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Contra
TO: BOARD OF SUPERVISORS •:--- � �=�-��.•
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FROM: LORI GENTLES, Assistant County Administrator-
Director of Human Resources
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DATE: JANUARY 24, 200-6-
SUBJECT:
P300 19950 — Health Services Department
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)8 BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Adopt Position Adjustment Resolution#19950 to REALLOCATE the salary of the classification Patient
Financial Services Manager.
FISCAL IMPACT:
The annual cost associated with this request including 37.79% County paid benefits and $7,500 for medical
benefits is $8,746.00. Federally Qualified Health Care (FQHC) revenue will offset the cost of this request.
BACKGROUND:
The Health Service Department is requesting a 3.7% salary increase to the classification of Patient Financial
Services Manager to appropriately compensate this management position.
Patient Financial Services Manager is a single position which has the overall responsibility to plan, direct and
monitor the activities of the Financial Counseling Department for Contra Costa County Regional Medical
Center and Regional Clinics. This position reports to the Utilization Review Manager.
In August 2000, the incumbent had oversight for a staff of fifteen. Currently, the Patient Financial Services Unit
has grown to thirty. Staff is also located at three worksites throughout the County. Also, 40% of the
incumbent's time is spent interfacing and working closely with community agencies in an effort to collaborate
health services.
The Financial Counseling Department is responsible for a variety of reimbursement programs (Basic Adult
Care, Healthy Families, AIM Program, Breast Cancer Treatment Fund, Medicare, Medical, and Family Pact)
for County Health Services and to ensure compliance with State and Federal Health Care Insurance rules and
regulations
CONSEQUENCE OF NEGATIVE ACTION:
Should the salary for this classification not be reallocated, the incumbent will not be appropriately compensated
for the increased scope of authority and job responsibilities.
CONTINUED ON ATTACHMENT: 1�� YES SIGNATURE: `� " ��.��- ---•"'°"�-�' �--
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RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
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SIGNATURE(S): 10,
ACTION OF BOA D N ! cZ Li APPROVED AS RECOMMENDED THER
VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY
01 OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE
BOARD OF SUPERVISORS ON THE DATE SHOWN.
UNANIMOUS(ABSENT 2/1A11—
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AYES: NOES:
ABSENT: ABSTAIN:
Contact: Shelley Pighin-75250
Cabb Calloway-51738 5-1722 N-A VrC�-/�� �L.
Cc: Health Services ATTESTED
Human Resources JOHN WEETEN,CLER F THE BOARD OFSUPERVISORS
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BY: '�� � � ,DEPUTY
SEP 0 6 ZUUb
OSITION ADJUSTMENT REQUESTNO.
OFFICE OF DATE
GOUNTY ADMINISTRATOR Department No. GOFERS
Department Health Services Budget Unit No 0540 Org No 6577 Agency No. A-18
Action Requested: REVISE the Health Services Department single classification of Patient Financial Services Manager
(V9NB) and REALLOCATE the salary schedule from salaryplan& gade(B85-1568) ($4.4850 - $5,896)to salary plan
& jzrade 82-1323) ($3,921 —$6.,115) Proposed Effective Date: February 1, 2005.
Classification Questionnaire attached: Yes No X /Cost within Department's budget: Yes X No
Total One-Time Costs (non-salary) associated with request: $ -0-
Estimated total cost adjustment(salary/benefits/one time):
Total annual cost $ 8,7, 46.00 Net County Cost $ -0-
Total this FY $ 7.288.00 N.C.C. this FY $ -0-
SOURCE OF FUNDING TO OFFSET ADJUSTMENT: FOHC Revenue.
Department must initiate necessary adjustment and submit to CAO.
Use additional sheet for further explanations or comments.
Mary Ja e RoSrb, ersonnel Services Assistant III
(for)William .Wa r,M.D.,Health Services Director
REVIEWED BY CAO AND RELEASED TO HUMAN RECO EPARTMEN
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eputy
; County Administrator 'Date
HUMAN RESOURCES DEPARTMENT RECOMMENDATION DATE January 59 2006
Reallocate the salary of Patient Financial 'Services Manager (V*B) from B85-1568 to
B82w-1323*
Amend Resolution 71/17 establishing positions and resolutions allocating classes to the Basic/Exempt salary schedule.
EffectiveXXX)Pay following Board Action.
(Date)
(for)Director of Human Resources
Y ADMINISTRATOR RECOMMENDATION DATE:,CO � zo
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pRecommendation of Director of Human Resources
Disapprove Recommendation of Director of Human Resources
Other: - Ole
(for)County AUministrator
BOARD OF SUPERVI RS ACTION: John Sweeten,Clerk of the Board of Supervisors
Adjustment AP VED DI PPROVED ,--f` and Cojinty Ad trator
Date: � , ^"`� ��' BY:
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POSITION ADJUSTMENT ACTION TO BE COMPLETED BY HUMAN RESOURCES DEPARTMENT FOLLOWING BOARD ACTION
Adjust classes)/position(s) as follows:
If Request is to Add Project Positions/Classes,please complete other side