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Career Opportunity


Recruitment: RTF0145163-01095469

Published: March 02, 2024


Rashida Taylor -

Apply using SmartRecruiters, the City and County of San Francisco's application portal Learn More

Department: Public Health
Job class: 0933-Manager V
Starting salary range: $171,678.00 - $219,154.00 (Range A)
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Position Based Test
Rule: Rule of the List What does this mean?
List type: Combined Promotive and Entrance


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 – February 21, 2024

  • Application Deadline – The application filing will be open continuously at least through March 07, 2024, and may close any time thereafter.

  • Salary: between $171,678 and $219,154 Annually 

  • Appointment TypePermanent Civil Service

  • Recruitment ID: PBT-0933-145164

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions - the San Francisco Health Network and Population Health. 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. 


Role description

Under the direction of Laguna Honda Hospital (LHH) Nursing Home Administrator and Chief Executive Officer (NHA/CEO) the Chief Documentation Integrity Officer (CDIO) partners with the Directors of Nursing South and North Towers, Assistant Nursing Home Administrators South and North Towers, and Chief Quality Officer in providing the executive managerial and clinical operations and improvement activities for an integrated, high quality resident-centered care delivery in accordance with long term care state and federal regulations and hospital policies.  The CDIO is the most senior executive at LHH for Minimum Data Set (MDS), Resident Assessment Instrument (RAI), Care Planning, Department of Care Coordination (DOCC) oversight and as such as responsibility for the integrity and quality of resident assessments, care plans, Resident Care Coordination (RCC) process, DOCC, revenue generation /Patient Driven Payment Model (PDPM). On a daily basis, the CDIO will make and guide significant decisions that impact resident-centered care, revenue generation, quality assessments, DOCC and care planning, RCC process via new policies, procedures, organizational areas, sustainability and/or services.

The Chief Documentation Integrity Officer (0933 Manager V) performs the following essential job functions:

  1. Supervise all resident assessment tools, documentation, and quality ratings including, but not limited to care plans, MDS, hospice, and post-acute/rehabilitation care; establish standards for MDS data integrity and standard work for the MDS process.
  2. Establish performance criteria to ensure adequate technical skills for MDS staff and ongoing skills evaluation for each MDS Coordinator. Improve the technical skills of the MDS staff and ensure ongoing skills evaluation for each MDS Coordinator.
  3. Evaluate and continuously improve the Resident Care Committee processes and practices Examine the Resident Care Committee, Resident Centered Care Planning, and IDT processes.
  4. Create a standardized process and key performance indicators to ensure hospital-wide data integrity for all nursing units and to provide data for ongoing evaluation and improvement of the MDS and Care Plans.
  5. Develop, ensure implementation, and evaluate a work plan for executing the standardized procedure for admissions, utilization management, maintenance of Star ratings, and revenue capturing.
  6. Coach Nurse Manager and MDS Coordinators to provide training and support for IDT members to improve content & accuracy of resident assessment, PDPM and care plans.

The Chief Documentation Integrity Officer (0933 Manager V) may perform other duties as assigned and required.

How to qualify

Required Minimum Qualifications (all applicants must verify that they meet both elements below):

1. Education: Possession of a bachelor’s degree from an accredited college or university;  

Education substitution: Additional experience as described above may be substituted for the required degree on a year-for-year basis (up to a maximum of two (2) years. One (1) year is equivalent to thirty (30) semester or forty-five (45) quarter units.


2. Experience: Five (5) years of verifiable professional management experience of which at least three (3) years must include supervision of long-term care service operations and documentation, and three (3) years must include supervision of professionals.

Note: One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week). Any overtime hours that were worked above 40 hours per week are not included in the calculation to determine qualifying hours worked.

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

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.

Desired Qualifications:
The stated desirable qualifications listed below may be used to identify job finalists at the end of the selection process after candidates are referred for selection:

  • Possession of a valid current Nursing Home Administrator license issued by the Nursing Home Administrator Program/California Department of Public Health (CDPH)

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 recruitment or future job opportunities. 

Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Supplemental Questionnaire (SQ) Exam (Weight: 100%): Supplemental Questionnaire (SQ) is designed to measure the knowledge, skills, and abilities in supervisory competencies as well as job related areas which may include but not be limited to: planning, monitoring, evaluating and supervising the operations and activities for MDS, Residents Assessment, Care Plans, DOCC in compliance with regulations and Hospital policies for document integrity including developing and maintaining care plan sustainability plan; developing, implementing and maintaining policies and procedures for documentation integrity to ensure compliance with regulations and to provide resident-centered care; developing, implementing, and overseeing performance improvement activities; coaching, leading, supervising, and evaluating subordinates to ensure compliance with regulations; fostering collaboration between care planning and MDS, RCC process and other interdisciplinary department; navigating the EMR system and auditing documentation for compliance, quality and oversight. 

The SQ will be emailed to the address listed on the candidate’s online application. Candidates will be required to respond to the SQ in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their SQ responses. Candidates must achieve a passing score on the SQ in order 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.

What else should I know?

The certification rule for the eligible list resulting from this examination will be the Rule of List.

Eligible List/Score Report:
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit

The duration of the eligible list resulting from this examination process will be six 6 months and may be extended with the approval of the Human Resources Director.

The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. 

To find Departments which use this classification, please see 

How to apply:

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit and begin the application process. 

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 therefore, it is their responsibility to contact the Analyst if they update their email address. 

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.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

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. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

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 analyst, Rashida Taylor at or (628) 271-6875. 

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.

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.