Agenda

Return

C. 37

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	February 25, 2014

Contra

Costa

County

Subject:

Add and Cancel Position in the Health Services Department

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 02/25/2014

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor

ABSENT:

Federal D. Glover, District V Supervisor

Contact:

Kristen Cunningham, 957-5267

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: February 25, 2014
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Resolution No.21421 to add one (1) full-time Registered Nurse-Experienced Level (VWXD) position ($7,197-$8,022) and cancel vacant Utilization Review Coordinator (VWSD) position #12531 ($7,122-$8,657) in the Contra Costa Health Plan division of the Health Services Department.

FISCAL IMPACT:

There will be no additional cost associated with this action. There will be a cost savings of $12,229 annually with this action.

BACKGROUND:

The Utilization Management Unit of the Contra Costa Health Plan currently has a per-diem Registered Nurse working full-time. The unit does not anticipate the current workload decreasing in the future. As reported in the last UM report to QC, the unit has experienced a significant increase in authorization requests which has more than doubled over the past year. The UM review process is becoming more stringent.

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved and without additional staff, the Utilization Management unit will not be able to meet mandated requirements of the Health Plan.

CHILDREN'S IMPACT STATEMENT:

Not applicable.