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Position Summary EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status. THIS POSITION MAY CLOSE WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. Bills insurance companies, governmental agencies and individual patients; to follow-up on open accounts; to resolve payment problems; and to finalize accounts. Job Requirement Education/Experience: Equivalent to high school graduation and two (2) years of hospital and/or physician clinic billing and/or follow-up experience. Licensing/Certification Requirements: None required. Additional and/or Preferred Position Requirements Customer Service : Minimum of 3 years in customer service. Working in a fast paced environment; applying effective customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements. Experience in working with Collection Agencies, Motor Vehicle Accident Claims Knowledge and experience with billing and follow up of Third Party Liability claims. Spanish Bilingual EPIC EHR experience Billing : Minimum three years experience of hospital based billing in Medicare and Medicaid. Expertise in Medicare Inpatient hospital billing is a requirement. Experience with Medicare RAC (Recovery Audit Contractor) program Knowledge of rebilling/billing Medicare RAC claims. Minimum three years experience of follow up in Medicare and Medicaid. Experience in utilizing the Medicare Common Working File, Medicare Fiscal Intermediary Standard System/DDE (Direct Data Entry) system and Nevada Medicaid Eligibility Verification System. Experience and knowledge of CMS Medicare regulations and guidelines Proficient in Microsoft Word and Excel. Dependable, detail oriented, and self-motivated. EPIC EHR experience Managed Care/Follow-up : Minimum of 3 years of hospital and/or physician billing experience in account follow-up. Minimum of 3 years experience in working with managed care contracts, or knowledge of. Minimum of 3 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 3 years experience in patient accounting software systems. Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Denials and Appeals: Minimum of 3 years of hospital and/or physician billing experience in account follow-up. Minimum of 3 years experience in working with managed care contracts, or knowledge of. Minimum of 3 years experience in reconciliation of accounts including payments, adjustments, denials, and under pays. Minimum of 3 years experience in patient accounting software systems. Experience with Payor Specific Appeals Minimum of 3 years experience working hospital denials Must have experience with insurance audits Proficient in Microsoft Excel. Able to interpret manage care contracts and the ability to do discrepancy work-ups. Proficient analytical skills to resolve complex claims. Able to read explanation of benefits proficiently. Must have good communication skills. EPIC EHR experience Proficient in scanning and understand the process of follow-up, and denials and appeals Knowledge, Skills, Abilities, and Physical Requirements Knowledge of: Office theories and principles; medical terminology and procedures; insurance plans, governmental agencies and other social services; legal terminology and requirements; alternative pay sources; collection principles and techniques; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Skill in: Applying customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements; performing basic mathematical computations; preparing legal documentation such as notices, liens and subpoenas; developing interpersonal relations with vendors, agencies and patients; using computers and related software applications; using office equipment such as phones, copiers, facsimiles and adding machines; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment. Physical Requirements and Working Conditions: Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification. Closing Date/Time: Continuous

Position Description Medical Billing Specialist I: $19.37 - $23.56 Medical Billing Specialist II: $22.29 - $27.11 Under general direction, to perform specialized clerical work in connection with processing and billing fiscal intermediaries for medical services rendered to patients; and to do other work as required for Behavioral Health Services. DISTINGUISHING CHARACTERISTICS: Medical Billing Specialist I This is an entry-level classification in the Medical Billing Specialist series; incumbents will be expected to perform more routine duties while gaining additional experience and familiarity with departmental policies and procedures. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures. Incumbents in this class are expected to solve routine problems without assistance while unusual problems are referred to a supervisor. Medical Billing Specialist II This is the Journey-level classification in the Medical Billing Specialist series; Incumbents will be expected to perform more technical duties related to medical billing functions. This position is responsible for working with medical billing documents, reviewing and verifying insurance accounts against third party billing program provision and procedures; interpreting policies, rules, or regulations on billing related matters and/or assisting in the coordination of procedures among various patient accounts systems. Incumbents in this class are expected to solve routine as well as highly complex problems without assistance. Example of Duties Medical Billing Specialist I Check and correct bills and accounts for numerical accuracy and proper coding, and prepare paperwork for data entry. Input service claims into Electronic Health Record billing system. Verify billing account or insurance forms for completeness and accuracy against a variety of automated and manual records. Review patient accounts to determine the accuracy of account information and make any required adjustments for proper billing purposes. Review monthly paid, denied and rejected claims for Medi-Cal and third party insurance companies. Process denied claims through Electronic Rebill System if applicable for reimbursement. Prepare self-pay bills; close charges for pay client accounts; review bills for accuracy. Post payments received from various funding sources. Process explanation of benefits when additional information from payer sources is requested. Assist department in training, implementing and complying with federal electronic health mandates. Update client data including admission/discharge, CSI reporting, diagnosis, and financial eligibility. Track and reconcile daily time studies for department staff and contract workers. Act as resource or subject matter expert for Electronic Health Record system. Submit data on Behavioral Health Information Systems (BHIS); prepare and transmit Medi-Cal Electronic Billing submittals to Department of Healthcare Services through the BHIS. Prepare HCFA billing to third-party insurances, including Medicare. Medical Billing Specialist II In addition to above: Investigate and reconcile denials from private insurance. Investigate and reconcile denials from Medicare Process Medi-Cal denials. Process Medi-Cal provider certifications. Works independently with third party Electronics Health Record personnel. Independently Submits data on BHIS; prepare and transmit Medi-Cal Electronic Billing submittals to Department of Mental Health through the BHIS. Independently processes the medical disallowances and voids and replaces claims. Interviews clients to set up financial payment plans. Handles work of a complex nature related to medical billing. Prepares and presents reports related to claims. Assumes responsibility for ensuring that internal controls are applied to medical billing activities per departmental policies. Provides training to staff regarding the Electronic Health Record and Specialty Mental Health and Substance Abuse Billing Identifies procedural needs and drafts policies Minimum Qualifications Knowledge of: Medical Billing Specialist I Basic methods, practices, and terminology of fiscal clerical work including basic billing methods, procedures, and techniques; basic clerical auditing and verification techniques; medical terminology, and billing forms. Medical Billing Specialist II Advanced methods, practices, and terminology of fiscal clerical work including advanced billing methods, procedures, and techniques; general clerical auditing and verification techniques; computerized accounting and medical billing systems, medical terminology, and billing forms. Ability to: Medical Billing Specialist I Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying routine billing errors and differentiate between appropriate applications of various billing methods; perform basic arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions. Medical Billing Specialist II Understand and apply rules and regulations pertaining to medical billing policies and procedures while identifying complex billing errors and differentiate between appropriate applications of various billing methods; perform advanced arithmetic computations rapidly and accurately and post the results on accounting records; organize work to meet prescribed deadlines; operate automated keyboard equipment; follow oral and written directions; identify and respond to procedural and policy development requirements. TRAINING AND EXPERIENCE: Medical Billing Specialist I Equivalent to graduation from high school and two years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Medical Billing Specialist II Equivalent to graduation from high school and three years’ experience performing financial, statistical, or fiscal record keeping functions with at least one year involving third party intermediary medical billing. Special Requirements Possession of an appropriate California operator’s license issued by the State Department of Motor Vehicles may be required. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous

Job Description and Duties The Dietetics Assistant Director will be directed by the Dietetics Director in the Nutrition Services Department at the Department of State Hospitals - Atascadero (ASH). The incumbent will be responsible for the following duties but not limited to: • Manages personnel and staffing related activities for Nutrition Services as assigned. Computer use is required. • Manages, i.e., plans, organizes, and directs, the activities required by Nutrition Services for the quality provision of patient meals, nourishments, and ancillary dietetic services. • Manages in Nutrition Services key department activities and functions as assigned and provides liaison to other hospital areas related to, e.g., personnel, procurement/menus, equipment, standards compliance, events, training, safety/security/environment of care, emergency preparedness, infection control/HACCP/food safety, automation, etc. • Possesses knowledge of , monitors adherence to, prepares for site visits, escorts/attends meetings related to Joint Commission, Licensing, Environmental Health, Department of State Hospitals, DSH-Atascadero policies, procedures, directives, laws, standards, and regulations relevant to Nutrition Services production /presentation /ancillary dietetic services. • Prepares and implements plans of corrections. • Participates in quality control monitoring, reporting, and resolution of concerns. • Promotes and participates in performance improvement activities. • Ensures staff are included in PI activities and kept informed through frequent staff meetings. • Ensures patient suggestions/concerns from various sources are investigated, resolved, documented (e.g., attends Nutrition & Unit Representative meeting, internal patient complaints, patient rights complaints, etc.). • Works with staff and department management to establish, implement annual department objectives. • Participates in assigned department and hospital meetings and teams. • Participates in the Dietetic Internship (DI) Program in site planning, preceptor responsibilities, and Acting DI Director if needed. • Maintains Food Safety Certification. • Models, monitors, intervenes, and responds as needed to ensure Nutrition Services’ adherence to requirements in safety, security, relationship security, infection control, emergency response, and a non-hostile work environment. In order to be considered for this job vacancy, you must satisfy one of the following requirements: 1. BE LIST ELIGIBLE: Successfully complete the competitive State civil service exam pertaining to this classification at Dietetics Assistant Director , OR 2. BE TRANSFER ELIGIBLE: Have current employment with the State of California in the same classification or in a classification that is comparable (employees who wish to be considered based on transfer eligibility must meet the minimum qualifications of the classification per DPA Rule 250), OR 3. BE REINSTATEMENT ELIGIBLE: Have obtained previous permanent employment with the State of California in the same classification or in a classification that is comparable. *Minimum qualifications will be verified prior to being scheduled for an interview. Please provide proof of minimum qualifications with your application submission, which may include a copy of your unofficial college transcripts . MINIMUM QUALIFICATIONS: Registered Dietitian or Registered Dietitian Nutritionist with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics. (Applicants who are eligible to apply for registration will be admitted to the examination but must become registered to be eligible for appointment.), and Either I: One year of experience in California state service performing the duties of a classification with a level of responsibility equivalent to Registered Dietitian; or II Experience: One year of clinical or administrative experience in dietetic practice. *If it is determined that an applicant does not meet the minimum qualifications, the applicant’s name may be removed from the eligibility list. You will find additional information about the job in the Duty Statement . Working Conditions This position requires you to work within the Secured Treatment Area (STA). Effective October 1, 2021, in accordance with California Department of Public Health (CDPH) State Public Health Order of August 5, 2021, all workforce members in DSH state hospitals are required to be fully vaccinated with a COVID-19 vaccination regimen. Prior to your first day, you will be required to fill out a COVID-19 Vaccination Consent Form. In accordance with the CDPH State Public Health Order of January 25, 2022, hospital workforce members currently eligible for booster doses must have received their booster dose following the below guidelines: If you are fully vaccinated, you must provide verification of a booster dose for COVID-19 no later than March 1, 2022 or prior to your start date (whichever occurs first). If you are not fully vaccinated, you have the option to receive a vaccine from one of the State Hospitals prior to your start date. If you are not fully vaccinated and choose to complete a request for an exemption, you must submit this exemption and receive approval prior to your start date. If you are not yet eligible for a booster, you must be in compliance no later than 15 days after the recommended timeframe for receiving the booster dose. All State Hospital Locations Please note that start dates will be dependent upon if and when proof of vaccination or exemption requirements are submitted timely and approved. Face Coverings While working on-site, all DSH employees must follow current facial covering guidelines outlined in departmental policy. Minimum Requirements You will find the Minimum Requirements in the Class Specification. DIETETICS ASSISTANT DIRECTOR Additional Documents Job Application Package Checklist Duty Statement Position Details Job Code #: JC-387400 Position #(s): 455-548-2155-001 Working Title: DIETETICS ASSISTANT DIRECTOR Classification: DIETETICS ASSISTANT DIRECTOR $6,413.00 - $8,028.00 # of Positions: 1 Work Location: San Luis Obispo County Job Type: Permanent, Full Time Facility: DSH - Atascadero Department Information The Department of State Hospitals - Atascadero is a secure public sector hospital providing inpatient forensic services for mentally ill adult males who are court committed throughout the State of California. Located on the central coast of California, the Department of State Hospitals - Atascadero is in the vicinity of destination locations such as San Luis Obispo, Paso Robles and Morro Bay, with easy access to beautiful beaches, serene natural settings and many historical landmarks. We invite you to join our professional and talented workforce. Department Website: http://www.dsh.ca.gov/Atascadero Special Requirements The position(s) require(s) a(n) Registered Dietician License. You will be required to provide a copy of your license prior to being hired. You MUST attach proof of registration as a Registered Dietitian or Registered Dietitian Nutritionist with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics. Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: 9/29/2023 Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at www.CalCareers.ca.gov. When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Address for Mailing Application Packages You may submit your application and any applicable or required documents to: Department of State Hospitals Attn: DSH - Atascadero Employment Office PO Box 7005 Atascadero , CA 93423-7005 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of State Hospitals DSH - Atascadero Employment Office 10333 El Camino Real Atascadero , CA 93422 08:00 AM - 04:30 PM Required Application Package Documents The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job: Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www.CalCareers.ca.gov. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. Resume is optional. It may be included, but is not required. Other - You MUST attach proof of registration as a Registered Dietitian or Registered Dietitian Nutritionist with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics. Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. Benefits Benefit information can be found on the CalHR website and the CalPERS website. Contact Information The Hiring Unit Contact is available to answer questions regarding the position or application process. Department Website: http://www.dsh.ca.gov/Atascadero Hiring Unit Contact: DSH Atascadero Employment Office (805) 468-3384 ASHEmployment@dsh.ca.gov Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: Stephan Saunders (805) 468-2007 Stephan.Saunders@dsh.ca.gov California Relay Service: 1-800-735-2929 (TTY), 1-800-735-2922 (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Additional Application Requirements All interested candidates must submit a Standard State Application Form (STD. 678), with original signature, and indicate Dietetics Assistant Director AND 455-548-2155-001 AND JC #387400 in the Examination/Job Title Section AND You MUST attach proof of registration as a Registered Dietitian or Registered Dietitian Nutritionist with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics. *Applications postmarked on the final filing date will be accepted. Scanned, copied or faxed applications will not be accepted. *Applications will be screened and only the most competitive will be offered an interview. *Any limited-term appointments may transition in to a permanent appointment. Additional Information Selected candidates will be required to submit to a criminal history review utilizing Live Scan fingerprinting. This position requires candidates to pass a Medical Evaluation. You will be required to submit to a Medical Evaluation and receive clearance prior to being hired. *Any limited-term appointments may transition in to a permanent appointment. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants. Closing Date/Time: 9/29/2023

Introduction THIS IS A NEW ASSEMBLED EXAMINATION. The eligible list resulting from this examination will cancel any existing list and may last approximately one year but can be extended. Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the Supplemental Questionnaire will result in disqualification. Applications and Supplemental Questionnaires will only be accepted online. DESCRIPTION THE COUNTY Established in 1853, Alameda County has a population of over 1.6 million residents making it the second largest county in the Bay Area and the seventh largest in the State. The County encompasses 14 cities including Alameda, Albany, Berkeley, Dublin, Emeryville, Fremont, Hayward, Livermore, Newark, Oakland, Piedmont, Pleasanton, San Leandro, and Union City as well as six unincorporated communities and rural areas that span a total of 738 square miles. Alameda County employs approximately 9,000 employees working in 21 different agencies and departments and has an annual budget of over $3 billion. As a major urban County, Alameda delivers a full spectrum of services, including general government and internal services, health care, social services, public works, criminal justice, and other public safety services for its community. The County celebrates the rich diversity of its workforce, which in large measure, reflects the cultural and ethnic diversity of the community it serves. The County's mission is to enrich the lives of its residents through visionary policies and accessible, responsive, and effective services. Its vision is to be recognized as one of the best counties in which to live, work, and do business. THE HEALTH CARE SERVICES AGENCY Alameda County's Health Services Program is administered by the Health Care Services Agency and includes the following program areas: Behavioral Health, Public Health, Environmental Health, and Agency Administration/Indigent Health. The ultimate mission of the Health Care Services Agency is to provide fully integrated health care services through a comprehensive network of public and private partnerships that ensure optimal health and well-being and respect the diversity of all residents. Health Care Services Agency currentlyhasmultiple career opportunities for experiencedprofessionals to become part of a service delivery team dedicated to the optimal health and well-being of Alameda County residents. For more information about the Health Care Services Agency, please visit www.acgov.org/health/ BEHAVIORAL HEALTH It is the mission of Alameda County Behavioral Health to maximize the recovery, resilience and wellness of all eligible Alameda County residents who are developing or experiencing serious mental health, alcohol, or drug concerns. We envision communities where people realize their potential, and where stigma and discrimination against those with mental health, alcohol and/or drug issues are a thing of the past. Only through exemplifying the following Alameda County Behavioral Health values will we be successful: ACBHCS A ccess - where every door is the right door for welcoming people with complex needs; C onsumer and Family Empowerment - through shared decision - making best practices, that clinically produce effective outcomes; B est Practices - business excellence that uses public resources cost - effectively; H ealth and Wellness - by integrating emotional, spiritual and physical health care; C ulturally Responsive - appropriate services built on the strengths and life experiences of culturally diverse consumers and their families. S ocial Inclusion - utilizing advocacy and education to eliminate stigma, discrimination, isolation, and misunderstanding of persons with mental illness and substance abuse. For more information about Alameda County Behavioral Health, please visit www.acbhcs.org/ THE POSITION Under general direction, to provide behavioral care services by telephone, face-to-face, and/or record review for referral, treatment, and/or payment authorization and service integration; to gather and analyze case history data and treatment plans; to make treatment recommendations and to assess quality of care; to record all findings and maintain review records; and to do related work as required. Clinical Review Specialist positions are located in the Department of Behavioral Health Care Services ACCESS Program, Authorization Services and Quality Assurance. These positions provide a variety of clinical services including screenings and referrals, face to face assessments, review of medical necessity for authorization of services, utilization review, assessment of quality of care, and provider consultation. This is a journey level class, requiring a licensed professional, fully trained and professionally skilled upon entrance into the class. This position reports to a licensed clinical manager. Direct supervisory review and guidance is provided only in selected cases. Clinical Review Specialists provide behavioral care clinical assessment, clinical analysis, referral for treatment, treatment review, and provider consultation involving considerable latitude and independence of judgment. Incumbents in this class may lead and consult with other staff on clinical issues but do not have formal supervisory responsibility. The class is distinguished from Behavioral Health Clinician II, Clinical Psychologist and Clinical Nurse II positions in that incumbents usually perform tasks using indirect information but may use direct interactions to provide behavioral health screenings and referrals, level of care assessments, or clinical direction to other licensed professionals and a large network of independent practitioners and organizations. This direction may include payment authorization, resource utilization management, quality improvement, quality assurance and coordination of multiple funding sources to support treatment requests. EXISTING VACANCIES The immediate vacancies for this position are in the ACCESS Program, Utilization Management Program, Quality Assurance Office, and Child and Young Adult System of Care; however, please note that the eligible list resulting from this recruitment and selection process may be utilized for other future vacancies which may arise throughout Alameda County within the next year for this and other County Departments . ACCESS Program . We are currently seeking to hire two (2) Clinical Review Specialists within the ACCESS Programwhich serves as an initialpoint of public contact and provide telephone information, screening, assessment, and referral services to the greaterAlameda County community.The licensed clinicians at ACCESS generallywork ina call center setting,hear concerns over the telephone, provide clinical screenings, andmake referrals to identified service providers within the County's network who can best meet the specific needs of each individual client, including language and clinical needs. An ACCESS Clinical Review Specialist may also be placed in an alternative setting to provide face to face assessments and referrals. These positions authorize treatment; assess for level of care; maintain records; provide consultation concerning medical necessity and utilization of system resources; and provide telephone crisis intervention services including arranging for emergency services when needed.There is one opening for the adult team and one for the child team. Utilization Management Program (formerly Authorization Services) . We are seeking to hire three (3) Clinical Review Specialist within the Utilization Management Program to provide daily case consultation and chart review to determine medically necessary treatment and appropriate utilization of system resources for both inpatient and outpatient behavioral health services (including both mental health and substance use disorder). The licensed clinician is expected to consistently assess level of care, treatment and disposition plans based on cultural, developmental and age-related parameters; assure in each medical necessity review that adequate documentation exists to substantiate provision of services and payment authorization; and obtain information and documentation that is required to conduct pre-service, admission and continued stay hospital reviews including determination of aftercare planning and placement efforts. Quality Assurance. We are seeking to hire at least two (2) Clinical Review Specialists within Quality Assurance to assess the quality of care and documentation required to support continued client behavioral health care treatment (including both mental health and substance use disorder treatment); manage audits (internal, State and Federal); investigate complaints; review unusual occurrences; monitor compliance with regulations including, but not limited to: clinical documentation to Medicaid/Medi-Cal and Medicare standards, HIPAA, chart reviews, utilization reviews, grievance tracking/reporting, change of provider requests, site certification, and provider license verification; respond to provider questions about documentation standards, claiming, staff qualifications and other inquiries into regulations; revise and write manuals and procedures; work with other departments on Quality Assurance initiatives and special projects; and collaborate on and provide trainings to mental health and substance use disorder service providers on topics such as clinical documentation to Medi-Cal Specialty Mental Health Services standards and Drug Medi-Cal standards. Knowledge of ASAM levels of care useful. Child and Young Adult System of Care We are seeking to hire three (3) Clinical Review Specialists within the Child and Young Adult System of Care to fulfil the role of the Qualified Individual (QI). These licensed clinicians will conduct clinical assessments and reviews; make placement recommendations and authorizations; and provide case reviews and payment authorization for children, youth, and non-minor dependents in child welfare and juvenile probation. These duties may extend to other specialty services for children, youth, and young adults as needed. Clinical Review Specialists may participate in and facilitate Child and Family Team Meetings with child welfare and juvenile probation partners, as well as participate in the Interagency Placement Review Committee teams; confirm medical necessity and ensure that adequate documentation exists to substantiate provision of services and payment authorization; and obtain information and documentation that is required to conduct pre and post placement reviews including determination of aftercare planning and placement efforts. They are expected to work with placing agency partners, residential facilities, and foster care families to consistently assess level of care, treatment and disposition plans based on documentation from ACBH, Child Welfare, Juvenile Probation, and other system and community partners including family and juvenile court. These positions may also work on initiatives and special projects related to child, youth, and young adult levels of care and out-of-home placements; and collaborate on and provide trainings to internal and external partners as needed. . IDEAL CANDIDATES In addition to meeting the minimum qualifications, ideal candidates for these positions will be licensed clinicians with at least three (3) years of post-licensure clinical work experience within a health care call center, quality assurance, or utilization review setting;and will have excellent communication and interpersonal skillsto supporttheir ability to interact well with others to earn their trust within an environment that embraces diverse cultures, interpersonal styles, abilities, motivations, and backgrounds. Ideal candidates will also be highly respected as: Licensed and experienced clinical professionals who are adept at securing relevant client care data and identifying key issues and relationships in a behavioral health managed care setting; who understands the relationships among assessments, interventions, and patient responses; and who are skilled in conducting behavioral health assessments and utilization and quality assurance reviews in order to refer clients to or evaluate medical necessity of services within the Alameda County network of service providers. Professionals who would take personal satisfaction and pride representing the County and serving as part of a team directly responsible for either providing initial clinical screening and service referrals over the telephone in a fast-paced, high volume call center environment or providing quality assurance and utilization review of clinical resources. Resourceful and adept at seeking or collecting and synthesizing information from a variety of clients and sources in an objective, unbiased manner to reach a sound conclusion, goal, or judgment. Collaborative spirits eager to actively participate as a member of a team contributing successfully to the completion of goals and objectives aligned with the mission, vision and values of the Behavioral Health Care Services system of care. Practiced problem solvers capable of making well supported decisions byidentifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action; and solving problems by taking action that is consistent with available facts, constraints, and probable consequences. Well organized, capable of multi-tasking and planning daily work activities, and establishing a course of action for self and others to ensure that work is completed efficiently. Effective communicators who convey information and ideas verbally and in writing in a manner that meets audience needs; and develops and maintains effective relationships with others by relating well to people with diverse cultures, interpersonal styles, abilities, motivations, or backgrounds. For a detailed listing of the essential responsibilities and core competency requirements for this position, please click here for the job description. MINIMUM QUALIFICATIONS The minimum professional requirements for admission to the competitive assessment process include : Education: Possession of a Master's Degree from an accredited college or university in Social Work, Marriage and Family Therapy, Psychiatric Nursing, with an emphasis in Clinical Social Work, or equivalent degree which meets requirements set by the California Board of Behavioral Sciences; OR A Ph.D. in clinical, counseling, or educational psychology from an accredited college or university. NOTE: Completion of an accredited registered nursing program, including three years post licensed nursing experience may be substituted for a Master's degree in nursing. AND Experience: The equivalent of three years of full-time, paid post-license experience in direct behavioral health care that includes treatment and disposition planning and/or the clinical review of these direct mental health and substance use disorder services. License/Registration: Possession of a valid clinical license from the applicable licensing authority: California Board of Behavioral Sciences, California Board of Psychology, or California Board of Registered Nursing. Possession of a valid California Motor Vehicle Operator's license. Applicants must possess such license prior to appointment to such positions. Special Requirement: In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS NOTE: The level and scope of the following knowledge's and abilities are related to duties listed under the "Examples of Duties" section of this specification. The most suitably qualified candidates will possess the following competencies: Knowledge of: • Social and behavioral aspects of mental, emotional, substance use disorder (SUD)-related disturbances and their characteristics. • Principles and practices of direct client service delivery. • Scope, activities and functions of the various behavioral health facilities and public and private community agencies providing services to mental health and substance use disorder clients. • Policies, procedures, and systems related to Behavioral Health Care Services, legal and regulatory requirements and limitations. • Applicable federal, state and local laws, rules and regulations. • Computer applications related to the work. Ability to: • Evaluate cases and perform advanced differential diagnosis of a mental disorder. • Evaluate cases and perform advanced clinical risk assessment. • Communicate effectively and document the biopsychosocial basis for triage, referral and authorization decisions. • Communicate effectively selection factors related to a broad range of behavioral health care intervention modalities. • Organize and prioritize work, and meet critical deadlines. • Maintain accurate records and files. • Input and/or access data via system-wide network computers and personal computers. • Prepare clear, accurate and effective reports, correspondence and other written materials. • Interpret, explain and apply complex regulations, policies and procedures. • Effectively utilize community resources in the care of individuals with mental or substance use disorders. • Establish and maintain effective working relationships with those contacted in the course of work. EXAMINATION COMPONENTS The examination will consist of the following steps: 1) A review of candidates' applications to verify possession of minimum requirements. 2) Those candidates who possess the minimum requirements for the class will move on to the next step in the examination process which is a review of candidates' Supplemental Questionnaires to select the best qualified applicants to continue in the process. 3) Those candidates selected as best qualified will move on to the next step in the examination process, an oral interview examination which will be weighted as 100% of the candidate's final examination score. The oral interview examination may contain situational exercises. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the "What You Need to Know" section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable noticein advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN : Deadline for Filing 5:00pm, Tuesday, October 24, 2023 Review of Minimum Qualification October 30, 2023 Supplemental Questionnaire Review for Best Qualified November 22, 2023 Virtual Pre-Recorded Oral Interview Exam** December 11, 2023 **The combined oral examination/hiring interview, in addition to establishing an eligibility list, may serve as the final selection interview for vacancies in this classification. WE RESERVE THE RIGHT TO MAKE CHANGES TO THE ANNOUNCED RECRUITMENT & SELECTION PLAN Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County's Reasonable Accommodation Policy and applicable statues. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing. Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website , www.acgov.org/hrs/divisions/ps/application.htm BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 12 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and Noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Nicole Lewis- Bolton , Human Resources Anlayst Human Resource Services, County of Alameda (510) 272-6468 or email Nicole.Lewis-Bolton@acgov.org www.acgov.org/hrs DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: 10/24/2023 5:00:00 PM

Position Description Public Health Nurse I: $34.97 - $42.58 Public Health Nurse II: $6.71 - $44.65 Public Health Nurse III: $39.64 - $48.18 Calaveras Public Health is seeking caring and compassionate Public Health Nurses to join our team. Make a difference in the health and wellbeing of our communities. Enjoy weekends off, alternative work schedules, and be part of a team that values a work-life balance. Best known for its celebrated jumping frogs, Calaveras County, offers an abundance of opportunities for outdoor adventure all year round. Under direct or general supervision, provides public health nursing services, instruction, health counseling and guidance to individuals, families and groups regarding disease, health conditions, public health and rehabilitation in a clinic setting or within an assigned area including homes, public and private schools and community; participates in Public Health and county-wide disaster response; may have responsibility for a specialized public health program independently or in conjunction with the PHN III or Director of Public Health Nursing, on a limited basis the PHN III may exercise technical and functional direction to lower-level staff. DISTINGUISHING CHARACTERISTICS: Public Health Nurse I This is the entry level position in public health nursing classification series. Under direct supervision of the Director of Nursing, provides public health nursing services. This position is responsible for performing the more routine tasks and duties assigned. Assignments are generally limited in scope and are performed within a procedural framework. This is the first working level classification for persons with the requisite public health nursing certification but limited public health experience. This position is distinguished from the Public Health Nurse II in that the latter has responsibility for independently performing the full range of assigned duties. Public Health Nurse II This is the fully competent level classification in this series. Incumbents perform the full range of public health nursing services for complex client cases, may review and direct the work of nursing and para-professional staff on an assigned team; may have independent responsibility for major specialized public health programs including but not limited to communicable disease, emergency preparedness, Maternal Child Adolescent Health, California Children's Services, Child Health and Disability Prevention Program. This position is distinguished from the Public Health Nurse III in that the latter is an advanced lead position and is expected to provide substantial assistance in planning, development and continuing evaluation of services in major public health programs. Public Health Nurse III This is the advanced-level lead position in the classification series. Incumbents in this classification series are distinguished from the Public Health Nurse I/II in that it provides overall program coordination and/or lead direction to subordinate staff. Incumbents at this level provide substantial assistance with planning, development and evaluation of services in major public health programs. Incumbents will participate in the guidance, training, evaluation, orientation and hiring of nursing staff. Example of Duties Public Health Nurse I Identifies at-risk populations; develops programs to meet identified needs and to provide primary prevention and health promotion services to the community. Evaluates the health care needs of individuals and special population groups; identifies the symptoms of physical, mental or emotional problems and refers individuals and families to appropriate medical, financial or other support services; performs follow-up on such referrals. May conduct a specialized health care or training program or project, such as general health clinics, immunization clinics, TB clinics, public health education / promotion programs in response to community need Conducts home visits to assess client needs and to communicate, through educational means, information meaningful to clients in an effort to effect change. Works in public health general clinics, including immunization clinics Maintains patient charts and other records. Coordinates services with private, public and community voluntary health and social service agencies; serves as liaison to community groups, and provides public health education through presentations and the preparation and distribution of educational materials. . Prepares a variety of periodic and special reports for management review. Receives and responds appropriately to patient / client complaints. Maintains professional certifications and attends training, workshops, seminars, etc., as appropriate or directed. Performs various staff / administrative functions as required, including preparing reports and correspondence, entering and retrieving computer data, copying and filing documents, attending meetings, answering the telephone, ordering supplies and equipment, etc. Maintains appropriate documentation of client services. Performs other related duties as assigned. Public Health Nurse II : (In addition to the above duties) May act as the team leader, in the absence of Public Health Nurse III, on a health team with other professional and para-professionals in the delivery of public health nursing services; may assigns client cases; provide guidance and consultation to team members on difficult client cases; assist the Public Health Nurse III or Director of Public Health Nursing in the training and orientation of staff. Assists in developing program policies and procedures, and in evaluating program effectiveness. Has independent responsibility for a specialized public health programs Public Health Nurse III (In addition to the above duties) Acts as team leader, on a health team with other professional and para-professionals in the delivery of public health nursing services; assigns client cases and assist in the evaluation of team staff; provides guidance and consultation to team members on difficult client cases; participates in the training and orientation of staff. Performs as subject matter expert on all aspects of public health nursing services for staff and public. Participates in the development, implementation, coordination and supervision of public health nursing services. Participates in the training, evaluation and hiring of nursing personnel. May supervise staff in the absence of the Director of Public Health Nursing. Minimum Qualifications Knowledge of: Operations, services and activities of a comprehensive health system; Principles, methods, practices and procedures of general nursing and public health nursing; public health issues and problems; Federal, State and local laws governing the provision of public health services; Knowledge of basic communicable disease transmission, prevention and control; and means of promoting maternal, child, adolescent health and public health programs State laws for reporting child/adult abuse Ability to: Adhere to common safety practices; analyze situations accurately and take effective action; establish and maintain cooperative working relationship with staff, other departments, public and private community agencies; Skill to: Communicate effectively with clients and staff; maintain accurate and complete records and reports; perform procedures according to an established protocol, speak and write effectively. Education, Training, and Experience : Public Health Nurse I Baccalaureate degree in nursing from an accredited university or college. Public Health Nurse II (in addition to the PHN I) Two years of Public Health Nursing experience. Public Health Nurse III (in addition to the PHN II) Five years of Public Health nursing experience. Supervisory experience preferred. Special Requirements Possession of a current California license as a Registered Nurse; Possession of a current Public Health Nursing Certificate; and Possession of a current California driver's license. Must possess and maintain a valid CPR certificate. Must have the ability to complete the child abuse and neglect recognition and reporting training requirement in accordance with Section 4501, Title 17, Health and Safety Codes; must sign a statement agreeing to comply with Section 11166 of the California Penal Code related to child abuse reporting. May be required to work after hours or long hours during emergencies. Bargaining Unit 7 - Service Employees International Union Local 1021 For available Health/Dental/Vision insurance please visit the County BENEFITS WEBPAGE. Please note that Extra-hire positions that are benefitted, are only offered our CORE medical plan and are not offered dental or vision. NEW * Assist-To-Own program to help Couny employees purchase a home. Program Highlights: Down Payment Assistance, up to 5.5% of the Total Mortgage Loan. Available with purchase of a primary residence. Variety of Mortgage Loan options (FHA, VA, USDA and Conventional Mortgage Loans). No first-time homebuyer requirement to qualify. Flexible guidelines: Minimum FICO 640; Maximum DTI 50%. Flexible income limits, up to moderate income levels; no income limits for FHA and VA. For more information, vists Calaveras County Assist-to-Own Boot Allowance: $150 per year and is distributed once a year, in the first full pay period in the month of December. Qualifying Classifications: Registered EH Specialists, EH Techs, OSS Engineers, Fleet Manager, Junior Engineer, Mechanic series, Sheriff's Mechanic, Public Works Inspector, Road Maintenance Worker series, Integrated Waste Worker series, AG Techs, and AG Biologists, and Recycling Program Coordinator I/II, Permit Tech I/II, Engineering Tech I/II assigned to the Rock Creek Landfill facility, and Air Pollution Control Tech. Uniform Allowance: $600 per calendar year split into monthly payments.Payments will be made monthly on the second pay check. Qualifying classifications : Custodian series, facility maintenance worker series, facilities maintenance engineer. Vacation days: 0 - 3 complete years = 80 hours per year. After 6 months you can take your first week. 3 - 10 complete years = 120 hours per year 10 years+ = 160 per year Holidays :13 paid holidays per year. Life Insurance: $50,000.00 County paid Sick Leave: 12 days annual sick leave accrual with unlimited accumulation. Sick leave is accrued at 3.69 hours for each full 80 hours of payroll period. 60 hours of sick leave can be used for immediate family, parent spouse, child or sibling. Merit: After successfully completing twenty-six (26) pay periods, a 5% merit increase may be granted.Merit increases may be granted annually thereafter to the top step. Probation Period: New employees remain in a probationary status for 26 pay periods.. Longevity Incentives @ 2.5% for each of the following: 5.5 years (if hired before March 28, 2005) 6 years 10 years 15 years 20 years 25 years Bi-Lingual pay :$75 per month for specific approved job classifications. Flexible Spending: Pre-Tax Medical Reimbursement - Max contribution of $2,500 annually Flexible Spending: Pre-Tax Dependent Care Account - Max contribution of $5,000 annually Section 125 Plan :Additional insurance is available through the Section 125 plan and may be purchased from a representative during open enrollment or by appointment when they are on-site. AFLAC Heart & Stroke Insurance Cancer Insurance Accident Insurance Universal Life Insurance Short Term Disability Insurance ?LEGALSHIELD CALPERS RETIREMENT INFORMATION: CalPERS: CLASSIC MEMBERS: 2% at 55 PEPRA MEMBERS: 2% at 62 Extra-Hire's will be enrolled into Public Agency Retirement System (PARS) unless you are already a member of CalPERS. Additional Retirement Plan: The County offers a 457 Government plan. Employees can contribute u to this deferred compensation plan ( Pre or Post Tax options ).The County utilizes VALIC. Participating employees will receive a County paid match of up to $50 a month. Closing Date/Time: Continuous