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Career Opportunity

Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (1165)

Recruitment: RTF0131980-01125218

Published: March 08, 2023


Sherri Suto -

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Department: Public Health
Job class: 1165-Manager, Department of Public Health
Starting salary range: $251,992.00 - $321,620.00 (Range A)
Role type: Permanent Exempt What does this mean?
Hours: Full-time


**Interested applicants are encouraged to apply immediately as this recruitment may close at any time but no sooner than Monday, February 27, 2023.** 

This is a Permanent Exempt (PEX) recruitment conducted in accordance with City Charter Section 10.104 and is exempt from Civil Service. 

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans.    

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. 

DPH statement of Diversity, Equity, and Inclusion  

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the diversity of its workforce. All employees are required to participate in the Department of Public Health's work to advance equity, inclusion, and diversity through:   

  • Commitment to providing exceptional care and services to all residents of the City and County of San Francisco service population, with heightened awareness of responsiveness to racially, ethnically, and culturally diverse members of the service population and the DPH workforce.   

  • Desire and commitment to lead and participate in anti-racism, racial justice, and equity work that improves quality of patient care and employee experiences; along with the commitment and fortitude to drive change in these areas.   

  • Desire to work with, relate to, serve, and support a diverse service population and workforce.   

  • Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.  

Role description

This position functions as the top nursing executive for Laguna Honda Hospital and Rehabilitation Center (LHH) and is 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 facility. 

• Ensure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programs. 

• Actively participates in the development of the Facility Assessment and recommends updates as necessary. 

• Manage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing service. 

• Review daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possible. 

• 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. 

• Ensure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basis. 

• Oversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occur. 

• Creates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommittees. 

• 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. 

• 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. 

• Evaluate and implement recommendations from established committees as they may pertain to nursing services. 

• 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. 

• Participate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service department. 

• 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. 

• Mentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facility. 

• Assume the duties of the NHA in their absence. 

• Perform other duties and responsibilities as directed by the NHA. 

How to qualify

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 

License: Valid permanent/temporary (interim permit okay) California Registered Nurse License.

Experience: Requires at least three years of experience as an administrator of a large general teaching hospital or related organization; three years of complex health care administrative experience or an equivalent combination of training and experience. 

Education: Possession of a Master’s degree from an accredited college or university in Hospital Administration, Nursing, Public Health Administration or a closely related field. 

The most successful applicants will have:

  • Three years of experience as a Director of Nursing in a skilled nursing facility.
  • Certified Director of Nursing furnished by the National Association of Directors of Nursing Administration for Long Term Care.

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. For more information, visit process#verification:~:text=Verification%20of%20Experience%20and/or%20Education    

    What else should I know?

    DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others.  

    Additional information regarding Employment with the City and County of San Francisco:  

    If you have any questions regarding this recruitment or application process, please contact the exam analyst, Beata Chapman via or (628) 271-6701. 
    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. 

    CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

    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.