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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 medical necessity for different levels of care. Include criteria for inpatient and outpatient services. What are the critical elements to assess?


Describe your experience training clinical staff, particularly in the areas of charting, documentation and the use of electronic health records.


Describe your experience with behavioral health program evaluation and include any experience assessing medical necessity, level of care, and appropriate documentation of alcohol and drug services/programs. Include your experience working with multi-agency stakeholders.