Placer County

Director of Health & Human Services/Chief Psychiatrist (#11804)

$114.08-$142.48 Hourly / $19,773.87-$24,696.53 Monthly / $237,286.40-$296,358.40 Yearly


To plan, organize, direct and review the activities and operations of the Department of Health and Human Services including public health, environmental health, child welfare and behavioral health services, Medi-Cal, Cal-Fresh, employment services, adult mental health and substance abuse services, adult protective services, clinical care services, animal services and related administrative services; initiates, directs and provides leadership in the delivery of integrated services toward improving public health; coordinates assigned activities with other departments and outside agencies; plans, organizes, directs and manages the psychiatric medical activities within the County's mental health program; serves as Medical Director per code and statutory requirements; assures that professional medical standards are followed in the provision of psychiatric services; provides highly responsible and complex administrative support to the County Executive Officer; and, performs responsible work in psychiatry in County facilities, as needed.


The director level recognizes classes with full responsibility for the administration of a County department. This position serves at the pleasure of the Appointing Authority having no specified term and no property right to continuous employment and can be released without cause.


Receives policy direction from the County Executive Officer.

Exercises direct supervision over assigned management, professional, technical, and clerical personnel; exercises medical supervision over clinical staff in the administration of program areas.


  • Plan, organize, coordinate and direct programs, activities, and operations of the department; formulate policies and procedures; provide support and direction for policy development at the departmental and division levels; establish and maintain objectives and action plans for accomplishment of stated and mandated goals, balancing both mandated services and community needs.
  • Coordinate department activities with those of other departments and outside agencies and organizations; provide staff assistance to the County Executive Officer and Board of Supervisors; prepare and present staff reports and other necessary correspondence; ensure that County policies are followed and request/recommend that the Department of Health and Human Services has adequate resources to maintain both mandated and expected levels of service.
  • Direct, oversee and participate in the development of the department's work plan; assign work activities, projects, and programs; monitor workflow; review and evaluate work products, methods, and procedures.
  • Confer with Public Health Officer on all aspects of department operations that impact the health and wellbeing of Placer residents, including, but not limited to, medical and clinical issues involving public health, environmental health, animal services and clinical care services.
  • Oversee the planning, organizing, and directing of work assigned to medical staff involved in the provision of psychiatric services.
  • Supervise and participate in the development and administration of the various Health and Human Services department budgets; direct the forecast of additional funds needed for staffing, equipment, materials, and supplies; monitor and approve expenditures; implement mid-year adjustments.
  • Direct all operations of the Health and Human Services department in a manner that maximizes revenue, minimizes costs, and eliminates duplication of services.
  • Select, train, motivate and evaluate personnel; provide or coordinate staff training; conduct performance evaluations; implement discipline procedures; maintain the discipline and high standards necessary for the efficient and professional operation of the department.
  • Represent the department to outside groups and organizations; participate in outside community and professional groups and committees; provide technical assistance as necessary.
  • Research and prepare technical and administrative reports and studies; prepare written correspondence as necessary.
  • Build and maintain positive working relationships with co-workers, other County employees and the public using principles of good customer service.
  • As needed, examine patients and diagnose illnesses; prescribe and administer psychiatric treatments; make rounds and review reports, records, and general progress of patients; consult with other psychiatrists and make referrals as necessary; maintain and keep current appropriate clinical documentation and write psychiatric evaluation reports, as required; and provide psychiatric consultation to other treatment staff, both on staff and in the community, if requested; attend and participate in staff conferences for the mental health and other co-occurring conditions (e.g. substance use, physical health, etc.) of various patients and their diagnosis and treatment. Perform related duties as assigned.


Work is primarily performed indoors which may include a standard office, mental health, hospital, Juvenile Institution, or County Jail setting.  Primary functions require sufficient physical ability to work in an office setting and operate office equipment.


Experience and Training
Any combination of experience and training that would provide the required knowledge and abilities is qualifying.  A typical way to obtain the required knowledge and abilities would be:  

Experience: At least seven (7) years of senior level management experience relating to planning, organizing and directing the operations of a large, complex department or agency with a wide variety of programs, services, and funding sources similar to the Department of Health and Human Services in Placer County and five years of increasingly responsible experience in providing psychiatric services preferably with two years of supervisory responsibility. Experience in a local government agency providing health and human services in an integrated environment is preferred. 

Training: Equivalent to a Doctorate of Medicine degree from an accredited college or university that is recognized or approved by the Medical Board of California or Osteopathic Medical Board of California.  

Required License or Certificate:

  • Possession of a valid and current California Physician and Surgeon license and Federal DEA License.  Board Certified in Internal Medicine or Family Practice is highly desirable.
  • Eligible to possess State issued license to supervise Mid-Level Practitioners.
  • Hospital privileges and staff status at local hospitals and medical care facilities. Must possess a valid driver's license.  Proof of adequate vehicle insurance and medical clearance may also be required.

NOTE: The physician selected for this position must maintain insurability through the professional liability insurance carrier of Placer County's choice.


Knowledge of:

  • Operations, services, and activities of a comprehensive and integrated health and human services program.
  • Advanced principles and practices of program development and administration.
  • Principles and practices of general medicine and psychiatry; psychiatric social work; and, the various rehabilitation therapies, including general tenants of recovery and resiliency, and trauma-informed practices.
  • Legislative process and current developments related to health and social programs.
  • Social and economic problems affecting health and human services programs.
  • Business and financial management and management information services as related to delivery of services and administration. Hospital and clinical practice and administration.
  • Principles and practices of leadership, motivation, team building and conflict resolution.
  • Public information principles and practices.
  • Pertinent local, state, and federal laws, rules, and regulations.
  • Organizational and management practices as applied to the analysis and evaluation of programs, policies, and operational needs.
  • Inter-governmental relationships and regulations affecting health and human service program delivery.
  • Principles and practices of organization, administration, and personnel management.
  • Principles and practices of budget preparation and administration.
  • Principles of supervision, training, and performance evaluation.
  • Current methods and standards of diagnosing and treating mental disorders, contra indications and adverse reactions to common psychiatric medications; equipment, tools, and supplies used in diagnosis and treatment of disease.

Ability to:

  • Manage and direct a comprehensive and integrated health and human services program; organize and direct medical care and psychiatric program operations.
  • Develop and implement department policies and procedures.
  • Successfully develop, control, and administer departmental budget and expenditures.
  • Analyze and assess programs, policies, and operational needs and make appropriate adjustments.
  • Analyze problems, identify alternative solutions, project consequences of proposed actions and implement recommendations in support of goals.
  • Identify and respond to sensitive community and organizational issues, concerns, and needs.
  • Coordinate and integrate program components in a cohesive and effective service delivery system.
  • Interpret and apply County policies, procedures, rules, and regulations.
  • Communicate clearly and concisely, both orally and in writing; gain cooperation through discussion and persuasion.
  • Direct and review the work of others; supervise, train, and evaluate assigned personnel.
  • Work with various cultural and ethnic groups in a tactful and effective manner.
  • Establish and maintain effective working relationships with those contacted in the course of work.
  • On a continuous basis, know and understand all aspects of the job; intermittently analyze work papers, patient charts, reports and special projects; identify and interpret technical and numerical information; observe and problem solve operational and technical policies and procedures; explain medical procedures.
  • On an intermittent basis, sit at desk for long periods of time while reviewing charts and patient histories, preparing reports, and attending case conferences; intermittently walk, stand, bend, twist and reach while examining/treating patients or conducting surgery. 
  • Intermittently twist to reach equipment surrounding desk or treatment areas; perform simple grasping and fine manipulation; use telephone and write or use a keyboard to communicate through written means; see with correctable visual and hearing acuity sufficient to examine and diagnose patients and conduct surgery; and occasionally lift moderate weight.


Length of Probation:
This classification serves at the pleasure of the Appointing Authority and has no specific term and no right to continuous employment.  

Bargaining Unit:
Unclassified Management

CLASS: 11804; EST: 9/8/2020; REV: ;