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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)

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.

San Mateo County Health is accepting applications for Senior Accountant - Behavioral Health. The Senior Accountant plans, oversees, coordinates, and monitors a major accounting function and performs complex professional accounting work related to the Countywide and departmental financial systems. This advanced specialist and/or supervisory role exercises a high level of independent judgment on complex and specialized assignments and carries significant accountability for ongoing decisions.  Incumbents may lead the implementation or modification of accounting systems, project revenues and expenditures, and support budget development and fiscal reporting.

This position primarily supports Behavioral Health Services Act (BHSA) -funded activities. BHSA was established through passage of Proposition 1 in 2024, with full implementation beginning July 1, 2026. BHSA expands upon the former Mental Health Services Act (MHSA) to integrate mental health and substance use disorder services, address homelessness through housing supports, and strengthen accountability and equity across California’s behavioral health system.

There is currently one regular vacancy in the Behavioral Health and Recovery Services Division located in San Mateo, CA. Occasional travel may be required to attend meetings.

Key Responsibilities

• Monitor, analyze, and report financial data to ensure compliance with BHSA requirements
• Project and track BHSA revenues and expenditures, including monitoring funded projects and related costs
• Review and approve accounting transactions, including deposits, wire transfers, invoices, journal entries, and claims
• Ensure accurate coding of costs to appropriate funding sources, cost pools, and job ledger/object codes
• Develop, maintain, and refine accounting and coding systems to support BHSA fiscal reporting and compliance
• Support month-end and year-end close activities, including reconciliation and financial review
• Monitor BHSA contracts and related fiscal activities
• Prepare and submit BHSA claims, including administrative cost claims and required fiscal reports (e.g., BHOATR)
• Provide technical assistance to internal, external, and governmental auditors
• Participate in BHSA integrated plan development and fiscal planning activities
• Provide direction, training, and work review to assigned professional and fiscal support staff
• Collaborate with Contracts unit to ensure fiscal language and procedures are appropriate for provider agreements
• Serve as backup for other fiscal functions, as needed

 

The ideal candidate will:

• An understanding of generally accepted accounting principles (GAAP), the Governmental Accounting Standards Board (GASB), and the Financial Accounting Standards Board (FASB).
• One year of increasingly responsible experience performing a wide variety of financial duties in a large, complex public agency.
• One year of journey level accounting experience and a bachelor's degree in accounting, or finance.
• Experience completing Medi-Cal and other financial reports to the California Department of Health Care Services including administrative, Proposition 30, and Mental Health Services Act etc.
• Experience with healthcare finance and/or governmental financial principles, practices, procedures, and analysis.
• Experience with principles, practices, and procedures of financial compliance and claiming and audit facilitation.
• Ability to analyze, prepare and produce journal entries, worksheets and reports as requested; explain entries and data; use Microsoft Excel and Access; and County systems such as OFAS and SHERPA.
• Experience in coordinating and calculating entries for month-end and year-end closings.
• Experience with government budgeting, forecasting, and monitoring preferred.
• Ability to organize and prioritize a variety of projects and multiple tasks in an effective and timely manner; organize own work, set priorities, and meet critical time deadlines.

 

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:

• Provide direction, supervision, training, work review and/or evaluation to assigned professional and fiscal support on a project or ongoing basis.
• Provide input into selection decisions and disciplinary matters.
• Review accounting documents to ensure accuracy of information and calculation and make correcting entries.
• Examine supporting documentation to establish proper authorization and conformance with agreements, contracts, and state and federal regulations.
• Prepare and maintain control and subsidiary accounting records involving a variety of transactions and accounts.
• Prepare trial balances; coordinate and calculate scheduled and periodic closings.
• Prepare journal entries and reconciliation of general ledger, journals, subsidiary accounts and bank statements.
• Compile and prepare general and subsidiary ledgers and supporting schedules.
• Assist in and/or coordinate the preparation and analysis of budgets for departmental and County funds.
• Maintain expenditure and budgetary control accounts; prepare and coordinate budget appropriation transfers.
• Confer with departmental representatives and provide information regarding budgeting and accounting processes.
• Analyze and prepare varied financial statements and reports.
• Apportion monies including secured, unsecured, impounded, redeemed, and other taxes.
• Review and approve claims for referral of tax, grant or other monies and prepare claims for reimbursement from various state or funding agencies and/or programs.
• Maintain varied departmental cost accounting records, disbursing funds to various accounts and/or billing for reimbursements as required.
• Analyze programs and legislation to determine fiscal and budgetary impact; prepare budgetary appropriation transfers and supplemental budgets.
• Review and recommend modifications to accounting systems and procedures; upon approval, implement new or modified systems and procedures.
• Provide technical support to internal and outside auditors and governmental program auditors.
• perform related duties as assigned.

Qualifications

 

Experience and Education:

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

• Equivalent to graduation from a four-year college or university with major coursework in accounting, finance, business administration or a closely related field and one year of journey level accounting experience. 

Knowledge of:

• Basic supervisory principles and practices.
• Principles, practices and terminology of general, fund and governmental accounting.
• Principles and practices of business data processing, particularly as
• Related to the processing of accounting information.
• Principles of public finance.
• Applicable laws regulating public fiscal operations.
• Budgeting principles and terminology.
• Auditing and financial reconciliation principles and methods.

Skill/Ability to:

• Plan, direct, review, and evaluate the work of assigned support staff.
• Train others in work procedures.
• Review, analyze, post, balance, interpret and reconcile complex financial data and accounts.
• Develop and implement accounting systems and procedures.
• Verify the accuracy of financial data and information.
• Ensure proper authorization and documentation for disbursements.
• Interpret and apply complex financial procedures and legal documents.
• Exercise sound independent judgment within established policy guidelines.
• Prepare and direct the preparation of clear, concise and complete financial reports and statements, audit reports and audit work papers.
• Make accurate mathematical and statistical calculations.
• Establish and maintain effective working relations.

Please Note: This classification requires the successful completion of a minimum of twelve semester units of college-level accounting coursework.

 

TENTATIVE RECRUITMENT SCHEDULE
Final Filing Date: Wednesday, March 11, 2026, at 11:59PM PST
Application Screening: Week of March 9, 2026
Panel Interview: Week of March 23, 2026

 

Talent Acquisition Analyst: Priscilla Bermudez (02252026) (Senior Accountant - Exempt E009) 

$2500 Sign-on Bonus!

Intermittent Teleworking Schedule Available!

Tri-City is now accepting applications for a Senior Behavioral Health Specialist position within our Adult Full Service Partnership (FSP) Program. This position 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 will report to the Clinical Supervisor.

Essential duties include, but are not limited to, the following:

• Provide skilled assistance and training to other Behavioral Health Specialists in direct service organization, client care, and other Behavioral Health Specialist duties.
   
• Evaluate the needs of participants experiencing behavioral health challenges; plan, develop, and implement individual and group rehabilitation activities under the guidance of licensed professional staff; as assigned, be responsible for developing and implementing specific rehabilitation group activities.
   
• Participate in staff conferences with other disciplines to link clients with housing, providers,
  outside agencies, organizations, or departments as appropriate. Perform as client’s primary
  case manager.
   
• Perform crisis intervention counseling at a level not requiring licensure as a Behavioral health
  professional; and assist professional staff in planning the range of care needed to deal with
  participant’s care.
   
• Develop and determine appropriate referrals for the continuation of care.

 

San Mateo County Health is seeking two experienced and dynamic professionals to serve as Mental Health Program Specialists within the Behavioral Health and Recovery Services (BHRS) division, supporting implementation of the Behavioral Health Services Act (BHSA) and advancing system-wide transformation efforts.

 

These full-time, permanent positions will play key roles in strengthening behavioral health infrastructure, ensuring regulatory alignment, optimizing Medi-Cal revenue systems, and advancing integrated, evidence-based, whole-person care across BHRS.

 

Since 2006, BHRS has been committed to building a welcoming, recovery-oriented, trauma-informed, and culturally responsive system of care that addresses the full spectrum of client health, physical, emotional, behavioral, and social. Recent state legislation, regulatory changes, and local innovation efforts have reshaped the behavioral health landscape. These positions will help ensure BHRS remains responsive, compliant, and forward-thinking in this evolving environment.

 

About the Roles

Depending on experience and organizational need, selected candidates may support one of the following focus areas:

 

Policy & System Integration

• Strengthening policy review and analysis infrastructure and ensuring alignment with federal, state, and local regulations

• Conducting system mapping and organizational assessments to identify service delivery gaps related to integrated behavioral health service delivery
• Supporting organizational culture change needed for continuous quality improvement 
• Monitoring and analyzing behavioral health legislative and regulatory developments
• Identifying and standardizing performance metrics to support data-informed decision-making

 

Evidence-Based Practices & Revenue Optimization

• Leading Medi-Cal billing and revenue cycle improvement initiatives

• Oversee initiatives focused on developing certification and billing infrastructure for contracted community-based providers
• Coordinating agency-wide requirements for implementation and fidelity monitoring of Evidence-Based Practices (EBPs)
• Supporting the implementation of Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) and other EBP and Medi-Cal billing-related initiatives
• Advising leadership on relevant policy changes to support strategic planning for implementation of sustainable, high-quality service delivery

 

Both positions collaborate closely with clinical teams, administrative leadership, community-based organizations, managed care partners, and state agencies to advance integrated, equitable behavioral health care.

 

Why Join BHRS?

This is an opportunity to contribute to meaningful, system-level transformation in public behavioral health. These roles directly support BHSA implementation, integrated care advancement, fiscal sustainability, and equitable access to high-quality services for diverse communities across San Mateo County.

 

If you are a strategic thinker who thrives at the intersection of policy, operations, data, and behavioral health innovation, we encourage you to apply.

 

The ideal candidate for the Policy & System Integration will demonstrate:

• Deep knowledge of integrated whole-person behavioral health care models and system design principles.

• Experience conducting organization-wide assessments, system mapping, and gap analyses to inform strategic transformation.
• Strong ability to interpret and operationalize complex state and federal behavioral health legislation and regulatory guidance.
• Demonstrated success leading cross-functional change management initiatives that shift agency culture and service delivery models.
• Advanced analytical skills to translate performance metrics and assessment findings into system-level policy and recommendations for operational improvements.
• Strong facilitation skills to convene multidisciplinary stakeholders, including leadership, clinical teams, and external partners.
• Commitment to equity-centered, trauma-informed, and culturally responsive organizational practices.

 

Policy & System Integration duties may include but are not limited to:

• Lead system-level policy review efforts to ensure alignment with evolving behavioral health regulatory requirements.

• Monitor relevant behavioral health legislation, regulations and guidance and prepare formal impact analyses and implementation recommendations.
• Establish sustainable policy governance and review processes, including stakeholder engagement.
• Facilitate organizational assessments to inform ongoing integrated whole-person care initiatives.
• Develop agency-wide frameworks for implementation, staff training and technical assistance that advance whole-person integrated care delivery, including evidence-based co-occurring practices and recovery-oriented approaches.
• Present policy analysis and system-level recommendations to executive leadership, advisory bodies and external stakeholders.
• Collaborate with cross-functional behavioral health teams working on performance outcomes, workforce development, billing system integration, and innovative service delivery. 

The ideal candidate for the Evidence-Based Practice & Revenue Optimization will demonstrate:

• Knowledge of Medi-Cal billing, managed care contracting, and behavioral health patient care revenue systems.

• Demonstrated ability to analyze data and develop system-level recommendations for operational improvements.
• Knowledge of BH-CONNECT and other DHCS initiatives impacting Medi-Cal reimbursement and documentation standards.
• Experience with implementation, readiness assessment, and fidelity monitoring of evidence-based practices (EBPs).
• Strong facilitation skills to convene multidisciplinary stakeholders, including leadership, clinical teams, and external partners.
• Commitment to quality assurance, audit readiness, and continuous improvement in public behavioral health systems.

 

Evidence-Based Practice & Revenue Optimization duties may include but are not limited to: 

• Serve as BHRS subject matter expert on Medi-Cal billing, reimbursement regulations, and revenue optimization strategies.

• Lead patient care revenue maximization initiatives focused on improving billing accuracy and maximizing allowable Medi-Cal reimbursement.
• Oversee initiatives focused on developing and implementing streamlined billing infrastructure for community-based organizations to optimize Medi-Caleligible services, peer supports, and community-defined evidence practices (CDEPs).
• Facilitate an Evidence-Based Practice (EBP) Committee to support EBP selection, review, and policy and procedure development.
• Work collaboratively with BHRS Program Managers and Quality Management team to ensure EBP implementation to fidelity in compliance with state and federal guidelines.
• Review EBP revenue-generation, utilization and other relevant data and make recommendations for adjustments as necessary to optimize billing, cost recovery, and compliance.
• Prepare actionable reports, briefs, and presentations to inform executive leadership strategic planning and decision-making.

 

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

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.

Tentative Recruitment Timeline
Final Filing Date: Monday, March 9, 2026, at 11:59 PM PST
Application Screening: Week of March 9, 2026
Panel Interviews: Week of March 23, 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: Priscilla Bermudez (022026) (Mental Health Program Specialist - G081)

$2500 Sign-on Bonus!

Tri-City is currently looking to fill one (1) vacancy for a full time Office Assistant position, within our Medical Records/Front Office Department. The Office Assistant position is for experienced clerical staff who will provide a variety of clerical and administrative program support duties within a behavioral health clinical setting. 

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

• Performs a variety of office support duties related to the assigned work unit; gathers information from a variety of sources, including data systems and clients for the completion and processing of forms, records, and other documents; contacts individuals, other departments, or agencies to obtain additional information.

• Receives and screens visitors; provides general information to clients, visitors, vendors, and staff, in person and on the telephone; assists clients by referring them to sources of information, hands out standard forms and explains how to complete them; answers requests for information or refers to other Authority staff.

• Inputs, updates, tracks, and extracts information into appropriate databases, billing systems and files; searches records and files for pertinent data.

• Maintains records, logs, files, and other forms of information, including various demographic reports, and room schedules specific to the assigned division or department.

• Proofreads and checks files including charts and other documentation for accuracy, completeness, and compliance with departmental policies; makes copies, schedules appointments, and types correspondences and memos.

• Maintains records, logs, files, and other forms of information, including various demographic reports, and room schedules specific to the assigned division or department.

• Proofreads and checks files including charts and other documentation for accuracy, completeness, and compliance with departmental policies; makes copies, schedules appointments, and types correspondences and memos.

• Collects and maintains client financial information/fees and related documents and enters the information into billing systems; keeps all client financial information updated.

 

$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.

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

 

 

****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 is currently hiring to fill one part-time vacancy for the position of Peer Support Specialist I/II within the Adult Outpatient (AOP) Department. This position provides peer to peer support services in the office and/or in the field including, but not limited to outreach, support, encouragement, guidance, advocacy, and referrals to external resources and services for clients and their families; builds rapport with clients and their families through sharing stories of lived experience and recovery.

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

• Encourages and supports clients to fully engage in services; provides outreach and assists clients in addressing and overcoming barriers to treatment.
   
• Provides resources and referrals to address basic needs and other barriers to wellness and recovery including food, housing, clothing, transportation, and other financial resources.
   
• Assists clients with setting, implementing, and tracking wellness and recovery goals; develops individual Wellness and Recovery Action Plans (WRAP); models and shares effective coping strategies.
   
• Assists clients and families to understand behavioral health problems and steps to recovery.
   
• Provides support and guidance in navigating systems and obtaining additional support services; attends meetings and therapy sessions with clients (as needed); assists with completing applications and forms; and ensures client concerns are address and processes understood.
   
• Performs related duties as required.