Wednesday, June 20, 2018

Health Care Program Administrator I (Homeless Option-Promotional)

Trust Clinic Manager

Recruitment #12-0314-02



To be eligible to participate in this examination process you must be a current employee and have completed by Monday, April 2, 2012, the equivalent of six months of continuous service following a regular appointment in the Alameda County classified service (non-classified includes the District Attorney’s Office, the Medical Center, and the Superior Court). A regular appointment does not include provisional, TAP (Temporary Assignment Pool), or STEP-UP appointments.

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. Postmarks and faxes are not accepted. Failure to submit the Supplemental Questionnaire will result in disqualification. Applications will only be accepted on-line.

For more information about our Alameda County Public Health Department, please visit the Alameda County Health Care Services Agency website and the latest Annual Budget document found on


The Position:
Alameda County Public Health Department announces the opportunity to be a part of a new health clinic – the Trust Clinic -- providing integrated clinical care for homeless disabled persons in Alameda County.  This is opportunity to be involved in the start up of a key clinical team whose mission is provide assessment, treatment and documentation for indigent, homeless or marginally-housed persons with mental health, chronic or disabling medical conditions and/or alcohol or drug concerns.  The goal of the Trust Clinic will be to provide collaborative services with patients, clinicians, case managers, housing providers, social services providers and benefits advocates --  treating and stabilizing patients, and providing documentation to enable them to acquire federal disability benefits.  

Under direct supervision of the Health Care for Homeless Director to provide program planning, clinic development, review and evaluation functions, and to supervise multi disciplinary staff in the direct delivery of health care services to homeless and disabled clients; to act as county liaison with funding sources and county service providers; to ensures that program regulations and clinic procedures are followed and to do other related work as required.

The Trust Clinic Manager will provide oversight over the implementation of the Trust Clinic (TC) program. This position will be responsible for day-to-day clinic management and service delivery.

Major Tasks, Duties and Responsibilities

Note: The following statements reflect the general duties considered necessary in order to describe   the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.

Plans, directs, and evaluates the work of TC operation; supervises, reviews work of multi-disciplinary clinic staff.

Develops and modifies techniques and formats to evaluate TC operations.

Conducts needs assessment of the target population; identifying program goals and objectives and develops action plans and timelines.

Continuously communicates with BHCS, Social Services Agency and HCSA for seamless and comprehensive implementation of TC program.

Researches program alternatives, services delivery organizations and other elements for possible program inclusions; evaluates alternatives, prepares reports and makes recommendations

Acts as the county liaison and provides coordination among community based organizations and other service providers, county departments, State, or other funding sources and community or business organizations.

Communicates and interacts with community based health clinics and other health programs for information sharing and identifying best practices.

Monitors the TC Services delivery; ensures compliance with contract provisions, and funding source regulations, recommends and facilitates implementation of procedural and operation changes to maximize service delivery and revenue reimbursement.

Monitors legislative activities and changes in laws and regulations including FQHC regulations, HealthPAC and Affordable Care Act to assess their affect on clinic activities; develops and implements policies and procedures to ensure compliance with such changes.

Compiles and maintains accurate records and files regarding clinic activities; prepares periodic and special statistical and narrative reports as required; may access multiple databases.

Participates in the budget development process; monitors and authorizes expenditures; oversees the claim reimbursement process. 

Participates in departmental, countywide and or State planning processes, may serve in a variety of committees and task forces. 

Analyzes changes in regulations; evaluates the impact of TC program operations and drafts policy and procedural changes as required.

The Ideal Candidate:
In addition to the minimum qualifications, the ideal candidate will be a strong leader that will possess experience overseeing a health clinic operation and have the ability to collaborate with various stakeholders and community partners. The successful candidate will also have prior experience working with the homeless population, preferably in a public health clinic setting.

Critical attributes to the success of the Health Care Progam Administrator I - Trust Clinic Manager include:

-A collaborator and consensus builder maintaining and cultivating successful working relationships with a multitude of internal and external stakeholders and collaborating agencies.

-A strategic thinker and planner with innovative yet practical solutions to solve problems in a manner that contributes towards the organization’s mission.

-A proven team player with exceptional interpersonal, verbal and written communication and facilitation skills, with the ability to present information (technical/non technical) to a variety of groups and audiences.

-A resourceful professional that stays current with information, technology and trends around them and in their field.

-A demonstrated organizer with the skills and ability to prioritize tasks and work on multiple projects and multi-task.

-Demonstrated experience in the application of theories and principles of public health and clinic operations.
Utilization of the principles and practices in the field of Public Health in support of the homeless population.
-Cultural responsiveness, assessment of health needs of the homeless population and underserved vulnerable populations with a track record of developing a collaborative rapport with internal resources for collaboration as well as an established network of community-based service providers.

-Strengthening and supporting direct service delivery efforts to create a positive climate, prevent conflict and violence, and enhance access to the homeless population.

-Providing quality health services to the homeless population on  health issues, drug/alcohol dependencies, effects of physical/sexual abuse, extensive exposure to violence and/or socio-economic factors.
-Manage, track and report data on the status of clinic operations.

-Successfully align program service objectives with vision and goals of the organization.

 Special Requirement:
The incumbent must possess at least 2 years of experience in the direct delivery of health care services to homeless population and also possess 2 years of experience in the provision of housing/support services to homeless persons.



Possession of a bachelor’s degree from an accredited college or university in business administration, public health administration, health care administration, social welfare or related field.

(Additional experience as outlined below may be substituted for the education on a year-for-year basis.)




The equivalent of two years full-time experience as a Program Specialist or in an equivalent or higher level classification in the Alameda County classified service performing program planning and evaluation. (Non-classified includes District Attorney’s Office, Hospital Authority, and the Consolidated Courts.)



The equivalent to three years of full-time professional experience in either the direct delivery of health care services to clients or the oversight of such services in the program area to which assigned, one year of which must have included program planning and evaluation.

(A master’s degree in business administration, health care administration, public health social welfare or related field may be substituted for 1 year of experience in pattern I or II.)


Specified positions may require possession of a valid California driver's license.

Specified positions may require licensure or certification in the programmatic area to which assigned.

Special Requirement:
The incumbent must possess at least 2 years of experience in the direct delivery of health care services to homeless population.  The incumbent must also possess 2 years of experience in the provision of housing/support services to homeless persons.

NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination.


NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the "Examples of Duties" section of this specification.

Knowledge of:

• Principles and practices of employee supervision.
• Management principles and practices, including work planning, employee supervision and resource allocation.
• Principles, practices, funding sources and administrative requirements in the program area to which assigned.
• Principles and practices of program planning and evaluation.
• Principles and practices of direct client service delivery.
• Practices and techniques of programmatic analysis and report preparation.
• Computer applications related to the work.
• Office administrative practices and procedures, including records management and the operation of standard office equipment.
• Basic budgetary and financial record-keeping techniques.
• Functions and operations of related agencies and community organizations.
• Health systems, agencies and patterns of referral.

Ability to:

• Plan, supervise, train, review and evaluate a multi-disciplinary staff.
• Plan, monitor and evaluate program and service delivery effectiveness in the programmatic area to which assigned.
• Identify programmatic and operational problems, investigate and evaluate alternatives and implement effective solutions.
• Interpret, explain and apply complex regulations, policies and procedures.
• Prepare clear, accurate and effective reports, correspondence, policies, informational brochures and other written materials.
• Represent the department and the County in meetings with others and make effective presentations to diverse groups.
• Organize and prioritize work and meet critical deadlines.
• Maintain accurate records and files.
• Exercise sound independent judgment within established policies and guidelines.
• Establish and maintain effective working relationships with those contacted in the course of the work.


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 many 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:



Selection Plan

Applicants will be informed 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:


-Deadline for Filing: 5 pm on Monday, April 2, 2012 (applications will be accepted on-line only)

-Application and Supplemental Questionnaire Review for “Ideal Candidates”: Monday, April 9, 2012 Your supplemental questionnaire must be fully completed in order to be considered for the next phase of the selection process.

-Panel Interviews: tentatively scheduled for, Friday, April 20, 2012.

*Please note that the panel interview will be weighted as 100% of the candidates' final examination score and may contain situational exercises. Candidates must attain a qualifying rating on each portion of this examination. We reserve the right to make changes to the announced examination steps

The Human Resource Services Department will make reasonable efforts in the examination process to accommodate qualified individuals with mental and physical disabilities, and/or medical conditions in accordance/compliance with the State Fair Employment Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) of 1990, and Alameda County Resolution No. R-83-773. To request an accommodation due to a disability during this or other phases of the selection process, please contact the Human Resource Services Department at (510) 272-6472 before the final filing deadline. Alameda County Human Resources Services will require documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a permanent disability pursuant to the U.S. Equal Employment Opportunity Commission's statute of the Americans with Disability Act of 1990, as amended, and/or the California Department of Fair Employment and Housing (DFEH) Act.

For more information regarding our Reasonable Accommodation procedures, please visit our website,




Alameda County, located on the east side of San Francisco Bay, is California's seventh-largest county.  The County employs 9,080 full-time employees and operates on an annual budget of $2.39 billion.  Oakland, the County seat, is California's eighth largest city.  One and a half million people call Alameda County home and live in a variety of incorporated cities, unincorporated communities and rural areas.  As a major urban county, Alameda provides a full range of services to its citizens.  The County is a blend of culturally and ethnically diverse communities, and its mixture of cosmopolitan and suburban areas provides the perfect environment for families and their active lifestyles.  The County offers extensive cultural resources, countless recreational opportunities and an array of fine public and private colleges and universities.



The County offers HMO and PPO medical plans.  The County has two contributions structures, 1) County contributes 100% of the lowest cost HMO; or 2) County contributes 90% of the HMO plans and 90% of the lowest cost HMO towards the PPO. The County contribution can be prorated based on the number of work hours up to 50% of the standard hours in a pay period.  Employees pay any additional premium costs if they chose an alternate HMO or PPO Plan. If an eligible employee waives all medical coverage through the County, a monthly stipend may be provided.


The County offers two Dental Plans: PPO and Dental Maintenance Option (DMO). The County contributes up to 100% of the family coverage for both plans as long as the employee works at least 50% of the standard hours in a pay period. The PPO option plan design is 100% Preventative, 80% Basic Care, 80% Major Care with a $45 per individual deductible and annual maximum up to $1,450 per. The DMO option has an orthodontic benefit for children as well as adults.


The County offers two Voluntary Vision Plans through Vision Service Plan (VSP) for eligible employees.  The two plans consist of a low option and a high option that offer annual eye exams and coverage for various frames and lenses.  The Voluntary Vision Plan is 100% employee paid and available to employees and their dependents.  In addition, an annual eye exam is covered for participants in the HMO Medical Plans with corresponding co-pay. 


The County pays for a Basic Life Insurance policy of $25,000.  Supplemental Life Insurance for an employee can be purchased in $10,000 increments up $1,000,000.  Supplemental Life Insurance can also be purchased for spouse/domestic partner and/or eligible dependent children.


An employee can purchase either a policy for themselves or a family policy in $25,000 increments up to $500,000.


The County provides up to $2900 of flex dollars annually, dependent upon the management employee's represented or unrepresented classification.  These flex dollars can be used to pay for medical, Supplemental Life and/or AD&D premiums.  The unused portion of these flex dollars are deposited into a Health Flexible Spending Account for the management employee, which can be used for unreimbursed medical expenses.


Employees may opt to salary contribute on a pre-tax basis up to $10,000 for eligible out of pocket medical, dental and vision expenses such as: prescription co-pays, office visit co-pays, prescription eye glasses or contact lenses.


For employees who have either children under age 13 or dependents (parent, sibling or in-law incapable of self-care) that are dependent upon the employee for care can contribute salary on a pre-tax basis up to $5,000 annually.  These pre-tax dollars can be used to pay for day care expenses provided by a licensed facility.



For the 2011 Plan Year, an employee can set aside up to $230 a month in pre-tax dollars to pay for qualified work-related parking and commuting to and from work transit fees.


Eleven paid holidays plus two or four floating holidays depending on the union bargaining unit.  Represented management employees are entitled up to three additional days of management paid leave. Unrepresented management employees are entitled up to seven days of management paid leave.


Vacation accrual ranges from two weeks to five weeks depending upon years of service and the union bargaining unit to which the position is assigned.  Sick leave accrues at the approximate rate of one-half day per bi-weekly pay period.  Exact rate is based on the union bargaining unit and is defined in the corresponding Memorandum of Understanding.


The County allows you to purchase one or two additional weeks of vacation through payroll deduction.  Exact benefit is based on the union bargaining unit and is defined in the corresponding Memorandum of Understanding.


The County has an EAP available for employees, spouses/domestic partners and eligible dependents.  This program provides services such as: counseling, financial consulting, child and elder care consulting and some legal counseling.


Two voluntary plans are offered: Short-term Disability and Long-term Disability can be purchased through a payroll deduction or with accrued vacation hours depending upon the union bargaining unit.


This voluntary benefit extends care for yourself and/or your spouse and/or your parents who experience a serious accident, chronic illness or frailties of old age.  Places where care can be provided are: in one's home, at a nursing home, at an assisted living facility or adult day care center.


The County retirement program is a Defined Benefit plan and is governed under the provisions of the 1937 Act.  The County's retirement is based on one's age upon entrance, compensation, years of service and specific percentage of employee/employer contributions with the County's portion vesting after five years of employment. (With regard to Project positions - Regularly appointed incumbents in full-time, non-project positions in the Alameda County classified service who are current members of the retirement system and who are appointed, without a break in service or status to a project position can elect to remain in the retirement system.  Individuals hired into a project position and subsequently appointed to full-time, non-project positions become members of the retirement system at the time of the regular appointment.  Computations and determinations of eligibility for retirement shall be based on the date of the regular appointment, with entitlements being prospective from that date.)


The County offers a Deferred Compensation program where an eligible employee can voluntarily contribute on a pre-tax and/or after-tax basis, a minimum of $20 per pay period up to the total annual contribution limit.


Those claiming additional preference points as a VETERAN must submit a copy of the DD214 form on the day of the oral examination. Those claiming additional preference points as a DISABLED VETERAN must submit a copy of the DD214 form and a letter from the Department of Veteran Affairs confirming eligibility for additional points on the day of the oral examination.

The Human Resource Services Department will make reasonable efforts in the examination process to accommodate qualified individuals with mental and physical disabilities, and/or medical conditions in accordance/compliance with the State Fair Employment Housing Act (FEHA), Federal Americans with Disability Act (ADA) of 1990, and Alameda County Resolution No. R-83-773.  To request reasonable accommodation, you must notify the Human Resource Representative listed on this bulletin as soon as possible and before the last day to file, in order to make the necessary arrangements during each step of the examination process.                                                               (510) 272-3703 (TDD)

All government employees are disaster service workers as defined by California Government Code Section 3100.  In addition to everyday duties, employees have the added responsibility of helping throughout any disaster. 

An applicant's previous employment may be investigated.  Results of this investigation may be cause for disqualification.  Also, all convictions will be reviewed and may result in a request for additional information or termination of employment.  A conviction record will not necessarily disqualify an applicant from employment.  Each case will be given individual consideration, based on job-relatedness.

All prospective county employees must pass a medical examination before beginning employment.  For positions which require a commercial driver's license and the performance of functions defined as "safety sensitive," Federal law and County policy requires that the examination include a drug screening process.  Offers of employment are conditional upon successful completion of this examination.

Alameda County is an Equal Opportunity/Affirmative Action employer.  Women, ethnic and racial minorities and persons with disabilities are encouraged to apply.  Applicants will be considered without regard to their race, color, religion, sex national origin, age, disability, sexual orientation, or any other non-job-related factor.


All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add and 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 insure 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 box are routed to an unmonitored mailbox. If you have questions please go to our website at You may also contact the Human Resources Analyst listed on the bulletin for the recruitment for which you have applied.

Sam Gee, Human Resources Analyst II
Human Resource Services Division, County of Alameda