1165 Manager, Dept Public Health - LHH Chief Nursing Officer

Recruitment #PEX-1165-102789





June 26, 2020:  Reissued announcement; prior applicants need not reapply

Applicants are encouraged to file immediately as this recruitment may close at any time,
but no earlier than July 15, 2020

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.    

Under policy direction of the LHH Chief Executive Officer, the Chief Nursing Officer provides nursing leadership, administrative direction, and ensures the alignment of the nursing program with LHH’s mission, values and vision; provides oversight for overall nursing operations; supervises nurses and nurse managers; facilitates the design and implementation of patient care delivery; recommends strategies to improve services, attain established goals, and maintain a positive and collaborative work environment.  

Essential Duties:
The 1165 Manager, DPH – LHH Chief Nursing Officer performs the following essential job functions:

  • Develops and implements division goals, objectives, policies, and priorities; determines service levels and resource allocation;
  • Plans, coordinates, directs and evaluates the delivery of medical, clinical and health care by maintaining and ensuring standards of care, practice and performance; develops, implements and evaluates the department’s plan for the provision of medical, clinical and health care;
  • Develops organization wide patient care programs, policies, and procedures that guide and support the provision of services; assesses and improves the provision of medical, clinical and healthcare services through the implementation of effective programs to measure quality;
  • Monitors the work of and mentors or coaches subordinates to improve performance; participates with medical, clinical and healthcare leadership to determine appropriate staffing levels, hiring plans, training needs, and staff qualifications and competencies for efficient and effective operations;
  • Monitors the efficiency and effectiveness of the departmental organization structure, staff assignments, service levels and administrative systems; identifies and analyzes opportunities for improvement; implements improvements;
  • Directs the allocation of resources to achieve timely outcomes and measurable goals within budget; adjusts plans and programs to meet healthcare reform or other new medical or clinical programs, while continuing to address major medical, clinical and health care priorities;
  • Advises executive leadership on matters pertaining to staffing, finance, facilities and other operational matters; reports on infrastructure or changes required of bylaws, rules, regulations and department policies and established professional standards;
  • Provides leadership and oversight for the infrastructure of data collection, analysis and reporting to support quality (operational, clinical and patient experience) outcomes;
  • Communicates regularly with medical, clinical and healthcare executive-level management regarding the Department's activities and coordination of efforts with other City departments in addressing the needs of the City; represents the Department before legislative boards, regulatory bodies, other healthcare agencies, and medical, clinical or advisory committees;
  • Assesses and responds to community needs; provides consultation and advice to boards, committees and representatives from federal, state and local agencies;
  • Participates in budget development by providing detailed justification and persuasive arguments for proposals or initiatives. Implements and closely monitors budget expenditures of the operating budget for a major area of responsibility typically including multiple divisions;
  • Provides executive management with an early warning and practical options to potential cost overruns; and
  • May participate in direct patient care/medical or clinical activities as determined by specialty.  

The 1165 Manager, DPH – LHH Chief Nursing Officer performs other related duties as assigned.  

Compensation and Benefits: 
The normal annual salary range is $213,200 - $272,090.  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; Social Security
  • Paid Management Training Program; Wellness Program
  • Vacation/Holiday/Sick Time; Administrative Leave

Minimum Qualifications

  1. Possession of a Master’s degree from an accredited college or university in Hospital Administration, Nursing, Public Health Administration or a closely related field; AND
  2. Three (3) years of experience as an administrator of a large general teaching hospital or related organization OR three (3) years of complex health care administrative experience; AND
  3. Possession of a valid Registered Nurse license issued by the California Board of Registered Nursing.

One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours worked above 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.

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.

  • Chief Nursing Officer experience in an Acute, Post Acute or Long Term heath care setting
  • Verifiable experience promoting culture change in a hospital setting
  • National certification in Nursing Administration, Hospital Executive Leadership Certification, or Fellow of the American College of Health Care  Executives or other related  certification.
  • Experience in leading large organizations (e.g. organizations in excess of 1,000 employees)
  • Experience in implementing Service Excellence initiatives
  • Experience in a Shared Governance Model
  • Experience in Matrix Organizations
  • Prior health care operations experience in responding to disease outbreaks, epidemics, or pandemics.

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.

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.  Only applicants most closely meeting the needs of the department will be invited to continue in the selection process.  Applicants meeting the minimum qualifications are not guaranteed advancement through all steps 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.

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:  February 24, 2020; Reissued:  June 26, 2020
Micki  Callahan
Human Resources Director
Department of Human Resources
Recruitment ID Number:  PEX-1165-102789
DPH/YG/(415) 554-2911  (#01125218)


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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