ORD-2014-048 Approval of Budget Amendment #4-B Related to Position Changes and Receipt of Additional Medicaid Revenue within the Health Department

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K demonstrating excellent customer service skills. Without this position, the registered dietitians use time to call and verify benefits taking them away from direct client care. This position is essential for sustaining and growing nutrition services programs. The goal of making this position a permanent .64 FTE position is to reduce turnover and sustain and grow the nutrition services program. FINANCIAL IMPACT: The Health Department budgeted for afull -time (1 FTE) PHN I this year, but so far this position has only been filled by a 0.50 FTE. The salary portion of creating a complementary 0.50 FTE PHN I position is therefore covered in the current budget. The additional cost for benefits will be covered with available department vacant position salary savings. The total anticipated cost (January —June 2015) is $12,796 in salary and $6,223 in benefits. The PHN II position is fully funded by a grant. The .64 FTE PHN II position is expected to cost $13,500 in salary and $6,967 in benefits for February through June 2015, totaling $24,467. The Health Department received a $38,836 grant to cover the expenses associated with this position. Only $13,087 was spent in the first five months of this 12-month grant, and the remaining $26,749 is more than sufficient to cover this expense. The additional expense associated with making the Nutrition Office Assistant position a permanent .50 FTE position with benefits will be covered by additional revenue. Salary costs for June 2015 (after the grant expires) were already included in the original budget and anticipated revenue for this fiscal year. The expense increase is estimated at $5,468, which will cover 6 months of benefits. Staff anticipates additional Medicaid revenue to cover the full amount of this increase. RECOMMENDATION(S): The Manager recommends that the Board approve Budget Amendment #4 -B to: 1) approve the shared Public Health Nurse I position splitting the current 1.0 FTE position into two 0.50 FTE benefitted positions; 2) approve reclassifying the Public Health Preparedness position previously shared with Emergency Services into a 0.60 FTE Public Health Nurse II position within the Health Department; 3) approve making the Nutrition Office Assistant position into a .50 FTE Permanent Position; and 4) approve the receipt of $5,468 in additional Medicaid revenue.