2328 Nurse Practitioner (Psychiatric)

Recruitment #TEX-2328-086133


2328 Nurse Practitioner (Psychiatric)


This recruitment may close at any time, but not before November 2, 2018.
Interested applicants are encouraged to apply promptly.


Appointment Type: Temporary Exempt (TEX) – This position is excluded by the Charter from the competitive Civil Service examination process and shall serve at the discretion of the Appointing Officer, and the duration of the position shall not exceed 24 months.


Location: Various locations, psychiatric services will be provided in office settings and outreach settings including streets and parks, shelters and navigation centers, single-room-occupancy (SRO) stabilization rooms and Street Medicine Open Access Clinic at 50 Ivy St., San Francisco, CA


Shift: M-F, 8:00 AM-5:00 PM – Hours may vary, evenings and weekend shifts may be required


Street Medicine and Shelter Health

Street Medicine and Shelter Health is a Whole Person Care model that works collaboratively in small teams to engage and stabilize high risk and high vulnerability homeless individuals and to help prevent harmful effects of homelessness, establish care for chronic conditions and transition patients to effective healthcare.


The Nurse Practitioner-Psychiatric specialty (NP-Psychiatric) is a member of a multidisciplinary team that includes health workers, community peer workers, Registered Nurses, Primary Care Physician, Family Nurse Practitioner and Psychiatrist.  Street Medicine works very closely with the San Francisco Homeless Outreach Team, including social workers, outreach workers, case managers, and other staff. 


The NP-Psychiatric works with the multidisciplinary team to provide transitional healthcare until a patient has stabilized enough to transition to the conventional system of care [primary care and/or a community mental health clinic or Intensive Case Management (ICM) program] or has been placed in a higher level of care.


The NP-Psychiatric is an essential staff member in the Low Barrier to Medications for Addiction Treatment (LBMAT) Program.  This initiative expands access and reduces barriers to people experiencing homelessness with substance use disorders.


The NP-Psychiatric collaborates on special projects including a collaboration involving homeless Psychiatric Emergency Services (PES) high users and other Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) patients, Hummingbird, and the social medicine consult service at ZSFG.


The NP-Psychiatric also works with the team to generate data both experiential and numerical to assist in plans to understand and decrease system barriers to care.


General Job Description:

Under general nursing and medical direction, utilizing standardized procedures, the Nurse Practitioner-Psychiatric functions within an organized system for the delivery of health care in association with other members of the multidisciplinary health care team and performs specialized nurse practitioner duties in clinical settings. The patient population is racially and culturally diverse adults who may have an array of psychiatric, medical and psychosocial issues, including comorbid substance use, homelessness and little or no income.


Essential Duties:

The essential functions include, but are not limited to:


        Provides a range of mental health services and on-going psychiatric care to high risk / high vulnerability people experiencing homelessness, including psychiatric evaluations with medical histories, differential diagnosis, individual and group psychotherapy, clinical case management, urgent care, crisis intervention and psychiatric medication evaluation, management and monitoring;

        Provides addiction psychiatry services including treatment of patients with Medications for Addiction Treatment (MAT) and management of patients with co-occurring disorders;

        Develops innovative interventions and models to improve care of high risk/high vulnerability individuals experiencing homelessness;

        Works collaboratively with psychiatry, nursing, primary care and psychosocial staff to coordinate and integrate multidisciplinary services for clients with complex psychiatric problem, including but not limited to those receiving care at PES, Dore Urgent Care, Joe Healy Detox, Hummingbird, and other frequent partner organizations;

        Provides holistic care for clients with psychiatric illnesses by obtaining health histories that include psychosocial, functional and developmental data, order and interpret lab tests and other diagnostic studies when needed;

        Promotes wellness-oriented self-care, and coordinate with primary and specialized medical care as needed; Acts as Liaison with inpatient and residential care teams working with homeless patients with mental health disorders

        Organizes and facilitates Medication Groups and Wellness Activities as assigned;

        Functions in a team approach, which requires skill and ability to provide cooperative and effective interactions with other staff;

        Provides psychiatric consultation and develops working relationships with other community agencies, collateral persons and others involved with clients served; Serves as team resource in areas where psychiatry and homelessness intersect, including but not limited to assisting with trainings;

        Maintains and compiles electronic clinical records, billing and other necessary paperwork in a timely manner to keep cases in compliance with all administrative regulations; Documents disability for social security in homeless individuals with mental health disorders

        Provides direct supervision to nursing students or other staff as assigned;

        Adheres to standards of practice in accordance with Site-Specific Protocols and Procedures; AND

        Participates in and/or facilitates supervision, attend staff meetings, clinical conferences, including but not limited to Street Medicine and Shelter Health clinical case conferences, assigned committees and other required meetings


The Nurse Practitioner-Psychiatric performs other related duties as assigned/required.


NOTE: The current vacancy is in Street Medicine and Shelter Health.  The qualified applicant pool may be used to fill other positions located at different locations in the next six months.


Minimum Qualifications

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

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

3. LICENSE: Possession of a current medication furnishing license issued by the California Board of Registered Nursing; AND

4. EDUCATION: Possession of a Master's Degree in Nursing (MSN) from an accredited college or university; AND


a.  Specialization as a Psychiatric Mental Health Nurse Practitioner (PMHNP); AND

b.  One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic or mental health center;


6. CERTIFICATION: Possession of national board certification, or eligibility, as a Nurse Practitioner issued by one of the following recognized national certifying body or organization:


        American Academy of Nurse Practitioners (AANP)

PO Box 12926, Austin, TX 78711




        American Nurses Association - American Nurses Credentialing Center (ANCC)

8515 Georgia Avenue, Suite 400, Silver Spring, MD 20910-3492




        Pediatric Nursing Certification Board

800 S. Frederick Ave. Suite 204, Gaithersburg, MD 20877-4152




        National Certification Corporation (NCC) for the Women's Health Care and Neonatal Nursing Specialties

PO Box 11082, Chicago, IL 60611-0082




        American Association of Critical Care Nurses

101 Columbia, Aliso Viejo, CA 92656-4109




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.


Desirable Qualifications:

         Desire to work with high risk/high vulnerability people experiencing homelessness in an inner city setting, who have multiple chronic problems, which may include medical, mental health, substance use and cognitive impairment

         Experience working in and/or developing a trauma-informed care model

         Sensitivity to and experience working with ethnically and culturally diverse individuals, and sexual orientation and gender minorities

         Bilingual in Spanish, Tagalog, or Cantonese/Mandarin

         Previous experience or training in street outreach and homeless healthcare

         Expertise in addiction medicine or addiction psychiatry

         Training on use of buprenorphine and possession of waiver to prescribe

         Knowledge of San Francisco neighborhoods and community resources

         Knowledge of the San Francisco Primary Care provider network

         Knowledge of San Francisco Behavioral Health Care services

         Prior experience with electronic health records, documentation and billing procedures

         Knowledge of the patient population and their complex needs including homelessness, financial instability, medical and psychiatric illnesses, and substance abuse

         Ability to work well with diverse staff and clientele including cultural, language, sexual identity, gender and other diversity considerations within all neighborhoods in San Francisco


The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.


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


Verification of Experience: http://sfdhr.org/getting-job#verification

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process.


Verification of Education: If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at http://sfdhr.org/how-verify-education-requirements


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.

How To Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit www.jobaps.com/sf to register an account (if you have not already done so) and begin the application process.


·         Select the desired job announcement

·         Select “Apply” and read and acknowledge the information

·         Select either “I am a New User” if you have not previously registered, or “I have Registered Previously”

·         Follow instructions on the screen


Computers are available for the public (from 8:00 a.m. to 5:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor, San Francisco.


Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date. Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter. To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com, @sfpl.org, @dcyf.org, @first5sf.org, @famsf.org, @ccsf.edu).


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.


All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.


Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.


If you have any questions regarding the application process, please contact the exam analyst, Emma Perez, by telephone at 415-554-2918 or by email at Emma.Perez@sfdph.org.  


If you have any questions regarding the position, please contact the Hiring Manager, Jeff Simbe at 415-355-7542, or by email at Jeff.Simbe@sfdph.org.

Selection Procedures

Supplemental Questionnaire (Weight: Qualifying):

Candidates will be prompted to complete a Supplemental Questionnaire as part of the online employment application. The Supplemental Questionnaire is a self-report checklist that is designed to evaluate if candidates meet the minimum qualifications for this position.


Applicants meeting the minimum requirements are not guaranteed advancement in the selection process.

Conviction History

As a finalist for a job, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction (or arrest, in limited circumstances) conflicts with the specific duties and responsibilities of the job for which you are a finalist. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances, such as:


·         Candidates applying for positions with the Unified School District and the Community College District may be disqualified from consideration should their conviction history not meet the standards established under the California Education Code.


·         Candidates applying for positions with the Recreation and Park Department may be disqualified from consideration should their conviction history not meet the standards established under California Public Resources Code 5164.


Having a conviction history does not automatically preclude you from a job with the City.


If you are selected as a finalist, the hiring department will contact you to schedule a fingerprinting appointment.

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.



Valid licensure/certification/registration as a requirement to perform the job must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid licensure/certification/registration may result in dismissal and/or termination of employment.


If appointed, eligibles possessing interim permits or temporary Licenses must present full and unrestricted Licenses prior to completion of the probationary period.


• Information regarding California Registered Nurse (RN) Licenses may be obtained from the California Board of Registered Nursing, 400 R Street, Suite 4030, P.O. Box 944210, Sacramento, CA 94244-2100, telephone: (916) 322-3350. Web address: http://www.rn.ca.gov


• Information regarding Nurse Practitioner Licenses may obtained from the California Board of Registered Nurses. Web Address: http://www.rn.ca.gov/regulations/np.shtml/


• Information regarding Nurse Practitioner Furnishing Licenses may be obtained from http://www.rn.ca.gov/pdfs/applicants/npf-app.pdf.


Note on Electronic Health Record (EHR): The Department of Public Health (DPH) is implementing a unified Electronic Health Record (EHR) system and DPH employees must demonstrate competency in the use of the system that is appropriate for their classification as a condition of employment.


Eligible Billable Provider Condition of Employment:

All qualified candidates who are selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet the following criteria:

• Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; AND
• Possess a National Provider Identifier (NPI); AND

• Submit a completed credentialing application and/or required documentation for credentialing; AND
• Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR

• Have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status.


Cardiopulmonary Resuscitation (CPR) Certificate Requirement / Provision:

Possession of a valid Cardiopulmonary Resuscitation (CPR) Certificate issued by the American Heart Association is required as a provision to employment for all positions. Candidates who do not possess such a certification may participate in this examination process and be appointed to a position(s), but will be required to obtain the certificate within two (2) weeks of hire date and maintain validity throughout length of employment. A photocopy of the valid Cardiopulmonary Resuscitation (CPR) Certificate must be provided to the appropriate supervisor of the appointment within the allotted time frame. Failure to demonstrate/show proof of possession of valid certification within two (2) weeks of hire date and throughout length of employment may result in dismissal and/or termination of employment.


Condition of Employment: Highest Educational Achievement

Due to the Clinical Laboratory Improvement Amendment 1988, all applicants who are selected for a position will be required to provide verification of highest level of education achieved. Applicants must meet one of the following conditions:


1. Have earned a doctoral, master's, or bachelor's degree in a chemical, physical, biological or clinical laboratory science (including nursing), or medical technology from an accredited institution; OR

2. Have earned an associate degree in a chemical, physical or biological science (including nursing) or medical laboratory technology from an accredited institution.


Note on Personal Protective Equipment (PPE):

Some positions in the Department of Public Health will require the use of personal protective equipment (PPE), including but not limited to gloves, gowns, eye and face protection, and face-fitting respirators. The requirement for the use of PPE may come on short or no notice. Facial hair or any condition that interferes with a face-fitting respirator’s seal (i.e. comes between the sealing surfaces of the respirator and the wearer’s bare skin) is not permitted when face-fitting respirators are worn, including during initial or periodic respirator fit-testing. Employees who choose not to shave and do not have either American Disabilities Act (ADA) or Equal Employment Opportunity (EEO) Accommodations do not have the right to alternate work assignments or the option of using a loose-fitting Powered Air Purifying Respirator (PAPR) in place of a FaceFitting Respirator.


Condition of Employment (Security Clearance):

Security clearance as issued by the Sheriff’s Department is required as a condition of employment for all positions at the Jail Health Services. Eligibles who have successfully participated in the examination process, received passing scores and have been selected for hire will be required to obtain the security clearance prior to appointment. A photocopy of the security clearance must be provided to the supervisor on or before date of hire. Failure to demonstrate/show proof of security clearance may result in a dismissal and/or termination of employment.


Medical Examination/Drug Testing:

Prior to appointment, at the Department's expense, applicants may be required to take a tuberculosis (TB) screening test, a medical examination and/or drug test.


General Information concerning City and County of San Francisco Employment Policies and Procedures:

Important Employment Information for the City and County of San Francisco can be obtained at http://sfdhr.org/information-about-hiring-process or hard copy at 1 South Van Ness Avenue, 4th Floor.


Copies of Application Documents:

Applicants should keep copies of all documents submitted, as these will not be returned.


Right to Work:

All persons entering the City and County of San Francisco workforce are required to provide verification of authorization to work in the United States.


Information on requesting a reasonable ADA Accommodation: http://www.sfdhr.org/index.aspx?page=20#applicantswithdisabilities




Issued: October 26, 2018

Micki Callahan

Human Resources Director

Department of Human Resources

Recruitment ID Number: TEX-2328-086133

DPH/ EP/ 415-554-2918


All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, ranging from 7.5%-13.25% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

For more information about benefits, please click here.


Powered by JobAps