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3 <br />demonstrating excellent customer service skills. Without this position, the registered dietitians <br />use time to call and verify benefits taking themaway from direct client care. This position is <br />essential for sustaining and growing nutrition services programs. <br />The goal of making this position a permanent .50 FTEposition is to reduce turnover and sustain <br />and grow the nutrition services program. <br />FINANCIAL IMPACT: <br />The Health Department budgeted for a full-time (1 FTE) PHN I this year, <br />but so far this position has only been filled by a 0.50 FTE. The salary portion ofcreatinga <br />complementary 0.50 FTE PHN I position is therefore covered in the current budget. The <br />additional cost for benefits will be covered with available department vacant position salary <br />savings. The total anticipated cost (January – June 2015) is $12,796 in salary and $6,223 in <br />benefits. <br />The PHN II position is fully funded by a grant. The .60 FTE PHN II position is expected to cost <br />$13,500 in salary and $6,967 in benefits for February through June 2015, totaling $20,467. The <br />Health Department received a $38,836 grant to cover the expenses associated with this <br />position. Only $13,087 was spent in the first five months of this 12-month grant, and the <br />remaining $25,749 is more than sufficient to cover this expense. <br />The additional expense associated with making the Nutrition Office Assistantposition a <br />permanent .50 FTEposition with benefits will be covered by additional revenue. Salary costs for <br />June 2015 (after the grant expires) were already included in the original budget andanticipated <br />revenue for this fiscal year. The expense increase is estimated at $5,468, which will cover 6 <br />months of benefits. Staffanticipatesadditional Medicaid revenue to cover the full amount of this <br />increase. <br />RECOMMENDATION(S): <br />The Manager recommends that the Board approve Budget <br />Amendment #4-B to: <br />1) approve the shared Public Health Nurse I position splitting the current 1.0 FTE <br />position into two 0.50 FTE benefitted positions; <br />2) approve reclassifying the Public Health Preparedness position previously shared with <br />Emergency Services into a 0.60 FTEPublic Health Nurse II position within the Health <br />Department; <br />3) approve making the Nutrition Office Assistant position into a .50 FTE Permanent <br />Position; and <br />4) approve the receipt of $5,468 inadditional Medicaid revenue. <br />