Applicants for this position are required to submit responses to the following supplemental questions. Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants.
Responses should be thorough and specific. A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position. Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process. A resume will not be accepted as a substitute for properly completed responses.
Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment. Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.
The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position. Only the best and most suitably qualified candidates will be invited to participate in the oral interviews.
By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process. Do you understand the above statement?
Yes
No
1.
This position requires successful completion of a four year residency in psychiatry. Please indicate below how you qualify to meet this requirement. Be sure to include what year and where you satisfied your psychiatry residency requirement.
2.
This position requires possession of a license in good standing to practice medicine in the State of California. Please provide your California state medical license serial number, issue date, and expiration date in the space provided below.
3.
Please describe your experience and training working as a psychiatric medical doctor after completing your residency program, specifically that which makes you the best qualified applicant to serve in a consultative and advisory role in establishing clinical standards. Be sure to include the years of experience and where you obtained the experience.
4.
Previous experience involving lead or supervisory responsibility may suitably prepare someone to be successful in this position. Describe your experience providing lead direction and/or supervision to a multi-disciplinary team of professional, para-professional, clinical, medical, and support staff. In your response, list the approximate total number of staff, direct reports, and types of employees supervised (eg public health nurses, disease control investigators, outreach workers, epidemiologists, clerical staff, etc.) as well as the employer where the experience was gained.
5.
Describe your experience with continuous quality improvement and performance management of clinical/medical staff and services. Give an example of a training program and/or process you have specifically developed and implemented in a health care setting to improve service outcomes.
6.
Describe a strategic partnership in which you collaborated with others to develop an innovative idea that leveraged shared opportunities and maximized constrained resources within a health care organization. Be sure to list the stakeholders involved, final outcome and result of your collective efforts.
7.
In compliance with the Administrative Simplification provision of the Health Insurance 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. Additionally, 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.
By selecting yes below, I understand that I will be required to meet these standards prior to my first day on the job.
Human Resource Services Department