Certified Nurse Midwife

Are you passionate about supporting individuals involved in the justice system and helping them successfully reintegrate into the community? County of Santa Barbara Health is accepting applications for a Reentry Coordinator (Licensed) to oversee implementation and coordination of reentry services, including CalAIM Justice-Involved Jail Reentry Bundle services. If you’re ready to make a meaningful impact and help shape innovative, person-centered reentry services, we encourage you to apply today.

The County classification title is Health Services Manager II. This position is "At-Will" and exempt from Civil Service provisions.

Through collaboration amongst the partner agencies and the leadership of the Reentry Coordinator, Santa Barbara County will ensure individuals entering the criminal legal system receive multi-agency assessments and case planning to assist in their successful return to the community at the earliest stage possible based on their risk and needs, and the statutorily available options. This approach will assist in ensuring all diversionary options are maximized and individuals exiting the criminal legal system (pretrial and post sentence) have a robust discharge plan. This work will interface with work performed by multiple agencies between the Jail Discharge Planning Team, County Health Department, the Sheriff’s Office, Probation, County Executive Office, Public Defender’s Office, Managed Care Plans, California Department of Corrections and Rehabilitation, and a range of community-based service providers.

Under direction of the CalAIM Administrator, the Reentry Coordinator will lead the operational oversight and coordination of services for individuals reentering the community from the County’s two jails, with a primary focus on implementing CalAIM justice-involved initiatives, including Jail Reentry services. This role will manage the integration of service delivery between the County jails Enhanced Care Management (ECM) team and Community Supports, while working closely with the Medi-Cal managed care plan to ensure seamless transitions of care. They will provide clinical oversight to staff delivering reentry services including maintaining compliance with state licensure standards and clinical best practices. This includes supervision, training, and evaluation of clinical and care coordination staff, as needed, and will participate in regional and statewide planning efforts related to reentry services.

They will develop and implement protocols and workflows that support continuity of care for justice-involved individuals, ensuring these systems are responsive, equitable, and efficient. The position is also responsible for monitoring program data, ensuring accurate and timely reporting that aligns with CalAIM and Medi-Cal managed care plan requirements.

This position plays a critical leadership role in bridging behavioral health, public health, and correctional systems to support individuals during their transition from jail to community-based services, including coordinating care for Medi-Cal eligible clients. The ideal candidate will be a Licensed Behavioral Health Professional OR Nurse with strong program management and interagency coordination skills.

All County leaders are expected to uphold the values of accountability, customer-focus, and efficiency. Incumbents lead others and model behaviors that exemplify quality customer service; provide effective and ethical leadership; creatively and strategically plan, develop, and implement programs that use human and financial resources to achieve results; are accountable for strategy and goal formation consistent with the County’s mission and key business objectives; engage stakeholders; communicate and collaborate effectively at multiple levels; develop employees; analyze issues and data; and efficiently use public resources.

The IDEAL CANDIDATE will possess:

• Extensive experience working with justice-involved individuals or high-needs populations in correctional or community settings, including reentry and/or behavioral health services.
• Knowledge of CalAIM, Enhanced Care Management (ECM), and Community Supports.
• Strong leadership and supervisory skills in a clinical or health program setting.
• Ability to collaborate across agencies and manage complex care transitions.
• Deep understanding of the Medi-Cal system, behavioral health, social services, and public health systems.
• Commitment to health equity, culturally competent care, and trauma-informed practice.

Examples of Duties:

These examples are not intended to reflect all duties performed within the job, and not all duties listed are necessarily performed by each individual.

• Serves as a member of the County’s management team by planning, organizing, coordinating, and directing the activities in areas such as: public health, mental health and recovery, correctional health, and/or medical health programs.
• Establishes annual goals and priorities, influences the direction for new or revised services, programs, processes, standards, or operational plans, based upon the County’s longer-term strategies.
• Directly supervises the Jail Reentry Care Managers who have responsibility for creating reentry plans with individuals housed in jail.
• Plans, coordinates, and evaluates health services programs and/or projects in areas including, but not limited to public health, mental health and recovery, correctional health, and medical health programs and projects.
• Serves as a subject matter expert and uses technical and analytical expertise to develop findings.
• Directs, coordinates, and participates in the development and implementation of program goals, objectives, policies, procedures, and priorities that balance both mandated services and community needs.
• Negotiates, develops, and manages contracts; and monitors and evaluates for compliance with contractual obligations.
• Researches, analyzes, develops, and reviews studies, allocations, and related reports, contracts, proposals, materials, presentations, and other documents; and develops and makes recommendations to higher-level staff.
• Develops, implements, and evaluates services and programs to ensure adherence to strategic and performance goals; manages work systems and processes; maintains and updates procedures; researches trends and best practices in area of assignment; and recommends and implements operational and /or program changes.
• Develops and administers budgetary and procurement processes; manages contracts; researches and analyzes financial information; makes resource allocation recommendations; and implements resource allocation decisions.
• Troubleshoots and resolves program or work unit issues and keeps higher-level management informed of issues/resolution.
• Oversees the preparation of or prepares contracts, reports, records, plans, and other documents involved in managing the area of assignment; oversees and participates in the research and analysis of policy and related information; and makes recommendations to higher-level management staff.
• Supervises management, professional, paraprofessional, and support staff; and is responsible for conducting performance evaluations, employee development, hiring, discipline, and termination procedures.
• Coordinates work with the general public, County staff, and external agencies; may represent the County on various professional committees; and may prepare and make presentations to the public, elected officials, boards, and other stakeholders.
• Oversees contracted providers in diagnostic and/or clinical settings.
• Performs other related duties as required.

The County of Santa Barbara is currently seeking dedicated and compassionate practitioners to join our team. As a Health Care Practitioner, you will play a crucial role in providing high-quality care to our patients. This position offers the opportunity to work in a dynamic environment, collaborating with a multidisciplinary team to deliver comprehensive services.

The County of Santa Barbara Health department is seeking to fill three (3) Health Care Practitioner vacancies, including positions for qualified Physician Assistants, Certified Nurse Practitioners, or Certified Nurse Midwives. Two (2) Full-Time opportunities are available: one (1) in Lompoc at the Lompoc Health Center for Primary Care, one (1) in Santa Maria at the Santa Maria Health Center and Shelter Medicine. One (1) Part-Time opportunity is available in Santa Barbara for 0.5 FTE at the Franklin Health Center for Women’s Health Services.

Under supervision of a physician/psychiatrist, performs examinations and evaluations of patient health/mental state; performs diagnostic and therapeutic tasks in the care and treatment of patients; and performs related duties as required.

Examples of Duties:

1. Takes complete and detailed patient histories; performs physical examinations, records pertinent data, and makes evaluations; identifies abnormalities and develops treatment plans or makes referrals for further diagnosis and/or treatment; instructs and counsels patients and their families regarding matters pertaining to their physical and/or mental health; orders and interprets laboratory tests under the supervision of a physician; identifies patients who require the immediate attention of a physician; performs routine screening and laboratory techniques; and assists physicians in providing services to patients requiring continuing care, including reviewing and implementing treatment and therapy plans.
2. Gives technical direction to and works with the nursing staff of treatment team; performs emergency medical treatment; evaluates medical conditions of patients in a clinical setting; participates with other disciplines in case management of individuals and families who present multiple health problems; evaluates client's needs for other departmental services and refers patients to other community resources; works with other agencies to plan for the patient's continuity of care.
3. Under the supervision of a physician, performs routine therapeutic and minor surgical procedures such as applying casts for simple fractures, administering injections, incising and draining superficial skin infections, removing impacted ear wax, debridement and care of superficial wounds and burns, removal of foreign bodies from the skin, suturing, and administering of subcutaneous local anesthesia.
4. Participates as a member of an interdisciplinary team providing technical expertise and assists with oversight of nursing staff; and may provide supervision oversight of Licensed Pharmacy Technicians, Medical Assistants performing authorized supportive services in community clinic settings.
5. Under the supervision of a psychiatrist performs routine mental state examinations, mental health supportive counseling and interventions, including medication evaluation, evaluate medication refills, and administering injections.
6. Participates in medical staff peer review and quality assurance activities/procedures.
7. Provides follow-up to patients with continuing health care or mental health needs, which may include counseling, health teaching, and home visits to patients and families.

NOTE:

Visa Sponsorship: Please note this position is not eligible for visa sponsorship. Applicants must be authorized to work for ANY employer in the United States without the need for visa sponsorship by the start date of employment.

We are looking for dedicated and compassionate Physicians to join our County Health team! The current vacancies are for two (2) part-time (0.5 FTE) Pediatrician positions at the Santa Maria Health Center in Santa Maria and one (1) full-time Internal Medicine Physician at the Santa Barbara Health Care Center in Santa Barbara. The County classification title is Staff Physician.

As a licensed medical doctor, assumes independent responsibility for the clinical diagnosis and treatment of patients of the County of Santa Barbara Health (County Health) department with the all of attendant necessities of care, including but not limited to history, physical examination, ordering of tests, interpretation of testing, procedures, referral to specialists and overall case management of the patients’ medical conditions; performs related administrative duties to support County Health clinic and program operations; and performs other related duties as required.

DISTINGUISHING CHARACTERISTICS: Staff Physicians are licensed medical doctors who are Board Certified or eligible in Family Practice, Internal Medicine, Obstetrics/Gynecology, Pediatrics, or other recognized specialty consistent with County Health assignment. Professional services are provided in clinic settings and for a variety of public health programs. Incumbents report to the County Health Medical Director or designated Staff Physician, Supervising and receive administrative direction from a Health Center Administrator.

Examples of Duties:

• Provides basic medical services to County Health patients consistent with community standard of care and County Health policy and procedures; provides clinic consultative services for the administration of County Health programs; and provides related medical leadership and consultative support to midlevel clinicians.
• Provides direct outpatient care services according to established appointment schedules; and provides indirect outpatient care services as required to support the case management of patients’ medical conditions, including review and response to all testing, patient and vendor requests for services related to medical conditions, specialty consultations, emergency care, and hospital follow up.
• Maintains medical records consistent with County Health guidelines and professional standards; completes billing statements with accurate diagnostic and E&M coding; and reviews and countersigns medical charts as required.
• Attends and participates in regular and special meetings of clinician, clinic, and/or departmental staff as requested; and participates in administrative committees, including peer review, medical quality, and utilization review committees and activities.
• Obtains and/or maintains current credentials and appointments as necessary for County Health clinic operations, including CenCal membership, and Medi-Cal, NPI, DEA, CHDP, and CCS status; and may supervise physicians and midlevel clinical staff in the absence of Staff Physician, Supervising.
• Provides clinical support to midlevel clinical staff and accepts designation as the supervising physician of midlevel clinical staff when requested.
• Serves as a County Health Emergency Responder for community, County, or State health-related emergencies and performs related duties as assigned by the County Health Emergency Operations Center, Health Officer, or Medical Director.

County of Santa Barbara Health department is currently accepting applications to fill (1) Full-Time, Limited Term* Health Navigator (Trilingual English/ Spanish/ Mixtec) vacancy. These positions can report from either Santa Maria or Santa Barbara but must be willing to commute countywide. The County classification title is Health Services Aide.

Health Navigators will work as a part of a collaborative inter-Departmental team to meet community health needs. Under general supervision, will support overall clinic operations including assisting clients with intake survey; providing translation services (both written and oral); assisting with client flow; and performing other duties as assigned to meet organizational needs. Will work as a part of a collaborative team to meet community health needs.

Examples of Duties:

1. Participates in outreach and engagement efforts to enroll clients in appropriate programs.
2. Assisting clients with care coordination needs, referral support, community resource connection, health care navigation, and tracking all referrals.
3. Assists clients in navigating the healthcare system, helping them to successfully participate in their medical and/or behavioral health care by identifying and overcoming barriers.
4. Interviews clients to collect medical history data and social determinants of health for review by healthcare professionals and care team members.
5. Completes duties in the office, through field-based outreach, and via meetings with service providers. Locations for service delivery may include the office, clinics, homeless shelters, homes, and on the street.
6. Engages with clients, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) to promote collaboration between the client and their care/service team, as well as to increase the client's sense of control over their whole health.
7. Ensures clients receive information that is culturally respectful, including using translation services when necessary.
8. Coordinates interdisciplinary team sessions with members from the clinical care teams and other service providers, such as housing.
9. Offers ongoing support, outreach, and engagement to connect clients with Santa Barbara County departments.
10. Collaborates with external partners to ensure comprehensive support for clients.
11. Utilizes a tailored approach to help clients navigate issues affecting their social determinants of health.
12. Assists in disseminating pertinent information through various communication channels.
13. Assists in cultivating and maintaining critical partnerships with departments and external stakeholders to enhance support services.
14. Supports the design, implementation, and evaluation of support services tailored to the needs of diverse community populations.
15. Under supervision, acts as a primary point of contact for clients, facilitating referrals to relevant departments.
16. Coordinates participant tracking to assess the effectiveness of programming in supporting clients.
17. Performs additional duties as assigned to support organizational goals.

NOTE:

*Limited Term: The duration of this appointment is limited to a period not to exceed three (3) years; but is subject to annual review by the Commission to ensure the temporary or limited term nature of such appointment remains appropriate based on business operational needs and/or resources.

Visa Sponsorship: Please note this position is not eligible for visa sponsorship. Applicants must be authorized to work for ANY employer in the United States without the need for visa sponsorship by the start date of employment.

Benefits: The County of Santa Barbara offers generous benefits. Click on the Benefits Tab above or click here to view more information. In addition, applicants from other public sector employers may qualify for:

• Retirement reciprocity
• Time and service credit towards an advanced vacation accrual rate

Note: The County may provide reimbursement for reasonable relocation expenses, and at the discretion of the CEO, can provide cash incentives and/or time off advanced accruals in the interest of attracting the best talent to the organization.

BENEFITS: The County of Santa Barbara offers generous benefits. Click on the Benefits Tab above or CLICK HERE to view more information.

In addition, applicants from other public sector employers may qualify for:

1. Retirement reciprocity
2. Time and service credit towards for an advanced vacation accrual rate

The County may provide reimbursement for reasonable relocation expenses, and, at the discretion of the CEO, can provide flexible relocation assistance, housing and student loan offsets, cash incentives, and/or vacation and sick leave pre-accruals in the interest of attracting the best talent to the organization.

The County of Santa Barbara offers generous benefits. Click on the Benefits Tab above or CLICK HERE to view more information.

In addition, applicants from other public sector employers may qualify for:

• Retirement reciprocity
• Time and service credit towards for an advanced vacation accrual rate

NOTE: The County has a generous hiring incentive program and may provide reimbursement for reasonable relocation expenses, and, at the discretion of the CEO, can provide flexible relocation assistance, housing and student loan offsets, cash incentives, and/or vacation and sick leave pre-accruals in the interest of attracting the best talent to the

BENEFITS: The County of Santa Barbara offers generous benefits. Click on the Benefits Tab above or CLICK HERE to view more information.

In addition, applicants from other public sector employers may qualify for:

1. Retirement reciprocity
2. Time and service credit towards for an advanced vacation accrual rate