Director of Nursing, Laguna Honda Hospital (0942 Manager VII)

Director of Nursing, Laguna Honda Hospital (0942 Manager VII)

San Francisco Department of Public Health

About the Position

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values diversity in its workforce. All employees work to advance equity, inclusion, and diversity with a focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

• Application Opening: September 3, 2025
• Application Deadline: Application filing will close on or after September 19, 2025
• Salary: 0942 Manager VII (Range A: $207,558 – $264,836 annually)
• Appointment Type: Permanent Exempt
• Recruitment ID: PEX-0942-EXEMPT

Mission

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 multiple divisions – the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration.

Role Description

This position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Directors of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This senior executive-level position reports directly to the Chief Executive Officer/Nursing Home Administrator (NHA) and has indirect reporting to the San Francisco Health Network Chief Nursing Officer. The Director of Nursing will lead, guide, and direct the clinical operations of the 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.

Responsibilities

• 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 participate in the development of the Facility Assessment and recommend 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 oversee the process for care planning for individual residents including rehabilitative and restorative activities, instruction in self‑help aids, and utilization of available therapeutic services (PT, OT, ST), promoting individual resident care related to their physical, emotional, spiritual, psychological, and social needs, and ensuring 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.
• Create a culture of safety through the overall monitoring of compliance and facilitation of the clinical unit‑based QAPI subcommittees.
• Make facility rounds assessing the care of 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 follow 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 physicians’ orders are implemented.
• Provide review, preparation, and defense of budgets related to LHH nursing; maintain responsibility for analyzing the current billing and financial systems that support and sustain LHH nursing.
• Interpret business data to identify patterns, trends, and variances across LHH Nursing Operations.
• Mentor and build training programs that help nursing staff meet goals that improve overall performance, staff engagement, and facility outcomes.

How to Qualify

• 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 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 full‑time employment is equivalent to 2,000 hours (based on a 40‑hour work week). Any overtime hours above 40 hours per week are not included.
• 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. Misrepresentation of this information may disqualify you from this or future job opportunities.

How to Apply

• Applications for City and County of San Francisco jobs are accepted online at careers.sf.gov.
• Our e‑mail communications may come from more than one department; please ensure your email is set to accept messages from all of us at this link.
• Applicants may be contacted by email about this recruitment. 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. Retain this confirmation email for your records. Failure to receive this email means 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

Equal Employment Opportunity Statement

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, 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.

Contact

Steven Scoles – or (628) 271‑6828