Summary
This classification is scheduled to receive a 5% COLA effective July 2027.
FLSA: Exempt
DEFINITION Under administrative direction, provides direct psychiatric care and treatment for patients with complex and difficult disorders necessitating behavioral health clinical intervention; conducts psychiatric evaluations, formulates diagnosis, determines therapeutic and medical needs of patients and prescribes treatment; and performs related duties as assigned.
SUPERVISION RECEIVED AND EXERCISED
Receives administrative direction from the Medical Director or designee. Exercises clinical or functional direction over assigned staff.
CLASS CHARACTERISTICS
This classification is responsible for independently providing direct medical and psychiatric care to behavioral health patients, including clinical and administrative oversight of medical, clinical and administrative staff. Incumbents are responsible for performing diverse, specialized and complex work involving significant accountability and decision-making responsibilities. Incumbents serve as a professional-level resource for organizational and operational analyses and studies. Performance of the work requires the use of considerable independence, initiative, and discretion within broad guidelines.
This class provides direct psychiatric care in addition to medical care and is distinguished from other behavioral health clinicians and professionals by virtue of the requirement for board certification by an applicable medical board. This class is responsible for consultative direction and may provide supervision for patient care provided by County behavioral health facilities, including supervision of residents, interns or mid-level practitioners and consultation to community providers.Essential Job Functions
EXAMPLES OF TYPICAL JOB FUNCTIONS
Typical functions may include any of the following tasks, knowledge, abilities, and other characteristics. The list that follows is not intended as a comprehensive list; it is intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks.
- Evaluates patients to determine therapeutic and medical needs; develops treatment plans; participates in case conferences and consults with clinical staff regarding support services and treatment options.
- Conducts psychiatric evaluations, formulates diagnosis, determines therapeutic and medical needs of patients and prescribes treatment.
- Prepares and maintains detailed documentation of patient evaluations, prognosis, progress and treatment, consistent with Medi-Cal standards.
- Performs crisis intervention as required; assists clinical staff in mitigating crisis situations; prescribes and administers medication to patients in crisis situations.
- Evaluates patients for voluntary and involuntary commitment; signs commitment for clients requiring hospitalization.
- Provides direction and training for assigned staff, interns, and/or residents; participates in staff, intern, and/or resident training and quality assurance; develops, follows and instructs others in appropriate medical protocols.
- Performs detailed patient record documentation; prepares intake and discharge summaries, clinical and progress notes, and treatment plans.
- Provides expert witness court testimony and consultation to various child and adult service programs and agencies.
- Serves on utilization review, quality assurance, and other committees defined in by-laws.
- Ensures patient cases are handled in conformance with court and law enforcement regulations and applicable laws and regulations affecting behavioral health patients; provides expert witness court testimony.
- Provides medical/psychiatric services to County jail, juvenile hall, day treatment programs, substance abuse programs, and other programs as needed.
- Serves as case coordinator for patients or clients, as assigned.
- Performs other related duties as assigned.
Minimum Qualifications
Knowledge of:
- Principles and practices of psychiatric medicine and treatment, including interviewing and assessing patients, and conducting individual, family and group counseling.
- Principles of providing clinical or functional direction and training.
- Medical protocols and treatment used in the care of individuals who experience behavioral disorders and/or chemical dependency.
- Principles of adult and child psychology.
- Principles and techniques of narcotic and other drug administration and their effect.
- Laws and regulations related to patient’s rights, voluntary or involuntary treatment and commitment for treatment including criteria for commitment.
- Community resources and agencies providing support services for the behaviorally ill or disabled.
- Medical recordkeeping and documentation including patient charting.
- Medi-Cal regulations and documentation for medical necessity.
- Principles and techniques for working with groups and fostering effective team interaction to ensure teamwork is conducted smoothly.
- Techniques for providing a high level of customer service by effectively dealing with the public, vendors, contractors, and County staff.
- The structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar.
- Modern equipment and communication tools used for business functions and program, project, and task coordination, including computers and software programs relevant to work performed.
Ability To:
- Assist in developing and implementing goals, objectives, practices, policies, procedures, and work standards.
- Provide professional leadership for the County’s Behavioral Health programs.
- Train staff in following medical protocols and psychiatric treatment procedures.
- Assess client mental status and make accurate evaluations.
- Analyze crisis situations in a prompt and concise manner to facilitate appropriate treatment and referrals.
- Develop and implement appropriate treatment plans; review and approve plans developed by other treatment staff.
- Evaluate patients for medication needs and reactions.
- Prepare detailed case summaries and documentation and maintain accurate patient records in compliance with local, state and federal rules and regulations.
- Protect patient’s rights and provide advocacy for those striving to overcome behavioral health challenges.
- Understand, interpret, and apply all pertinent laws, codes, regulations, policies and procedures, and standards relevant to work performed.
- Effectively represent the department and the County in meetings with governmental agencies; community groups; various business, professional, and regulatory organizations; and in meetings with individuals.
- Independently organize work, set priorities, meet critical deadlines, and follow-up on assignments.
- Use tact, initiative, prudence, and independent judgment within general policy, procedural and legal guidelines.
- Effectively use computer systems, software applications relevant to work performed, and modern business equipment to perform a variety of work tasks.
- Communicate clearly and concisely, both orally and in writing, using appropriate English grammar and syntax.
- Establish, maintain, and foster positive and effective working relationships with those contacted in the course of work.
Education and Experience:
Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be:
Equivalent to graduation from an American Medical Association certified school of medicine or osteopathy in good standing, and successful completion of an approved residency.
Certifications and Licenses:
- Must possess a valid US driver’s license upon date of application. Must obtain California driver’s license following hire date per California DMV regulations.
- Must possess a valid license to practice medicine in the State of California and be board certified by the American Board of Medical Specialties or the American Osteopathic Association.
Environmental Factors and Conditions/Physical Requirements
PHYSICAL DEMANDS
- Mobility to work in a standard office, out-patient, clinic, jail or juvenile facility; use standard office equipment, including a computer, and to operate a motor vehicle to visit various County and meeting sites; standing in and walking between work areas is frequently required; frequently bend, stoop, kneel, and reach to perform assigned duties, as well as push and pull drawers open and closed to retrieve and file information; possess the ability to lift, carry, push, and pull materials and objects up to 25 pounds with the use of proper equipment.
- Vision to read printed materials and a computer screen.
- Hearing and speech to communicate in person and over the telephone.
- Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard or calculator and to operate standard office equipment.
WORKING CONDITIONS
- Employees work in an office, out-patient, clinic, jail or juvenile facility environment with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances.
- Employees may interact with clients with behavioral disorders/erratic and assaultive behavior, including those which require emergency crisis intervention.
- Employees may interact with upset staff and/or public and private representatives in interpreting and enforcing departmental policies and procedures.
EQUIPMENT AND TOOLS UTILIZED
- Equipment utilized includes personal computer, fax machine, and standard office equipment.
Disaster Service Worker All Butte County employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker related training as assigned, and to return to work as ordered in the event of an emergency.
Benefits
Teamsters-Mid Management Benefits Summary
THESE BENEFITS DO NOT APPLY TO EXTRA HELP EMPLOYEES
Salary Step Increases:
The beginning salary and the top of the salary range are usually shown on the job announcement. Upon satisfactory service, salary increases of approximately 5% may be given annually until the top of the salary range has been attained. Longevity Pay: 2.5% at 10 years, 2.5% at 15 years, 2.5% at 20 years, for a total 7.5% after 20 years of service.
Cell Phone Allowance:
County issued cell phone or $70/month allowance with appointing authority approval.
Uniform Allowance:
$14.00-$21.00/mo. For eligible classifications only. Varies by classification.
Public Safety Dispatcher Pay:
Employees that possess an Intermediate POST Dispatcher Certificate will receive an additional 3.5% of base pay, 4.5% for Advanced POST Dispatcher Certificate, and 2.5% for Supervisory POST Dispatcher Certificate.
Boot Allowance:
Members of this Unit shall be eligible for a work boot/footwear reimbursement up to $275.00 annually. For eligible classifications only. This reimbursement shall be for the purchase, maintenance and/or repair of safety boots/shoes authorized by the Department Head.
Holidays:
13 paid holidays per year.
Vacation:
0-4.99 years: 15 days/yr.; 5-9.99 years: 20 days/yr.; 10-19.99 years: 25 days/yr.; 20+ years: 27 days/yr.
Administrative Leave:
7 days per year for FLSA Exempt employees.
Sick Leave:
96 hours of sick leave are earned each year with no maximum accrual.
Bereavement Leave:
Maximum of 40 hours for each occurrence in the immediate family.
Health Plan including Dental Insurance and Vision Insurance:
Coverage under the Butte County Health Plan is for employees and their eligible dependents. Depending upon the plan selected by the employee, the County contributes a substantial amount of the total cost of the complete health package, which consists of medical, vision, and dental insurance. Currently, the amount the County contributes toward family coverage is $ 1,438.42 per month. For those employees who have health coverage from other sources, and who elect to not participate in the Butte County Health Plan, the County offers a monthly taxable Cash-Back allowance. The current of the taxable Cash-Back allowance is $550.00 per month (prorated for less than fulltime employees). 2026 - Teamsters-Mid Management Medical Insurance Plans and Rates 2027 - Teamsters-Mid Management Medical Insurance and Rates
Life Insurance:
The County provides $25,000 in life insurance with additional coverage available at a minimal cost.
Retirement:
The County is in the Public Employees' Retirement System (CalPERS) coordinated with Social Security.
"Classic Members"- 2% @ 55. Final compensation based on Single Highest Year. Employee responsible for full 7% employee share effective 1/1/2013.
"New Members" to PERS- 2% @ 62. Final compensation based on Highest Three-Year Average. Employee responsible for one half (1/2) the normal cost of the CalPERS Pension. "New Member" is defined by law (PEPRA) as an "1) individual who has never been a member of any public retirement system prior to 1/1/2013 or 2) An individual who becomes a member of a public retirement system for the first time on or after January 1, 2013, and who was previously a member of a public retirement system, but who was not subject to reciprocity. or 3) An individual who was an active member in a public retirement system and who, after a break in service of more than six months, returned to active membership in that system with a new employer
Deferred Compensation:
The County offers a 457 Deferred Compensation program. Deposits into this plan are strictly voluntary and are made through a payroll deduction on a tax-deferred basis. The County does not make contributions to the employees' Deferred Compensation accounts.
Disability Insurance:
For short-term disability, the County participates in California State Disability Insurance (SDI) fund. County employees are also covered by an employee-paid long-term disability program. The long-term disability insurance benefit is 60% of the disabled employee's biweekly wage.
Flexible Spending Program:
County employees can elect to participate in a Flexible Spending Program. This program allows employees to use pre-tax dollars to pay for certain health care and/or dependent care expenses. In addition, employees can choose to have their portion of the monthly Health Plan premium withheld from their checks on a pre-tax basis as well. Generally, employees who participate in the Flexible Spending Program have less taxes withheld for their payroll checks than if they had elected not to do so.
Tuition Reimbursement:
Up to $500/year.
Employee Assistance Program (EAP):
The County of Butte provides an Employee Assistance Program (EAP) for employees and their eligible dependents. The EAP offers confidential, professional counseling services. Refer to specific labor agreements (BCEA-General) for additional benefit information.
BUTTE COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER
Any information on this page or links is subject to change without notice.
Butte County Human Resources Department 3 County Center Drive, Oroville, CA 95965 (530) 552.3552
Comments, please email: personnel@buttecounty.net
