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Community and Nursing Services Medical Director, Orange County, CA

Organization: County of Orange
Category: Medical Director
Location: Orange County, CA
Date Job Posted: June 1, 2022
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Community and Nursing Services Medical Director

Salary $132,080.00 - $226,886.40 Annually
Location Orange County, CA
Job Type Full-Time Regular
Department Health Care Agency
Job Number 8014MA-0322-042 (O)
Closing Continuous

(Administrative Manager III - Specialty)

This position is scheduled to receive salary range increases on the following dates:
Effective July 1, 2022 – 3.0% increase

Mandatory Employee Retirement Contributions will decrease on the following dates:
Effective July 1, 2022 – 0.5% decrease

Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.

This recruitment is open to the public for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Applicants are encouraged to apply immediately.

This recruitment will establish an Open eligible list which will be used to fill current vacancies, and can be used to fill future Administrative Manager III - Specialty positions with the Health Care Agency. This recruitment may also be used to fill positions in a similar and/or lower classifications throughout the County of Orange.


The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the leadership of the Agency Director, a dynamic executive team with an organizational structure comprised of seven service areas - Administrative and Financial, Strategy and Special Projects, Mental Health and Recovery Services, Correctional Health, Office of Care Coordination, Medical Health and Public Health - is committed to meeting the health needs of the diverse Orange County community.


Through assessment, policy development and assu8rance, Public Health Services (PHS) provides a wide range of services aimed at reducing death and disability by reducing the transmission of communicable diseases, preventing and lessening the impact of chronic diseases, and ensuring healthy and safe environments.


The Community and Nursing Services Division (CNSD) provides public health nursing and social services in the home and community using public health principles, nursing, and social and behavioral health knowledge focusing on the provision of primary, secondary and tertiary prevention and health and social services.


The County of Orange, HCA is seeking a dynamic Physician to serve as the Medical Director for Community and Nursing Services (CNS) Division including responsibility as the Maternal Child and Adolescent Health (MCAH) Program and Child Health and Disability Prevention Program (CHDP) Program Director. This position will supervise other staff including physicians and is responsible for providing medical direction and clinical operation oversight of the community and public health nursing programs within the CNSD. The Medical Director sets program priorities, develops and implements CNSD policies, and participates in community health assessments. This position requires travel and representation at regional and state meetings. In addition, this position will share 24/7 after hours night and weekend calls with the other public health physicians for all public health related issues.

Job duties include, but are not limited to:

  • Ensure implementation and coordination of local Maternal Child Adolescent Health (MCAH) program, Child Health and Disability Prevention Program (CHDP), Childhood Lead Poisoning Prevention Program (CLPPP), Health Care Programs for Children in Foster Care (HCPCFC), Nurse Family Partnership ®, Perinatal Assessment and Coordination Team and other Public Health programs in CNSD
  • Provide the leadership to plan, develop, support, and promote comprehensive systems of preventive services for pregnant women, mothers, infants, children, Children and Youth with Special Health Care Needs (CYSHCN), adolescents and their families
  • Monitor local health status indicators for pregnant women, infants, children, including (CYSHCN), adolescents, people living with homelessness, and their families using standardized data techniques for the purpose of identifying at-risk populations, including monitoring incidence of SIDS/SUIDS
  • Data Analysis and data sharing with the Local Health Officer and/or key health department leadership. Utilize the data for systems planning and evaluation and to develop an understanding of health needs within the community and identify barriers to the provision of health and human services
  • Identify health issues and interact with local health care providers, community members, managed care plan providers, coalitions, etc., to enhance program efforts and improve health outcomes
  • Collaborate with the Maternal Child and Adolescent Health (MCAH) Division of the California Department of Public Health and Health Officer to assess health problems affecting the MCAH population, to facilitate interventions for addressing those problems, and to evaluate the effectiveness of these health interventions.
  • Provide medical consultation, expertise, and technical assistance to public and private agencies and medical providers to assist with improving quality of medical care and access to medical care for the MCAH population.
  • Draft, review, and develop of policies and procedures to support high-quality medical, nursing, and social service practice
  • Reviews clinical service delivery within Community and Nursing Services Division (CNSD) to ensure it is based on the best available evidence and is consistent with community standards of care
  • Review, analyze, and prepare written recommendations concerning draft legislation and other policy materials
  • Participate in and/or lead committees such as Quality Improvement, Child Death Review Team and collaboratives to promote health equity, address social determinants of health and to advance the health and wellbeing of Orange County residents
  • In the event of communicable disease response and/or public health emergency, serve as an agile member of the Incident Command System and/or perform other duties within the scope of a Medical Director

The CNS Medical Director will provide oversight to MCAH and other CNSD programs.

  • Comprehensive Perinatal Services Program (CPSP): Provides a wide range of culturally competent services to Medi-Cal pregnant women, from conception through 60 days postpartum. In addition to standard obstetric services, women receive enhanced services in the areas of nutrition, psychosocial and health education. This is a provider-based program.
  • Sudden Infant Death Syndrome (SIDS) Program: Provides mandated follow-up and support services by public health nurses, including information about SIDS, community resources for coping with infant loss for the entire family (both adults and children), and burial support.
  • Nurse Family Partnership® (NFP): An evidence-based program that empowers vulnerable first-time moms to transform their lives and create better futures for themselves and their babies. NFP works by having specially trained nurses regularly visit participants starting early in the pregnancy, continuing through the child’s second birthday.
  • Perinatal Assessment and Coordination Team (PACT): A home visiting program for vulnerable prenatal and parenting women who have substance use disorder, HIV infection, experience homelessness, recent incarceration, and mental health concerns. The program also provides services to medically high-risk newborns who are at risk for growth and developmental delays due to conditions such as prematurity, low birth weight, congenital or genetic abnormalities, neonatal seizures, feeding difficulties or medical or growth and developmental problem.
  • Adolescent Family Life Program (AFLP): A strengths-based case management program designed to support and empower expectant and parenting youth (male included) under age 21. Case managers meet one-on-one with youth to establish a caring relationship, identify the youth’s needs and interests, and offer support with accessing services, setting goals and planning for the future.
  • Childhood Lead Poisoning Prevention Program (CLPPP): A state funded, county administered program established for the prevention, education, screening, diagnosis, and case management of lead poisoning in children and young adults.
  • Child Health and Disability Prevention Program (CHDP): A preventive program that delivers periodic health assessments and services to low-income children and youth. The CHDP Gateway, serves as the entry point for these children to enroll in ongoing health care coverage through Medi-Cal. This is a provider-based program.
  • Health Care Program for Children in Foster Care: PHNs work with Social Services Agency (SSA) staff to promote, enhance and ensure the mental and health care needs of out of home placement foster children and youth are met. PHNs provide coordination of care, case management, consultation services, and home visitation to meet the challenging mental and medical needs of these vulnerable and at-risk population.


The ideal candidate will possess a valid Physician's and Surgeon's License issued by the Board of Medical Examiners of the State of California or a valid Physician's and Surgeon's License issued by the Osteopathic Medical Board of California. The ideal candidate must also possess a valid Board Certification in Pediatrics, Family Medicine, Internal Medicine, OB/GYN or Preventive Medicine. Experience with MCAH programs is highly desirable, but not required.

In addition, the ideal candidate will possess management level experience that demonstrates strong knowledge and expertise in the following core competencies:

Technical Knowledge | Technical Experience

  • Knowledge of Federal and state privacy and security statues and regulations
  • Substantial experience in Public Health functions, essential services, programs and service delivery
  • Preparing and writing comprehensive public health related reports, statistical analysis and evaluations
  • Knowledge of Title 5 Maternal and Child Health Services Block Grant and Title 19 Medicaid Funds and Federal Financial Participation
  • Knowledge of California Code of Regulations (CCR), Title 22
  • Knowledge of community standards of healthcare
  • Experience in public health emergency response and community health planning
  • Knowledge of health policies and best practices in the areas of public health
  • Understanding of the program and policy development at the local, state, and federal levels, relevant to the area of responsibility
  • Ability to assess and determine short- and long-term community needs associated with PHS
  • Knowledge of Health Insurance Portability and Accountability Act (HIPAA) guidelines
  • Proficiency in Microsoft Office Suite and Electronic Health Record systems

Leadership | Managerial Skills

  • Guiding and directing others toward meeting organizational objectives while encouraging openness, creativity, and innovation
  • Identifying disease trends and community needs and responding quickly, effectively and with a calm and collected demeanor
  • Implementing policies and procedures consistently; delegating appropriately, and using accountability measures fairly
  • Providing oversight and day-to-day supervision and guidance to direct reports
  • Aligning team and individual goals to meet and execute organizational goals
  • Identifying and determining operational and organization problems and inefficiencies, and develop innovative/creative solutions
  • Demonstrating a commitment to developing and empowering staff
  • Administering disciplinary actions in a fair and consistent manner as required in consultation with Human Resources

Judgment | Decision Making

  • Identifying issues and the full range of impacts and solutions, and communicating these clearly to supervisors, colleagues, and subordinates
  • Using initiative and sound judgment in performing response activities
  • Being alert and aware of personal safety and security while conducting response activities and program work in community or with patients
  • Prioritizing a broad range of duties and supervisory responsibilities while meeting established deadlines

Communication and Collaboration

  • Communicating clearly and effectively both verbally and in writing
  • Presenting written and verbal correspondence, reports and materials in a clear, organized and comprehensible terms ranging from general notes to concepts
  • Creating and delivering effective presentations before public agencies or healthcare professionals
  • Creating rapport and communicating expectations to staff clearly
  • Promoting information sharing across the divisions, and encouraging integration of service delivery
  • Building consensus among diverse groups for the purpose of meeting business objectives
  • Values the contributions of partners and understands the power of collective work
  • Working effectively with a multidisciplinary staff, other Agency programs, and community partners


Click here to learn more about the minimum qualifications for the Administrative Manager III - Specialty classification as well as the physical & mental requirements and the environmental conditions.


Human Resource Services (HRS) will screen all application materials to identify qualified candidates. After screening, qualified candidates will be referred to the next step and notified of all further procedures applicable to their status in the competition.

Veterans Employment Preference

The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please click here (Download PDF reader) to review the policy.

Application Screening (Refer/Non-Refer)

Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step.

Structured Oral Interview | SOI (Weighted 100%)

Candidates will be interviewed and rated by an oral interview panel of job knowledge experts. Each applicant's rating will be based on responses to a series of structured questions designed to elicit the candidate's qualifications for the job.

Based on the Department's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedure.

Eligible List

Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies.

Please note: The information you provide on your application and/or response to the supplemental questions may be used as a scoring device, so please be thorough and complete in your response. "See Resume" is not a qualifying response and will not be scored in lieu of the required information.


Please see below for important information regarding COVID-19 related requirements.

The COVID-19 pandemic continues to evolve, and laws, regulations, and policies regarding COVID-19 are subject to change. The County of Orange is required to comply with all applicable State or County Public Health Orders, some of which require vaccination or testing as follows:

  • Workers, who provide services in certain Medical or High-Risk Settings, will be required to provide proof of full vaccination from COVID-19 or to wear a mask and undergo weekly COVID-19 testing.
  • Workers, who provide services in certain Health Care Facilities or in a correctional facility or detention center where health care is provided, will be required to provide proof that they are fully vaccinated and boosted. (Workers may be exempt from this requirement based on religious beliefs or a qualifying medical reason; however, if exempted, they will be required to wear a mask and undergo weekly COVID-19 testing.)

The position for which you are applying may be required to adhere to any applicable State or County Public Health Orders. You will receive notification of any requirement as it applies to a position.

Email Notification

mail is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account.

NOTE: User accounts are established for one person only and should not be shared with another person. Multiple applications with multiple users may jeopardize your status in the recruitment process for any positions for which you apply.

Candidates will be notified regarding their status as the recruitment proceeds via email through the site. Please check your email folders, including spam/junk folders, and/or accept emails ending with "" and "" If your email address should change, please update your profile at

Frequently Asked Questions

Click here for additional Frequently Asked Questions.

For specific information pertaining to this recruitment, please contact Linny Pham at (714) 834-7324 or


Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to

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