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Company Description

The 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, 2026
• Application Deadline: Application filing will close on or after September 11, 2026
• Salary: 0943 Manager VIII (Range A Salary between $243,100 and $310,206 annually)
• Appointment Type: Permanent Exempt
• Recruitment ID: PEX-0943-EXEMPT
• Work Arrangement: Onsite

The 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 Description

This 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: 

1. Plan, organize, direct, supervise and evaluate all nursing services provided in the facility
2. Ensure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programs
3. Actively participates in the development of the Facility Assessment and recommends updates as necessary
4. Manage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing service
5. Review daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possible
6. Assist 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 necessary
7. Ensure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basis
8. Oversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occur
9. Creates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommittees
10. Make 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 NHA
11. Assist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies
12. Evaluate and implement recommendations from established committees as they may pertain to nursing services
13. Work 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 hygiene
14. Participate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service department
15. Supervise 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 implemented
16. Provides 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 nursing
17. Interprets business data for the purpose of identifying patterns, trends, and variances across LHH Nursing Operations
18. Mentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facility

The Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (0943) performs other duties as assigned and required.

Qualifications

EDUCATION: Possession of a bachelor’s degree from an accredited college or university AND

LICENSE: Current, valid, unrestricted license as a Registered Nurse in the State of California AND

EXPERIENCE: 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 professionals

EDUCATION 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 Information

How 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 Workers

• Reasonable Accommodation

• Right to Work

• Copies of Application Documents

• Diversity Statement

If you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at steven.scoles@sfdph.org 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.