To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Position Adjustment Resolution No. 26315 to Add Two Community Health Worker Specialist positions, Cancel One vacant Public Health Nurse position in the Health Services Department. (Represented)
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26315 to:
* Add two (2) Community Health Worker Specialist (VKTA) positions at salary plan and grade TC5-1103 ($5,248 - $6,379)
* Cancel one (1) vacant Public Health Nurse (VVXA) position # 20007 at salary plan and grade LT2-1832 ($13,108 - $16,370) in the Health Services Department.
FISCAL IMPACT:
Upon approval, this request will result in an annual cost savings of approximately $69,614 with pension costs of $10,170 already included. (100% Funded CalAIM revenue for Enhanced Care Management Program).
BACKGROUND:
Enhanced Care Management (ECM) is a statewide Medi-Cal benefit that is a key part in the State's CalAIM initiatives. ECM sets out to address clinical and non-clinical needs of the highest-need participants through intensive coordination of health and related services. Participants have a single Lead Care Manager that coordinates care and services across the physical, behavioral, dental, developmental, and social services delivery systems, making it easier for them to get the right care at the right time. Each case manager can hold up to 50 cases.
In March 2021, the Enhanced Care Management (ECM) program was launched in the Divisions of Public Health, Behavioral Health, and Contra Costa Health Plan (CCHP) of Contra Costa Health Services (CCHS). Since the launch of ECM, Health Services has better able to identify the specific staffing needs of the program and CalAIM. Since the launch of ECM in Contra Costa Health Services, the intensity of the ECM program has increased, requiring more case management staffing to fully provide enhanced case man...
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