0943 Manager VIII - LHH CEO

Recruitment #PEX-0943-098365





Applicants are encouraged to file immediately as this recruitment may close at any time,
but no earlier than November 22, 2019  

Department of Public Health
The mission of the San Francisco Department of Public Health (DPH) is to protect and promote the health and wellness of all San Franciscans.  The San Francisco Health Network (SFHN) is the DPH Integrated Delivery System and maintains operational responsibility for the delivery of primary and specialty outpatient medical and behavioral health, home health, acute rehabilitation, and long term care services. For more information, please visit:  www.sfdph.org

Laguna Honda Hospital and Rehabilitation Center (LHH), a 10 bed general acute care hospital with a distinct part, 765 bed skilled nursing facility, is owned and operated by the City and County of San Francisco (CCSF) and is part of the SFHN and DPH.  On a sprawling and beautifully maintained 62 acre campus, LHH operates both a newly constructed state-of-the art acute care hospital as well as a rehabilitation and skilled nursing complex, complementing numerous historic administration and support services buildings that are more than 100 years old.    

The Position
Reporting to the Director of the San Francisco Health Network, the 0943 Manager VIII - LHH Chief Executive Officer (CEO) will restructure existing and initiate new, high quality health care and administrative processes and programs into a unified system of accountable, transparent, trauma informed, and continuous performance improvement care that optimizes the delivery of safe and compassionate care for LHH residents, family members/surrogate decision makers, and staff.  LHH has an annual operating budget of $400 million and 1,800 FTE’s.  

Under policy direction, the LHH CEO performs the following essential duties:

  • Functions as the top LHH executive and is responsible and held accountable for all functions and activities at LHH; provides leadership and direction in developing new programs and establishing organizational policies, priorities and objectives; directs and coordinates the implementation of program changes; serves as a technical advisor;
  • Oversees, directs, supervises, and monitors the performance of LHH Division Managers of related functional areas; builds, supervises and holds accountable a management structure and a clinical and administrative leadership team for an integrated and accountable delivery system at LHH and within the SFHN;
  • Provides analysis of any existing programmatic, or clinical silos; assures a seamless and innovative continuum of care, delivered at the appropriate venue by providers and staff; ensures that the model of care and operations for the integrated delivery system supports sound clinical and administrative practices, based on documentable outcomes, for the entire DPH/SFHN continuum of care;
  • Provides vision, leadership, and strategic planning to assure that LHH successfully accomplishes its mission; provides executive leadership and serves as liaison to the Director of Health, Health Commission, and other related entities;
  • Administers the hospital to assure compliance with all federal, state, and local regulatory agencies; interprets all applicable laws, ordinances and codes relating to the department; direct research, survey techniques and statistical methods;
  • Maintains ultimate authority for the hospital’s strategic planning and policy development, clinical programs, regulatory compliance, fiscal accountability, labor relations, and managing the logistics of daily operations;
  • Creates, nurtures, and monitors partnerships with other providers, academic and community based institutions, other DPH programs, the City, the State, and critical stakeholders to assure that traditional and to be formed relationships to contribute to the success of LHH; establish and maintain effective working relations with officials, subordinate staff, directors and members of other departments, civic organizations, agencies and the public;
  • Makes decisions which directly impact the entire department and inappropriate decisions may result in an irreversible impact on the health and welfare of the public; makes recommendations and presents them effectively to the Mayor, executive staff and the public; and
  • Represents LHH at all venues, including but not limited to the Health Commission, Board of Supervisors, state and federal agencies, local, state, and national healthcare professional associations, other CCSF departments, various community groups, and to LHH residents and their families.  

The LHH CEO performs other related duties as assigned/required.

Minimum Qualifications

Education and Experience

  1. Possession of a Bachelor’s degree from an accredited college or university;  AND
  2. Five (5) years of healthcare managerial experience in a general acute care hospital, skilled nursing facility, or assisted living facility, all of which must include supervising employees.  

Experience Substitution:  Possession of a Master’s degree from an accredited college or university in Hospital Administration, Nursing, Public Health Administration, or a closely related field may substitute for one (1) year of the required 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.

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

  • Possession of or ability to obtain within 12 months of hire, valid:
    • National Association of Long Term Care Administrator State Board (NAB) licensure;
    • American College of Health Care Administrators (ACHCA) Certified Nursing Home Administrator (CNHA) Certification;
    • American College of Health Care Administrators (ACHCA) Certified Assisted Living Administrator (CALA) Certification; or
    • American College of Health Care Executive (ACHE) Member or Fellow Certification.
  • Knowledge of federal, state and local rules and regulations pertaining to activities and functions of the specific department; and management principles and practices.
  • Experience directing subordinate managers engaged in diverse activities.
  • Experience exercising administrative ingenuity, independent analysis, adaptability and judgment on highly specialized proposals requiring difficult, complicated choices of action.
  • Experience applying the principles and practices of public administration, financial and personnel management.
  • Communicates effectively, orally and in writing.
  • Remains calm and provide guidance to managers in crisis situations.

Compensation and Benefits
The normal annual salary range for the LHH Chief Executive Officer is $187,174 - $238,836. Appointments above this range, up to $276,484 annually based on experience/qualifications, may be considered for a top candidate and require a special approval process.   For additional information about the City's benefits package, please visit: Municipal Executives' Association Benefit Summary  

Other outstanding benefits offered with this position include:

  • Medical, Dental, and Life Insurance; Long-term Disability Plan; Flexible Spending Accounts
  • Municipal Executives Flexible Credits Defined Retirement Plan
  • Deferred Compensation; and Social Security
  • Paid Management Training Program; Wellness Program
  • Vacation/Holiday/Sick Time; and Administrative Leave

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at

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.

Verification of required education typically must be a photocopy of the degree or transcript from an accredited college or university.  

Verification of required work experience typically must be on the employer’s letterhead, and must include the applicant’s name, job title, description of job duties, dates of employment, hours per week, and signature of the employer, supervisor, or appropriate representative. 

City and County of San Francisco (CCSF) employees do not need to submit verification of their City employment, but must submit written verification of outside experience. CCSF employees will not receive credit for experience obtained outside of their classification unless recorded in accordance with the provisions of the Civil Service Rule 110.9.1/111A.11.2.   

Appointment Type
Permanent Exempt.  In accordance with San Francisco Charter Section 10.104, exempt employees serve at the discretion of the appointing authority.  

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 this recruitment or application process, please contact the exam analyst, Yvette Gamble, by telephone at (415) 554-2911 or by email at yvette.gamble@sfpdh.org.

Selection Plan

Departmental Selection Procedures
The department may implement screening mechanisms to assess applicants’ qualifications for this position.  Only applicants most closely meeting the needs of the department will be invited to continue in the selection process.  Applicants meeting the minimum qualifications are not guaranteed advancement through all steps in the selection process.   


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.



Statement on Equity, Diversity, and Inclusion:
At the City and County of San Francisco, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for what they say and do to make San Francisco an inclusive and equitable place to live and work by employing fair and just practices to and for all.  

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

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.  

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 Face Fitting Respirator.  

Medical Examination: 
Prior to appointment, at the Department’s expense, applicants may be required to take a tuberculosis (TB) screening test, 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.

Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at: 

Issued:  October 28, 2019
Micki  Callahan
Human Resources Director
Department of Human Resources
Recruitment ID Number: PEX-0943-098365
DPH/YG/(415) 554-2911  (MCCP #81-045, #01104659)


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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