Director of Health Services

About the Role

We are seeking a Director of Health Services, open to both RN and FNP candidates with a strong background in systems implementation. This position is eligible for hybrid work within Santa Cruz County and includes participation in the medical on-call rotation, with an additional on-call stipend provided. The Director of Health Services is part of the Encompass program leadership team and collaborates closely with other Service Area Directors and the agency’s Medical Director to establish integrated medical services and a continuum of care across the agency’s programs.

This role oversees the innovation, development, and integration of medical services, including adult and youth integrated behavioral health and health & housing, with a focus on developing medical standards of care. The position primarily supports residential and outpatient programs and provides general consultation to other service areas as needed. The Director of Health Services is a critical leadership role, driving initiatives that position the agency as a leader in delivering quality trauma-informed, harm-reduction, whole-person care.

Responsibilities

• Assure quality of care by developing and interpreting standards of care; enforcing adherence to state board of nursing and state nurse practice act requirements and other governing agency regulations.
• Meet operational standards for medical services Encompass is licensed to provide by contributing to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; and identifying system improvements.
• In conjunction with the Medical Director:
  • Assist in the development and expansion of agency medical services.
  • Develop, implement, and maintain medical policies and procedures, including infectious disease, medication, withdrawal management, and Medication for Addiction Treatment (MAT).
• Provide consistent individual supervisory meetings for all medical personnel (LVN, RN, NP, PA, MA), including:
  • Recruitment, onboarding, training, coaching, counseling, and performance management.
• Provide ongoing medical consultation (emergencies, triage, case management, intake concerns, higher level of care assessments, etc.).
• Manage and participate in the on-call rotation after-hours/weekend/holiday.
• Oversee clinical documentation quality and compliance, including treatment notes, and ensure adherence to fee-for-service billing standards, goals, and performance metrics.
• Participate in Quality Improvement efforts by:
  • Identifying system improvements and regularly participating in Continuous Quality Improvement (C&QI) efforts.
  • Assisting in quality assurance of agency medical services, including staff training and audits.
• Manage contracts, budgets, and develop service lines related to the provision and future expansion of the agency’s medical services.
• In collaboration with the Development and Communications team, acquire and maintain external funding to support the sustainability of medical services and this position.

Qualifications

• Graduate of an accredited school of Registered Nursing (RN) or Graduate of an accredited Family Nurse Practitioner (FNP) program.
• Unencumbered and unrestricted license to practice as an RN or FNP within the state of California.
• Current BLS for healthcare provider’s certification.
• 3+ years of relevant experience with vulnerable health populations.
• 3+ years of experience directly supervising staff.
• Proficient computer skills: ability to successfully navigate platforms such as Outlook, Excel, Teams, etc.
• Strong skills in attention to detail, prioritization, and triage.
• Ability to take initiative and work independently with minimal supervision at the top of nursing license.
• Self-motivated and proactive in identifying and addressing challenges and engaging with staff and community partners.
• Effective written and verbal communication skills.
• Ability to recognize the needs and concerns of diverse groups of people.
• Must be able to pass a criminal record clearance.
• Must have a health examination including a screening for tuberculosis within 90 days prior to employment or within 7 days after employment and at least annually thereafter.
• Valid driver’s license and vehicle insurance.

Preferred:

• Bachelor’s degree or above.
• Public Health Nursing (PHN) certification.
• Bilingual in Spanish.

Pay

Pay is dependent on experience, scope of practice, and education; ranges are:

• $130,000-$150,000 annually for a Registered Nurse license.
• $180,000-$200,000 annually for a Family Nurse Practitioner accreditation.

Benefits

We prioritize the well-being of our team as much as the community we serve. Our comprehensive health benefits include:

• Medical and dental insurance for full-time employees and their families.
• Acupuncture and chiropractic coverage, embracing a holistic approach to health.
• A 403(b) retirement plan for a secure future.
• 11 vacation days, 15 paid holidays, and 12 sick days (pro-rated for part-time positions).

Schedule

Monday-Friday, with participation in the medical on-call rotation after-hours/weekend/holiday.

About Us

At Encompass Community Services, we provide our community with a wide range of services related to family & social well-being, behavioral health, housing, and more. Every day, we work to make health, education, and housing more equitable for all people in Santa Cruz County. For over 50 years, our work has touched generations by helping people access education, rebuild relationships, restore their health, and regain dignity.