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#PBT-0932-110689
Supplemental Questionnaire

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0932 Manager IV - Director of Office of Coordinator Care
Recruitment #PBT-0932-110689

Minimum Qualification Supplemental Questionnaire (MQSQ) & Training and Experience (T&E) Evaluation 

Please Read The Following Instructions Carefully 

Your Examination Score Will Be Derived From Your Responses To The Questions Below 

The purpose of this MQSQ and T&E Evaluation is to determine whether you meet the minimum qualifications of a 0932 Manager IV - Director of Office of Coordinator Care, as well as to determine your knowledge, skills and abilities and experience in job-related areas that have been identified as critical for satisfactory performance in this position. Please refer to the examination announcement for a more detailed description of these knowledge, skills, and abilities.  

This Training and Experience Evaluation will be assessed and scored to account for 60% of the total weight of your final score on the resulting eligible list. Applicants must achieve a passing score on the Management Test Battery (MTB) in order to be ranked on the eligible list.  

The information provided should be consistent with the information on your application and is subject to verification. Verification of experience, licensure, and possession of valid certifications/certificates may be collected at any time during or after the selection process so please choose the best answer for the questions below. Once submitted, applicant responses cannot be changed. 

We suggest that you allow ample time to submit your application and answer the questions below. 


1

Select the statement that best matches the highest level of education you have completed. Do not include courses in progress.

No formal college/university education.
Attended some college, successful completion of less than 30 semester units / 45 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 30 semester units / 45 quarter units but less than 60 semester units / 90 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 60 semester units / 90 quarter units but less than 90 semester units / 135 quarter units of coursework from an accredited college or university.
Attended some college, successful completion of at least 90+ semester units / 135+ quarter units of coursework from an accredited college or university but less than a Bachelor's degree.
Bachelor's Degree and above from an accredited college/university.
2

Which degree do you possess?

No formal college/university education.
Behavioral Health
Public Health
Public Administration
Other degree related to degrees listed above
3

Indicate the amount of verifiable professional and management experience working in a healthcare environment, which included supervisory duties.

I do not have of verifiable professional and management experience in healthcare
I have less than one year (less than 2,000 hours) of verifiable professional and management experience in healthcare
I have at least one year (minimum 2,000 hours) but less than two years (4,000 hours) of professional and management experience in healthcare
I have at least two years (minimum 4,000 hours) but less than three years (6,000 hours) of verifiable professional and management experience in healthcare
I have at least three years (minimum 6,000 hours) but less than four years (8,000 hours) of verifiable professional and management experience in healthcare
I have at least four years (minimum 8,000 hours) but less than five years (10,000 hours) of verifiable professional and management experience in healthcare
I have five years (minimum 10,000 hours) but less than six years (12,000 hours) of verifiable professional and management experience in healthcare
I have at least six years (minimum 12,000 hours) but less than seven years (14,000 hours) of verifiable professional and management experience in healthcare
I have seven years (minimum 14,000 hours) or more of verifiable professional and management experience in healthcare
4

 Please identify all employment settings where you acquired behavioral health experience. Select all that apply.

Providing services on the street (e.g. outreach, engagement and direct care)
Community organization (social service providers, drop-in centers, cultural organizations)
Schools
Outpatient Behavioral health clinics (mental health and substance use)
Hospitals
Residential settings (respite, treatment, supported housing)
Institutional Settings (e.g. jail, locked bed)
Other employment settings
I have not worked in any of the employment settings listed above
5

How much verifiable experience do you have managing Behavioral Health programs?

I do not possess any of this experience
I have some, but less than three (3) years of this experience
I have at least three (3) years, but less than five (5) years of this experience
I have at least five (5) years, but less than ten (10) years of this experience
I have 10 or more years of this experience
6

Please identify verifiable experience you have had managing staff providing the following services. Select all that apply.

Behavioral health treatment services  
Field-based Services (e.g. street-based, in client’s homes)  
Cultural healing practices 
Peer navigation or support services 
Tele-care services 
Care coordination and case management services 
Supporting clients to access/enroll in public health insurance benefits 
Crisis intervention/response  
Support for clients to access housing  
Other programs
I have no experience with the programs listed above
7

What is your verifiable management experience where duties included the following. Select all that apply.

Providing regular (i.e. weekly) clinical supervision
Providing regular (i.e. weekly) administrative supervision (non-clinic) 
Defining staff roles and responsibilities
Directing the allocation resources 
Furthering organizational equity goals  
Managing relationships with internal and external stakeholders  
Setting goals and monitoring performance 
Developing written Performance Appraisals/Evaluations 
Coaching and/or training employees 
Managing Progressive Discipline
Other duties
I don’t have any of this experience listed above 
8

Identify the team members below who you have professionally supervised, select all that apply.

Peers/individuals with lived experience 
Clinicians and/or case managers  
Clinical Supervisors (e.g., licensed clinician who providing clinical oversight of unlicensed staff) 
Program Managers
Staff managing contracts or budget   
Administrative and/or clerical staff  
Consultants 
Other
I have not worked with any of the team members listed above
9

Indicate your verifiable experience in the application of State and Federal health care regulations and standards involving the following, select all that apply.

Medi-Cal billing and documentation  
Health Insurance Portability and Accountability Act (HIPPA) and other regulations related to protecting patient privacy  
Medicaid Final Rule and other regulations relating to the operations of Medicaid managed care plans 
Preparing for and participating in audits conducted by external oversight bodies 
Licensing requirements for different levels of care  
Conservatorships 
Other
I have not worked in any of the employment settings listed above
10

Indicate your verifiable experience with the following evaluation and quality improvement activities, select all that apply.

Developing program goals  
Defining metrics to measure impact and outcomes  
Developing evaluation or quality improvement strategies with a focus on equity (e.g. understanding or addressing disparities in access or outcomes by race, gender, language) 
Developing data collection tools  
Engaging clients/peers in quality improvement activities 
Developing strategies to solicit input regarding client experience/satisfaction  
Drafting evaluation reports 
Using LEAN Quality Improvement approaches (A3, plan do study act)  
Other
I don’t have any of this experience listed above
11

Please indicate your verifiable experience where you developed or operated behavioral health programs designed to serve the following population(s). Check all that apply.

People experiencing homelessness 
Residents in Permanent Supported housing   
Black/African American  
Asian/Pacific Islander 
Latinx/Mayan/Indigenous Communities  
Children, youth and their families 
Children and young adults in Foster care  
Justice Involved  
CalWorks beneficiaries 
Young people eligible for Special Education or Educationally Related Mental Health Services (ERMHS) 
Older adults  
Medi-Cal beneficiaries 
LGBTQ+ 
I have no experience with the populations listed above 

 

CERTIFICATION:  By checking this box, I hereby certify that I am the author of the information supplied in this supplemental questionnaire. I understand that any false or incorrect statements may result in my disqualification or dismissal from employment with the San Francisco Department of Public Health and the City and County of San Francisco.  I also understand and agree that the information provided is subject to verification.