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File #: RES 25-177    Name: Create Services Director/Medical Director classifications
Type: BoS Resolution Status: Natividad Medical Center - Consent
File created: 11/25/2025 In control: Board of Supervisors
On agenda: 1/6/2026 Final action:
Title: Adopt a Resolution to: a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit UX for unrepresented medical service line directors as indicated in Attachment A; b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classifications of Services Director/Medical Director - Contract Physician and Services Director/Medical Director - Contract Physician Specialty Services with the salary range as indicated in Attachment B, effective December 13, 2025; and c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit UX in the Advantage Human Resources Management (HRM) system.
Attachments: 1. Board Report, 2. Attachment A, 3. Attachment B, 4. Board Resolution
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Title
Adopt a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit UX for unrepresented medical service line directors as indicated in Attachment A;
b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classifications of Services Director/Medical Director - Contract Physician and Services Director/Medical Director - Contract Physician Specialty Services with the salary range as indicated in Attachment B, effective December 13, 2025; and
c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit UX in the Advantage Human Resources Management (HRM) system.

Report
RECOMMENDATION:
It is recommended that the Board of Supervisors consider adopting a Resolution to:
a. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Section IV Employee/Bargaining Units to establish Unit UX for unrepresented medical service line directors as indicated in Attachment A;
b. Amend Personnel Policies and Practices Resolution (PPPR) No. 98-394 Appendices A and B to create the classifications of Services Director/Medical Director - Contract Physician and Services Director/Medical Director - Contract Physician Specialty Services with the salary range as indicated in Attachment B, effective December 13, 2025; and
c. Authorize and direct the County Human Resources Department and the Auditor Controller’s Office to take the necessary actions to create Unit UX in the Advantage Human Resources Management (HRM) system.

SUMMARY:
Natividad Medical Center (NMC) is seeking to work with the Human Resources Department to establish a bargaining unit and create new classifications for unrepresented medical service line directors.
DISCUSSION:
As part of the foundational contract negotiations with the Union of American Physicians and Dentists (UAPD), parties agreed ...

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