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Career Opportunity

Clinical Nurse Specialist (Emergency Care) - Department of Public Health (2323)

Recruitment: RTF0120304-00903716

Published: July 06, 2022


Emma Perez -

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Department: Public Health
Job class: 2323-Clinical Nurse Specialist
Role type: Permanent Civil Service What does this mean?
Hours: Full-time
Exam type: Class Based Test
Rule: Rule of 10 What does this mean?
List type: Entrance


Work Hours: Part-Time and Full-Time
Shift: Varied. Days, evening, nights, weekends and/or holiday shifts may be required, depending on position.
Compensation: $176,254-$249,444 Annually

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.

A Level I Emergency Department (ED), Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) provides 24-hour comprehensive emergent, urgent and non-urgent care to 65,000 adult and pediatric patients annually. As the only Base Hospital for the City and County of San Francisco, the ED provides all biotelemetry communications, medical control and medical consultation to all pre-hospital care providers in accordance with the City’s Emergency Medical Services Section (EMSS) Guidelines. Additionally, the ED is also approved as a specialty receiving facility for: Burns, Forensics, Obstetrics, Gynecology, Sexual Assault, Psychiatry, Hand Re-implantation, and Pediatric Emergencies.

There are five patient care areas in the Emergency Department. Attending Physicians, Resident Physicians, Nurse Practitioners, Registered Nurses, Medical Evaluation Assistants and Senior Clerks staff the patient care areas. These areas include: Triage, a Resuscitation area (including six trauma/resuscitation rooms and an exam room), Pod A (21 exam rooms, four of which are behavioral health), Pod B (eleven exam rooms, four of which are pediatric rooms), Pod C (19 exam rooms). Nursing care is provided in all patient care areas and is guided by the Emergency Nurses Association‘s Standards of Practice and Core Curriculum.

The list resulting from this recruitment may be used to fill a Clinical Nurse Specialist (Emergency Care) position in the next six months.

Role description

Under general medical and nursing direction performs specialized clinical nursing duties in hospitals, clinics, health centers, and individual homes, as part of a clinical team, manages the nursing care of a selected group of patients; provides education, training, information and consultation services to registered nurses, public health nurses, and others in the area of specialty.

The Clinical Nurse Specialist has responsibility for developing, interpreting, coordinating and implementing new and existing policies, methods and procedures for nursing care in a specialized area; interpreting specific areas of staff and patient need in specialized nursing programs; keeping informed of current practices and trends in the specialty area and incorporating them into practice; working in cooperation with other members of a multidisciplinary health team, making professional contacts with a variety of public and private agencies and with members of the community.  The essential functions include, but are not limited to:

1.  Evaluates individual nursing care needs of selected patients in the area of specialty; determines what types of nursing care would best meet those needs; designs a program of nursing care for each patient and works out practical methods of implementing this care after staff consultation and discussion; participates in the formulation of discharge plans; making provision for any necessary post discharge nursing care.

2.  Provides direct nursing care to individuals or groups of patients where in-depth or specialized nursing care is required; in the psychiatric specialty leads in individual and group therapy sessions.

3.  Gives professional advice and consultation services to registered nurses and public health nurses in specialized nursing care; defines objectives and principles of nursing in the area of specialty and assists nurses in developing their professional skills; may provide clinical supervision and education to professional and non-professional nursing staff.

4.  Participates in formulating standards, policies and procedures for the specialized nursing plan, and relates it to other disciplines within the total treatment program; as well as to other health organizations and to the community.

5.  Facilitates, directs, and in some instances initiates referrals of patients and families to appropriate professional personnel and community resources.

6.  Participates in clinical investigations and studies in the area of nursing specialty.

7.  In public health nursing, is responsible for on-going comprehensive study of needs for nursing and health care services in the community and assists with designing and implementing plans for meeting such needs.

The Clinical Nurse Specialist performs other related duties as assigned/required.

How to qualify

1.   LICENSE: Possession of a valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing; AND

2.   CERTIFICATE: Possession of a Clinical Nurse Specialist (CNS) certification issued by the California Board of Registered Nursing.

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

Special Conditions: The above minimum qualifications reflect special conditions associated with the position(s) to be filled. They may differ from the standard minimum qualifications associated with this classification.  In addition to the listed minimum qualifications and special conditions, some positions may require other special conditions, including but not limited to Bilingual Proficiency in a variety of languages depending upon the department's bilingual needs.  Only those eligible candidates who pass the bilingual proficiency test will be considered for bilingual positions.  Applicants must indicate on the application form the language(s) in which they claim proficiency.

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.

• Two (2) years of Emergency Care experience within the last three (3) years

Verification of Education and Experience: 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.

As of October 14, 2016, in order to place you at the appropriate salary step your application must contain verifiable RN and NP employment history for up to 21 years. A resume cannot substitute for the need to fully complete your employment application.

Information regarding salary placement (see Appointment Above Entrance Rate)

What else should I know?

Minimum Qualification Supplemental Questionnaire (MQSQ) (Weight: Qualifying): Candidates who meet minimum qualifications will be invited via a separate link to complete the MQSQ as part of the online employment application.  This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications for this position. Applicants must also complete the official application. It is essential that applicants provide complete information in identifying their education, experience and training. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications. Please provide proof of your licenses and certifications by uploading them to your application.

Training and Experience Evaluation/Supplemental Questionnaire (SQ) (Weight: 100%): The SQ will be sent to those qualified candidates who demonstrate they meet the minimum qualifications. Candidates will be required to submit the completed SQ in the time frame indicated and responses on the SQ cannot be changed once submitted. A passing score must be achieved on the SQ in order to be placed/ranked on the Eligible List.  Candidates will be placed in rank order according to their final score on the SQ.  After the confidential eligible list/score report is adopted, the department may administer additional selection procedures to make a final hiring decision. The SQ 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. All relevant experience, education and/or training must be included in the application to be reviewed during the scoring process. The department may administer additional position-specific selection procedures to make final hiring decisions.

Eligible List Duration: The list resulting from this examination process will be 6 months.
Certification Rule for the eligible list resulting from this examination will be Rule of Ten Scores.

Terms of Announcement: The terms of this announcement may be appealed under Civil Service Rule 110.4.  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

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.

Additional Information Regarding Employment with the City and County of San Francisco:

COVID-19 Policies
Personal Protective Equipment (PPE)
Medical Examination Prior to Hiring
Electronic Health Record (EHR)
Other Conditions of Employment and Information
Information About the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Worker
ADA Accommodations
Veteran's Preference
Right to Work
Copies of Application Documents
Diversity Statement

Open Date: 5/12/22
Close Date: 
Applicants are encouraged to file immediately as this recruitment may close at any time.
Pos.# 00903716; CBT-2323-120837


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.