Agenda

Return

C. 34

To:	Board of Supervisors
From:	William Walker, M.D., Health Services
Date:	March 14, 2017

Contra

Costa

County

Subject:

Add and cancel positions in the Health Services Department.

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/14/2017

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:

Shelanda Adams, 925-957-5263

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: March 14, 2017
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

ADOPT Position Adjustment Resolution No. 22039 to add one (1) permanent full-time Advice Nurse Supervisor (VWHN) position at salary grade ZL5-1991 ($9,999-$11,024) and cancel vacant permanent full-time Advice Nurse Manager (VWHK) position #8278 at salary grade ZL5-2068 ($10,499-$11,575) in the Health Services Department. (Represented)

FISCAL IMPACT:

Upon approval, this action has an approximate annual cost savings of $8,379 with estimated pension savings of $2,195 included.

BACKGROUND:

Contra Costa Health Plan’s Advice Nurse (AN) unit is requesting to add one Advice Nurse Supervisor position and cancel one vacant Advice Nurse Manager position #8278. The Advice Nurse unit is open 24 hours handling their own after-hour calls in addition to handling calls from external agencies. The after-hour nurses have to handle emergency and urgent care authorizations, expedited grievances and appeals that require a 24 hour response time, hospital discharge authorizations, Skilled Nursing Facility placement, as well as giving advice and authorization on complex clinical cases. In the past 18 months, the number of after-hour calls has increased in numbers and complexity. At this time, the AN unit does not have an after-hour Supervisor to assist the nurses in handling these complicated calls. The day shift AN Supervisor provides supervision and direction to the AN during the day and night shifts. Because of the increase in after-hour calls and the complexity of the problems for nurses who work those hours without an on-site supervisor, the AN needs a full-time after-hour Advice Nurse Supervisor. The Department is canceling vacant Advice Nurse Manager position #8278 as it is no longer meeting the operational needs of the Contra Costa County Health Plan (CCHP).

CONSEQUENCE OF NEGATIVE ACTION:

If this action is not approved, the Advice Nurse Unit in CCHP will not have adequate staffing to meet the demand and volume of after-hour patient care services.