Official SealHuman Resource Services Department


#19-5045-01
Supplemental Questionnaire

Last Name
First Name
 

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.

By selecting yes below, you certify your understanding that all applicants must submit a complete application and complete responses to the supplemental questions in order to be considered for this recruitment. Do you understand the above statement?

Yes No
1.

Describe your professional experience managing large complex mental health or health care organizations specifically in a Behavioral Health managed care setting, in the following areas. Please include your employer, dates of employment, and your title and role. If you have no experience in any specific area listed below, please indicate.

    • Mental Health Plan Administration
    • Adult and Older Adult
    • Children and Young Adult
    • Consumer and Family Relations
    • Housing
    • Quality Improvement
    • Vocational Services
2.

Describe your experience facilitating partnerships with diverse community stakeholders, including community-based organizations, county, state, and federal agencies regarding mental health policy, initiatives and programs.

3.

Provide an example of how you have addressed policy and organizational changes as a result of changing health care legislation. What techniques did you employ to implement the changes within your division/department/program, and what did you do to gain buy-in and support from others (staff, stakeholders, etc.)?

4.

Describe your professional mental health experience in the following areas (include your role and responsibilities in your response):

    • Strategic planning
    • Implementing and monitoring performance and quality improvement activities
    • Governmental budgeting, grants management and contracts administration.
5.

Please describe your experience managing multiple management level staff and how you held them accountable for programmatic deliverables. In your response, please include your title, number and title(s) of subordinate staff, and how your management style played a role in the ensuring accountability.

 

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

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