Agenda

Return

C. 33

To:	Board of Supervisors
From:	Anna Roth, Health Services
Date:	October 4, 2022

Contra

Costa

County

Subject:

Cancel eight positions and Add eight positions in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 10/04/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Larita Clow, (925) 957-5244
cc:	Larita Clow Jo-Anne Linares Sherry Martija Dora Regalado Viviana Garcia Christine Austin Rachael Birch Kathi Caudel

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: October 4, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 26045 to cancel three (3) vacant Community Health Worker Specialist (VKTA) positions #16910, 16824, 18606 at salary plan and grade TC5-1103 ($4,241 - $5,155), five (5) vacant Community Health Worker II (VKVB) positions #16970, 16971, 16972, 16975, 16978 at salary plan and grade TC5-1043 ($3,996 - $4,857), and add three (3) Homeless Services Specialist (V9SD) positions at salary plan and grade ZB5-1404 ($5,713 - $6,944), and five (5) Mental Health Community Support Worker II (VQVB) positions at salary plan and grade TC5-0968 ($3,710 - $4,510) in the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, this action will result in an annual cost of $66,258 with $16,896 in pension cost included. These positions will be fully funded through Contra Costa Health Plan Enterprise Fund II CalAIM Enhanced Care Management (ECM) funding within the Pubic Health budget.

BACKGROUND:

The Public Health division is requesting to cancel three vacant Community Health Worker Specialist positions, five vacant Community Health Worker II positions, and ADD three Homeless Services Specialist positions, and five Mental Health Community Support Worker II positions. The requested positions to cancel are vacant and no longer meet the department's current needs.

Public Health's CommunityConnect Enhanced Care Management (ECM) Program is a subcontractor for the Contra Costa Health Plan (CCHP) CalAIM Initiative. As a key part of the Department of Health Care Services (DHCS), and California Advancing and Innovating Medi-Cal (CalAIM), the Community Connect Enhanced Care Management (ECM) program is a new statewide Medi-Cal benefit that addresses the clinical and non-clinical needs through coordination of health and health-related services. The benefit is now available to “populations of focus,” including adults with serious mental illnesses and those who are homeless or at risk of homelessness.

With these new populations of focus, the department is looking to utilize the Mental Health Community Support Worker II positions to support those with serious mental illnesses and the Mental Health team.

The positions will be responsible for providing housing assistance, community resources, support to mental health clients and residentially placed individuals, and assisting clients in acquiring and maintaining public benefits.

The Homeless Services Specialist positions will be responsible for developing housing plans with at risk clients, conducting outreach to the homeless in Contra Costa County, investigating and recommending resolutions to homeless care issues and complaints, providing consultation to homeless clients to assist them in achieving independence and personal responsibility, and providing information and referrals regarding the County health systems and services to the homeless and the public.

The requested positions to add meet the requirements to provide more intensive care management for clients enrolled in ECM.

CONSEQUENCE OF NEGATIVE ACTION:

If this request is not approved, Public Health will not have adequate staff to effectively address the current needs of their CommunityConnect ECM program.