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Department of Public Health
The City and County of San Francisco’s (City) Department of Public Health (DPH) is the largest City Department, with an annual operating budget of $2.4 billion. DPH employs over 8,000 people and contracts for more than $400 million in community-based services. As an integrated health department, DPH has two major Divisions, the San Francisco Health Network and the Public Health Division, to fulfill its mission of protecting and promoting the health of all San Franciscans. For more information, please visit www.sfdph.org.
Behavioral Health Services
This network consists of a delivery system of a civil service staff of 600, a Private Provider Network of approximately 250 individual providers, and 200 community-based programs operated by non-profit partners. This includes services provided at Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, San Francisco Health Network Primary Care and Behavioral Health Centers, Jail Health Services, behavioral health beds, and contracted programs. Note that this new position is different from the Director of Behavioral Health Client Services, which reports to the Director of Ambulatory Care and is responsible for overseeing the direct ambulatory care services in the Department’s civil service Behavioral Health clinics. The overall budget is approximately $400 million.
The 1166 Administrator, DPH - Director of Behavioral Health Services and Mental Health SF (The Director) provides vision, strategic direction, and administrative leadership for addressing mental health and substance use disorders for people in San Francisco. This new role requires visionary leadership, bold ideas, courage to innovate, subject matter expertise, a commitment to health equity, and an ability to bring people together to achieve success. San Francisco is experiencing a “Behavioral Health Moment” where the public, policymakers, providers, and others are focused on realizing a new and improved approach to behavioral health in the City. The Director will play a major and integral role towards this vision. In keeping with DPH's prominent role in addressing the HIV epidemic, increasing health care coverage through Healthy San Francisco, and implementing the Affordable Care Act, we now must transform the City's behavioral health system. The Director will lead this new era.
The ideal candidate will be a seasoned leader with extensive background in leading major behavioral health initiatives and/or systems. The Director leads an executive team charged with planning and oversight of the county’s extensive behavioral health strategy, policy, and services, as well as implementation of Mental Health SF; manages responsibility for the county’s Mental Health Plan, Mental Health Service Act, Drug Medi-Cal Organized Delivery System, and general fund allocation; and manages responsibility for the Office of Care Coordination, utilization management, and service quality, including contractual and regulatory oversight over a wide array of civil service and community-based organizations providing full spectrum mental health and substance use disorder services; coordinates behavioral health services across the City to ensure quality care, appropriate use of resources, collaboration and evidence-based practices; and directs a network of behavioral health services for children, youth, families, transitional age youth, adults, older adults and criminal justice involved youth and adults.
Under administrative direction of the Director of Health and the Director of the San Francisco Health Network, the 1166 Administrator, DPH - Director of Behavioral Health Services and Mental Health SF leads behavioral health strategy, policy, investments, oversight, and delivery systems across the Department and with key partners across the San Francisco community, and performs the following:
- Provides executive leadership and vision for the overall strategy, policy, and performance of the city’s behavioral health system through the development of annual objectives, outcomes, and long-term goals that are in alignment with the safety net mission and community-based care philosophy, and grounded in the principles of health equity, trauma-informed systems, cultural humility, racial equity evidence-based practice, and continuous quality improvement;
- Oversees the implementation and budget of Mental Health SF, as well as the implementation of the Office of Coordinated Care, the Working Group, and other policy and administrative functions; ensures implementation and compliance with Mental Health SF, the Mental Health Plan, and Drug Medi-Cal Organized Delivery System for all Medi-Cal beneficiaries in San Francisco;
- Inspires, leads, manages, mentors, and develops behavioral health expertise across the Department;
- Coordinates and collaborates with Managed Care Plans and other service providers to ensure smooth transitions across the continuum of health care, including placements from locked units to board and care to transition to housing;
- Provides direction in assessing and addressing the dynamic and evolving behavioral health needs of the San Francisco population, with a key focus on the overlap between homelessness and behavioral health, a key focus of Mental Health SF; supports ongoing evaluation and improvement of existing programs, as well as strategic planning around the development of innovative initiatives, and data-driven decisions regarding the overall allocation of behavioral health resources to promote effective treatment;
- Manages and coordinates the annual budget development process; directs ongoing expenditure analysis and revenue monitoring; oversees contractual relationships with community-based organizations, and developing revenue models;
- Establishes policies, procedures, and standards for the behavioral health system;
- Works closely, on a regular basis, with executive-level DPH staff regarding behavioral health priorities and activities as needed;
- Attends San Francisco’s Behavioral Health Commission meetings and meets routinely with the Behavioral Health Board Chairpersons; represents DPH before legislative boards, community agencies, governing bodies, regulatory agencies, and the Mayor’s Office;
- Assures compliance with local ordinances and state and federal regulations;
- Responds to local, state, and federal legislative issues impacting behavioral health services;
- Provides expertise, consultation, and guidance on behavioral health issues to boards and commissions including but not limited to the San Francisco Board of Supervisors, Office of the Mayor, Behavioral Health Commission, Health Commission, the Unified School District, and the Police Commission, as well as to representatives from local, state and federal governments;
- Works with key leaders across SFDPH, other City Departments, elected officials, and community stakeholders throughout the City to set behavioral health policy and priorities, including, but not limited to law enforcement agencies, Superior Court, Office of the District Attorney, Office of the Public Defender, Department of Homelessness and Supportive Housing, Human Services Aging, Department of Aging and Adult Services, Department of Children, Youth and Their Families, and other key partners – to ensure behavioral health needs are appropriately addressed in all settings;
- Develops strategy, policy, and oversight of innovative initiatives such as Assisted Outpatient Treatment, Law Enforcement Assisted Diversion, Mental Health Diversion, and community-based conservatorships;
- Establishes effective working relationships with members of the community, local, state and federal agencies, and the media;
- Collaborates actively with healthcare leaders across DPH and the City; and
- Ensures that behavioral health transformation is in alignment with Statewide MediCal changes and payment reform, including improved access to alternate care models, integration of services and a focus on the whole person.
The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.
With a broad community focus, the ultimate goal of the Population Health Division is to ensure that San Franciscans have optimal health and wellness at every stage of life, and to achieve this, the Division is comprised of various branches dedicated to core public health services for the City and County of San Francisco, such as health protection and promotion, disease and injury prevention, disaster preparedness and response, and environmental health services.
San Francisco Department of Public Health
Why Work Here?The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions – the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. With a broad community focus, the ultimate goal of the Population Health Division is to ensure that San Franciscans have optimal health and wellness at every stage of life, and to achieve this, the Division is comprised of various branches dedicated to core public health services for the City and County of San Francisco, such as health protection and promotion, disease and injury prevention, disaster preparedness and response, and environmental health services.
Excellent benefits package