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Regional Clinic Manager

Salary: $25.62-$31.28 hourly / $4,457-$5,441 monthly / Range: 5836

DEFINITION: Under administrative direction, plans, directs, and manages the administrative and operational activities of clinics in one of three regions within the Medical Services Division of the Public Health Department; directly and through subordinates, supervises professional nursing and support staff; and performs related duties as required.

DISTINGUISHING CHARACTERISTICS: Incumbents will report directly to and receive administrative direction from the Medical Services Manager, and will receive medical direction and other assignments from the Medical Director or Deputy Health Officer/Medical Director. Incumbents will be assigned to the South Coast, Santa Maria Valley, or the Lompoc Valley region.


1. Oversees and manages the administrative and operational activities of regional clinics and primary and specialty care programs, such as Obstetrics, Family Planning, Tuberculosis, Child Health Disability Prevention, Sexually Transmitted Diseases, AIDS, Immunizations, and public health field nursing services, medical records, ancillary services, and medical social services; depending on area of assignment, oversees Probation Health Clinics and the physician residency program.
2. In conjunction with other managers, plans, develops, and implements policies, procedures, goals, and objectives to ensure quality health care and service, adherence to departmental and state policies and procedures, Medi-Cal, Medicare, and other health insurance requirements, and uniformity and consistency between regions; analyzes regional records and reports to identify operational issues or trends, or progress in meeting performance measures; creates and implements strategies to improve utilization of services, staff, and facilities; assures that statistical and clinical records are maintained to meet state requirements; consults with and seeks advice from the Medical Director or Medical Services Manager regarding medical compliance and protocols; acts as a liaison to other agencies during Medi-Cal, Medicare, and other state program clinic audits and inspections; participates in the recruitment and selection of physicians; ensures maintenance of clinic facilities and medical equipment, and arranges for fixed asset replacement; prepares narrative or statistical reports of regional activity for management review.
3. Analyzes and monitors regional clinic operations, such as patient flow, scheduling, appointments, and staff-to-physician ratios; evaluates and adjusts staff assignments and negotiates changes in physician schedules to meet clinic demands; researches data and responds to a variety of operational issues that cross program lines; resolves and responds to complaints from patients and staff; keeps staff informed and disseminates information on a variety of administrative, fiscal, operational, and programmatic issues.
4. Prepares the budget for the regional area of assignment; monitors and controls revenues and expenditures; analyzes regional data to identify funding needs for a variety of programs and services; consults with management staff regarding priorities and availability of funding and other resources to meet regional needs.
5. Directly or through subordinates, supervises professional, supervisory, and support staff; provides functional supervision to staff in other areas such as ancillary services, and medical social services; assists staff in resolving complex issues regarding billing or collections problems, client eligibility, and referral; coordinates staff training on operational procedures, safety, security, and legal requirements; interviews and selects staff; establishes standards and evaluates staff on non-medical performance; consults with the Medical Director or Medical Services Manager regarding physician, mid-level provider, or nursing performance issues; assigns work through subordinate staff; recommends and implements or approves disciplinary action; provides functional supervision to medical records, pharmacy, x-ray, and clinical laboratory staff.
6. Represents the Public Health Department at regional health meetings and on health related task forces/committees to educate the community, including other health professionals, and increase awareness of public health clinic services; leads community task forces on prevention issues; participates with County departments, such as Probation and Alcohol, Drug and Mental Health Services, in providing case management to high risk, target populations; attends community needs assessment meetings to provide health information, and participates in the allocation of public health resources within the community; may represent the department before the media to answer questions regarding regional services and activities.


1. Three years of clinic or medical group operations experience in an administrative and supervisory capacity, preferably for a public agency; or
2. three years of experience performing the duties of Public Health Nurse, Supervising or Staff Nurse, Senior with Santa Barbara County, including administrative responsibility for clinic operations and activities; or
3. a combination of training, education, and experience that is equivalent to one of the employment standards listed above and that provides the required knowledge and abilities.

Desirable Qualifications: Possession of a Master's degree in public health, or public or business administration.

Knowledge of: clinic operations and functions; managed care and fee for service systems; Medi-Cal and Medicare reimbursement guidelines; principles and practices of health care management; current issues and trends in health care service delivery; budget preparation and monitoring; principles and practices of supervision; English usage and grammar; staff/patient safety and security requirements; training methods and techniques.

Ability to: plan, organize, and coordinate clinic activities; interpret and apply policies and procedures; learn program services; learn and apply federal and state regulations; provide direction to professional and support staff; plan, assign, organize, prioritize, and delegate work of self and others; establish standards and evaluate staff; research and analyze data, draw conclusions, develop and implement solutions to problems; make oral presentations; establish and maintain working relationships with physicians, community health organizations, colleagues, and staff; prepare narrative and statistical reports; maintain confidentiality; resolve conflicts; represent department with tact and diplomacy; persuade others.


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