Job Specifications

Class Code: PD9
Analyst: RRP/KT/JS/LM
Date Originated: 1/78
Date Revised: 4/87 3/90 3/93 9/95 2/05



Under general direction, to plan, organize, coordinate, direct and supervise various medical services within the County's Health Services Agency across a major division such as Public Health, Detention or other major division of health; to assist in program planning for the Agency; to plan, organize and coordinate medical services in a major division of the Health Services Agency and to perform other work as required.


This classification is responsible for planning, organizing and coordinating medical and program services associated with a major division of the Health Services Agency such as Detention Health and Public Health. The position is responsible for hiring and training key nursing staff on all appropriate shifts and developing policies and procedures that keep the program in compliance with state and federal requirements. Additionally the position may be responsible for co-supervising mental health and other personnel assigned to detention facilities and public health. The position is responsible for assuring that the Public Health component in the programs of Disease Control, Maternal Child Health, HIV Treatment, CCS is fully staffed and that medical services are provided consistently on all shifts. The incumbent is also responsible for supervising the Managers assigned to the above Public Health and Detention Programs.

This class has the overall assignment of managing the Detention Nursing program, and is differentiated from the next lower class of Assistant Director of Nursing, which has direct responsibility for medical services in the County Juvenile Hall and Sheriff's Rehabilitation Center and assists in the day-to-day operations of the main detention facilities. Detention Nursing operates 24 hours per day, 7 days per week.


Plans, organizes and directs through subordinate managers and supervisors the work of staff in Family Health, Public Health Nursing Services, Detention Medical Services, and other health divisions. Position engages in a variety of community programs; evaluates policies, procedures, programs, organization and rules and formulates improvements; analyzes workloads and develops criteria for determining personnel needs; prepares preliminary budget expenditure and staff allocations; consults with the senior management on work programs, schedules and departmental policy; works with the staff of other divisions, departments and agencies in the development of joint procedures, program planning, and resolution of administrative problems; initiates, develops, recommends and implements policies and procedures; ensures that federal, state and local regulations and the programs and policies of the department are effectively implemented; develops position statements for presentations to the Board of Supervisors and other agencies; promotes desirable community health actions based on departmental objectives, and provides technical advice and consultation to other County departments, partner agencies, committees, school personnel, and community groups; selects, assigns, trains and evaluates subordinate supervisors; participates in departmental policy and program development with other top management staff; keeps senior management informed of changes and problems; monitors budget, grant and contract administration activities; prepares reports and correspondence; directs staff orientation and in-service training activities; directs or participates in the collection and analysis of program data; develops and implements treatment and disease surveillance programs; evaluates and prepares recommendations for improvements in nursing and related medical services; develops and maintains manuals of policies and procedures; orients newly hired physicians and mid-level practitioners to the Detention process and procedures for medical and health related issues; coordinates case management of difficult medical/psychiatric inmate cases; discusses medical case management of difficult cases with other health care professionals and private physicians/psychiatrists; coordinates and oversees institutional medical and related services with other community services to ensure proper follow-up care; participates in on-call duties after regular hours; responds in emergency situations; authorizes orders for medical supplies and equipment and assures proper care and security; directs the maintenance of medical and administrative records; acts as the official custodian of medical records; develops and implements budgets; acts as an official witness in court cases requiring interpretation of medical records; acts as a liaison between Health Services and the Sheriff's Office; coordinates conferences and staff meetings; attends meetings and conferences; and may input, access, and analyze data using a computer terminal.



  Thorough knowledge of:

  Working knowledge of:

  Some knowledge of:

Ability to:

Education and Experience:

Possession of a valid Registered Nurse License issued by the State of California.

Possession of a California Public Health Certificate if the position oversees public health.

Three years of supervisory or administrative experience in nursing, including one year of experience in program development and evaluation and for the position managing Public Health these three years must be in a public health setting. A Master's degree in nursing administration or public health administration may substitute for one of the three years of required supervisory or administrative experience. Possession of one of these Master's degrees is highly desirable.

Special Requirements/Conditions:

License/Certificate: Possession of a valid California Registered Nurse License, a current CPR certificate, and a valid California Class C driver's license.

Background Investigation: Fingerprinting and a background investigation are required.

Special Working Conditions: Exposure to: Odors such as vomitus, feces, urine and draining abscesses; fumes from cleaning supplies and solvents; noise such as shouting inmates and constant radio communications; hostile individuals; and infections which might cause chronic disease or death.

PREVIOUS CLASS TITLES: Program Manager, Director of Nursing Services, Director of Nursing
Bargaining Unit: 11
EEOC Job Category: 02
Occupational Grouping: 56
Workers' Compensation Code: 0290