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Health Services Department recommending the Board approve advanced step placement of a licensed Psychiatrist at Step 5 of the salary range for this position, plus addition of advertised signing bonus; if approved, the candidate is available to begin working in a part-time capacity effective pay period 19.
FUNDING: Medi-Cal, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Mental Health Realignment, and Mental Health Services Act (MHSA) funding.
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Fiscal Impact/Change to Net County Cost: There is no Net County Cost associated with this placement.
The salary range for the Psychiatrist classification extends from $70.63/hour at Step 1 to $85.85/hour at Step 5. With a Step 5 placement, the proposed part-time (20 hours per week) position will result in a salary cost of $89,284 per year, or $3,434 per pay period. Due to the Department's inability to fill its two (2) vacant Psychiatrist allocations, recent recruitments were approved to be advertised with a signing bonus up to $6,000, to be paid in equal installments each pay period over the first year of employment. This signing bonus would add compensation of $230.77 per pay period during the first year. Therefore, the annual salary cost (at Step 5), with this signing bonus, would be $95,284, or $3,665 per pay period for this proposed part-time position. The resulting fully burdened per minute billing rate (at Step 5, plus signing bonus, with applicable indirect and overhead charges) would still remain under the State Maximum Allowable rate of $4.82 per minute for Medi-Cal billable psychiatry/medication services. Due to significant salary savings being experienced in the Mental Health Division's budget as a result of position vacancies, there are more than enough appropriations to cover this proposed part-time position at Step 5 placement, with signing bonus. Offsetting revenue/reimbursement is available through a combination of Medi-Cal/EPSDT, Realignment, and MHSA funding.
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