Nursing Jobs in Lafayette, CA
$93,496 - $113,620 / year
Company DescriptionThe Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.Application Opening – October 12, 2022 Application Deadline – ContinuousSalary: $93,496 - $113,620 annuallyAppointment Type: Permanent Civil ServiceRecruitment ID: CCT-2312-H00018The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings.The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.START with this ⚠️ REQUIRED EXAM ✅ Then, submit an online applicationJob DescriptionUnder supervision and according to physicians’ or registered nurses’ instructions, prepares, administers and records ordered medications and injections; obtains patient histories; observes, reports and records physiological and psychosocial signs; takes vital signs; maintains medical records; maintains a safe and clean environment, and performs related duties as required.Administers nursing care to patients according to physician’s and Registered Nurse’s instructions and approved nursing and departmental policies and procedures; as a team member, participates in planning and maintaining nursing care plans; assists physician in the performance of diagnostic and therapeutic procedures and treatments; prepares, administers and records ordered medications and injections.Provides direct patient care in order to make patient clean and comfortable; may serve and feed patients; may assist patient with elimination functions.Screens patients by obtaining histories; observes, reports and records physiological and psychological signs, symptoms and behaviors; takes vital signs; obtains specimens and may perform some required nursing diagnostic tests, such as guiac stools and sugar and acetone tests, etc.Keeps accurate records of administration of medications and treatments; makes reports of patient’s progress towards goals; maintains medical records in order to meet legal requirements and provide reference for follow-up of patients’ treatment and care.Maintains a safe, secure and clean environment; maintains adequate supplies and equipment in assigned area.Instructs and counsels patients relative to physical self care and emotional needs concerning test and specimen collections.Understands human relationships between patients, families and other health care personnel.Recognizes and understands the effect of social and economic problems as well as cultural backgrounds and religious affiliations of patients and their families.When working in specialized areas, and after training in special procedures pertaining to such areas, performs specialized procedures as approved by nursing service policy.The 2312 Licensed Vocational Nurse may perform other duties as assigned/requiredQualificationsLICENSE: Possession of a valid permanent or temporary (including an interim permit) California Vocational Nurse License issued by the California State Board of Vocational Nurse Examiners.Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.Verification of Education and Experience: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/. 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. Additional InformationAfter application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.Training and Experience Evaluation (Weight: 100%): Candidates will be prompted to complete a Supplemental Questionnaire as part of the online employment application. The Supplemental Questionnaire is designed to measure knowledge, skills and/or abilities in job-related areas that have been identified as critical for satisfactory performance in this position. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.Certification The certification rule for the eligible list resulting from this examination will be the Rule of the List.Eligible List/Score Report:A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. Candidate names will remain on the list for a maximum period of 12 months. Candidates that are not selected and expire off the list may re-apply.Terms of Announcement and Appeal Rights:Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/.] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at https://sf.gov/departments/civil-service-commission Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service WorkersADA AccommodationVeterans PreferenceRight to WorkCopies of Application DocumentsDiversity StatementWhere to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. Your application will be active for the duration of the eligible period listed above. You do not need to reapply during this period. If you have any questions regarding this recruitment or application process, please contact the analyst, Stephen Lee at [email protected] or (628) 271-6838. We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law. $217,750 - $314,158 / year
Company DescriptionThe Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening: Friday, September 26, 2025Application Deadline: continuousSalary: $217,750 - $314,158 annuallyAppointment Type: Permanent Civil ServiceRecruitment ID: CCT-2328-H00175Work Arrangement: OnsiteThe Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings.The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.START with this ⚠️ REQUIRED EXAM ✅ https://forms.gle/ED1WJYbFJjtHoiui6 Then, submit an online application.Note: If you previously applied to a SFDPH Nurse Practitioner position before 9/26/25, you need to apply again to be added to this new eligible list. Job DescriptionUnder general nursing and medical direction, utilizing standardized procedures, the Nurse Practitioner functions within an organized system for the delivery of health care in association with other members of the multidisciplinary health care team and performs specialized nurse practitioner duties in clinical settings.The essential functions include, but are not limited to:Provides routine preventative and continuity of care to adult and/or pediatric patients; this may include complete history and physical examinations.Orders diagnostic tests, which may include laboratory tests, X-rays and other imaging, E.K.G.’s, and other disease or condition specific diagnostic tests.Identifies and manages patients with unstable chronic diseases appropriate to clinical specialty.Provides urgent care to acutely ill patients.Acute care planning for patients in an inpatient setting.Assesses and diagnosis, develops treatment plans, and furnishes medications.Counsels and educates patients, and collaborates with healthcare team.Consults with physicians on the diagnosis and treatment of unstable and complex patient conditions.Documents medical records and adheres to patient privacy.Participates in staff meetings and conferences regarding patient care, as well as quality improvement/control activities.The 2328 Nurse Practitioner (All Specialties) may perform other duties as assigned/required.QualificationsMinimum QualificationsLICENSE*: Possession of a valid California Nurse Practitioner (NP) license issued by the California Board of Registered Nursing; AND LICENSE*: Possession of a current medication furnishing license issued by the California Board of Registered Nursing; ANDCERTIFICATION: Possession of national board certification, or eligibility, as a Nurse Practitioner issued by one of the following recognized national certifying body or organization: American Academy of Nurse Practitioners (AANP)American Nurses Association – American Nurses Credentialing Center (ANCC) Pediatric Nursing Certification Board National Certification Corporation (NCC) for the Women’s Health Care and Neonatal Nursing Specialties American Association of Critical Care Nurses *Licenses must show "Current" on search.dca.ca.gov. Please include your license numbers in your application.SOME POSITIONS HAVE ADDITIONAL REQUIREMENTSCERTIFICATES/LICENSESPossession of a valid Advanced Cardiovascular Life Support (ACLS) Certificate issued by the American Heart Association. Specialization as a Family NP, Adult NP, Adult Gerontology NP, Women’s Health, Acute Care NP, Pediatric NP or Psychiatric Mental Health NP.The ability to obtain Security Clearance from the San Francisco Sheriff’s Department.Possession of a Furnishing and dispensing number (or ability to pass the credential process within 90 days of hire).Certified as a Medical Examiner by The U.S. Department of Transportation Federal Motor Carrier Safety Administration National Registry of Certified Medical Examiners.EXPERIENCESix (6) months (equivalent to 1,000 hours) of work experience as a Health Care provider treating patients in a long-term care facility, skilled nursing facility, or other acute long term care setting.Minimum of six (6) months (equivalent to 1,000 hours) of Occupational Health experience.One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic or mental health center.One (1) year (equivalent to 2,000 hours) of experience in a setting that treats HIV, AIDS, and Sexually Transmitted Infections.One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Verification of Education and Experience: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/. 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. Additional InformationSelection Procedures: After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which include the following.Training and Experience Evaluation (Weight: 100%): Candidates are required to complete a Training and Experience Evaluation Supplemental Questionnaire at https://forms.gle/ED1WJYbFJjtHoiui6. This evaluation is designed to measure knowledge, skills and/or abilities in job related areas which may include but not be limited to: Knowledge of role and scope of practice of the Nurse Practitioner, of health treatments, maintenance and promotion, of health care resources and systems; Ability to assess, diagnose and develop treatment plans, to serve vulnerable populations; Collaborative ability; Oral communication ability; and Written communication ability.Candidates must achieve a passing score on the Training and Experience Evaluation to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score.Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.Certification The certification rule for the eligible list resulting from this examination will be the Rule of List.Eligible List/Score Report: A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. Candidate names will remain on the list for a maximum period of 12 months. Candidates that are not selected and expire off the list may re-apply. Terms of Announcement and Appeal Rights: Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/.] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at https://sf.gov/departments/civil-service-commission Additional information regarding Employment with the City and County of San Francisco: Information About the Hiring ProcessConviction HistoryEmployee Benefits Overview Equal Employment OpportunityDisaster Service WorkerADA AccommodationVeterans PreferenceRight to WorkCopies of Application DocumentsDiversity StatementWhere to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. Your application will be active for the duration of the eligible period listed above. You do not need to reapply during this period. If you have any questions regarding this recruitment or application process, please contact the exam analyst Diane Zhou at [email protected] or (628) 271- 6703. We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law. 
$243,100 - $310,206 / year
Company DescriptionThe Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening: August 28, 2026Application Deadline: Application filing will close on or after September 11, 2026Salary: 0943 Manager VIII (Range A Salary between $243,100 and $310,206 annually)Appointment Type: Permanent ExemptRecruitment ID: PEX-0943-EXEMPTWork Arrangement: OnsiteThe Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings.The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.SFDPH is intentionally evolving toward a department-wide, performance-managed operating model, requiring senior leaders who can set direction, drive execution, and deliver results across a highly complex public health and healthcare environment.Job DescriptionThis position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Director's of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This is a senior executive-level position and will report directly to the Chief Executive Officer/Nursing Home Administrator (NHA). This person will have indirect reporting to the San Francisco Health Network Chief Nursing Officer. This person will lead, guide, and direct the clinical operations of the healthcare facility in accordance with local, state, and federal regulations, industry standards of nursing care, and established facility policies and procedures to provide appropriate care and services to residents. This person will also provide leadership and direction in conjunction with the annual Facility Assessment by developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; maintaining state and federal regulatory compliance; and performs related duties as required. This person will make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas. Every effort has been made to identify the essential function of this position. However, it in no way states or implies that these are the only duties required to be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Specifically, under general direction from the LHH Chief Executive Officer/Nursing Home Administrator (NHA), the Director of Nursing (DON) will: Plan, organize, direct, supervise and evaluate all nursing services provided in the facilityEnsure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programsActively participates in the development of the Facility Assessment and recommends updates as necessaryManage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing serviceReview daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possibleAssist in the development of and oversees the process for care planning for the individual residents including rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual resident care as related to their physical, emotional, spiritual, psychological, and social needs, and assure that the plan is reviewed and modified as necessaryEnsure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basisOversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occurCreates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommitteesMake facility rounds assessing the care of the patients, cleanliness, order and safety of the environment, equipment function, maintenance of a homelike environment and any other observations and report any issues or concerns to the responsible department and/or NHAAssist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and suppliesEvaluate and implement recommendations from established committees as they may pertain to nursing servicesWork closely with the Infection Preventionist to ensure Infection Control practices are implemented and enforced such: as ensuring nursing personnel are following established safety regulations proper PPE use, isolation techniques and proper hand hygieneParticipate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service departmentSupervise and delegate the planning and direct delivery of nursing care, services, treatment procedures and other services that ensure each resident’s needs are met and that the physician’s orders are implementedProvides review, preparation, and defense of budgets related to LHH nursing; maintains responsibility for analyzing the current billing and financial systems that support and sustain LHH nursingInterprets business data for the purpose of identifying patterns, trends, and variances across LHH Nursing OperationsMentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facilityThe Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (0943) performs other duties as assigned and required.QualificationsEDUCATION: Possession of a bachelor’s degree from an accredited college or university ANDLICENSE: Current, valid, unrestricted license as a Registered Nurse in the State of California ANDEXPERIENCE: Four (4) years of verifiable, full-time experience as a Director of Nursing Services or a similar clinical management position, all of which must include supervision of professionalsEDUCATION SUBSTITUTION: Additional qualifying experience as described above may substitute for the required degree on a year-for-year basis up to a maximum of two (2) years. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.One-year fulltime 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 that you work above 40 hours per week are not included in the calculation to determine fulltime employment. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this or future job opportunities. Additional InformationHow to apply:Applications for City and County of San Francisco jobs are only accepted online at careers.sf.gov.Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.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.Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service WorkersReasonable AccommodationRight to WorkCopies of Application DocumentsDiversity StatementIf you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at [email protected] or (628) 271-6828.We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law. 
$243,100 - $310,206 / year
Company DescriptionThe Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening: August 28, 2026Application Deadline: Application filing will close on or after September 11, 2026Salary: 0943 Manager VIII (Range A Salary between $243,100 and $310,206 annually)Appointment Type: Permanent ExemptRecruitment ID: PEX-0943-EXEMPTWork Arrangement: OnsiteThe Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings.The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.SFDPH is intentionally evolving toward a department-wide, performance-managed operating model, requiring senior leaders who can set direction, drive execution, and deliver results across a highly complex public health and healthcare environment.Job DescriptionThis position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Director's of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This is a senior executive-level position and will report directly to the Chief Executive Officer/Nursing Home Administrator (NHA). This person will have indirect reporting to the San Francisco Health Network Chief Nursing Officer. This person will lead, guide, and direct the clinical operations of the healthcare facility in accordance with local, state, and federal regulations, industry standards of nursing care, and established facility policies and procedures to provide appropriate care and services to residents. This person will also provide leadership and direction in conjunction with the annual Facility Assessment by developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; maintaining state and federal regulatory compliance; and performs related duties as required. This person will make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas. Every effort has been made to identify the essential function of this position. However, it in no way states or implies that these are the only duties required to be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Specifically, under general direction from the LHH Chief Executive Officer/Nursing Home Administrator (NHA), the Director of Nursing (DON) will: Plan, organize, direct, supervise and evaluate all nursing services provided in the facilityEnsure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programsActively participates in the development of the Facility Assessment and recommends updates as necessaryManage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing serviceReview daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possibleAssist in the development of and oversees the process for care planning for the individual residents including rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual resident care as related to their physical, emotional, spiritual, psychological, and social needs, and assure that the plan is reviewed and modified as necessaryEnsure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basisOversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occurCreates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommitteesMake facility rounds assessing the care of the patients, cleanliness, order and safety of the environment, equipment function, maintenance of a homelike environment and any other observations and report any issues or concerns to the responsible department and/or NHAAssist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and suppliesEvaluate and implement recommendations from established committees as they may pertain to nursing servicesWork closely with the Infection Preventionist to ensure Infection Control practices are implemented and enforced such: as ensuring nursing personnel are following established safety regulations proper PPE use, isolation techniques and proper hand hygieneParticipate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service departmentSupervise and delegate the planning and direct delivery of nursing care, services, treatment procedures and other services that ensure each resident’s needs are met and that the physician’s orders are implementedProvides review, preparation, and defense of budgets related to LHH nursing; maintains responsibility for analyzing the current billing and financial systems that support and sustain LHH nursingInterprets business data for the purpose of identifying patterns, trends, and variances across LHH Nursing OperationsMentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facilityThe Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (0943) performs other duties as assigned and required.QualificationsEDUCATION: Possession of a bachelor’s degree from an accredited college or university ANDLICENSE: Current, valid, unrestricted license as a Registered Nurse in the State of California ANDEXPERIENCE: Four (4) years of verifiable, full-time experience as a Director of Nursing Services or a similar clinical management position, all of which must include supervision of professionalsEDUCATION SUBSTITUTION: Additional qualifying experience as described above may substitute for the required degree on a year-for-year basis up to a maximum of two (2) years. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.One-year fulltime 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 that you work above 40 hours per week are not included in the calculation to determine fulltime employment. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this or future job opportunities. Additional InformationHow to apply:Applications for City and County of San Francisco jobs are only accepted online at careers.sf.gov.Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.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.Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service WorkersReasonable AccommodationRight to WorkCopies of Application DocumentsDiversity StatementIf you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at [email protected] or (628) 271-6828.We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law. 