City and County of San Francisco

Administrator, SFGH Medical Center (#1164)

$123.61-$150.25 Hourly / $21,426.00-$26,043.00 Monthly / $257,114.00-$312,520.00 Yearly


Under administrative direction, exercises primary responsibility for the efficient operation of a large medical center; plans, implements and directs a hospital-based comprehensive community medical program providing a wide variety of inpatient and ambulatory services; develops, executes and coordinates intra-and interdepartmental policies, methods and procedures; implements and promotes efficient and economical administrative techniques; represents the medical center before various groups, especially those concerned with community needs and issues; and performs relates duties as required.

Distinguishing Features

This single position class has line responsibility under the Director of Health for the efficient operation of all medical and non-medical activities at San Francisco General Hospital Medical Center, which services all sections of the City and is also the major trauma center for the entire City. Appointment to this position is made by the Director of Health.

Examples of Important and Essential Duties

1. Organizes, implements and controls all medical and non-medical activities of the medical center in order to achieve its objectives and insure compliance with the standards set by the Joint Commission on the Accreditation of Hospitals and/or other accreditation or regulatory agencies; appraises and evaluates all operations by maintaining systematic procedures for evaluating the quality of care received at the medical center; reviews, evaluates, interprets, and carries out policies, methods and procedures through subordinate administrators; insures that policies and objectives are clearly understood and effectively applied.

2. Coordinates and integrates all functional phases and activities of the medical center to achieve a multi-disciplinary approach to the delivery of health care services; supervises the medical center personnel and administrative aspects of patient admission, care and discharge including the ambulatory unit.

3. Confers with and is an ex-officio member of the Community Advisory Board and is a member of the San Francisco Medical Center Outpatient Improvement Program Board.

4. Formulates procedures and/or programs for providing health care services that are responsive to the community of San Francisco, especially the ethnic minorities, the indigent and those with special health problems; meets with groups concerned with community issues, appropriate staff and others to assess present and future requirements, trends and problems.

5. Establishes cooperative relationships with the health community, including professional associations, hospitals, clinics, medical centers, government agencies and other health organizations; serves as an ex-officio member of the medical staff Executive Committee which acts in an advisory capacity to the medical center and is a member of other standing medical or advisory committees; authorizes and approves the release of news articles to the press and other media.

6. Exercises general supervision and directs the services provided by the University of California and y other institutions serving the medical center; reviews and accounts for these functions to the Director of Health.

7. Determines that duties and responsibilities, authority, and interrelationships are clearly defined and that the organizational structure is planned to secure efficiency; recommends staffing for each department of the medical center; supervises the physical operations of the medical center buildings and grounds; and gives priorities to necessary capital improvements.

8. Supervises the fiscal administration of the hospital, such as the preparation of the budget, the accounting for all expenditures, the receipt, deposit and optimization of all revenues for inpatient and outpatient care rendered at the medical center, including reimbursement from local State and Federal agencies and private insurance programs.

9. Identifies appropriate grant funds for and coordinates grants from various funding sources to the medical center, complying with grant objectives and departmental and City requirements under the direction of the Director of Health.

Knowledge, Skills and Abilities

Requires comprehensive knowledge of: hospital administration and management, long-range planning techniques, and related problems in urban areas.

Requires unusual ability to: Plan, coordinate and direct the work of subordinates; deal tactfully and effectively with government officials, representatives of community interests, the general public, and others at all levels of government or business activities.

Experience and Training

This position shall be held by either (a) a physician (b) a hospital administrator, preferably possessing a Master's Degree in Hospital Administration or a closely related field.

Requires at least five years of experience as an administrator of a large general teaching hospital; or an equivalent combination of training and experience.

License or Certificate

Requires possession of valid license to practice medicine issued by the State Board of Medical Examiners; however, this is not required if specialization was hospital administration.

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

CLASS: 1164; EST: 1/1/1900; REV: 1/1/1900;