0943 Manager VIII - LHH Chief Medical Officer

Recruitment #PEX-0943-107595




October 29, 2020:  Extended deadline for additional applicants.  Prior applicants do not need to reapply.

Appointment Type: Permanent Exempt.  In accordance with San Francisco Charter Section 10.104, exempt employees serve at the discretion of the appointing authority.   

The mission of the San Francisco Department of Public Health (DPH) is to protect and promote the health and wellness of all San Franciscans.  The San Francisco Health Network (SFHN) is the DPH Integrated Delivery System and maintains operational responsibility for the delivery of primary and specialty outpatient medical and behavioral health, home health, acute rehabilitation, and long term care services.  For more information, please visit:  www.sfdph.org  

Laguna Honda Hospital and Rehabilitation Center (LHH), an 11 bed general acute care hospital with a distinct part, 765 bed skilled nursing facility, is owned and operated by the City and County of San Francisco (CCSF) and is part of the SFHN and DPH.  On a sprawling and beautifully maintained 62 acre campus, LHH operates both a newly constructed state-of-the art acute care hospital as well as a rehabilitation and skilled nursing complex, complementing numerous historic administration and support services buildings that are more than 100 years old.   

LHH seeks a creative and visionary 0943 Manager VIII – Chief Medical Officer with a collaborative work style and a commitment to innovative programming.  The executive leadership team is committed to a resident-centered approach to care that supports the organization’s centers of excellence programs and services for general skilled nursing, memory care/dementia, outpatient, palliative care, positive care, rehabilitation, and respite care.  

Essential Duties:
The 0943 Manager VIII – Chief Medical Officer works with the LHH Chief Executive Officer, Chief Nursing Officer, Chief Quality Officer, and other clinical and administrative team leaders to develop and implement the centers of excellence programs and services as described below. 

Strategic Planning and Executive Leadership

  • Participates with LHH Executive Committee colleagues and Department Directors/Managers in major decision making processes of the LHH programs/services, budget planning, expenditures, and capital projects.
  • Develops, administers, and evaluates professional contracts.
  • Develops, implements, and evaluates LHH’s plan for provision of medical, rehabilitative and outpatient care.
  • Advises the LHH Chief Executive Officer on matters pertaining to the medical staff; reports on infractions of medical staff bylaws, rules, regulations, hospital policies, and established professional standards.
  • Develops, monitors, and manages a budget for each department, including personnel budgeting, equipment, and supplies, in collaboration with the LHH Chief Executive Officer.
  • Participates in the development, implementation and monitoring of the organization’s strategic planning goals and objectives.  

Medical Services and Staff Management

  • Selects, supervises and evaluates medical staff standards of care and practice through Chiefs of Service and in collaboration with the Chief of Staff.
  • Develops and enforces standards for the selection, appointment, and retention of medical staff, including maintaining a formal program of continued medical education.
  • Plans, organizes, and directs the professional and administrative activities of the Laguna Honda medical staff of approximately 130 providers, including consultants.
  • Plans and directs medical staff development and in-service training activities at the facility, division, service or program; conducts staff meetings and conferences that align with the mission, vision and strategic goals of the organization.
  • Appoints the Department Chiefs of Service in the Medical Division and provides oversight in the operation and outcomes of the services.
  • Coordinates medical activities with other hospital services and departments; represents Medical Services and Division with representatives of governmental and community agencies.
  • Collaborates with Human Resources on the preparation of job descriptions for all levels of medical personnel within the changing context of medical service needs.
  • Provides support and direction for academic rotations and staff development programs; creates and maintains a learning environment that provides appropriate educational experiences and opportunities.
  • Establishes staffing patterns, which provide sufficient and appropriate personnel to deliver safe and therapeutically effective medical care.
  • Participates and collaborates with the Executive Committee to develop mechanisms for promoting teamwork, collaboration, communication, competency, resident-centered care, education, and professionalism of staff members.
  • Encourages active collaborative problem solving among medical, nursing, clinical, support, medical records, administrative, and other organization staff.  

Quality Management

  • Plans, organizes and directs the professional and administrative activities of the medical staff; ensures effective delivery of medical services in compliance with applicable Federal, State,  and local laws and regulations, including medical staff bylaws, established professional standards, Nursing Care Quality Initiative (NCQI) and Title 22 of the California Administrative Code.
  • Monitors and provides oversight for the Acute and Skilled Nursing Facility Quality Assurance Performance Improvement (QAPI) and Utilization Review Programs.
  • Establishes standards of care, standards of practice, and standards of performance to measure the effectiveness and efficiency of medical services personnel and activities that are consistent with SFHN Quality Management policies and procedures.
  • Interprets, develops and enforces policies in accordance with the California Department of Public Health’s regulatory requirements, Title 22, and other regulations and professional standards.
  • Implements effective programming to monitor, evaluate, and improve the quality of medical care and services to residents.
  • Develops, plans and directs programs and policies for integrating medical services for the organization.  

The 0943 Manager VIII – LHH Chief Medical Officer performs other related duties as assigned.  

Compensation and Benefits: 
The normal annual salary range is $189,046 - $241,228.  Appointment above the maximum of the normal range may be considered based on documented and substantiated recruitment and retention issues or exceptional skills.  A special approval process is necessary for appointment above the normal salary range.  For additional information about the City's benefits package, please visit:  Municipal Executives' Association Benefit Summary  

Other outstanding benefits offered with this position include:

  • Medical, Dental, and Life Insurance; Long-term Disability Plan
  • Flexible Spending Accounts; Municipal Executives Flexible Credits
  • Defined Retirement Plan; Deferred Compensation; and Social Security
  • Paid Management Training Program; Wellness Program
  • Vacation/Holiday/Sick Time; and Administrative Leave  

Minimum Qualifications

  1. Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California; AND
  2. Possession of valid Board Certification in the medical specialty areas of Internal Medicine or Family Medicine; AND
  3. Possession of valid Drug Enforcement Agency registration with the United States Department of Justice; AND
  4. Four (4) years of post-residency, managerial experience (of which all must include supervisory) in planning, organizing, and evaluating medical services in a hospital, clinic, skilled nursing facility, or related health care setting.

One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week). Any overtime hours that you work above forty (40) hours per week are not included in the calculation to determine full-time employment. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

Conditions of Employment:
All qualified candidates who have been selected for appointment to positions in billable specialty areas must be an eligible billable provider and where applicable will be required to meet the following criteria:

  • Be eligible to participate in Medicare, Medicaid and/or other federal health care programs;
  • Possess a National Provider Identifier (NPI);
  • Submit a completed credentialing application and/or required documentation for credentialing; AND
  • Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status.  

Failure to meet these criteria and/or ‘Conditions of Employment’ where applicable within two (2) weeks PRIOR to start work date may result in the delay of appointment and/or cancellation of employment offer.

Desirable Qualifications:
The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

  • Board Certification in the medical specialty area of Geriatrics from the American Board of Internal Medicine or the American Board of Family Practice.
  • Certification in geriatrics, rehabilitation, and/or other clinical/hospital certifications.

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at

Note: Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

Verification of required education typically must be a photocopy of the degree or transcript from an accredited college or university.  

Verification of required work experience typically must be on the employer’s letterhead, and must include the applicant’s name, job title, description of job duties, dates of employment, hours per week, and signature of the employer, supervisor, or appropriate representative. 

City and County of San Francisco (CCSF) employees do not need to submit verification of their City employment, but must submit written verification of outside experience.   CCSF employees will not receive credit for experience obtained outside of their classification unless recorded in accordance with the provisions of the Civil Service Rule 110.9.1/111A.11.2.     

Verification of required licensure/certification typically must be a photocopy of the license/certificate including the name of the issuing agency as well as the name of the license/certificate holder, license/certificate number, and expiration date.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.

  • Select the desired job announcement
  • Select “Apply” and read and acknowledge the information
  • Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”
  • Follow instructions on the screen

Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.  In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.

Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.  Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.  To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).

Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file.  Applicants should retain this confirmation email for their records.  Failure to receive this email means that the online application was not submitted or received.

All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.  Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.

Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.

If you have any questions regarding this recruitment or application process, please contact the analyst, Yvette Gamble, by telephone at (415) 554-2911 or by email at yvette.gamble@sfdph.org

Selection Procedures

Departmental Selection Procedures:
The department may implement screening mechanisms in order to determine applicants’ qualifications for this position.  Applicants meeting the minimum qualifications are not guaranteed advancement through all steps in the selection process. Only applicants most closely meeting the needs of the department will be invited to continue in the selection process.   


Conviction History

As a selected candidate for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a selected candidate. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:

  • Candidates for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.
  • Candidates for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.

Having a conviction history does not automatically preclude you from a job with the City.

If you are a selected candidate, the hiring department will contact you to schedule a fingerprinting appointment.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.



Statement on Equity, Diversity, and Inclusion:
At the City and County of San Francisco, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all.  

Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout duration of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.   

Note on Electronic Health Record (EHR):
The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.  

Note on Personal Protective Equipment (PPE):
Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing.  

Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a Face Fitting Respirator.  

Medical Examination: 
Prior to appointment, at the Department’s expense, applicants may be required to take a tuberculosis (TB) screening test, medical examination, and/or drug test.  

General Information concerning City and County of San Francisco Employment Policies and Procedures:
Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process or hard copy at 1 South Van Ness Avenue, 4th Floor.  In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.

Copies of Application Documents:
Applicants should keep copies of all documents submitted, as these will not be returned.

Right to Work:
All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.

Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: 

Issued:  October 20, 2020
Carol Isen
Acting Human Resources Director
Department of Human Resources
Recruitment ID Number:  PEX-0943-107595
DPH/YG/(415) 554-2911  (MCCP #81-132, #01103911)


All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.



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