To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Position Adjustment Resolution No. 26337 to add two Registered Nurse Positions and cancel two Licensed Vocational Nurse Positions in Health Services.
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26337 to add two (2) Registered Nurse (VWXG) positions at salary plan and grade L32-1880 ($12,483.69 - $15,590.42) and cancel two (2) (vacant) Licensed Vocational Nurse (VT7G) positions #16040 and #17426 at salary plan and grade TAX 1287 ($5,595.07 - $7,145.13) in the Health Services Department. (Represented)
FISCAL IMPACT:
Upon approval, this request will result in an annual increase of approximately $325,515.33 with pension costs of $47,554.42 already included. (100% HMO Enterprise Funds)
BACKGROUND:
The Contra Costa Health Plan within the Health Services Department is anticipating an increase in volume/workload in utilization management. As a result of the Single Plan Model transition, the carve-in of additional long-term care types, the Adult Expansion, and traditional FFS transition, the department is anticipating an additional 40,000 to 50,000 members. With these transitioning members in utilization management, there will be an increase in prior authorization reviews, requests for continuity care, and inpatient concurrent reviews. RNs can perform more medical reviews and assessments unlike the LVN classification, and having additional RNs in the Utilization Management Department will allow staff to appropriately address authorization reviews and comply with mandated turnaround times.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the County will not be able to comply with mandated turnaround times.