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Santa Cruz County Personnel Department

Supplemental Questionnaire

Last Name First Name


The supplemental questions are designed specifically for this recruitment. Applications received without the required supplemental information will be screened out of the selection process. Employment experiences referred to in your response must also be included in the Employment History section of the application.

Please answer the question(s) below as completely and thoroughly as possible, as your answer(s) may be used to assess your qualifications for movement to the next step in the recruitment process.


Describe, with examples, how you evaluate behavioral health medical necessity for different levels of care, including criteria for inpatient, residential and outpatient services. What are the critical elements to assess?


Describe your experience training clinical staff on compliance and patient rights topics, particularly in the areas of grievances, documentation, chart auditing and the use of electronic health record.


Describe your experience with multidisciplinary project collaboration, leadership/oversight, and outcome monitoring; and include any specific experience addressing multi-agency or multi-team solution-focused improvement projects.