists, providing input in the area of psychiatric competencies, and performs annual clinical performance monitoring of contract psychiatrists. Promptly investigates complaints or concerns regarding physician services; works with appropriate staff in the Department and County in completing investigations and developing appropriate recommendations to resolve complaints. Plans, organizes, implements, evaluates and conducts staff development and in-service training. Serves as member of the Department executive management team, works closely with the Director, Assistant Directors for program services and administration and other members of the executive management team. The Medical Director may be assigned special projects and ongoing Departmental projects. May direct the Department's Quality Improvement program, including the development of Department policies and procedures and supervision of staff assigned to the Quality Improvement program. May practice psychiatry as needed in all clinical settings; assesses and prescribes medications for mental health patients; and provide medical back up for "on call" psychiatrists. Minimum Qualifications Graduation from an approved medical school and satisfactory completion of a three (3) year psychiatric residency approved by the American Medical Association or the American Osteopathic Association. Three (3) years' experience in clinical psychiatry or community mental health services. Public Sector experience preferred. Employees hired into this classification must file statements of economic interest with the Butte County Clerk/Recorder. Valid State of California driver's license may be required. Special Requirement: Possession of a valid license as a physician and surgeon issued by the State of California and a valid certificate in psychiatry issued by the American Board of Psychiatry and Neurology or written evidence of successful completion of a psychiatry residency. Environmental Factors and Conditions/Physical Requirements Work is performed in an office environment and health clinic. Working conditions involves the potential for high stress and possible exposure to volatile situations; some non-standard work hours are required.