Alameda County
Alameda, California, United States
Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and 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 will only be accepted on-line. DESCRIPTION ALAMEDA COUNTY HEALTH Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health’s departments and programs focus on services and support that provide care for the whole person. • The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience. • The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases. • The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases. • Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities. PUBLIC HEALTH DEPARTMENT As part of Alameda County Health, the Public Health Department works in partnership with our local communities to ensure the optimal health and well-being of all people. We monitor health status and service delivery, prevent disease, mobilize communities, conduct outreach, and promote health policy and education. We actively seek partnerships and engage with the community to improve community health through a dynamic and responsive process that respects diversity, addresses health equity, and challenges us to provide for present and future generations. We are nurses, doctors, community psychologists, epidemiologists, dentists, medical social workers, physical and occupational therapists, dietitians, outreach workers, health educators, program managers, and pre-hospital care coordinators. THE POSITION Registered Nurse II positions are located in Alameda County Health, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. However the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children’s Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver’s home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. Special Requirements: 1. 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. 2. In Compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: • Theories, principles, procedures, techniques, standards and practices of public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. Those candidates who possess the minimum qualifications for the class will be placed on the eligible list based on an evaluation of education, training, and experience. 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 notice in 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:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:Ongoing 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 statutes. 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 . 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. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@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: Continuous
Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and 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 will only be accepted on-line. DESCRIPTION ALAMEDA COUNTY HEALTH Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health’s departments and programs focus on services and support that provide care for the whole person. • The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience. • The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases. • The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases. • Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities. PUBLIC HEALTH DEPARTMENT As part of Alameda County Health, the Public Health Department works in partnership with our local communities to ensure the optimal health and well-being of all people. We monitor health status and service delivery, prevent disease, mobilize communities, conduct outreach, and promote health policy and education. We actively seek partnerships and engage with the community to improve community health through a dynamic and responsive process that respects diversity, addresses health equity, and challenges us to provide for present and future generations. We are nurses, doctors, community psychologists, epidemiologists, dentists, medical social workers, physical and occupational therapists, dietitians, outreach workers, health educators, program managers, and pre-hospital care coordinators. THE POSITION Registered Nurse II positions are located in Alameda County Health, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. However the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children’s Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver’s home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. Special Requirements: 1. 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. 2. In Compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: • Theories, principles, procedures, techniques, standards and practices of public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. Those candidates who possess the minimum qualifications for the class will be placed on the eligible list based on an evaluation of education, training, and experience. 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 notice in 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:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:Ongoing 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 statutes. 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 . 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. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@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: Continuous
Stanislaus County, CA
Modesto, California, United States
About the Opportunity ABOUT THE POSITION Mental Health Clinicians can be assigned, based on departmental needs, to the Adult and Older Adult System of Care (ASOC), Children's System of Care (CSOC), CARE Program, Substance Use Disorders System of Care (SUD), Community Emergency Response Team (CERT), Collaborative Court, Crisis Care Mobile Units (CCMU), Medi-Cal Assessment Team (MAT), Quality Services, Utilization Management (UM), Workforce Development and Training Department or the Prevention & Early Intervention Team (PEI). Under direction, Mental Health Clinicians provide clinical assessments, care planning, counseling, clinical case management and other rehabilitative / psychotherapeutic services in a community mental health setting. Mental Health Clinicians are expected to work independently but also function effectively as part of a service team. The incumbents may supervise professional and technical personnel, and provide education and consultation services to other staff, community agencies and the public. In addition, Mental Health Clinicians may administer and coordinate mental health programs, and perform other related work as required. Bilingual applicants are strongly encouraged to apply. Upon successful completion of our bilingual proficiency assessment, you'll receive an additional $1 per hour in compensation. Adult System of Care (ASOC) Service Teams are utilized to provide comprehensive outpatient services to adults with a serious mental illness and/or substance use disorder of Stanislaus County. The focus of treatment efforts is to enable clients to function at their highest level in community. Emphasis is placed on assisting clients in identifying and achieving goals, which are meaningful to them. Treatment Teams are comprised of multi-disciplinary staff and are currently utilizing the psycho-social rehabilitation and recovery models of service delivery. Children’s System of Care (CSOC) Services for children and youth are provided in various programs that work with children, youth and young adults age 0 to 21 years. The Mental Health Clinician will provide intensive services to children and adolescents identified with Serious Emotionally Disturbed (SED), as well as provide services and support to their family/caregivers. This may include children and youth who are involved with the Child Welfare or Probation systems. The Mental Health Clinician will also work with transitional age young adults and/or non-minor dependents who have opted into the foster care system as an adult. Services are provided in the field (in home, school, and community settings). Mental Health Clinicians in this subsystem work collaboratively with outside partners through a Child and Family Team process to ensure coordination of care. The CARE Program CARE is a multidisciplinary team of mental health, criminal justice, and other service providers who facilitate, provide, and share responsibilities of assessment coordination and treatment services to appropriately meet the complex mental, physical, and social needs of the targeted population. The target population includes individuals that may have severe and persistent mental illness, exhibit high-risk health and safety behaviors, engage in vagrancy-related criminal behavior, and experience severe SUDs; and for a variety of reasons, they are not accessing or accepting services. BHRS mental health services providers are embedded on the team to support clients with Serious Mental Illness (SMI) and facilitate direct access to treatment services. The CARE team includes Modesto Police, Probation, Community Services Agency, Telecare, and Public Health. The overarching goal is to see an increase in the target population transition from saying “no” to help to saying “yes” to help. Substance Use Disorders (SUD) The Mental Health Clinician will be assigned to treatment programs and Residential Unit, which is designed to serve adults and older adults who suffer from a Co-Occurring Mental Health and Substance Abuse Disorders. The incumbents are expected to provide clinical 1:1's, group counseling to program participants, and consultation services to program staff. This position may include intake assessments, group facilitation, and individual client sessions. Mental Health Clinicians provide 1:1 counseling and assessments while following regulatory compliances. They are mandated reporters for CPS, APS, and 51/50's. Mental Health Clinicians also provide revenue with Medi-Cal billing. Community Emergency Response Team (CERT) The Community Emergency Response Team (CERT) is a 24-hour, seven day a week program. CERT provides emergency mental health assessment and referral services for emergent and pre-emergent behavioral health situations in collaboration with families, consumers, law enforcement and emergency room personnel. Some services are provided in the community through a mobile task force. Non-crisis services include a consumer and family member-staffed Crisis Support Line and on-site peer support available to consumers and families who need support and referrals. Individuals are able to call to access services or request a psychiatric evaluation. CERT personnel should possess sophisticated diagnostic and assessment skills and be available for shift work. Crisis Care Mobile Units (CCMU) The Crisis Emergency Response Team (CERT) program will embed trained crisis mental health staff from Stanislaus County Behavioral Health & Recovery Services to ride along with Modesto Police Department (MPD) patrol officers and Stanislaus County Sheriff’s Office (SO) patrol deputies from 1400 to 2200 hours Monday through Friday. CCMU Clinicians will respond with law enforcement to provide mobile crisis services, Triage screening, de-escalation/resolution for individuals experiencing behavioral health crises. CCMU Clinicians will work with BHS and CST staff to provide peer support, and coordination with medical and behavioral health services, and follow-up. Medi-Cal Assessment Team (MAT) The Medi-Cal Assessment teams provides mental health assessments to children and adult beneficiaries. The MAT Mental Health Clinician will perform initial assessments to individuals referred for or seeking mental health services. The MAT Mental Health Clinician will assist in linkage for those assessed to programs within BHRS, Contractors, and or alternate level of care such as mild-moderate and or community services. MAT personnel should posses sophisticated diagnostic and assessment skills. Quality Services The Quality Services/Compliance team ensures the following: 1. Quality of care issues are identified, monitored and appropriate corrective actions are taken 2. Pursue continuous quality improvement, through department audits 3. Behavioral health services provided to beneficiaries meet established quality of care standards (Department of Health Care Services (DHCS) protocol; Information Notices (IN); All State Plan Letters (APLs)), 4. Quality is evaluated in the areas of access, satisfaction, continuity of care and quality of care, 5. Provide on-going Electronic Health Record (EHR) Navigation training 6. Program certification and re-certification activities, including program National Provider Identifier (NPI)s and modes of service, and 6. Changes are made and monitored related to DHCS protocol updates. In addition, the compliance component of the Quality Services program ensures the following: 1. Establishment and implementation of procedures and a system with dedicated staff for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly (or coordination of suspected criminal acts with law enforcement agencies) to reduce the potential for recurrence, and ongoing compliance with the requirements under the contract (Corrective Action Plan (CAP) follow up from all peer reviews; review/discussion of limited mental health contact; review and provide information related to compliance for fact finding data), 2. Implement a compliance program that includes: Written policies, procedures, and standards of conduct that articulate the organization’s commitment to comply with all applicable requirements and standards under the contract, and all applicable laws (provide training opportunities for BHRS compliance program plan; 3. Implement and maintain procedures designed to detect fraud, waste and abuse that include provisions to verify services reimbursed by Medicaid were received by the beneficiary, 4. Monitor access line compliance and procedures in addition to other compliance related requirements in protocol, Mental Health Plan (MHP) contract, and DMC-ODS Internal Government Agreement (IGA)), and 5. Assist with managing and monitoring privacy issues. Utilization Management (UM) The Utilization Management team evaluates medical necessity, appropriateness and efficiency of services provided to Medi-Cal beneficiaries (outpatient treatment plan review; assessment updates), ensures consistent application of review criteria for authorization decisions (outpatient treatment plan; Service Authorization Requests (SARs); SUD Residential) , conducts concurrent review and authorization for all psychiatric inpatient hospital services and psychiatric health facility services (DBHC; Telecare PHF; Out of County (OOC) hospitals) , reviews and completes provider appeals, provides training materials and training related to concurrent review, documentation standards for medical necessity (based on DHCS training and Title 9 regulation) ; and reasons for denials, EHR and database entry (diagnosis review; approved/denied days) , Medi-Cal eligibility check for all inpatient admissions, establish and implement written policies and procedures for all UM activities and delegated activities, and provide on-going trainings related to authorization (delegated activity); Notice of Action Beneficiary Determination (NOABDs). Collaborative Court The Collaborative Court Team is a program with Stanislaus County Behavioral Health and Recovery Services was created to ensure improved coordinated entry into Behavioral Health care for Stanislaus County residents who are involved in the legal system. Workforce Development and Training Department Training Department supports all BHRS staff in connecting to state mandated trainings as well as trainings that support specific job-related tasks. Mental Health Clinician will provide support in coordinating, facilitating and tracking trainings as well as connecting staff to needed training support. Mental Health Clinician will work with various departments in assessing additional training needs and bringing outside partners in for additional support. Prevention & Early Intervention (PEI) Under the direction of the Manager and Staff Services Coordinator of Prevention and Early Intervention (PEI), the Mental Health Clinician will act within the division in a variety of local community settings, requiring partnerships with other organizations or community groups. The Mental Health Clinician may provide training and support to staff and community agencies at different sites within the county. The Mental Health Clinician will act in conjunction with the PEI division’s accordance to state regulations in an effort to engage and impact community in ways that will result in deeper awareness of mental health and access to services, as well as engage in awareness and prevention efforts around suicide. The Mental Health Clinician will engage community in efforts to reduce stigma related to mental health and will help the community to build capacity in independent, self-defined views of wellbeing, wellness, and overall mental health. The Mental Health Clinician may provide guidance and support to a growing collaborative of designated community leaders and agencies from PEI and BHRS-funded programs as well as other community-based mental health and wellness programs. Doing so will ensure access to this prevention strategy in outlying areas where transportation and other factors are barriers to services in traditional centralized locations. Along with these tasks related to the division’s implementation and services delivery, the Mental Health Clinician will act in conjunction with the PEI division within BHRS to fully implement the building of community capacity to provide emotional support to individuals where they live, worship, go to school, and play. The primary function promotes positive community development as a viable broad community effort to improve behavioral health outcomes. To learn more about the Behavioral Health and Recovery Services Department, click here . The eligible list generated from this recruitment will be used to fill future full-time, part-time, extra help and on-call vacancies for the Behavioral Health and Recovery Services Department. Click here for details . Unless otherwise provided, this position is part of the Classified Service of the County and is assigned to the Community & Health Services bargaining unit for labor relations purposes. Individuals who are in a full-time classification position are required to serve a twelve-month probationary period, which may be extended an additional six months, for a total of eighteen months. Incumbents may also be subject to overtime, standby, callback, weekend, holiday and shift assignments as identified in their MOU (Memorandum of Understanding). Part-time extra-help is a provisional classification where permanent status may not be obtained. This position is subject to overtime, standby, shift, and callback assignments and will perform related duties as assigned. This position is non-benefited except for participation in a 401a program with Nationwide.” The Job Task Analysis provides information detailing the physical and functional demands of the classification. For the complete job task analysis, visit the Risk Management website at http://www.stancounty.com/riskmgmt/ under the "Disability" tab. Typical Tasks Advise clients of available community resources and act as a liaison and/or advocate for clients/families to be able to access community resources effectively; Conduct onsite and field based comprehensive clinical assessments to establish medical necessity criteria and provide clinical interventions without supervision, utilizing different clinical treatment modalities and approaches based on clinical needs; Determine functional impairments of clients and prioritize their needs; In the appropriate therapeutic and/or clinical setting, work with primary care physicians when necessary on treatment plans or provide individual and group services which could include clients from diverse cultural backgrounds. For children and families, assist in assessing challenges and barriers to social and emotional health, and in partnership with them, develop a strength based realistic service plan; Perform appropriate clinical social work and develop treatment plans to address clients functional impairments; Prepare and maintain complex treatment and progress reports and document in client charts as needed; which include, diagnostic and treatment recommendations, discharge planning and follow-up services; Prepare and present cases for review with the clinical service team; Provide client-centered and wellness/recovery/resiliency informed services; Provide crisis intervention and 5150 evaluation on-site, in the field or at neighboring hospital emergency rooms when working with BHRS clients; Provide ongoing clinical assessment, client care planning and effective treatment implementation to children, adults and families; Support and utilize Electronic Medical/Health Record System software; Utilize the 12 Step and social model principles of substance use disorder (SUD) treatment resiliency and crisis intervention within the community; Work collaboratively with a wide range of clinical and non-clinical disciplines to access client and family needs, design effective care planning, service goals or special medical treatment plans regarding utilization of additional resources, such as, home health and hospice; Work collaboratively with consumers and family members using a wellness, recovery or resilient based approach and engage clients in treatment pathways to provide behavioral health needs when appropriated or as needed; Work in tandem with the Child Welfare Department, Education partners, or Regional Center partners if applicable; Work in tandem with the Probation Department, Sheriff's Office, criminal justice partner agencies, and other community partners across the County if applicable; and Other duties as assigned. Minimum Qualifications (Knowledge, Skills, Abilities, Education/Experience) KNOWLEDGE Principles, techniques and trends in counseling, psychotherapy, clinical case management, and various treatment modalities; Biological, behavioral and environmental aspects of emotional disturbances, mental disability, and substance abuse; Culturally proficient practices with diverse case load; Scope and activities of the public and private health and welfare agencies and other available resources; and Principles and techniques of mental health education, prevention, and crisis intervention within the community. SKILLS/ABILITIES Perform psychiatric social work and psychotherapy of a complex nature with clients and groups; Prepare clear, concise case work records and make recommendations on the basis of such information; organize and manage a caseload; and work with a bureaucratic system; Retain personal objectivity while dealing with the problems of others; Perform the therapist's role in a manner consistent with professional standards and ethics; Determine functional impairments of clients and prioritize their needs; Decide appropriate treatment focus and methods without clinical supervision; Work with a team to integrate various clinical approaches into a treatment program; and Anticipate a potential crisis, manage and be able to apply appropriate clinical intervention when necessary. We recognize your time is valuable, please only apply if you meet the following required qualifications. EDUCATION/EXPERIENCE MENTAL HEALTH CLINICIAN I PATTERN I Graduation from an accredited two (2) year Graduate School of Social Work with the receipt of a Master's Degree of Social Work which can lead to licensure as a Clinical Social Worker. PATTERN II Graduation from an accredited graduate program with receipt of a Master's Degree which can lead to a License as a Clinical Social Worker (LCSW) or a Marriage and Family Therapist (MFT); AND Meet qualifications to participate in a Short-Doyle program; AND Eligible to be licensed as either a Licensed Clinical Social Worker or a Marriage and Family Therapist in the State of California. The Mental Health Clinician I classification is a Veterans' Preference Program eligible job classification. For more information, please click here (Download PDF reader) . MENTAL HEALTH CLINICIAN II PATTERN I Graduation from an accredited two (2) year Graduate School of Social Work with receipt of a Master's Degree and acquisition of the State recognized license. PATTERN II Graduation from an accredited graduate program with receipt of a Master's Degree and acquisition of a LCSW or MFT License which meets qualifications to participate in a Short-Doyle program. PATTERN III Doctoral Degree in Clinical Psychology may be substituted for the above educational requirement; AND Two (2) years of experience in a Mental Health setting under clinical supervision as required to qualify for the State recognized license. LICENSE Licensed as either a Licensed Clinical Social Worker or Marriage and Family Therapist in the State of California; OR A license as a Psychologist in the State of California may be substituted for the above licensure requirement. DESIRABLE QUALIFICATIONS In addition to the minimum qualifications, applicant screening may focus on the following desirable qualifications. Please list any of these qualifications you may have within the "duties" section of the online application. Licensed as either a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist or Licensed Professional Clinical Counselor in the State of California; OR Current registration with the California Board of Behavioral Science or must be registered with the California Board of Behavioral Science within 60 days of the commencement of employment; AND Enrollment through Department of Health Care Services Provider Application and Validation for Enrollment (PAVE) portal. Application and Selection Procedures APPLICATION PROCEDURES/FINAL FILING DATE Applications cannot be submitted later than 5:00 p.m. on the final filing date. Make your online application as complete as possible so a full and realistic appraisal may be made of your qualifications. Resumes will not be accepted in lieu of a completed application. Attaching your resume and cover letter are an optional feature for those who wish to do so in addition to completing the required application. Information on your resume and cover letter will not substitute for the education, work experience and required fields on the County application. The online County application is the primary tool used to evaluate your job qualifications. EXAMINATION PROCESS Most County recruitments consists of the steps detailed below and are governed by Merit Principles. The examination process ensures that all applicants are given the same opportunity to gain employment within Stanislaus County. Application Review and Screening. Applications are carefully screened based on information provided. Those who submit incomplete applications that lack relevant qualifications or do not submit all required documents will not be invited to move on. Written Examination. Applicants will be invited to participate in a written exam that tests knowledge for the position. Oral Examination. Applicants are invited to a panel interview in which they will be evaluated by County subject matter experts. Eligible Lists. Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for six months, but may be extended up to eighteen months. TENTATIVE RECRUITMENT SCHEDULE Application Deadline: Applications will be reviewed on a continuous basis. This recruitment may close at any time with no notice. Apply By: Oral Examination: January 5, 2024 Week of January 15th January 19, 2024 Week of January 29th February 2, 2024 Week of February 12th February 16, 2024 Week of February 26th March 1, 2024 Week of March 11th March 15, 2024 Week of March 25th GENERAL INFORMATION Final appointment will be conditional upon successfully passing a County paid pre-employment medical screening (if applicable for position) and a job-related background investigation. Some positions may require possession or the ability to obtain, and maintenance of a valid California Driver’s license or the ability to utilize an alternative method of transportation when needed to carry out job related essential functions. Stanislaus County supports the good health of its workforce. More information is available at http://myclubwellness.org Cell phones are typically incompatible with the online application format or browser. We recommend using a desktop or laptop computer. If you are still having technical difficulties, please call NEOGOV at 1-855-524-5627. Benefits associated with this position can be found at Benefits Summary . Closing Date/Time: Continuous
About the Opportunity ABOUT THE POSITION Mental Health Clinicians can be assigned, based on departmental needs, to the Adult and Older Adult System of Care (ASOC), Children's System of Care (CSOC), CARE Program, Substance Use Disorders System of Care (SUD), Community Emergency Response Team (CERT), Collaborative Court, Crisis Care Mobile Units (CCMU), Medi-Cal Assessment Team (MAT), Quality Services, Utilization Management (UM), Workforce Development and Training Department or the Prevention & Early Intervention Team (PEI). Under direction, Mental Health Clinicians provide clinical assessments, care planning, counseling, clinical case management and other rehabilitative / psychotherapeutic services in a community mental health setting. Mental Health Clinicians are expected to work independently but also function effectively as part of a service team. The incumbents may supervise professional and technical personnel, and provide education and consultation services to other staff, community agencies and the public. In addition, Mental Health Clinicians may administer and coordinate mental health programs, and perform other related work as required. Bilingual applicants are strongly encouraged to apply. Upon successful completion of our bilingual proficiency assessment, you'll receive an additional $1 per hour in compensation. Adult System of Care (ASOC) Service Teams are utilized to provide comprehensive outpatient services to adults with a serious mental illness and/or substance use disorder of Stanislaus County. The focus of treatment efforts is to enable clients to function at their highest level in community. Emphasis is placed on assisting clients in identifying and achieving goals, which are meaningful to them. Treatment Teams are comprised of multi-disciplinary staff and are currently utilizing the psycho-social rehabilitation and recovery models of service delivery. Children’s System of Care (CSOC) Services for children and youth are provided in various programs that work with children, youth and young adults age 0 to 21 years. The Mental Health Clinician will provide intensive services to children and adolescents identified with Serious Emotionally Disturbed (SED), as well as provide services and support to their family/caregivers. This may include children and youth who are involved with the Child Welfare or Probation systems. The Mental Health Clinician will also work with transitional age young adults and/or non-minor dependents who have opted into the foster care system as an adult. Services are provided in the field (in home, school, and community settings). Mental Health Clinicians in this subsystem work collaboratively with outside partners through a Child and Family Team process to ensure coordination of care. The CARE Program CARE is a multidisciplinary team of mental health, criminal justice, and other service providers who facilitate, provide, and share responsibilities of assessment coordination and treatment services to appropriately meet the complex mental, physical, and social needs of the targeted population. The target population includes individuals that may have severe and persistent mental illness, exhibit high-risk health and safety behaviors, engage in vagrancy-related criminal behavior, and experience severe SUDs; and for a variety of reasons, they are not accessing or accepting services. BHRS mental health services providers are embedded on the team to support clients with Serious Mental Illness (SMI) and facilitate direct access to treatment services. The CARE team includes Modesto Police, Probation, Community Services Agency, Telecare, and Public Health. The overarching goal is to see an increase in the target population transition from saying “no” to help to saying “yes” to help. Substance Use Disorders (SUD) The Mental Health Clinician will be assigned to treatment programs and Residential Unit, which is designed to serve adults and older adults who suffer from a Co-Occurring Mental Health and Substance Abuse Disorders. The incumbents are expected to provide clinical 1:1's, group counseling to program participants, and consultation services to program staff. This position may include intake assessments, group facilitation, and individual client sessions. Mental Health Clinicians provide 1:1 counseling and assessments while following regulatory compliances. They are mandated reporters for CPS, APS, and 51/50's. Mental Health Clinicians also provide revenue with Medi-Cal billing. Community Emergency Response Team (CERT) The Community Emergency Response Team (CERT) is a 24-hour, seven day a week program. CERT provides emergency mental health assessment and referral services for emergent and pre-emergent behavioral health situations in collaboration with families, consumers, law enforcement and emergency room personnel. Some services are provided in the community through a mobile task force. Non-crisis services include a consumer and family member-staffed Crisis Support Line and on-site peer support available to consumers and families who need support and referrals. Individuals are able to call to access services or request a psychiatric evaluation. CERT personnel should possess sophisticated diagnostic and assessment skills and be available for shift work. Crisis Care Mobile Units (CCMU) The Crisis Emergency Response Team (CERT) program will embed trained crisis mental health staff from Stanislaus County Behavioral Health & Recovery Services to ride along with Modesto Police Department (MPD) patrol officers and Stanislaus County Sheriff’s Office (SO) patrol deputies from 1400 to 2200 hours Monday through Friday. CCMU Clinicians will respond with law enforcement to provide mobile crisis services, Triage screening, de-escalation/resolution for individuals experiencing behavioral health crises. CCMU Clinicians will work with BHS and CST staff to provide peer support, and coordination with medical and behavioral health services, and follow-up. Medi-Cal Assessment Team (MAT) The Medi-Cal Assessment teams provides mental health assessments to children and adult beneficiaries. The MAT Mental Health Clinician will perform initial assessments to individuals referred for or seeking mental health services. The MAT Mental Health Clinician will assist in linkage for those assessed to programs within BHRS, Contractors, and or alternate level of care such as mild-moderate and or community services. MAT personnel should posses sophisticated diagnostic and assessment skills. Quality Services The Quality Services/Compliance team ensures the following: 1. Quality of care issues are identified, monitored and appropriate corrective actions are taken 2. Pursue continuous quality improvement, through department audits 3. Behavioral health services provided to beneficiaries meet established quality of care standards (Department of Health Care Services (DHCS) protocol; Information Notices (IN); All State Plan Letters (APLs)), 4. Quality is evaluated in the areas of access, satisfaction, continuity of care and quality of care, 5. Provide on-going Electronic Health Record (EHR) Navigation training 6. Program certification and re-certification activities, including program National Provider Identifier (NPI)s and modes of service, and 6. Changes are made and monitored related to DHCS protocol updates. In addition, the compliance component of the Quality Services program ensures the following: 1. Establishment and implementation of procedures and a system with dedicated staff for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly (or coordination of suspected criminal acts with law enforcement agencies) to reduce the potential for recurrence, and ongoing compliance with the requirements under the contract (Corrective Action Plan (CAP) follow up from all peer reviews; review/discussion of limited mental health contact; review and provide information related to compliance for fact finding data), 2. Implement a compliance program that includes: Written policies, procedures, and standards of conduct that articulate the organization’s commitment to comply with all applicable requirements and standards under the contract, and all applicable laws (provide training opportunities for BHRS compliance program plan; 3. Implement and maintain procedures designed to detect fraud, waste and abuse that include provisions to verify services reimbursed by Medicaid were received by the beneficiary, 4. Monitor access line compliance and procedures in addition to other compliance related requirements in protocol, Mental Health Plan (MHP) contract, and DMC-ODS Internal Government Agreement (IGA)), and 5. Assist with managing and monitoring privacy issues. Utilization Management (UM) The Utilization Management team evaluates medical necessity, appropriateness and efficiency of services provided to Medi-Cal beneficiaries (outpatient treatment plan review; assessment updates), ensures consistent application of review criteria for authorization decisions (outpatient treatment plan; Service Authorization Requests (SARs); SUD Residential) , conducts concurrent review and authorization for all psychiatric inpatient hospital services and psychiatric health facility services (DBHC; Telecare PHF; Out of County (OOC) hospitals) , reviews and completes provider appeals, provides training materials and training related to concurrent review, documentation standards for medical necessity (based on DHCS training and Title 9 regulation) ; and reasons for denials, EHR and database entry (diagnosis review; approved/denied days) , Medi-Cal eligibility check for all inpatient admissions, establish and implement written policies and procedures for all UM activities and delegated activities, and provide on-going trainings related to authorization (delegated activity); Notice of Action Beneficiary Determination (NOABDs). Collaborative Court The Collaborative Court Team is a program with Stanislaus County Behavioral Health and Recovery Services was created to ensure improved coordinated entry into Behavioral Health care for Stanislaus County residents who are involved in the legal system. Workforce Development and Training Department Training Department supports all BHRS staff in connecting to state mandated trainings as well as trainings that support specific job-related tasks. Mental Health Clinician will provide support in coordinating, facilitating and tracking trainings as well as connecting staff to needed training support. Mental Health Clinician will work with various departments in assessing additional training needs and bringing outside partners in for additional support. Prevention & Early Intervention (PEI) Under the direction of the Manager and Staff Services Coordinator of Prevention and Early Intervention (PEI), the Mental Health Clinician will act within the division in a variety of local community settings, requiring partnerships with other organizations or community groups. The Mental Health Clinician may provide training and support to staff and community agencies at different sites within the county. The Mental Health Clinician will act in conjunction with the PEI division’s accordance to state regulations in an effort to engage and impact community in ways that will result in deeper awareness of mental health and access to services, as well as engage in awareness and prevention efforts around suicide. The Mental Health Clinician will engage community in efforts to reduce stigma related to mental health and will help the community to build capacity in independent, self-defined views of wellbeing, wellness, and overall mental health. The Mental Health Clinician may provide guidance and support to a growing collaborative of designated community leaders and agencies from PEI and BHRS-funded programs as well as other community-based mental health and wellness programs. Doing so will ensure access to this prevention strategy in outlying areas where transportation and other factors are barriers to services in traditional centralized locations. Along with these tasks related to the division’s implementation and services delivery, the Mental Health Clinician will act in conjunction with the PEI division within BHRS to fully implement the building of community capacity to provide emotional support to individuals where they live, worship, go to school, and play. The primary function promotes positive community development as a viable broad community effort to improve behavioral health outcomes. To learn more about the Behavioral Health and Recovery Services Department, click here . The eligible list generated from this recruitment will be used to fill future full-time, part-time, extra help and on-call vacancies for the Behavioral Health and Recovery Services Department. Click here for details . Unless otherwise provided, this position is part of the Classified Service of the County and is assigned to the Community & Health Services bargaining unit for labor relations purposes. Individuals who are in a full-time classification position are required to serve a twelve-month probationary period, which may be extended an additional six months, for a total of eighteen months. Incumbents may also be subject to overtime, standby, callback, weekend, holiday and shift assignments as identified in their MOU (Memorandum of Understanding). Part-time extra-help is a provisional classification where permanent status may not be obtained. This position is subject to overtime, standby, shift, and callback assignments and will perform related duties as assigned. This position is non-benefited except for participation in a 401a program with Nationwide.” The Job Task Analysis provides information detailing the physical and functional demands of the classification. For the complete job task analysis, visit the Risk Management website at http://www.stancounty.com/riskmgmt/ under the "Disability" tab. Typical Tasks Advise clients of available community resources and act as a liaison and/or advocate for clients/families to be able to access community resources effectively; Conduct onsite and field based comprehensive clinical assessments to establish medical necessity criteria and provide clinical interventions without supervision, utilizing different clinical treatment modalities and approaches based on clinical needs; Determine functional impairments of clients and prioritize their needs; In the appropriate therapeutic and/or clinical setting, work with primary care physicians when necessary on treatment plans or provide individual and group services which could include clients from diverse cultural backgrounds. For children and families, assist in assessing challenges and barriers to social and emotional health, and in partnership with them, develop a strength based realistic service plan; Perform appropriate clinical social work and develop treatment plans to address clients functional impairments; Prepare and maintain complex treatment and progress reports and document in client charts as needed; which include, diagnostic and treatment recommendations, discharge planning and follow-up services; Prepare and present cases for review with the clinical service team; Provide client-centered and wellness/recovery/resiliency informed services; Provide crisis intervention and 5150 evaluation on-site, in the field or at neighboring hospital emergency rooms when working with BHRS clients; Provide ongoing clinical assessment, client care planning and effective treatment implementation to children, adults and families; Support and utilize Electronic Medical/Health Record System software; Utilize the 12 Step and social model principles of substance use disorder (SUD) treatment resiliency and crisis intervention within the community; Work collaboratively with a wide range of clinical and non-clinical disciplines to access client and family needs, design effective care planning, service goals or special medical treatment plans regarding utilization of additional resources, such as, home health and hospice; Work collaboratively with consumers and family members using a wellness, recovery or resilient based approach and engage clients in treatment pathways to provide behavioral health needs when appropriated or as needed; Work in tandem with the Child Welfare Department, Education partners, or Regional Center partners if applicable; Work in tandem with the Probation Department, Sheriff's Office, criminal justice partner agencies, and other community partners across the County if applicable; and Other duties as assigned. Minimum Qualifications (Knowledge, Skills, Abilities, Education/Experience) KNOWLEDGE Principles, techniques and trends in counseling, psychotherapy, clinical case management, and various treatment modalities; Biological, behavioral and environmental aspects of emotional disturbances, mental disability, and substance abuse; Culturally proficient practices with diverse case load; Scope and activities of the public and private health and welfare agencies and other available resources; and Principles and techniques of mental health education, prevention, and crisis intervention within the community. SKILLS/ABILITIES Perform psychiatric social work and psychotherapy of a complex nature with clients and groups; Prepare clear, concise case work records and make recommendations on the basis of such information; organize and manage a caseload; and work with a bureaucratic system; Retain personal objectivity while dealing with the problems of others; Perform the therapist's role in a manner consistent with professional standards and ethics; Determine functional impairments of clients and prioritize their needs; Decide appropriate treatment focus and methods without clinical supervision; Work with a team to integrate various clinical approaches into a treatment program; and Anticipate a potential crisis, manage and be able to apply appropriate clinical intervention when necessary. We recognize your time is valuable, please only apply if you meet the following required qualifications. EDUCATION/EXPERIENCE MENTAL HEALTH CLINICIAN I PATTERN I Graduation from an accredited two (2) year Graduate School of Social Work with the receipt of a Master's Degree of Social Work which can lead to licensure as a Clinical Social Worker. PATTERN II Graduation from an accredited graduate program with receipt of a Master's Degree which can lead to a License as a Clinical Social Worker (LCSW) or a Marriage and Family Therapist (MFT); AND Meet qualifications to participate in a Short-Doyle program; AND Eligible to be licensed as either a Licensed Clinical Social Worker or a Marriage and Family Therapist in the State of California. The Mental Health Clinician I classification is a Veterans' Preference Program eligible job classification. For more information, please click here (Download PDF reader) . MENTAL HEALTH CLINICIAN II PATTERN I Graduation from an accredited two (2) year Graduate School of Social Work with receipt of a Master's Degree and acquisition of the State recognized license. PATTERN II Graduation from an accredited graduate program with receipt of a Master's Degree and acquisition of a LCSW or MFT License which meets qualifications to participate in a Short-Doyle program. PATTERN III Doctoral Degree in Clinical Psychology may be substituted for the above educational requirement; AND Two (2) years of experience in a Mental Health setting under clinical supervision as required to qualify for the State recognized license. LICENSE Licensed as either a Licensed Clinical Social Worker or Marriage and Family Therapist in the State of California; OR A license as a Psychologist in the State of California may be substituted for the above licensure requirement. DESIRABLE QUALIFICATIONS In addition to the minimum qualifications, applicant screening may focus on the following desirable qualifications. Please list any of these qualifications you may have within the "duties" section of the online application. Licensed as either a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist or Licensed Professional Clinical Counselor in the State of California; OR Current registration with the California Board of Behavioral Science or must be registered with the California Board of Behavioral Science within 60 days of the commencement of employment; AND Enrollment through Department of Health Care Services Provider Application and Validation for Enrollment (PAVE) portal. Application and Selection Procedures APPLICATION PROCEDURES/FINAL FILING DATE Applications cannot be submitted later than 5:00 p.m. on the final filing date. Make your online application as complete as possible so a full and realistic appraisal may be made of your qualifications. Resumes will not be accepted in lieu of a completed application. Attaching your resume and cover letter are an optional feature for those who wish to do so in addition to completing the required application. Information on your resume and cover letter will not substitute for the education, work experience and required fields on the County application. The online County application is the primary tool used to evaluate your job qualifications. EXAMINATION PROCESS Most County recruitments consists of the steps detailed below and are governed by Merit Principles. The examination process ensures that all applicants are given the same opportunity to gain employment within Stanislaus County. Application Review and Screening. Applications are carefully screened based on information provided. Those who submit incomplete applications that lack relevant qualifications or do not submit all required documents will not be invited to move on. Written Examination. Applicants will be invited to participate in a written exam that tests knowledge for the position. Oral Examination. Applicants are invited to a panel interview in which they will be evaluated by County subject matter experts. Eligible Lists. Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for six months, but may be extended up to eighteen months. TENTATIVE RECRUITMENT SCHEDULE Application Deadline: Applications will be reviewed on a continuous basis. This recruitment may close at any time with no notice. Apply By: Oral Examination: January 5, 2024 Week of January 15th January 19, 2024 Week of January 29th February 2, 2024 Week of February 12th February 16, 2024 Week of February 26th March 1, 2024 Week of March 11th March 15, 2024 Week of March 25th GENERAL INFORMATION Final appointment will be conditional upon successfully passing a County paid pre-employment medical screening (if applicable for position) and a job-related background investigation. Some positions may require possession or the ability to obtain, and maintenance of a valid California Driver’s license or the ability to utilize an alternative method of transportation when needed to carry out job related essential functions. Stanislaus County supports the good health of its workforce. More information is available at http://myclubwellness.org Cell phones are typically incompatible with the online application format or browser. We recommend using a desktop or laptop computer. If you are still having technical difficulties, please call NEOGOV at 1-855-524-5627. Benefits associated with this position can be found at Benefits Summary . Closing Date/Time: Continuous