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Placer County Human Resources Department
#2021-13645-02


Supplemental Questionnaire

Last Name First Name
 

 

Health and Human Services Program Manager

Child Welfare Services

Supplemental Questionnaire

(2021-13645-02)



 

PART I - MINIMUM QUALIFICATIONS (NON-SCORED)

Your responses to Part I will not be scored but may be used to assist in reviewing how applicants meet the minimum and/or preferred qualifications.


1.

Do you possess a Bachelor's degree from an accredited college or university?

Yes No
1a.

If yes, please indicate your degree received and major coursework completed.

2.

Do you possess five years of increasingly responsible clinical and/or administrative experience in a health or human services agency, including at least two years of supervisory responsibility?

Yes No
2a.

If you answered yes above, please briefly describe your related experience:


 

PART II - TRAINING & EXPERIENCE EXAMINATION QUESTIONS (SCORED)

This section of the supplemental questionnaire is the Civil Service examination for this position. This supplemental questionnaire will be scored based on your checked responses below. Scores received from this section will determine applicant ranking and placement on the eligible list.

For the items in this section, please indicate your level of training and experience and then provide a brief description of your related experience in the space provided.

Resumes, letters, and other materials will not be evaluated nor considered as responses to the items in this supplemental questionnaire.


 

I have read and understood the above instructions.

1.

Indicate your level of experience working in a health or human services agency.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
1a.

Please briefly describe the experience indicated above. In your response, include the positions held, length of time in each position, and a description of your specific duties and responsibilities. If you do not have any experience in this area, state "No Experience."

2.

Indicate your level of experience representing your department and/or assigned program(s) to other organizations, community groups, the general public, etc.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
2a.

Please briefly describe your experience. In your response, include the purpose(s) of your outreach or representation, the size of the audience(s), and the type(s) of groups or organizations you addressed. If you do not have any experience in this area, state "No Experience."

3.

Indicate your level of experience leading or supporting a health or human services agency.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
3a.

Please briefly describe your experience. In your response, provide a description of the program and/or initiative, the population involved and your role. If you do not have any experience in this area, state "No Experience."

4.

Indicate your level of experience supervising and/or managing staff performing duties related to health or human services agency programs.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
4a.

Please briefly describe your experience. In your response, include the number of staff you supervised/managed, their classifications, and your specific role and level of responsibility/authority. If you do not have any experience in this area, state "No Experience."

5.

Indicate your level of experience mentoring and training staff that you supervise and/or manage.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
6.

Indicate your level of experience participating in the selection of staff.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
7.

Indicate your level of experience managing projects that have had an organization-wide impact.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
8.

Indicate your level of experience overseeing and monitoring adherence to local, state, and federal laws and regulations.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
8a.

Please briefly describe your experience. In your response, include your strategies for keeping up to date on changing policies and how you have successfully identified and implemented program changes. If you do not have any experience in this area, state "No Experience."

9.

Indicate your level of experience developing and managing a quality improvement/assurance program for behavioral health or social services programs in order to ensure quality care, appropriate documentation, and compliance with federal, state and local regulations.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
9a.

Please briefly describe your experience. If you do not have any experience in this area, state "No Experience."

10.

Select the specific computer software program(s) you have experience operating:

AVATAR
CWS/CMS
Microsoft Word
Microsoft Excel
Microsoft Power Point
Microsoft Access
SAS (Statistical Analysis Software) / SPSS (Statistical Package for the Social Sciences)
JobAps/JOBS
Traverse
Workday
None of the above
11.

Indicate your level of experience acting as a team leader and managerial resource to program staff, project teams, clients, other county departments, policy counsel, boards, committees, and contractors in support of behavioral health, social services or quality improvement and assurance programs.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
11a.

Please briefly describe your experience. If you do not have any experience in this area, state "No Experience."

12.

Indicate your level of experience presenting justification and evidence in support of request(s) for additional program resources.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
13.

Indicate your level of experience managing and/or tracking data for a contract(s) with a state and/or federal agency.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
14.

Indicate your level of experience negotiating contracts with professionals and/or a service provider.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
14a.

Please briefly describe your experience. If you do not have any experience in this area, state "No Experience."

15.

Indicate your level of experience managing performance via daily feedback, performance evaluations, verbal and written documented counseling, performance improvement plans, and/or written reprimand.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
16.

Indicate your level of experience participating in budget preparation and administration for health or human services agency programs.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
17.

Indicate your level of experience preparing cost estimates/projections, submitting justifications for requested resources, and monitoring and controlling expenditures for health or human services agency programs.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
17a.

Please briefly describe your experience. If you do not have any experience in this area, state "No Experience."

18.

Indicate your level of experience verifying billings, payments, and trouble-shooting complaints.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience
19.

Indicate your level of experience administering record keeping and reporting functions for a health & human services agency program.

No experience
Less than one year of experience
1 to 3 years of experience
3 to 5 years of experience
5 to 7 years of experience
More than 7 years of experience

 

Thank you for completing the examination portion of the application process. We encourage applicants to review their answers for accuracy prior to submitting.

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