(Unclassified)
To perform responsible work providing a variety of medical specialty services and consultation for the Placer County Department of Health and Human Services.
This position serves at the pleasure of the Appointing Authority having no specific term and no property right to continuous employment and can be released without cause.
Receives direction from designated management staff.
May exercise technical and functional medical supervision over professional, technical, and clinical staff in the administration of program areas.
Duties may include, but are not limited to, the following:
- Provide medical supervision and consultation to physicians, nurses, and other staff as directed.
- Provide medical consultation to Public Health programs, the Placer County Health Care Coalition (PCHCC), and other programs within the Health and Human Services Department.
- In the absence of or delegation by the Health Officer, assume responsibility for public health medical services for the County.
- Deliver triage medical care for emergency shelters, medical points of dispensing, and other episodic community-based events.
- Examine patients and diagnose their illnesses.
- Prescribe and administer medical treatment within the scope of practice associated with licensure and board certification.
- Perform or assist in performing medically indicated treatments, operations, procedures, and follow-up care consistent with their scope of practice, licensure, and certifications.
- Provide expert witness court testimony in related cases.
- Order laboratory examinations and analysis, x-rays, and special diets.
- Write prescriptions; make rounds and review reports, records, and general progress of patients.
- Instruct and oversee physicians, surgeons, nurses, technicians, and personnel assigned for special training.
- Attend and participate in staff conferences for the surgical, medical, and mental condition of various patients and their diagnosis and treatment.
- Maintain and keep current appropriate clinical documentation.
- Prepare reports and related correspondence.
- Using a multi-disciplinary and family and consumer centered approach to care, build and maintain positive working relationships with co-workers, other county employees, and the public using principles of good customer service and professional communication.
- Provide on-call/stand by coverage when assigned.
- Perform related duties as assigned.
When assigned to Mental Health (in addition to general duties), duties may include, but are not limited to:
- Admit and discharge clients as necessary.
- Examine clients and diagnose mental illnesses; prescribe and administer psychiatric treatment; order laboratory examination and analysis; write and adjust prescriptions.
- Review reports, record interventions, and general progress of clients.
- Consult with other physicians, practitioners, counselors, and staff regarding ongoing or problem cases.
Work is primarily performed in an indoor office with controlled temperatures and may include a hospital, health clinic or other healthcare setting. Duties involve working with members of the public who may be in a high state of distress, physically or mentally ill, or verbally abusive.
Experience and Training:
Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:
Experience: Two (2) years of responsible experience in a medical setting providing medical services to identified target populations.
Training: Possession of the required medical license is proof of sufficient education in this class.
Required License or Certification:
- May need to possess a valid driver’s license as required by the position. Proof of adequate vehicle insurance and medical clearance may also be required.
- Possession of a valid California Physician and Surgeon License and Federal DEA certification.
- Current certification by the American Red Cross in Basic Life Support or Advanced Life Support.
- May require license to supervise nurses, nurse practitioners, physician assistants, and other physicians. Board certification in Internal Medicine, Family Medicine, Emergency Medicine, and/or Pediatrics is highly desirable.
FOOTNOTE: The physician selected for this position must maintain insurability through the professional liability insurance carrier of Placer County’s choice.
Knowledge of:
- Practices and principles of general medicine, psychiatry, and surgery.
- Modern hospital and clinical practice and administration.
- Gross pathology and psychiatric social work, physical therapy, and various rehabilitation therapies.
- Current methods and standards for the medical, psychiatric, and/or surgical care of patients.
- Equipment, tools, supplies, and technologies used in the diagnosis and treatment of disease.
- Principles and practices of leadership, motivation, team building, and conflict resolution.
- Principles and practices of supervision, training, and personnel management.
- Pertinent local, state, and federal rules, regulations, and laws.
- Principles and practices of work safety, especially as related to communicable diseases.
When assigned to Mental Health (in addition to the general knowledge), knowledge may include, but is not limited to:
- Principles and practices of general psychiatry, modern inpatient hospital practice, rehabilitation therapies for mental disorders, chemical dependency, and dual diagnosis.
Ability to:
- On a continuous basis, know and understand all aspects of the job; read, analyze, interpret, understand, identify, recall, and explain work papers, reports, special projects, technical and numerical information, policies and procedures, rules, laws, regulations, and medical best practices; observe and analyze situations and determine proper course of action; explain medical findings, diagnoses, and treatment to staff, patients, families, and court officers; handle multiple tasks at once and work with frequent interruptions; focus on a single task for long periods of time.
- On an intermittent basis, sit at desk for long periods of time while reviewing charts and patient histories and preparing reports; walk, stand, bend, squat, kneel, stoop, twist, push, pull, and reach while examining/treating patients; twist to reach equipment surrounding desk or treatment area; perform simple grasping and fine manipulation; speak, use telephone, write, and use a keyboard to communicate; see, smell, and hear with sufficient acuity to examine, diagnose, and treat patients; lift light weight.
- Examine, diagnose, and treat mental disorders in adults, adolescents, and children; coordinate with case manager or nursing staff when appropriate for a particular case.
- Interpret autopsy findings.
- Interpret laboratory analysis.
- Work with various cultural and ethnic groups in a tactful and effective manner.
- Work unusual and/or prolonged work schedules.
- Obtain information through interview; deal fairly and courteously with the public; handle multiple cases; and work effectively with interruption.
- Analyze situations quickly and objectively and determine proper course of action.
- Communicate clearly and concisely, both verbally and in writing.
- Establish and maintain effective working relationships with those contacted in the course of work.
When assigned to Mental Health (in addition to the general abilities), abilities may include, but are not limited to:
- Provide medical direction to mental health staff as a part of a clinical team, prepare and oversee the preparation of case histories, evaluations, diagnoses, and the maintenance of client records.
- Consult with clinic staff, provider staff and primary care physicians as necessary for the treatment and triage of clients, evaluate clients with complex psychiatric issues, attend staff meetings and clinic meetings as appropriate, and provide testimony at court appearances when clients are involved in legal system.
Length of Probation:
This classification serves at the pleasure of the Appointing Authority and has no specific term and no right to continuous employment.
Bargaining Unit:
Unclassified non-management
FLSA Status:
Exempt