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Deputy Health Officer/Medical Director

Salary: N/A

DEFINITION: Under administrative direction, manages and leads the medical functions of either the Primary Care and Family Health or Community Health Division of the Public Health Department; provides medical oversight, enforces health statutes and rules; provides supervision of physicians and allied health professionals and acts as a liaison to local medical community; may provide direct patient care; and performs related duties as required.

DISTINGUISHING CHARACTERISTICS: This class is distinguished by its responsibility for managing and directing the day-to-day medical functions of either the Primary Care and Family Health Division or the Community Health Division. It is distinguished from the Public Health Deputy Directors by their responsibility for the administrative and operational management of these divisions.


1. Develops divisional medical policies and procedures; determines medical goals and scope of practice for the division and community; approves protocols and standardized procedures; assists either the Primary Care and Family Health or Community Health Deputy Director in setting and implementing division priorities and ensuring that division goals integrate with the department as a whole.
2. In conjunction with other managers, develops and administers division budget; participates in program fiscal and performance reviews.
3. Represents the PHD to a variety of organizations, councils, boards and the public; addresses sensitive public health or health delivery system issues and communicates county policies.
4. Using a variety of methods, evaluates and improves the quality of health care provided by the County; formulates long-range quality improvement and provider practice goals, objectives, and policies.
5. Serves as a medical expert for public health education programs; conducts training for staff and providers related to communicable diseases, food-borne outbreaks, or various program-related rules and regulations.
6. Maintains a current knowledge of technology, issues, laws, and regulations related to Public Health Department activities; recommends and implements policies and procedures.
7. Acts as the Health Officer/Medical Director in his/her absence.


1. Enforces rules, orders, and statutes related to public health, environmental health, animal health, and emergency medical services programs; educates and advises community providers on standards of practice and communicable disease reporting requirements.
2. Serves as Tuberculosis Controller and Communicable Disease Officer and is the point of contact with the State for updates and mandates regarding communicable diseases; provides supervision and consultation to Public Health staff on emergency response and enforcement issues; provides oversight for staff TB safety at all facilities.
3. Establishes policies and procedures for community disease control; in conjunction with other staff, directs investigations into food-borne outbreaks; supervises the preparation of epidemiological reports; provides consultation to the community on issues related to communicable disease control and prevention.
4. Formulates and establishes community preventive health recommendations and advisories for at-risk communities throughout the County; monitors adherence to public health practice guidelines for both public and private providers.
5. Supervises and evaluates HIV testing programs; provides technical consultation to departmental and community programs.
6. Provides public health leadership and professional oversight and consultation for all Community Health Division Programs.


1. Directly or through supervisory physicians is responsible for the selection, orientation and evaluation of employee or contracted physicians and midlevel providers; coordinates the work of specialists and consultant physicians; establishes and communicates practice, productivity and performance standards; counsels providers and takes disciplinary action for poor performance; assigns supervising physicians for all midlevel providers and insures oversight in accordance with applicable laws; identifys and develops a training program for providers.
2. Develops, implements and monitors "best practices" for clinical staff; sets standards for outside referrals and utilization management; develops and oversees an outcome-based Quality Improvement structure that incorporates medical executive oversight for medical quality, ancillary services, risk management, pharmacy and therapeutics and infection control.
3. Ensures that providers are in good standing with local hospitals; oversees the development of hospital call schedules to insure 24/7 coverage; acts as liaison with the private medical community to insure access to hospital specialty care.
4. Responds to grievances regarding County providers and reviews incident reports for possible malpractice liability; performs medical review of all pending or potential litigation claims and drafts reports for Risk Management and County Counsel; takes action to reduce organizational exposure to malpractice lawsuits.
5. Facilitates open communication between clinical and management teams; assists with conflict resolution involving providers; ensures open communication with and among providers in multiple settings.
6. Analyzes data to make recommendations for practice changes, expanded services, and equipment purchases; ensures provider compliance with regulatory requirements and third party payer systems.
7. Serves as Medical Director for the Health Care for the Homeless Grant; responsible for oversight of medical care in the jail and juvenile detention facilities.

EMPLOYMENT STANDARDS: Board certification and possession of a valid license as a physician and surgeon issued by the State of California; and,

1. three years of practical medical experience, preferably in a public health or indigent care setting.

Additional Qualifications: Candidates assigned to the Community Health Division must have a background in epidemiology and communicable diseases. Independent travel throughout the county will be required. Possession of a valid California Class C Driver's License.

Thorough knowledge of: the principles and practices of modern medicine and public health

Knowledge of: community resources in medical treatment; California Medical Association, and American Medical Association ethics and standards; medical/legal and regulatory requirements and laws; principles of personnel management; the principles of organizational management and planning.

Ability to: plan, organize, and provide leadership in the development of public health and clinical programs; develop and direct the implementation of improvements that enhance the efficiency and effectiveness of programs and delivery systems; develop and monitor budgets; apply principles and techniques of modern medicine to public health issues; analyze and evaluate data in order to manage resources; learn and apply principles and practices of health administration; provide clinical direction and training to physicians and allied health professionals; establish consistent standards and evaluate performance; analyze provider practice; work effectively within a team concept; establish and maintain effective working relationships with internal providers, the private medical community and hospitals; communicate effectively, develop partnerships and facilitate teamwork; analyze emergency situations and take prompt and appropriate action; represent department with tact and diplomacy; maintain confidentiality; respect and protect patients' rights.

Desirable Qualifications:

Deputy Medical Director: Board certification in Internal Medicine or Family Practice and administrative experience in a large, multi-specialty practice setting.

Deputy Health Officer: Possession of a Master's Degree in Public Health.

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