This job posting was amended on 12/2/2022 due to a change in the minimum qualifications. IF YOU ALREADY APPLIED THERE IS NO NEED TO RE-APPLY.*

Application Opening - Thursday, November 10, 2022

Application Closing: Friday, December 9, 2022.**

APPOINTMENT TYPE: Temporary Exempt.  This temporary-exempt position is excluded by the Charter from the competitive Civil Service examination process and shall serve up to a maximum of three (3) years at the discretion of the Appointing Officer.

Compensation Range: $240,448 and $306,878

The San Francisco Department of Public Health is accepting applications for Chief Medical Officer (1165 Deputy Director) at Laguna Honda Hospital.

Laguna Honda Hospital (LHH) seeks a creative and visionary Chief Medical Officer (1165 Deputy Director) with a collaborative work style and a commitment to helping the institution regain Center for Medicare and Medicaid Services (CMS) certification and continue its drive toward data-driven improvement.  The executive leadership team is committed to a resident-centered approach to care that supports the organization’s centers of excellence programs and services for general skilled nursing, memory care/dementia, outpatient, palliative care, positive care, rehabilitation, and respite care.

The Chief Medical Officer (1165 Deputy Director) works with the LHH Chief Executive Officer, Chief Nursing Officer, Chief Quality Officer, SFHN CMO, and other clinical and administrative team leaders to help Laguna Honda become successful in its recertification application, while continuing to move forward in resident-centered improvement opportunities and continue LHH’s tradition of excellence in clinical care. 

ESSENTIAL DUTIES:

Strategic Planning and Executive Leadership:

• Develops LHH patient care programs, including skilled nursing, outpatient, and acute rehab units.  Develops policies and procedures that guide and support the provision of services; assesses and improves the provision of clinical services through the implementation of effective programs to measure quality.
• Participates with LHH Executive Committee colleagues and Dept Directors/Managers in developing and implementing LHH’s current plan of correction and recertification bid.
• Along with other LHH executive leaders, provides strategic vision for LHH’s future state development.
• Develops, administers, and evaluates professional contracts.
• Advises the LHH Chief Executive Officer on matters pertaining to the medical staff; reports on infractions of medical staff bylaws, rules, regulations, hospital policies, and established professional standards.
• Develops, monitors, and manages a budget for each department, including personnel budgeting, equipment, and supplies, in collaboration with the LHH Chief Executive Officer. Provides detailed justification and persuasive arguments for proposals or initiatives. Implements and closely monitors budget expenditures of the operating budget for a major area of responsibility typically including multiple divisions.
• With other LHH executive leadership, responsible for the development, implementation and monitoring of the organization’s strategic planning goals and objectives.
• Monitors the efficiency and effectiveness of the departmental organization structure, staff assignments, service levels and administrative systems; identifies and analyzes opportunities for improvement; implements improvements.
• Directs the allocation of resources to achieve timely outcomes and measurable goals within budget; adjusts plans and programs to meet healthcare reform or other new medical or clinical programs, while continuing to address major medical, clinical and health care l priorities.
• Communicates regularly with network-wide medical, clinical and healthcare executive-level management regarding the LHH’s activities; coordinates LHH efforts with other City departments in addressing the needs of the city; represents the Department before legislative boards, regulatory bodies, other healthcare agencies, and medical, clinical or advisory committees.
• Provides executive management with an early warning and practical options to potential cost overruns.
• May participate in direct patient care/medical or clinical activities as determined by specialty.

Medical Services and Staff Management:

• Selects, supervises, and evaluates medical staff standards of care and practice through Chiefs of Service and in collaboration with the Chief of Staff.
• Develops and enforces standards for the selection, appointment, and retention of medical staff, including maintaining a formal program of continued medical education.
• Monitors the work of and mentors / coaches LHH medical staff to improve performance; participates with medical, clinical, and healthcare leadership to determine appropriate staffing levels, hiring plans, training needs, and staff qualifications and competencies for efficient and effective operations.
• Plans and directs medical staff development and in-service training activities at the facility, division, service, or program; conducts staff meetings and conferences that align with the mission, vision and strategic goals of the organization.
• Appoints the Department Chiefs of Service in the Medical Division and provides oversight in the operation and outcomes of the services.
• Coordinates medical activities with other hospital services and departments; represents Medical Services and Division with representatives of governmental and community agencies.
• Prepares job descriptions for all levels of medical personnel within the changing context of medical service needs.
• Provides support and direction for academic rotations and staff development programs; creates and maintains a learning environment that provides appropriate educational experiences and opportunities.
• Establishes staffing patterns, which provide sufficient and appropriate personnel to deliver safe and therapeutically effective medical care.
• Fosters active collaborative problem solving among medical, nursing, clinical, support, medical records, administrative, and other organization staff.

Quality Management:

• Plans, organizes, and directs the professional and administrative activities of the medical staff; ensures effective delivery of medical services in compliance with applicable Federal, State, and local laws and regulations, including medical staff bylaws, established professional standards, Nursing Care Quality Initiative (NCQI) and Title 22 of the California Administrative Code.
• Provides leadership and strategic vision for the Acute and Skilled Nursing Facility Quality Assurance Performance Improvement (QAPI), Performance Improvement (PIP) and Utilization Review (UM) Programs.
• Provides leadership and oversight for the infrastructure of data collection, analysis, and reporting to support clinical quality outcomes.
• Interprets, develops, and enforces policies in accordance with the California Department of Public Health’s regulatory requirements, Title 22, and other regulations and professional standards.

The Laguna Honda Hospital Chief Medical Officer (1165 Deputy Director) performs other related duties as assigned.

MINIMUM QUALIFICATIONS 
Note: All applicants must show in application documents that they meet all elements of the qualifications listed here.

1. Three (3) years of experience as an administrator of a large general teaching
   hospital or related organization OR three (3) years of complex healthcare
   administrative experience; AND
2. Possession of a valid, unrestricted license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California; AND
3. Possession of valid Board Certification in a medical specialty area; AND
4. Possession of valid Drug Enforcement Agency registration with the United States Department of Justice.

See also: Conditions of Employment in the Additional Information section below.

One (1) year of full-time employment is equivalent to 2,000 hours based on a full-time work schedule. Any overtime hours that you work above forty (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.

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

 DESIRED 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.

•  Masters-level training in an applicable field such as public health or business administration

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 Education
Verification of Experience

Conditions of Employment:  All qualified candidates who have been selected for appointment to positions in billable specialty areas must be an eligible billable provider and where applicable will be required to meet the following criteria:

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

Failure to meet these Conditions of Employment within two (2) weeks PRIOR to start work date may result in the delay of appointment and/or cancellation of employment offer.

Testing: Departments will determine appropriate selection procedures for this position. 

Confidentiality: All personal information will be kept confidential according to EEO guidelines.

Licensure/Certification/Registration: Valid licensure/certification/registration as a requirement to perform this 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.

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.  

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/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.

Equity, Diversity, and Inclusion: All employees are required to participate in the Department of Public Health's work in equity, diversity, and inclusion through:

• Commitment to providing first-class care and service to all members of the DPH service population, with heightened sensitivity and awareness to racial, ethnic, and culturally diverse members of the DPH’s workforce and patient populations.
• Desire and commitment to lead and participate in antiracism, racial justice, and equity work that impacts quality of patient care, and improvements in employee experiences; along with the commitment and fortitude to push and drive change in these areas.
• Desire to work with, relate to, serve, and support a diverse workforce and patient population.
• Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, and sexuality.

Other useful information:

• Conviction History
• Benefits Overview
• Disaster Service Workers
• General Information concerning City and County of San Francisco Employment Policies and Procedures
• Information on requesting a reasonable ADA Accommodation
• Veteran's Preference
• Seniority Credit in Promotional Exams
• Copies of Application Documents
• Right to Work

Exam Analyst
Beata Chapman
[email protected]
628-271-6701
/01153346

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.