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St. Mary’s CountyHealth DepartmentMeenakshi G. Brewster, M.D., M.P.H.Health OfficerAdministration & Vital Records301-475-4330Community Health Services301-475-4330Resource Coordination301-475-4330Environmental Health301-475-4321Environmental Health Fax301-475-4373Medical Assistance Transportation301-475-4296State Health Department(Toll Free) 877-4MD-DHMHMaryland Relay Service1-800-735-2258Coordinator of Special Programs HS IIDate Posted: April 28, 2016Closing Date: June 20, 2016Salary: 17.53 to 22.56Part Time Emergency AppointmentLocation: St. Mary's County Health Department, 21580 Peabody Street, Leonardtown, MDJob Duties:To direct Overdose Response initiatives on behalf of the St. Mary’s County Health Department; togive advice, direct and support others involved in the planning and development of overdoseresponse initiatives and opioid misuse prevention and control programs; to promote communityeducation, support and outreach for opioid misuse prevention and control, including the MarylandOverdose Response Program (ORP), the St. Mary’s County Overdose Fatality Review Team(OFRT), the Opioid Misuse Prevention Program (OMPP), and future programs.Minimum QualificationsEducation: Possession of a Bachelor’s degree from an accredited college or university innursing, social work, psychology, education, counseling or a related field.Experience: Two years of professional experience in health services, one year of which musthave been in the option for which application is made.Notes: 1. Applicants may substitute a master’s degree from an accredited college or universityin a health or human service field for one year of the required general experience.2. Experience in the option must be as follows: professional clinical or administrative work inhealth or medical services in areas other than Mental Health, Developmental Disabilities orAddictions.3. A Bachelor’s degree from an accredited college or university in another field plus oneadditional year of professional experience in health services may be substituted for the specificdegree.4. Candidates may substitute U.S. Armed Forces military service experience as a commissionedofficer in Health Care Administration classifications or Civil Affairs Specialist specialty codes inthe health related field of work on a year-for-year basis for the required experience andeducation.Selection Procedure: Applications will be screened for those who meet job requirements andhave related experience. Selected applicants will be invited for an interview. All candidates willbe notified of their selection or non-selection for interview.To apply: Please complete the attached Maryland State Application and fax to 301-4759425 or email to smchdhr@maryland.govAn Equal Opportunity EmployerEmail smchd.healthdept@maryland.gov Website www.smchd.org 21580 Peabody Street, P.O. Box 316, Leonardtown, MD 20650
www.workformaryland.comYou are required to provide the following information:First 3 Letters of Last Name at Birth: Birth Month: Birth Day: Last 4 digits of SSN:Personal and Contact InformationJob Number: - - Job Title:Name:LastFirstMiddleAddress:Number, Street and Apt.City: County: State: Zip:Phone:PrimaryOk to leave msg?WorkOk to leave msg? AlternateOk to leave msg?Email Address:How did you hear about this job opening?Employment PreferenceNever been employed by the State of MarylandCurrent employee of the State of MarylandFormer employee who has held employment with the State of Maryland in the past three years.Former employee whose most recent employment with the State of Maryland was over three years agoIf a current/former employee of the State of Maryland, provide the following information at time of separation:First NameLast Name(Provide the initial that is/was in employee record to ensure that appropriate extra points are awarded)Middle InitialBirth YearWill this be secondary employment?Available for employment which is?YesNoFull-timePart-timeYesNo (For positions requiring a driver’s license, please attach a copyDo you have a valid Driver’s license?of your license or write on a separate sheet of paper your driver’s license number, class, state of issuance and expiration date.)STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER1
Voluntary Equal Opportunity InformationTo further its commitment to equal opportunity employment, the State of Maryland requests applicants to VOLUNTARILYprovide the following information. This information will be used for statistical purposes only by authorized personnel.Birthdate:Citizenship:U.S. CitizenGender:Legal AlienRace: Are you Hispanic or Latino?YesMaleFemaleOtherNoIf you are not Hispanic or Latino, what is your race? Please select one.Unknown/Decline to stateDecline to state.AsianOrigins in any of the original peoples of the Far East, Southeast Asia, or the India subcontinent, including for example,Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.Black or African AmericanOrigins in any of the black racial groups of AfricaAmerican Indian or Alaska NativeOrigins in any of the original peoples of North or South American, including Central America, and who maintains tribal affiliationsor community attachment.Pacific Islander or native HawaiianOrigins in the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.WhiteOrigins in any of the original peoples of Europe, the Middle East, or North AfricaVeteran’s Information:Have you served on active duty in the military?Do you seek veteran’s preference?YesYesNoNoA copy (not original) of your proof eligibility DD-214 for Veterans Credit must be submitted and completely verifiedbefore Veterans Credit will be approved. Proof will only need to be submitted once. Regular State employees donot need to submit proof of eligibility for Veterans Credit. If Yes, you must also submit DD Form 214.If you answered Yes to seeking veteran’s preference, select ONE of the following that best describesyour situation:I am an honorably discharged veteranI am a service-disabled veteranI am a former prisoner of war (POW)I am a Vietnam veteranI am a service-disabled Vietnam veteranI am the spouse of a deceased eligible veteranI am the spouse of a service-disabled veteranIf you are a veteran, have you been honorably discharged?YesNoAre you fluent in a language other than English? (if required for the job for which you are applying)YesNo If yes, please list:STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER2
Education and TrainingDo you have a high school diploma or GED?YesNo If no, what is the highest grade you completed?School: Address (City, State):Dates attended: - Major course of study:FromToCollege and Graduate School EducationName/Location of School(s)Dates AttendedMajor# of CreditsCompletedType of DegreeDegree Earned?(Yes or No)Specialized Training or Classes Relevant to the JobTitle of Program/Course(s)Company/SchoolDates Attended# of CreditsEarnedDiploma/CertificateReceived?Please submit a copy of any relevant professional or trade licenses or certificates with this application.Work ExperienceList below, beginning with your most recent position, all of your work experience, including military service and all volunteer activities. Attach additional8 1/2" x 11” sheets of paper if necessary. If your title and duties changed in the course of your service in any one organization, indicate such changesclearly and as separate employment. Please do not submit a resume in lieu of completing this portion of the application. Be sure that the informationincluded in this section demonstrates that you meet the experience qualifications for the job for which you are applying.Job Number 1: (Current or Most Recent)Name of Employer:Employer’s Address (Street, City, State, Zip Code):Type of Business:Supervisor’s Name, Title and Phone Number:Your Job Title:Do you supervise other employees?YesNoHow many?Dates of Employment (From: Month/Day/Year To: Month/Day/Year):Is your position considered full-time? YesJob Titles of Those You Supervise:How many hours do you work per week?Job Dutes:Reason For Leaving:STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER3No
Work Experience - ContinuedJob Number 2:Name of Employer:Employer’s Address (Street, City, State, Zip Code):Type of Business:Supervisor’s Name, Title and Phone Number:Your Job Title:Do you supervise other employees?YesNoHow many?Dates of Employment (From: Month/Day/Year To: Month/Day/Year):Is your position considered full-time? YesJob Titles of Those You Supervise:NoHow many hours do you work per week?Job Duties:Reason For Leaving:Job Number 3Name of Employer:Employer’s Address (Street, City, State, Zip Code):Type of Business:Supervisor’s Name, Title and Phone Number:Your Job Title:Do you supervise other employees?YesNoHow many?Dates of Employment (From: Month/Day/Year To: Month/Day/Year):Job Titles of Those You Supervise:Is your position considered full-time? YesNoHow many hours do you work per week?Job Duties:Reason For Leaving:Job Number 4:Name of Employer:Employer’s Address (Street, City, State, Zip Code):Type of Business:Supervisor’s Name, Title and Phone Number:Your Job Title:Do you supervise other employees?YesNoHow many?Dates of Employment (From: Month/Day/Year To: Month/Day/Year):Is your position considered full-time? YesHow many hours do you work per week?Job Duties:Reason For Leaving:STATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER4Job Titles of Those You Supervise:No
LocationsIn which counties will you accept employment?AlleganyAnne ArundelBaltimore CityBaltimore FrederickGarrettHarfordHowardKentMontgomeryPrince George’sQueen Anne’sSomersetSt. Mary’sTalbotWashingtonWicomicoWorcesterYOU MAY BE TESTED FOR ILLEGAL DRUG USE. IF SELECTED FOR A POSITION IN THE SKILLED ORPROFESSIONAL SERVICE, YOU MAY BE GIVEN A MEDICAL EXAMINATION TO DETERMINE YOUR ABILITY TOPERFORM JOB-RELATED FUNCTIONS.“UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT,PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOROR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOTEXCEEDING 100.”This provision does not apply to applicants for law enforcement positions pursuant to Labor and Employment Article,Section 3-702 (b) Annotated Code of Maryland.I hereby affirm that this application contains no willful misrepresentation or falsifications andthat this information given by me is true and complete to the best of my knowledge andbelief. I am aware that should investigation at any time disclose any misrepresentation orfalsification, my application will be disapproved, my name removed from the eligible list, andthat I will not be certified for employment in any position under the jurisdiction of theDepartment of Budget & Management. I am aware that a false statement is punishable underlaw by fine or imprisonment or both.DATESIGNATURE OF APPLICANTSTATE OF MARYLAND – AN EQUAL OPPORTUNITY EMPLOYER5
Overdose Response Program (ORP), the St. Mary's County Overdose Fatality Review Team (OFRT), the Opioid Misuse Prevention Program (OMPP), and future programs. Minimum Qualifications Education: Possession of a Bachelor's degree from an accredited college or university in nursing, social work, psychology, education, counseling or a related field.
