Job Specifications

[Under Review, December 2012]

Class Code:




Date Originated:


Date Revised:

11/00, 09/03, 5/07, 10/07



Under general direction to provide medical and clinical leadership to the County's Community Mental Health Services, Substance Abuse Services, Mental Health Managed Care Program; supervise psychiatrists and other medical providers; provide direct psychiatric treatment; and to do other work as required. 


This single-position class reports to the Director of Mental Health and Substance Abuse Services and is responsible for clinical/medical aspects of the Mental Health and Substance Abuse Services divisions of the Health Services Agency. The position includes coordination with others responsible for direct program administration using technical leadership skills to promote quality patient care. Some direct patient care may be included. This position differs from the class of Medical Director in that it requires specialized training in psychiatry. 


Participate with other administrators in planning, organizing and directing clinical care aspects of mental health and substance abuse programs. Participate in quality improvement activities, including but not limited to areas of specific medical practice. Participate in fair hearings and utilization review appeals. Promote best practices throughout all programs. Provide expert opinion on difficult cases and special case situations. Set medical policy, including practice standards and formulary, and participate in all policy areas related to patient care. Supervise assistant director(s), psychiatrists, nurse practitioners, and assigned administrative aide, including hiring, work assignments, coverage issues, training and quality of work performed.† Provide input as needed in recruitment and selection of psychiatric staff as well as clinical oversight of any related medical/clinical contracts for services. Liaison with other medical practitioners, including hospitals, Medi-Cal managed care plans, and community practitioners. Participate with the Director of Mental Health and Substance Abuse Services in preparing, monitoring and controlling the pharmacy budget. Participate with the management team in budget and planning decisions, with special emphasis on clinical impacts. Consult on the administration of hospital placements and aftercare services. Insure that federal, state and local standards and regulations are effectively implemented in psychiatric care, documentation and quality assurance. Direct and evaluate the medical aspects of mental health programs. Evaluate medical policies, programs and procedures and develop improvements. Attend meetings and conferences. Prepare reports and correspondence.† Educate and act as a liaison with the general public and non-psychiatric healthcare providers on topics and issues related to mental health.† Be available by pager to address any urgent clinical or systems issues.



Thorough knowledge of: 

Working knowledge of: 

Ability to: 

Education and Experience: Any combination of training and experience that would provide the required knowledge and abilities as qualifying, subject to the following: 

Graduation from an approved medical school and satisfactory completion of a three year psychiatric residency approved by the American Medical Association or the American Osteopathic Association; and five (5) years of experience in the field of public mental health or mental health administration.

Special Requirements/Conditions:

q  Possess and maintain a valid California class C driver license, or the ability to provide suitable transportation which is approved by the appointing authority. 

q  Possession of a valid Physicianís and Surgeon's Certificate issued by the State of California. If licensed in another state, candidates may participate in the recruitment and examination process, however, possession of a valid Physicianís and Surgeonís Certificate issued by the State of California is required at the time of appointment.

q  Possession of a State and/or Federal narcotic license for the administration of narcotics.

PREVIOUS CLASS TITLES: Program Chief-Mental Health Services, Director of Mental Health-MD, Psychiatric Medical Director 
Bargaining Unit: 06 
EEOC Job Category: 01 
Occupational Grouping: 61 
Workers' Comp Code: 0290