Sacramento County

Assistant Medical Director D/CF (Senior Physician Management)

The Assistant Medical Director D/CF (AMD) provides oversight and onsite supervision of medical services and Providers within Adult Correctional Health. The role includes direct patient care for at least 30% of scheduled time, collaboration with various health and correctional staff, and management of clinical and administrative duties to ensure quality care for the inmate population.

Key Responsibilities
  • Provide on-site oversight and supervision of Nurse Practitioners and Physicians (Providers) assigned.
  • Work directly with assigned Providers to educate them on Correctional health processes and determine best course of action to provide and improve overall quality of care.
  • Collaborate with ACH Administration, including Case Management to support patient access to specialty care providers, non-County Providers, and non-medical facilities.
  • Collaborate with nursing to prioritize daily Provider Sick Call appointments for patients based on level of acuity.
  • Monitor Chronic Care Program protocols, including Medicated Assistant Treatment (MAT).
  • Create and facilitate workgroups and committees designed to improve patient care.
  • Collaborate with the Medical Director to develop, update, or replace medical County policies.
  • Manage Provider Sick Call appointments and Provider visits.
  • Communicate with Medical Director to make certain the goals and objectives of the program are met – including consistent processes between the Main Jail and RCCC.
  • Develop and monitor projects assigned by the Medical Director and Health Services Administrator.
  • Supervise Provider staff assigned.
  • Evaluate assigned Provider staff’s quality of work by completing reviews of provider chart notes and treatment plans.
  • Assess, train and monitor new Provider staff assigned.
  • Meet with provider staff to address issues in performance and/or attendance.
  • Maintain an active professional license and certifications.
  • Attend classes or workshops to improve medical skills.
  • Exhibit excellent customer service, focused on patient care.
  • Create a cooperative working environment among peers and ACH personnel.
  • Learn and utilize ACH’s EHR, required for documenting patient care.
  • Be proactive versus reactive.
  • Use good judgment in decision-making.
  • Foster a team culture and accept various assignments as needed.
  • Work cooperatively with Sacramento Sheriff’s Office personnel.
  • Maintain flexibility and adapt to different situations based on the correctional working environment.
  • Adhere to quality improvement, safety, environmental, and infection control standards.
  • Maintain a safe work environment and report any workplace hazards to the appropriate authority.
  • Provide direct care services as necessary and at a minimum of 30% of the scheduled time per week.
  • Complete daily Provider Sick Call appointments and Provider visits as assigned.
  • Complete daily chart reviews and medication renewals as assigned.
  • Complete daily discharge medication orders as assigned.
  • Proactively identify, treat and manage inmates with serious medical conditions.
  • Provide quality patient care and treatment that meets community care standards.
  • Perform daily face-to-face patient visits and complete medical documentation and patient treatment plans in the ACH Electronic Health Record (EHR) system.
  • Perform patient initial chronic disease assessments and develop treatment plans, including prescribed follow-up care.
  • Ensure patient access to care.
  • Collaborate on patient care with ACH Mental Health for those with comorbid mental health and medical conditions.
The Position

Review the full recruitment brochure below:

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How To Apply

To be considered for this opportunity, applicants must submit a cover letter and resume to Ria Adams, Health Services Secretary, at adamsr@saccounty.gov .

This recruitment is open until filled. The next submission date is through April 1, 2026.

Submissions will be screened according to the qualifications above. The most qualified candidates will be invited to participate in the interview and selection process. 1st round interviews are tentatively scheduled for the week of April 6, 2026 and 2nd round interviews are tentatively scheduled for the week of April 13, 2026. The target start date for the new hire is May 2026. If you have questions and for additional information about this position or the recruitment process, please contact Ria Adams at adamsr@saccounty.gov .

About The Position

As part of Primary Health Services, Adult Correctional Health (ACH) provides a high level of primary care services to the adult inmate population in the Sacramento County Jails. The Sacramento Sheriff’s Office (SSO) has overall responsibility and management for the County Jails. The Department of Health Services (DHS), Primary Health Division provides healthcare services (physical health and behavioral health) through County and contracted staff working in partnership with the Sacramento Sherriff’s Office (SSO). Services are provided onsite and offsite by County staff and contracted Providers. They include: Physical Health, Mental Health, and Alcohol & Drug Services.

The Assistant Medical Director D/CF (AMD) provides oversight of medical services in collaboration with the Medical Director D/CF and provides onsite supervision to Providers assigned. The AMD is responsible for a minimum of 30% direct services to patients with awareness of the specific needs of the population being served.

Examples Of Knowledge And Abilities

Duties of the position include but are not limited to:

Management Expectations

  • Provide on-site oversight and supervision of Nurse Practitioners and Physicians (Providers) assigned.
  • Work directly with assigned Providers to educate them on Correctional health processes and determine best course of action to provide and improve overall quality of care.
  • Collaborate with ACH Administration, including Case Management to support patient access to specialty care providers, non-County Providers, and non-medical facilities.
  • Collaborate with nursing to prioritize daily Provider Sick Call appointments for patients based on level of acuity.
  • Monitor Chronic Care Program protocols, including Medicated Assistant Treatment (MAT).
  • Create and facilitate workgroups and committees designed to improve patient care.
  • Collaborate with the Medical Director to develop, update, or replace medical County policies.
  • Manage Provider Sick Call appointments and Provider visits.
  • Communicate with Medical Director to make certain the goals and objectives of the program are met – including consistent processes between the Main Jail and RCCC.
  • Develop and monitor projects assigned by the Medical Director and Health Services Administrator.

Supervisory Expectations

  • Supervise Provider staff assigned.
  • Evaluate assigned Provider staff’s quality of work by completing reviews of provider chart notes and treatment plans.
  • Assess, train and monitor new Provider staff assigned.
  • Meet with provider staff to address issues in performance and/or attendance.

Development Expectations

  • Maintain an active professional license and certifications.
  • Attend classes or workshops to improve medical skills.

General Expectations

  • Exhibit excellent customer service, focused on patient care.
  • Create a cooperative working environment among peers and ACH personnel.
  • Learn and utilize ACH’s EHR, required for documenting patient care.
  • Be proactive versus reactive.
  • Use good judgment in decision-making.
  • Foster a team culture and accept various assignments as needed.
  • Work cooperatively with Sacramento Sheriff’s Office personnel.
  • Maintain flexibility and adapt to different situations based on the correctional working environment.
  • Adhere to quality improvement, safety, environmental, and infection control standards.
  • Maintain a safe work environment and report any workplace hazards to the appropriate authority.

Clinical Expectations

  • Provide direct care services as necessary and at a minimum of 30% of the scheduled time per week.
  • Complete daily Provider Sick Call appointments and Provider visits as assigned.
  • Complete daily chart reviews and medication renewals as assigned.
  • Complete daily discharge medication orders as assigned.
  • Proactively identify, treat and manage inmates with serious medical conditions.
  • Provide quality patient care and treatment that meets community care standards.
  • Perform daily face-to-face patient visits and complete medical documentation and patient treatment plans in the ACH Electronic Health Record (EHR) system.
  • Perform patient initial chronic disease assessments and develop treatment plans, including prescribed follow-up care.
  • Ensure patient access to care.
  • Collaborate on patient care with ACH Mental Health for those with comorbid mental health and medical conditions.

Employment Qualifications

The Ideal Candidate

The ideal candidate connects effectively across disciplines, builds strong working relationships, and fosters a culture of respect and accountability. They are proactive, solution-oriented, and approach challenges with professionalism, sound judgment, and a commitment to continuous improvement.

Sacramento County is about enriching communities to thrive. We strive to create inclusive workplaces that reflect the communities we serve. We value and celebrate the unique perspectives, backgrounds, abilities, and diverse dimensions of our employees and residents. Through transparency, courage, innovation, and trust we are committed to advance equity and transformational change.

We are a proud equal opportunity employer. If you need assistance or an accommodation due to a disability for any phase of the hiring process, please contact our Disability Compliance Office at dco@saccounty.gov or 916- 874-7642, CA Relay 711. For more information, visit: Reasonable Accommodation Requests - Job Applicant Instructions
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