To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Decrease the Hours of One (1) Vacant Nurse Practitioner in Health Services Department
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26348 to decrease the hours of one (1) vacant Nurse Practitioner (VWSB) position (pos #20175) at a salary plan and grade L35-1873 ($14,343.66-$17,913.27) from 40/40 to 24/40 in the Health Services Department. (Represented)
FISCAL IMPACT:
Upon approval, this request will result in an annual cost savings of $138,089.82 including $20,173.50 in pension costs. (100% Mental Health Services Act)
BACKGROUND:
Position #20175 was approved via Position Adjustment Resolution No. 26214 In December 2023 as a full time, 40 hour/week position specifically for Behavioral Health's Transition Team. The Transition Team provides necessary support to successfully connect mentally ill individuals to needed mental health services including outreach and support to those utilizing hospital psychiatric services not linked to outpatient mental health services upon discharge. They are primarily a mobile, field-based program seeing clients throughout the County. Staff go to wherever the clients are, which includes hospitals, homes, shelters, and programs. Their diverse services include psychiatric assessments by a Psychiatric Nurse Practitioner, interim medication management, psychoeducation, and short-term case management.
Behavioral Health originally requested the full time Nurse Practitioner position at 40 hours per week but have since assessed the Outreach and Engagement care team is primarily focused on clinician and peer engagement and need limited access to prescriber services. Therefore, the Nurse Practitioner position best aligns with program needs at 24 hours/week rather than 40.
CONSEQUENCE OF NEGATIVE ACTION:
If not approved, the schedule will not be aligned with the amoun...
Click here for full text