2588 Health Worker IV

Recruitment #CBT-2588-903073


The San Francisco Department of Public Health (DPH) is accepting applications in class 2588 Health Worker IV. The eligible list resulting from this Class Based Test (CBT) announcement will be used to fill future vacancies in this class at various locations. Position locations may include, but are not limited to the following: Zuckerberg San Francisco General Hospital (ZSFG), Laguna Honda Hospital (LHH), various clinics within DPH, the Unified School District (USD), and the Department of Homelessness and Supportive Housing (HOM).


Shift: Varies depending on position. Days, evenings, nights, weekends, and/or holiday shifts may be required.


Job Description:

Under general supervision, the 2588 Health Worker IV, supervises, coordinates, and instructs a staff of paraprofessional workers in a service program; participates in organizing and directing in-service training activities for Health Workers; provides administrative supervision for Health Workers and assists in planning for their most effective use in the assigned program; and provides community oriented direct and indirect services. The essential functions include:


  • Plans, directs, and coordinates the educational, recreational, therapeutic and work projects of the program participants as directed by professional-staff;
  • Supervises and trains lower classification of paraprofessional personnel in the skills required for successful performance of their assigned duties;
  • Assists in preparation of in-service training materials;
  • Provides liaison with Team Leaders regarding function and performance of Health Workers 1, 2, and 3;
  • Meets with representative of the local community and professional and social agencies to inform them of the scope of available treatment programs and to elicit their cooperation and support;
  • Provides community education services;
  • Assists in planning and execution of programs and operations, research projects, and reports, as directed;
  • Evaluates data and suggests programs in the preventive areas of social and health adjustments;
  • May interview and screen program clients, identifying general client condition;
  • Performs crisis intervention activities under professional direction;
  • Provides broad social counseling activities and assists in group therapy sessions;
  • When assigned to a specialized activity program, is responsible for supervising the program on specified wards or units and/or assisting the director of the program; and
  • May supervise a specific health or rehabilitation program.

The 2588 Health Worker IV performs other duties as assigned/required.


Working Conditions: Some positions may require employees to work directly with individuals within locked jails and psychiatric facilities, the homeless population, and individuals who have or are carriers of infectious/communicable diseases. Some positions may also require exposure to inclement weather conditions and/or heavy lifting.

Minimum Qualifications

Three (3) years of verifiable experience within the last five (5) years, performing a combination of at least two (2) of the following duties: Serving as a liaison between targeted communities and healthcare agencies; providing culturally appropriate health education /information and outreach to targeted populations; providing referral and follow up services or otherwise coordinating care; providing informal counseling, social support and advocacy to targeted populations; escorting and transporting clients; providing courier/dispatcher functions; performing pre-clinical examinations of vital statistics, such as measuring a patient’s weight, height, temperature and blood pressure.

Substitution:  Possession of a Community Health Worker Certificate from City College of San Francisco can substitute for six (6) months of experience.

One year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40 hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine full-time employment.


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


Special Conditions: Some position(s) will require applicants to possess the following special conditions, which include but is not limited to:


  • Bilingual fluency in a variety of languages depending upon the department's bilingual needs
  • Mental Health Programs work experience
  • Activity Therapist work experience
  • HIV, AIDS, and Sexually Transmitted Disease work experience

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/index.aspx?page=456

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


In line with the Official Public Health Order to slow the spread of COVID-19, “shelter-in-place” has been issued for all San Francisco residents that is expected to be in effect until further notice.  As a result, Department of Human Resources (DHR)’s office (located at 1 South Van Ness Avenue, 4th Floor, San Francisco, CA 94103) is currently closed to the general public. If you have any questions, please feel free to email the Human Resources Analyst listed on this announcement.


Applicants will 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 and supplemental questionnaire by the filing deadline. Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications. Please be sure to update your application prior to submission.


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

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Juliette Soto, by telephone at (415)554-2915, or by email at Juliette.Soto@sfdph.org

Selection Procedures

Candidates will be prompted to complete a Supplemental Questionnaire as part of the online employment application. This Minimum Qualification Supplemental Questionnaire 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 Minimum Qualification Supplemental Questionnaire will be used to evaluate if the applicant possesses the required minimum qualifications.


Written Examination (Weight – 100%)

Candidates who meet the minimum qualifications will be administered a written multiple-choice test designed to measure knowledge, skills and/or abilities in job-related areas, which may include but is not limited to:


  • Ability to establish and maintain effective relationships with others of various ethnic,cultural and socio-economic backgrounds.
  • Ability to work in a culturally diverse setting with clients who are disabled, physically and chronically ill and/or who may have behavioral health issues;
  • Ability to apply de-escalation and informal counseling techniques when dealing with patients/clients;
  • Ability to interview patients/clients to evaluate their capabilities, needs, interests;
  • Ability to read, comprehend and interpret information to communicate in a clear and concise manner;
  • Ability to provide culturally appropriate educational information about health programs, social services and other resources to patients/clients;
  • Ability to plan, direct and coordinate educational, recreational, therapeutic and work projects of participants and schedule patient/client appointments;
  • Knowledge of and ability to interpret and apply office policies, laws, regulations (e.g.HIPPA) and procedures in a medical setting;
  •  Ability to use office equipment and computer systems/software programs;
  • Ability to supervise and oversee the work of staff, and specific health programs;
  • Ability to provide constructive feedback on work performance;
  • Ability to communicate, compose and organize written information;
  • Knowledge of and ability to evaluate data and information to make effective decisions.

Candidates must obtain a passing score in order to continue in the selection process and will be placed on the eligible list/score report in rank order according to their written examination score. This is a standardized examination; therefore, test questions and test answers are not available for public inspection or review.


The Multiple-Choice Test Preparation Manual, designed to provide tips and guidance on how to prepare and take multiple-choice examinations, can be obtained at: https://www.sfdhr.org/sites/default/files/FileCenter/Documents/18426-Multiple%20Choice%20Test%20Prep%20Manual.pdf


Language Proficiency Exam

For positions requiring bilingual fluency, candidates who meet the special language condition must pass a departmentally approved language proficiency exam prior to appointment. 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.


Eligible List/Score Report:

A confidential eligible list of applicant names that have passed the civil service examination process will be created, and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission.


The duration of the eligible list resulting from this examination process will be of 12 months, and may be extended with the approval of the Human Resources Director.


To find Departments which use this classification, please see https://sfdhr.org/sites/default/files/documents/ASO-Level-Chart.pdf?documentID=21246.


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

Conviction History

As a selected candidate 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 selected candidate. 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 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 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 a selected candidate, 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.


1. Licensure/Certification/Registration: 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.


2. Note on ICARE: Willingness to uphold/abide by ZSFG’s ICARE (I-Introduce, C-Connect, A-Ask, R-Respond, E-Exit) philosophy for employee and patient interactions.



3. 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.


4. 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.


5. 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.

6. 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at www.jobaps.com/sf.] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. 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



7. 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.


8. Copies of Application Documents: Applicants should keep copies of all documents submitted, as these will not be returned.


9. 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.


10. Requests: Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: http://sfdhr.org/information-about-hiringprocess#Applicantswithdisabilities


11. Information regarding requests for Veterans Preference can be found at: http://sfdhr.org/information-about-hiring-process#veteranspreference


12. Seniority Credit in Promotional Exams: Information regarding seniority credit can be found at: http://www.sfdhr.org/index.aspx?page=20#senioritycredit







Exam Type: CPE

Issued: January 5, 2021

Carol Isen

Acting Human Resources Director

Department of Human Resources

Recruitment ID Number:



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.

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