To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Reallocate the salary of the Medical Social Service Director (V4HE) classification and retitle it to Medical Social Services Manager (X4HE)
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution 26451 to reallocate the classification of Medical Social Service Director (X4HE) from salary plan and grade ZA5 1676 ($8,917.25 - $10,838.98) to salary plan and grade ZA5 1844 ($10,531.08 - $12,800.59) and retitle the classification to Medical Social Services Manager (X4HE). (represented)
FISCAL IMPACT:
These actions will incur a annual cost of $36,703.12, including $5,361.95 in pension costs. (100% West County Re-Entry, County General Fund)
BACKGROUND:
Since AB 109 came about in 2011, California’s counties have continued to shift their ways of responding to the new landscape of the criminal justice system. Now that responsibility to specific non-violent, non-serious, and non-sexual offenders have transitioned from the state to county jails and probation systems, Contra Costa Health (CCH)’s Detention Health division has grown a larger purpose to bring rehabilitation services and social services to these incarcerated persons to aid them in re-entry and reintegration back into society.
Recently, the county began operating the West County Reentry, Treatment and Housing (WRTH) at the West County Detention Facilities in North Richmond. In WRTH, Detention Health operates a health clinic and as of mid-2024, in part, the Re-Entry Care Coordination program. This program focuses on providing all care needed as part of the reentry stabilization, treatment, and planning for release.
Contra Costa Health needs to build a leadership role to manage the medical social services aspect of this program. We propose to:
1. Retitle the current classification of Medical Social Services Director (X4HE) to Medical Social Services Manager X4HE);
2. Revise the job specification and MQs; and
3. Reallocate the salary to match the plan and grade to Mental Health Program Manager since internally the level of management and program responsibility are similar to the Re-Entry Care Coordination Program’s Medical Social Services structure
The Human Resources department conducted a classification study and determined that the proposed revision and retitle are appropriate given the current and future needs of the department. Human Resources supports the proposed change from Medical Social Services Director to Medical Social Services Manager and recommends reallocating the classification to the same salary plan and grade as the Mental Health Program Manager to maintain internal equity based on the comparable scope of managerial and program responsibilities.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is disapproved, Detention Health will not have the proper management structure to support clients in re-entry and reintegration services.