Chief Correctional Health Medical Advisor

Description NOTICE OF CHANGE: This recruitment will remain open until filled.
The Public Health Department (PHD) is accepting applications to fill one part-time Chief Correctional Health Medical Advisor vacancy in Santa Barbara or Santa Maria. The County classification title is Correctional Health Medical Director. This position is "At-Will" and exempt from Civil Service protections.
Please Note: The selected candidate will be working in County Jails and Juvenile Facilities and will need to travel between different facilities within Santa Barbara County.

BENEFITS: For more information on County benefits, please click here. Benefits are pro-rated for part-time employment.

In addition, applicants from other public sector employers may qualify for:

• Time and service credit towards an advanced vacation accrual rate
• Retirement reciprocity

Note: The County may provide reimbursement for reasonable relocation expenses, and at the discretion of the CEO, can provide cash incentives and/or time off advanced accruals in the interest of attracting the best talent to the organization.

ABOUT THE DEPARTMENT: Public Health Department: Our mission is to improve the health of our communities by preventing disease, promoting wellness and ensuring access to needed health care, and our vision is healthier communities through leadership, partnership and science. With a staff of 500+ and a budget of approximately $83 million, Public Health serves a population of about 420,000 residents in Santa Barbara County.

THE POSITION: The Chief Correctional Health Medical Advisor is a senior-level manager in the Civil Service system and reports to the Public Health Department's Chief Medical Officer. All County leaders are expected to uphold the values of accountability, customer-focus, and efficiency. Incumbents lead others and model behaviors that exemplify quality customer service; provide effective and ethical leadership; creatively and strategically plan, develop, and implement programs that use human and financial resources to achieve results; are accountable for strategy and goal formation consistent with the County's mission and key business objectives; engage stakeholders; communicate and collaborate effectively at multiple levels; develop employees; analyze issues and data; and efficiently use public resources.

The County of Santa Barbara Public Health Department is seeking a highly motivated physician to monitor healthcare delivery within the County jail system and Juvenile Hall and advise the Sheriff, Chief Probation Officer, Public Health Chief Medical Officer and the Public Health Director on the performance of contracted jail healthcare providers. The Chief Correctional Health Medical Advisorwill play a pivotal role in ensuring the delivery of high-quality healthcare services to incarcerated individuals through a third-party contractor while maintaining compliance with relevant regulations and standards.

The Chief Correctional Health Medical Advisor will be responsible for monitoring and coordinating oversight of all clinical and related activities of the Jail Health Contractor clinical staff to implement NCCHC and evidence-based standards of healthcare (e.g., medical, dental, mental health, ancillary services etc.) for the inmate population and provide ongoing advisement and report to the County Sheriff, Probation, Behavioral Wellness and Public Health Departments, in addition to the Jail Health Contractor.

The Ideal Candidate will possess:

• Demonstrated commitment to caring for vulnerable and underserved populations including those with serious mental illness and substance use disorders;
• Experience working with patients in a carceral setting;
• Experience leading quality improvement and/or population health efforts in a clinical setting;
• Experience evaluating acute and chronic care for complex patients with various socioeconomic, medical, and behavioral challenges;
• At least three years of independent, full-scope adult primary care practice (Internal Medicine or Family Practice) including acute and chronic disease management;
• Knowledge and experience in Medically Assisted Treatment for Substance Use Disorders;
• Ability to work as a member of Jail Medical Oversight Team to ensure the jail health services meet the needs of the patients and the Sheriff's Department.

Examples of Duties

• Provides advice and expert opinion to the Sheriff, Probation, Behavioral Wellness, Public Health and the healthcare team within the County Jail and Juvenile Facilities, including physicians, nurses and mental health providers to develop and implement clinical protocols and standards and to ensure the delivery of evidence based and comprehensive healthcare services.
• Coordinates with and advises Sheriff, Probation, Behavioral Wellness, Public Health and the Contractor to implement best practices and NCCHC standards of health care (e.g., medical, dental, mental health, ancillary services etc.) for the inmate population at County Jails and Juvenile Detention Facilities.
• Evaluates existing services, identifies needs, and develops long-range program/service plans, including goal setting, program design and evaluation, and policy development. Reports on such findings to the Sheriff, Probation, Behavioral Wellness, Public Health and the Contractor.
• Co-chairs the Mortality Review Committee along with the Chief Custody Deputy and conducts root cause analysis for in-custody deaths occurring in the County Jail or Juvenile Facilities.
• Chairs the Medical Audit Committee (MAC) responsible for developing, recommending and implementing all policies and procedures necessary for the delivery of quality health care at the County Jail and Juvenile Facilities.
• Evaluates audits, reports, programs, staffing and medical service issues or concerns.
• Participates in the Committee of Quality Improvement (CQI) and identifies new components or activities required in the Quality Improvement Work Plan.
• Reviews and analyzes findings of internal program reviews and external audits to identify problem areas.
• Works closely with the Correctional Health Quality Care Improvement Manager - Public Health to develop and implement continuous quality improvement efforts.

Employment Standards

Possession of the core competencies listed here and the ability to immediately demonstrate these competencies consistent with the position's level in the leadership series and the specific work assignment; AND

Possession of a valid Certificate as a Physician or Surgeon issued by the State of California; AND

• Three years of medical administrative management in a correctional, hospital, urgent care, ambulatory or related setting, preferably public, including providing general medical care and treatment, with one year of supervisory experience.
• A combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge and abilities.

Additional Requirements: Positions in this class will be required to possess a valid driver's license at the time of application and possess a valid California Class C Driver's License at the time of appointment. This position requires travel throughout the County of Santa Barbara.

Knowledge of: advanced principles and practices of modern medicine, medical diagnosis, and treatment; community resources in medical treatment; American Medical Association ethics and standards; pharmacology, including laws regarding informed consent, dosage ranges, drug incompatibilities, and side effects; ICD-10 and CPT coding and billing principles; clinical supervisory principles and practices; health care management practices and principles; peer review process; development of medical policies, procedures, and protocols; principles and practices of training; and standard English grammar and usage.

Ability to: learn and apply principles of staff supervision and performance evaluation; assess symptoms and make an accurate diagnosis; prescribe treatment appropriate to the patient's condition and situation; communicate effectively in both verbal and written formats; establish and maintain effective relationships with staff, patients, the public, other community providers, and other County employees; and interact with clients from diverse socio-economic backgrounds.

Desirable Qualifications: Previous experience supervising physicians is highly desirable. The ability to read, write, and converse fluently in Spanish and English, and experience working in correctional health is also desirable. Supplemental Information

APPLICATION & SELECTION PROCESS:

• Review applications and supplemental questionnaire to determine those applicants who meet the employment standards.
• Supplemental Questionnaire Ranking: Candidates' response to the required supplemental questionnaire will be evaluated and scored. Candidates' final score and rank on the employment list will be determined by their responses to the supplemental questionnaire. This process may be eliminated if there are fewer than 11 qualified candidates.

Applicants must receive a percentage score of at least 70 on the supplemental questionnaire ranking to be placed on an employment list. An adjustment may be made to raw scores based on factors listed in Civil Service Rule VI. Those candidates who are successful in the selection process will have their names placed on the employment list for a minimum of three months. At the time the employment list is established, all candidates will receive written notice of their score on the exam(s), rank on the employment list, and exact duration of the employment list.

Recruiters will communicate with applicants by e-mail during each step in the recruitment process. Applicants are reminded to check spam filters continuously during the Recruitment & Selection Process steps listed above to ensure they do not miss required deadlines.

REASONABLE ACCOMMODATIONS: The County of Santa Barbara is committed to providing reasonable accommodation to applicants. Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter listed on the job posting. We require verification of needed accommodation from a professional source, such as a Medical Provider or a learning institution.

Background Process: Live Scan: The selected candidate will need to successfully pass a Live Scan which is an electronic fingerprint scanning that is certified by the State Department of Justice.

Please note, a Live Scan may need to be repeated in accordance with specific department requirements to access their facilities.

In addition to the Live Scan, the following process will be used as part of the background investigation process after the candidate is extended a conditional offer of employment for the Public Health Department:

• Personal History Questionnaire (PHQ). The selected individual will receive a notice regarding completion of a Personal History Questionnaire (PHQ). Failure to submit a PHQ by the deadline will result in disqualification from the hiring process for the Public Health Department.
• Background Investigation: The selected individual will be required to complete a Personal History Statement (PHS) and undergo an extensive background investigation that includes an evaluation of references, prior employment, drug history, residence history, and neighborhood check. This process may take 4-6 weeks.

Current or excessive use of drugs, sale of drugs, serious criminal history, or deception relating to employment history may bar employment.

Disaster Service Worker: Pursuant to Governmental Code section 3100, all employees with the County of Santa Barbara are declared to be disaster service workers subject to such disaster service. Activities as may be assigned to them by their superiors or by law.

Statement of Commitment
The County of Santa Barbara is dedicated to cultivating and sustaining an environment that exhibits equity and inclusion everywhere, and at all levels of our organization. The County believes equity is a fundamental principle that must be imbedded in policies, institutional practices and systems. The County recognizes the negative impacts of systemic racism and is committed to eliminating the barriers affecting our Black, Latinx, Indigenous, and Asian community members, as well as people of other diverse racial and ethnic backgrounds. We envision a world where society and its systems (e.g. education, criminal justice, and health care, housing the economy) are just, fair, and inclusive, enabling all people to participate and reach their full potential.

We celebrate community and employee diversity, strive for inclusion and belonging, and promote empowered participation. We aspire to build a workforce that is reflective of these values and the communities we serve. We are proud to be an equal opportunity employer and will resolutely uphold federal, California state law and/or Santa Barbara County ordinances.

We believe equity and inclusion are vital to fulfill the County's mission and to embody a culture of "One County, One Future." Expanding the full range of employee talent allows the County to deliver our best to all our community members.

We believe in the dignity and humanity of all people. We strive for a healthy and prosperous society that promotes all people having equitable access and opportunity.

APPLICATION DEADLINE: Open until filled. Applications and job bulletins can be obtained 24 hours a day at www.sbcountyjobs.com.

Erin Kuhn, Employment Analyst II, erkuhn@countyofsb.org

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