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Hybrid Schedule Available - This position requires full-time, onsite work for the first 60 days.  Hybrid eligibility begins thereafter.

THE POSITION

Under general direction of the Executive Director, the Strategic Initiatives Director plans, develops, and leads high-priority organizational initiatives that advance Tri-City’s strategic goals and system transformation efforts. The position is responsible for designing and implementing complex, cross-departmental projects that expand services, strengthen community partnerships, and secure sustainable funding opportunities. The Strategic Initiatives Director works closely with executive leadership, internal divisions, and external partners to advance initiatives related to FFP/Medi-Cal, the Behavioral Health Services Act (BHSA), and social service program development while ensuring alignment with the agency’s long-term vision. Performs related duties as assigned.

This position will perform the following essential duties, including but not limited to:

• Collaborate with the Executive Director and executive leadership team to develop and execute organizational strategic initiatives aligned with Tri-City’s mission and Behavioral Health Services Act (BHSA) and broader social services priorities.
   

• Lead cross-departmental efforts to design, launch, and implement new programs, projects, and community partnerships that advance organizational goals.
   

• Monitor, evaluate, and report on outcomes of strategic initiatives to ensure effectiveness, accountability, and mission alignment.
   

• Cultivate and maintain strong relationships with government agencies, healthcare systems, community-based organizations, and funding partners to strengthen collaboration and expand service capacity.
   

• Represent Tri-City in regional and statewide initiatives focused on behavioral health system transformation while identifying opportunities that enhance service delivery and funding.
   

• Lead the research, development, and design of innovative behavioral health and inclusive supportive services programs.
   

• Monitor emerging trends, legislation, and funding opportunities, providing policy analysis and strategic recommendations to the Executive Team and Governing Board.
   

• Partner with Executive Administration, Finance, and Program teams to pursue and manage grants, contracts, and public-private partnerships that support strategic initiatives.
   

• Develop business plans and sustainability models for major initiatives and assist in planning and implementation of capital projects, including housing development.
   

• Serve as a strategic thought partner to the Executive Team and Governing Board in advancing Tri-City’s long-term vision and priorities.
   

• Lead cross-functional teams and task forces to deliver complex projects while mentoring and supporting staff engaged in strategic initiatives.

 

This position does not currently include direct supervisory responsibilities; however, there is potential for supervision of staff as strategic initiatives and programs expand in the future.

$2500 Sign-on Bonus!

THE POSITION

Tri-City is looking for two individuals to fill the positions of Psychiatric Technician I/II whom will provide medication support services both in the field and at the office. This particular position is located within the Adult Outpatient Clinic and will report to the Medication Support Team Manager & the Medication Support Services Supervisor. The Psychiatric Technician I/II will appeal to individuals who are inspired by challenges and opportunities presented in working with an engaged and active community by providing all manner of adjunctive medication support services.

 

Psychiatric Technician I: This is the entry-level classification in the Psychiatric Technician series. Initially under close supervision, incumbents learn and perform routine medication monitoring, administration, and support, while learning Authority policies and procedures. 

Psychiatric Technician II: This is the journey-level classification in the Psychiatric Technician series. Positions at this level are distinguished from the Psychiatric Technician I by the performance of the full range of duties as assigned, working independently, and exercising judgment and initiative. Positions at this level receive only occasional instruction or assistance as new or unusual situations arise and are fully aware of the operating procedures and policies of the work unit.

 

EXAMPLES OF ESSENTIAL DUTIES:

• Under the direction of clinical staff, provides medication management services to a caseload of clients in the office and in the field; ensures the proper acquisition and administration of medication.
   
• Provides education and training to clients, their families, and/or staff on the proper care and use of medications, including symptoms of, reactions to, or side effects of, specific medications; informs clients of the impact of abuse and/or misuse of medications.
   
• Conducts home/field visits to evaluate client’s physical environment and behavior such as anxiety, withdrawals, and behavioral health progression/regression.
   
• Takes and records measures of clients’ vital signs, physical condition, and behaviors; assists and observes clients self-dispense medication as prescribed by a psychiatrist and administers scheduled injections.
   
• Conducts medication checks on clients to assess their overall medication management capabilities; takes appropriate action if client poses danger with respect to the use or abuse of medication; observes, evaluates, records, and reports to professional staff changes in client’s condition.
   
• Motivates clients to develop self-reliance in daily living; encourages clients to participate in group and/or individual therapy/program activities.

 

 

****SIGN ON BONUS: $25,000 Sign-on bonus paid out following the completion of the first full pay period.****

 

Hybrid, Flexible Work Schedule Available!

 

Salary Ranges:

Psychiatrist I:  $234,898.25 - $299,796.51/annually

Psychiatrist II: $259,283.92 - $330,919.11/annually

 

THE POSITION

Tri-City is looking for individuals to serve as a Psychiatrist I/II for the Adult Outpatient Clinic/Adult Full Service Partnership (FSP) Department. The Psychiatrist I/II will provide medical and psychiatric treatment and diagnostic services to clients in the caseload of Tri-City and provide collaborative work with a multidisciplinary team in a public mental health agency. Provide integrated, effective, and high-quality behavioral health care to the residents of Pomona, Claremont and La Verne with moderate to severe functional impairment due to mental illness.

This position is responsible for a variety of ongoing responsibilities including, but not limited to:

• Perform intake and diagnostic interviews on a scheduled and emergent basis.
   
• Participate in diagnostic staff evaluation of clients.
   
• Provide medical psychiatric treatment of clients.
   
• Maintain and disseminate medical records and reports in compliance with Federal, State and Agency regulations, including Health Insurance Portability and Accountability Act (HIPAA) and The Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“HITECH Act”).
   
• Submit required statistical and other requested information on a timely basis.
   
• Consult and provide information to other agencies that are coordinating their work with that of the behavioral health service agency.
   
• May serve on Utilization Review Committee, Medication Review Committee, and chair Peer Review Committee as assigned.
   
• May conduct specialized research, special studies, and services.
   
• Provide medical consultative services to the behavioral health services staff; lead team conferences and provide clinical direction in unit(s) to which assigned.
   
• Perform other duties as assigned.

THE POSITION

Tri-City Mental Health Authority is currently hiring to fill one full-time vacancy for the position of Clinical Therapist II within the Mobile Crisis Care Program (MCCP). 

Tri-City’s MCCP operates 24/7 to provide crucial support in mobile crises. As such, the schedule will involve a 3/12 shift pattern, consisting of three twelve-hour days per workweek and one alternating eight-hour day every other week. Shifts may include evenings, weekends, daytime hours, and holidays.

The specific shift and schedule will be determined by the supervisor; however, the first one to two months of training will follow a 5-day-per-week, 40-hour-per-week schedule

Examples of shifts are included below:

• Day Shifts: 7:00 AM - 7:00 PM, 7:00 AM - 3:00 PM, 8:00 AM - 8:00 PM, or 8:00 AM - 4:00 PM
• Night Shifts: 7:00 PM - 7:00 AM, 7:00 PM - 3:00 AM, 8:00 PM - 8:00 AM, or 8:00 PM - 4:00 AM

Weekend and night shifts will be entitled to Shift Differential Pay of $2.50 per hour on weekdays (Monday through Friday) and $3.50 per hour on weekends (Saturday and Sunday). Holiday shifts will be entitled to Holiday Pay.

Tri-City is looking for individuals to serve as Clinical Therapist II on a full-time basis for the MCCP. The MCCP Clinical Therapist II will be part of a team that provides crisis intervention and stabilization, linkage and referral, consultation, and education within the scope of practice. The MCCP Clinical Therapist II will report to the Mobile Crisis Care Clinical Supervisor and Clinical Program Manager.

This position is responsible for a variety of ongoing responsibilities including, but not limited to:

• Respond to client’s (Full-Service Partnership and Adult and Children’s Outpatient Programs and other specialty mental health services) crisis calls with or without law enforcement;
   

• Perform field-based and telephone emergency mental health evaluations and crisis stabilization in accordance with agency procedure;
   

• Provide crisis intervention and stabilization services to individuals, groups, and families;
   

• Identify treatment needs and make appropriate referrals for necessary services;
   

• Assist clients and relatives with understanding behavioral health problems and their reaction to them;
   

• Work on a multidisciplinary team for crisis response.

 

San Mateo County Health’s Behavioral Health & Recovery Services (BHRS) Division is seeking an experienced and strategic leader to serve as a Quality Management Clinical Services Manager I/II within the Quality Management (QM) Unit.

The Clinical Services Manager (CSM) I/II – Mental Health classification series provides leadership and oversight within comprehensive behavioral health programs and is flexibly staffed at the I or II level depending on qualifications and experience.

The Quality Management Unit provides countywide oversight of clinical quality, regulatory compliance, documentation standards, credentialing, site certification, audit readiness, performance monitoring, and implementation of new state and federal behavioral health requirements. The unit partners closely with executive leadership, program managers, IT, medical staff, and contracted providers to translate regulatory and clinical standards into practical systems that strengthen accountability and improve care delivery across BHRS.

This position serves as the highest-level leader within the QM Unit and reports directly to a member of the Executive Team. The incumbent provides expert guidance on quality, compliance, and system improvement matters while working in partnership with operational leaders who retain implementation responsibility.

This role offers the opportunity to shape countywide standards for clinical quality and regulatory integrity within a large and complex public behavioral health system. The successful candidate will help safeguard member rights, strengthen accountability, and guide the organization through an evolving regulatory landscape. At the same time, the role requires balancing strict compliance requirements with operational realities, managing multiple concurrent audits and high-visibility regulatory reviews, and driving system improvement through collaboration and influence rather than direct operational authority.

The current vacancy is located in San Mateo, CA and requires travel throughout the County and occasional attendance at meetings or trainings outside the County.

Key Responsibilities 

The Quality Management Clinical Services Manager will:

• Provide leadership and oversight of BHRS Quality Management functions, including compliance monitoring, documentation standards, credentialing, site certification, audit coordination, grievance and appeal tracking, and risk mitigation.
• Interpret and translate state and federal behavioral health regulations (e.g., CalAIM, DMC-ODS, timely access standards) into organizational guidance and monitoring frameworks.
• Lead audit readiness and response efforts, including preparation for DHCS compliance reviews, External Quality Review, and corrective action plan development and tracking.
• Oversee credentialing and re-credentialing processes and coordinate Credentialing Committee functions.
• Provide oversight of grievance, appeal, NOABD, and State Hearing tracking and reporting to ensure compliance with regulatory timelines and member rights protections.
• Oversee incident reporting and state breach processes, ensuring appropriate system-level review, follow-up, and mitigation.
• Direct site certification and re-certification activities for County-operated and contracted providers.
• Provide consultation, training, and technical assistance to managers and providers to support sustainable regulatory compliance.
• Partner with IT and MIS to align clinical documentation and regulatory requirements with electronic health record workflows.
• Monitor and analyze compliance data using electronic health records and data tools to inform decision-making and performance improvement.
• Supervise and develop Quality Management staff and ensure timely completion of reporting and regulatory deliverables.

 

The ideal candidate will bring:

• Strong knowledge of state and federal behavioral health regulations and experience translating regulatory requirements into operational guidance.
• Demonstrated experience leading quality assurance, compliance monitoring, audit preparation, clinical documentation review, and corrective action planning within behavioral health settings.
• Experience preparing reports, analyzing compliance data, and advising senior leadership on regulatory and quality trends.
• Strong analytical and organizational skills, including experience utilizing electronic health records and data tools (e.g., Excel, Smartsheet) to monitor performance, assess trends, and support decision-making.
• Experience in designing and delivering training and technical assistance aligned with regulatory requirements and system improvement goals.
• Experience supervising or leading teams and fostering accountability, performance improvement, and professional development.
• Ability to collaborate across clinical, fiscal, IT, contracting, and medical staff functions to ensure policy and workflow alignment.
• Experience advancing culturally responsive and equitable behavioral health practices within policy, supervision, and program design.

 

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties

Duties may include, but are not limited to, the following:

• Managing core Quality Management processes, including credentialing, site certification, clinical documentation review, grievance and appeal tracking, and incident reporting.
• Developing and maintaining tracking systems, dashboards, and reports to monitor compliance trends and corrective action progress.
• Coordinating preparation for external audits and regulatory reviews and ensuring timely follow-up.
• Interpret state and federal behavioral health regulations and provide guidance to program managers and senior leadership regarding organizational implications and compliance expectations.
• Reviewing compliance findings and collaborating with program leadership to implement corrective actions.
• Providing written guidance, policy interpretation, and training to support regulatory implementation.
• Utilizing electronic health records and data platforms to analyze documentation and performance trends.
• Supervising QM staff and overseeing workflow, timelines, and deliverables.
• Performing related duties as assigned.

Qualifications

Licensure/Certification: 

• Requires possession of a clinical license in psychology, social work, nursing, marriage and family therapy or the equivalent.

Education and Experience: 

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying.  A typical way to qualify is:

• Clinical Services Manager I – Mental Health: Two years of experience in a mental health or related health services program that included responsibility for program planning, client services, program evaluation, budget administration, or community resource coordination, of which at least one year included responsible supervisory experience.

• Clinical Services Manager II – Mental Health: Three years of increasingly responsible experience in a mental health or related health services program, including at least two years of significant responsibility for one or more of the following:  program and budget development, funding, utilization, coordination of community resources or program evaluation.

Knowledge of: 

• Principles and practices of public administration, and program management, including planning, implementation, evaluation and reporting.
• Principles and methods of community behavioral health services, including current trends in education, research, treatment, prevention and related issues.
• Laws, codes and regulations governing community behavioral health care and knowledge of County, state and federal legislative developments applicable to contemporary behavioral health issues.
• Organizational, personnel and fiscal management within a multi-faceted, community-based program setting.
• Community resources and public/private services and funding sources.

Skill/Ability to:  

• Identify and analyze complex community behavioral health issues and problems.
• Plan, organize, and coordinate programs and services on a comprehensive, county-wide level to meet community needs.
• Integrate a variety of activities and services to achieve program goals, objectives, and priorities.
• Apply principles and techniques of community organization.
• Speak effectively to diverse audiences, including clinical, professional, civic and citizen groups.
• Maintain cooperative working relationships with other program managers and staff, other agencies and the community; enlist and mobilize community support for programs.
• Prepare complex and detailed written reports, program policies, procedures and contracts.
• Train staff and coordinate activities of contractors, volunteer groups and staff.

Application/Examination

Open & Promotional. Anyone may apply.  Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination. 

 

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%) which may include a performance exam. Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in County of San Mateo, California and applicants must participate at their own expense.  

 

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the “Apply” button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT TIMELINE
Final Filing Date: Friday, March 27, 2026 at 11:59 PM PST
Application Screening: Week of April 6, 2026
Panel Interviews: Week of April 20, 2026
 

About the County 
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

 

The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work. 

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community. 

We encourage applicants with diverse backgrounds and lived experiences to apply.

                                                                                                           

Talent Acquisition Analyst: Priscila Bermudez (12082025) (Clinical Services Manager - Mental Health I/II - D054/D055)

San Mateo County Health is seeking an accomplished executive leader to serve as the 
Assistant Director of Behavioral Health and Recovery Services (BRHS).

 

Please view our Online Brochure for detailed information about the position and instructions on how to apply.

 

Application/Examination

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.

The examination process will consist of an application screening (Pass/Fail) based on the candidate’s application, cover letter, resume, and responses to the supplemental questions. Candidates who pass the application screening will be invited to participate in a panel interview (weight: 100%).

Candidates invited to interview will also be required to submit a written work product in advance of the interview. The work product will be evaluated by the panel and may be incorporated into the interview through discussion, follow-up questions, or a brief presentation.

Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or additional evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in the County of San Mateo, California, and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org/to apply. Online applications must be received by the Human Resources Department before midnight on the final filing date.

To apply for this exciting career opportunity, the following materials must be submitted in addition to the standard Employment Application form:

• Resume
• Cover Letter
• Responses to the Supplemental Questions (attached to the application form)

Cover Letter Prompt:
 Please submit a cover letter describing:

• Your understanding of San Mateo County’s behavioral health landscape and local community needs;
• How your leadership philosophy and experience align with the culture and strategic direction of BHRS; and
• How your skills prepare you to lead complex behavioral health operations, including fiscal stewardship, regulatory compliance, and system-wide accountability.

Tentative Recruitment Timeline 
Final Filing Date: Wednesday, March 25, 2026, by 11:59 PM PST
Application Screening: Week of March 30, 2026
In-Person Panel Interviews: April 15 and/or April 16, 2026

About the County
San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo, as an employer, is committed to advancing equity in order to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.
 

The County of San Mateo is an equal opportunity employer. We seek to hire, support and retain employees who reflect our diverse community.
We encourage applicants with diverse backgrounds and lived experiences to apply.

 

Talent Acquisition Analyst: Priscilla Bermudez (03042026) (Assistant Director of Behavioral Health & Recovery Services - D056)

$2500 Sign-on Bonus eligible!

Intermittent Teleworking Schedule available!!

 

The position description:

Tri-City Mental Health Authority is looking for to fill one vacancy for the Behavioral Health Specialist (BHS) for the Adult Full Service Partnership (FSP) Department. The BHS will provide a variety of rehabilitative support services to clients to facilitate behavior modification, skill building, and self-care and safety in individual and/or group settings. 

This position is responsible for a variety of ongoing responsibilities including, but not limited to:

• Develops, monitors, and evaluates client rehabilitative and case management goals and increases/decreases in targeted behavior according to client needs; monitors goal progress/regression.
   
• Provides individual, group, family, and collateral rehabilitative support services to facilitate behavior modification including skill building, needs assessment, self-care/safety, and coping strategies and techniques; may provide case management services in the office and in the field.
   
• Provides linkages, resources, and referrals to address basic needs and other barriers to wellness and recovery including food, housing, clothing, transportation, and other financial resources.
   
• Encourages and supports clients to fully engage in services; provides outreach and assists clients in addressing and overcoming barriers to treatment.
   
• Plans and facilitates and/or co-facilitates group sessions for clients and community members focused on skill building; tracks client attendance and follows-up with individual clients, as necessary.
   
• Provides advocacy for clients to ensure inclusion in all aspects of the community including socialization, employment, education, and housing to meet client needs.

San Mateo County Health's Behavioral Health and Recovery Services (BHRS) Division has an exciting opportunity for an experienced Clinical Services Manager I -Nursing (CSM I) in Behavioral Health and Recovery Services. This position has a leadership component and will be part of the Management leadership team, and report to the Medical Director. This CSM I Nursing Manager will provide clinical supervision, consultation and training to the Community Mental Health nurses who provide services to adult outpatient and field-based teams, throughout the County of San Mateo, BHRS.

The Clinical Services Manager I-Nursing manager will provide clinical supervision for the Community Mental Health nurses, participate in the overall management of division and inter-division nurse issues, train and provide orientation to a dedicated and experienced nursing team, develop clear and consistent policies and procedures for nursing practice at BHRS, for necessary standardization of practice, quality onboarding of new staff, continuous training, oversight of practice, and quality control. The CSM I Nursing will Co-Chair the Infection Control Committee (ICC).

The CSM I Nursing manager direct care role, will provide nursing support to outpatient teams, providing psychiatric assessments, clinical case management services, medication therapy and individual, group and family counseling. They will work with acute hospitals and community resources to coordinate clients' clinical care and recovery services.

This is a full-time 40-hour per week position. This position will have an office located at 2000 Alameda De Las Pulgas, but will travel throughout San Mateo County and out of the county.

The ideal candidate for this position will have:

• A Master's degree in Psychiatric Nursing.
• A minimum of one-year experience in an outpatient community mental health setting.
• Skill in establishing and maintaining productive working relationships with consumers, families, and contract providers.
• Skills and knowledge of principles and practices of supervision which includes development of medical/nursing policies, procedures and protocols.
• Ability to organize, coordinate and evaluate nursing services to ensure quality client care and conform to all prescribed standards.
• Ability to analyze nursing service delivery problems and develop recommendations and consult with executive management to resolve concerns.
• Experience training nursing staff and experience providing clinical supervision
• Knowledge of current psychiatric nursing practice including psychopharmacology and the medical issues associated with serious mental illness.
• Knowledge of the behavioral health needs of adults with serious mental illness and co-occurring disorders.
• Knowledge of the principles of psychiatric rehabilitation and recovery.
• Experience in providing individual and group skill-based psychoeducation.
• Experience in the geriatric population and experience in collaborating with older adult services providers in the community.
• Great organization skills.
• Attention to detail.
• Excellent written and verbal communication skills.
• Willingness to work as a team member.
• Experience working within a multi-disciplinary team as a direct service provider.
• Bilingual Spanish skills preferred.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Examples Of Duties

Duties may include, but are not limited to, the following:

• Co-lead the BHRS Infection Control Committee.
• Manage and provide practical support for the Medication Rooms located in clinical areas.
• Support laboratory resources for the clinical areas through contract management, staff scheduling and coordination of resources.
• Provide supervision to nursing staff.
• In collaboration with Medical Director and other BHRS Leadership will monitor adherence to medical/nursing policies, procedures and protocols and develop nursing policies, procedures and protocols as needed.
• Respond to client grievances, critical incident reports, and personnel matters.
• Set standards for high quality nursing practice at BHRS and lead continuous improvement efforts.
• Recruit, hire, provide orientation, training and supervision to Community Mental Health Nurses providing services in outpatient/field-based settings.
• Work in collaboration with the administrative supervisors of the clinical teams in which the nurses are embedded to ensure appropriate coverage and client care.
• Provide direct clinical care to clients with Serious Mental Illness when needed for coverage of clinical areas including administration of psychiatric injectable medications at outpatient clinics, client’s homes or other community settings in or outside of the county.
• In collaboration with Psychiatry provide and support monitoring of anti-psychotic medications including clozapine) monitoring lab values, addressing critical results as needed, lead group medication appointments, and leading BHRS Performance Improvement Plans to ensure quality of care and health equity meeting measurement-based goals.
• Conduct psychiatric nursing admission assessments, develop care of plans with clients, and provide psychoeducation to clients with Serious Mental Illness and their families
• Participate/lead case conferences, complex case conferences and provide care coordination and collaboration with all members of the client’s treatment team, including partners in primary care, specialty care, private providers, Health Plan of San Mateo and Community based organizations (CBOs).
• Provide case management, linkage and referrals to programs and services to meet the client’s housing, financial and other psychosocial needs.
• Coordinate and participate in training, staff development, and professional growth activities.
• Observe, record, and report clinically significant changes in the client's condition.
• May travel to clients’ homes, board and care facilities and other community locations in and out of San Mateo County to provide clinical care as needed for coverage.
• Perform related duties as assigned.

Qualifications

Licensure/Certification:
Possession of a valid California license as a Registered Nurse (R.N.).

Education and Experience: Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is;

• Three years of professional nursing experience in an accredited hospital or clinic, of which at least one year included responsible supervisory experience, unless otherwise specified below in the additional qualifications.

Knowledge of:

• Nurse Practice Act.
• Principles and practices of nursing and clinical systems, including safety and infection control practices.
• Principles and practices of community health care including current trends in research, treatment, prevention, education and related services.
• Principles and practices of program management, including planning, implementation, and evaluation.
• Principles of budget preparation and monitoring.
• Principles of personnel training, supervision and evaluation.
• State and other regulatory requirements for assigned unit or program.
• Emergency Medical Services Act (EMS), relevant EMS regulations and functions, and public safety/law enforcement organizations, if assigned to EMS.
• Principles and practices of public health, public health nursing, epidemiology, communicable disease control and prevention, emergency preparedness response and environmental health, if assigned to disease control and prevention and public health nursing programs.
• Non-profit public/private entities, community/faith-based organizations and related state and federal agencies, as well target population for assigned program, if assigned to public health nursing programs.
• Treatment and intervention practices for acute psychiatric population, if assigned to psychiatric nursing.
• Third-party reimbursement systems, revenue streams, and other principles relevant to the financial management of operating rooms, if assigned to perioperative nursing.

Skill/Ability to:

• Organize, direct, coordinate and evaluate nursing services that ensure quality patient care and conform to all prescribed standards.
• Work cooperatively with other County departments and public and private organizations, including private medical providers.
• Analyze service delivery problems accurately, develop recommendations and take appropriate action to resolve them.
• Develop, evaluate and maintain accurate records; prepare complex and detailed written reports, procedures and contracts.
• Communicate effectively with administrative, medical, professional, clinical and citizen groups.
• Train staff and coordinate activities of contractors, volunteer groups and staff, as appropriate.
• Conduct field public health investigations; administer immunizations, TB skin tests, and chemoprophylaxis; and perform venipuncture and collect diagnostic specimen, if assigned to disease control and prevention and public health nursing programs.
• Maintain medical stability of acute and chronic conditions in a 24/7, non-medical setting, if assigned to correctional health nursing.
• Lead multi-disciplinary patient care conferences, if assigned to psychiatric nursing.
• Provide unit management and support during evening, off hours and weekends, if assigned to administration and designated as nursing supervisor.
• Surgical scheduling systems, if assigned to medical-surgical nursing.

Application/Examination

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.

The examination will consist of an interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations, or a screening committee may select those applicants whose education and/or experience appear to best meet the needs of the position based solely on the information provided in the application materials. Because of this screening process, all applicants meeting the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California, and applicants must participate at their own expense.

IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the “Apply” button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT SCHEDULE
DEADLINE TO APPLY: Monday, March 30, 2026, at 11:59 PM
APPLICATION SCREENING: April 6, 2026
COMBINED PANEL/DEPARTMENTAL INTERVIEWS: April 20, 2026

About the County

San Mateo County is centrally located between San Francisco, San Jose, and the East Bay. With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.

The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment. The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply. Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community.

We encourage applicants with diverse backgrounds and lived experiences to apply.

Analyst: Carolyn Burns (031626) (Clinical Services Manager I - Nursing - D144)

Description

 

Note: This recruitment schedule was amended on January 30, 2026, to extend the Final Filing Date.  This recruitment has been changed to "Continuous."

 

San Mateo County Health’s Behavioral Health and Recovery Services Division (BHRS) is excited to launch a new and innovative role supporting individuals newly eligible for services under Senate Bill (SB) 43.  This position is part of a brand-new team created specifically to serve a historically underserved population, expanding access to care for individuals with severe mental illness (SMI) and/or severe substance use disordered (SUD). 

This role offers a unique opportunity to help shape how SB43 is implemented locally, from building systems and partnerships to developing policies, procedures and outcome measures that will define success for this pilot program and beyond. 

The SB43 Program Specialist will work collaboratively with the Facilities Utilization Management, Collaborative Care teams and partners across San Mateo County Health, including Aging and Disability Services, San Mateo Medical Center and regional hospitals and licensed facilities. This position requires strong clinical judgement, systems thinking and the ability to build trust across disciplines and organizations.

There is currently one vacancy for this program.  The position is based in San Mateo, with travel throughout the county and greater Bay Area as needed.

About SB43

Senate Bill (SB) 43 expands the definition of Grave Disability, one of the criteria used to place individuals on involuntary holds. 

Under SB43:

• Severe substance use disorder is added as a qualifying condition.
• Inability to provide for personal safety or necessary medical care is included as a criterion.

• Individuals may be considered gravely disabled when a mental health disorder and/or severe substance use disorder prevents them from meeting basic survival needs, such as maintaining housing or adequate nutrition. 

This legislation enables earlier intervention and expanded pathways to care for individuals who previously fell outside the system, requiring counties to build new processes, partnerships and clinical approaches to serve this population effectively and compassionately. 

Key Responsibilities 

The SB43 Program Specialist may be responsible for, but not limited to, the following: 

Clinical Care & Coordination

• Conduct regular visits to in-county and out-of-county (OOC) facilities to review cases and assess appropriate Level of Care (LOC)
• Meet with facility staff and clients to support engagement, transitions and treatment planning
• Participate in treatment reviews and provide clinical recommendations, including individualized behavior plans
• Initiate and coordinate case conferences for high-utilizing clients complex needs

Serve as a clinical resource related to substance use disorder and severe mental illness 

Systems Building and Collaboration

• Build and maintain strong relationships with hospitals, licensed facilities and contracted providers within and outside San Mateo County
• Act as primary liaison between BHRS, San Mateo Medical Center, Aging and Disability Services and partner hospitals
• with the SMMC, BHRS and AAS to facilitate and coordinate appropriate level of care and placement
• Participate regularly in multidisciplinary team meetings, hospital coordination meetings and SB43 meetings
• Facilitate planning groups to address SB43 implementation priorities and emerging system needs

Program Development and Oversight

• Contribute to the development, refinement and implementation of SB43 policies and procedures
• Identify Service gaps, system challenges and operational shortfalls, and support solutions in collaboration with partners

• Assist with monitoring and consulting with in-county and OOC contract providers
• Train facilities on new SB43 placement criteria and compliance requirements
• Develop, update and maintain an electronic facility database to support data tracking and outcomes analysis

Leadership and Support

• Participating in required leadership meetings
• Providing coverage and support for other supervisors as needed
• Provide clinical supervision and training to interdisciplinary staff as needed
• Apply basic knowledge of Listen, Empathize, Agree, and Partner (LEAP) Methodology and other engagement strategies to support client-centered care

The ideal candidate will bring:

The ideal candidate is a collaborative, adaptable, and systems-oriented professional who is motivated by the opportunity to help build and shape a new program from the ground up. They bring strong clinical judgment, comfort navigating complexity, and a deep commitment to improving outcomes for individuals who have historically been underserved.

Successful candidates will demonstrate:

• Familiarity with clients with complex needs, including individuals experiencing homelessness, co-occurring mental health and substance use disorders, and high utilization of services within San Mateo County’s system of care
• Ability to organize, lead, and facilitate complex case conferences and interdisciplinary team (IDT) meetings, bringing together multiple providers and stakeholders to coordinate care for high-utilizing clients
• Strong clinical skills related to both severe mental illness (SMI) and substance use disorders (SUD), with the ability to assess readiness for transitions in level of care
• Experience building and maintaining effective partnerships with hospitals, licensed facilities, and contracted providers
• A client-centered approach paired with a system-level perspective, balancing individual needs with program goals and regulatory requirements
• Flexibility, critical thinking, and creativity in navigating a new legal framework and evolving service model
• Comfort working in a pilot environment that requires innovation, data-informed decision-making, and continuous improvement

• Relevant post-licensure clinical experience (ideally two or more years) providing direct mental health services (desirable but not required)

• Bilingual proficiency in Spanish and English is highly desirable.

This role is well suited for someone who thrives in dynamic settings, values collaboration, and is energized by contributing to meaningful systems change under a new legislative framework.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

 

Examples Of Duties

 

Duties may include, but are not limited to, the following:

• Coordinate assigned program activities with services provided by and responsibilities of the Division's Regional clinics, private service providers, schools, state institutions and other public or community agencies
• Establish and maintain program procedures which are consistent with Federal, State and local laws governing mental health services
• Monitor and consult with contract providers to ensure compliance with services requested by the County and help determine jointly beneficial solutions to problem areas
• Research and prepare grant proposals for specific mental health projects
• Consult with schools and other public agencies regarding the assigned program and provide the proper program supervision and liaison to the contractees
• Evaluate and integrate changes in legislation into the program procedures
• Provide clinical consultation to various agencies
• Evaluate employee performance of subordinates assigned to program
• Compile data and prepare program evaluations and other reports
• Perform related duties as assigned

 

Qualifications

Licensure/Certification: 

• California license as one of the following: 1) Clinical Social Worker; 2) Marriage and Family Therapist; or 3) Clinical Psychologist

Education and Experience: 

• Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is three years of experience as a Mental Health professional.

Knowledge of:

• Principles, techniques and practices of program management and delivery
• Principles and practices of employee supervision and training
• Applicable federal, state and local laws and regulations and County policies and guidelines
• Individual, group and family psychodynamics
• Psychological diagnostic methods and terminology
• Current principles and practices of psychiatric casework
• Human and health services systems in the County including private agencies and other community resources
• Various methods used in individual and group therapies such as role playing, play, art and milieu
• Methods and techniques used in mental health education

Skill/Ability to:

• Plan, assign, supervise, review and evaluate the work of interdisciplinary subordinates
• Train staff in work procedures and provide technical and programmatic assistance to staff and subcontractors
• Analyze, interpret and apply various regulations, requirements and/or clinical approaches
• Prepare grant proposals and written reports
• Set realistic treatment goals and facilitate their attainment
• Evaluate patients/clients’ degree of mental disability or emotional distress
• Communicate effectively in writing and orally and make public presentations as needed
• Establish and maintain effective and cooperative relationships with those contacted in the course of the work
• Exercise sound independent judgment within general policy and regulatory guidelines

 

Application/Examination

 

Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, or extra-help/limited term position prior to the final filing date will receive five points added to their final passing score on this examination.

This is a continuous recruitment which may close at any time. The final filing date will be posted five days in advance on this job announcement.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense.
 
IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the “Apply” button. f you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. A resume will not be accepted as a substitute for the required application materials. Online applications must be received by the Human Resources Department before midnight on the final filing date.

 

Apply immediately. This recruitment is open on a continuous basis and selections may be made at any time within the process.

 

Tentative Recruitment Timeline
Final Filing Date: Continuous
Application Screening: TBD
Panel Interviews: TBD

Final Filing Date: Open Until Filled-Apply Immediately 

Interviews: TBD

Resumes are not accepted in lieu of completing a City application.

 

DEFINITION
Crisis Response Clinician I: Under direct supervision of the Crisis Response Supervisor, provides field and office based professional behavioral health counseling, psychoeducation, outreach and engagement, case management, consultation, and quality assurance review of assigned cases; and performs related other work as required or assigned.

Crisis Response Clinician II: Under general supervision of the Crisis Response Supervisor, provides field and office based professional behavioral health counseling, psychoeducation, outreach and engagement, case management, consultation, and quality assurance review of assigned cases; and performs related other work as required or assigned. This is a full journey level position within the Crisis Response Clinician series and is distinguished from the Crisis Response Clinician I by the performance of the full range of duties with only occasional instruction or assistance.

Under the flexible staffing concept, Crisis Response Clinician II positions that become vacant may reasonably be filled at the Crisis Response Clinician I level for training purposes.

EXAMPLES OF DUTIES
Perform initial diagnostic evaluation during a crisis noting behavioral symptoms which may indicate mental health disorders in children, youth, or adults; determine whether individuals meet the criteria for a W&I 5150 and follow appropriate procedure; determine other resources to connect individuals to who do not meet criteria for 5150; work closely with different law enforcement communities; participate in monthly San Mateo County Field Crisis Consultation Committee (FCCC) as needed; establish and maintain effective relationships with contractors and community organizations and other governmental agencies regarding programs and services; participate in committees, meetings and conferences; provide guidance regarding appropriate social-psychological practices and services. perform suicidal/homicidal/Grave Disability risk assessments; conduct home visits and/or field-based services; provide crisis Intervention as needed; provide outreach counseling and refer clients to appropriate behavioral health resources; collect and evaluate medical or psychosocial data such as case histories, behavior patterns and family relationships of patients/clients; follow up with individuals where appropriate who are reluctant to engage with resources; work as a psychiatric team member with other treatment disciplines; utilize Trauma Informed Care and other evidence-based practices; provide consultation and education services; compile and prepare reports and documentation on clinical activities; maintain records; prepares periodic reports; ability to work weekends and perform related duties as assigned.

MINIMUM QUALIFICATIONS
Knowledge of: Office machines and specialized software applications; current philosophy, principles, and practices for services to clients with serious mental illness; individual, group and family psychodynamics as they relate to adults or children in crisis; psychological diagnostic methods and terminology; personality development from infancy through adulthood; human and health services systems in the County including private agencies and other community resources; applicable local, State and Federal laws, ordinances and rules.

Ability to: Provide crisis intervention treatment to adults, children or adolescents with various mental disabilities ranging from serious mental illness to dysfunctional behavior patterns, including victims of sexual or physical abuse; set realistic treatment goals and facilitate their attainment; evaluate the degree of mental disability or emotional distress of patients/clients; communicate effectively orally and in writing; provide consultation and technical assistance to agencies, schools and other organizations; operate modern office equipment including specialized software applications programs; interacts positively and cooperate with co-workers, responds politely to customers, works as a team member, functions under demanding time pressure, responds in a positive manner to supervision, attends work and perform duties on a regular and consistent basis.

Education: Master's degree from accredited college or university in Social Work, Social Welfare, Psychology, or a closely related field.

Experience:
Crisis Response Clinician I: One (1) year of experience working in the social work or counseling field with strong emphasis on social services, crisis response, severe mental illness, resources, and referrals using a collaborative and community framework.
Crisis Response Clinician II: Two (2) years of experience working in the social work or counseling field with strong emphasis on social services, crisis response, severe mental illness, resources, and referrals using a collaborative and community framework.

License:
Possession of a valid Class C California Driver's License.
Crisis Response Clinician I: Registered with the State of California Board of Behavioral Sciences as an APCC, AMFT or ACSW. A current license with the State of California Board of Behavioral Sciences, as either a LCSW, LMFT, LPCC or licensed Clinical Psychologist desirable.

Crisis Response Clinician II: A current license with the State of California Board of Behavioral Sciences as either a LCSW, LMFT, LPCC or licensed Clinical Psychologist required.