Nurse Manager Ambulatory Care 2322 Department of Public Health

Job Description

Under general supervision, the Nurse Manager (Ambulatory Care) supervises the delivery and evaluation of nursing care and the care environment in various Ambulatory Care settings.

Essential Duties

The Nurse Manager (Ambulatory Care) performs the following essential job functions:

Directs and manages nursing care on assigned units during unit operating hours;
Assesses, plans, implements and evaluates care using patient outcomes data;
Provides clinical leadership within the institution;
Provides the framework for planning, directing, coordinating, providing, and improving care, treatment and services to respond to community and patient needs and improve health care outcomes;
Demonstrates excellent communication and critical thinking skills to effectively plan and problem-solve; collaborates with the unit-based Interdisciplinary Team;
Ensures unit compliance to regulatory standards, represents nursing and primary care in a variety of meetings and committees;
Maintains, monitors and promotes a patient-centered philosophy which supports the autonomy, dignity and rights of patients and their loved ones; AND
Ensures staff coverage for clinic operations for the unit using OneStaff Staffing Scheduling Systems.

The 2322 Nurse Manager (Ambulatory Care) performs related duties as required.
Qualifications:
Qualifications

REQUIRED MINIMUM QUALIFICATIONS

1. LICENSE : Possession of a valid, including temporary or interim, California Registered Nurse License issued by the Board of Registered Nursing (BRN); AND

2. EDUCATION: Possession of a baccalaureate degree from an accredited college and/or university in Nursing, Nursing Administration or a closely related field; AND

3. EXPERIENCE: Two (2) years (equivalent to 4,000 hours) of experience as a Registered Nurse in a general acute care hospital, ambulatory clinic, or community/public health setting.

SUBSTITUTIONS:

Two (2) years of additional experience as an Assistant Nurse Manager/Charge Nurse in a general acute care hospital (a hospital which provides 24-hour inpatient care, including the following basic services: Medical, Nursing, Surgical, Anesthesia, Laboratory, Radiology, Pharmacy and Dietary Services) may be substituted for the educational requirement.

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

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

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)

DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.

Experience in a leadership-type role as the primary driver in one or more quality improvement projects, or roles such as charge nurse, nurse preceptor, nurse educator, nurse practitioner, or other similar clinic leadership role
Experience working with people experiencing homelessness
Experience in multi-disciplinary settings (including behavioral health and peer staff)
Experience overseeing community/field-based programs
Experience overseeing Medi-Cal programs
Prior training and/or direct work or community service experience in anti-racism, racial justice, and/or racial equity initiatives and/or projects
Sensitivity to and experience working with LGBTQ and gender non-confirming individuals
Lived experience with Black/African American populations
Lived experience is defined as "personal knowledge about the world gained through direct, first-hand involvement in everyday events rather than through representations constructed by other people," (Oxford Reference, 2021), and may include family, friends, neighbors, schools, programs, congregations, and/or community activities.
Clinical experience in Primary Care, and in Urgent Care Center or Emergency Department
Knowledge of recent regulatory and fiscal changes in the healthcare industry
Experience in supervising a large multi-disciplinary clinical team/staff
Sensitivity to a multi-cultural, multi-diagnosed, diverse, urban patient population
Experience in supervising nursing staff and developing and enforcing operational procedures
Strong clinical skills
Excellent computer skills including creating complex spreadsheets and writing complex reports
Experience using an electronic medical record
Experience with patient data collection, patient documentation and healthcare quality management
Knowledge and previous experience working with Joint commission, CMS Validation Surveys, Title 22 and regulatory requirements of HIPAA/ADA/Affirmative Action
Knowledge of management theories/principles; systems and change theories; conflict resolution and customer service skills
Ability to conduct chart audits and investigations, critically and analyze adverse outcomes and ascertain/write action plans
Experience with conducting/leading presentations before peers and upper management groups
Previous experience in an acute, academic/teaching hospital or health center

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.

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. 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. 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.

Additional Information

Certification

The certification rule for the eligible list resulting from this examination will be the Rule of Ten Scores. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

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 6 (six) months and may be extended with the approval of the Human Resources Director.

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: 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.

COVID-19 Policies
Personal Protective Equipment (PPE)
Medical Examination Prior to Hiring
Electronic Health Record (EHR)
Licensure/Certification/Registration
Note on ICARE

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
Veterans Preference
Seniority Credit in Promotional Exams

If you have any questions regarding this recruitment or application process, please contact the analyst, Diane Zhou at or

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.

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