Director of Nursing, Laguna Honda Hospital (0943 Manager VIII)

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.  Application Opening:   August 28, 2026 Application Deadline:  Application filing will close on or after September 11, 2026 Salary:   0943 Manager VIII  (Range A Salary between $243,100 and $310,206 annually) Appointment Type:   Permanent Exempt Recruitment ID:  PEX-0943-EXEMPT Work Arrangement: Onsite The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings. The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. SFDPH is intentionally evolving toward a department-wide, performance-managed operating model, requiring senior leaders who can set direction, drive execution, and deliver results across a highly complex public health and healthcare environment. This position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Director's of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This is a senior executive-level position and will report directly to the Chief Executive Officer/Nursing Home Administrator (NHA). This person will have indirect reporting to the San Francisco Health Network Chief Nursing Officer. This person will lead, guide, and direct the clinical operations of the healthcare facility in accordance with local, state, and federal regulations, industry standards of nursing care, and established facility policies and procedures to provide appropriate care and services to residents.  This person will also provide leadership and direction in conjunction with the annual Facility Assessment by developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; maintaining state and federal regulatory compliance; and performs related duties as required. This person will make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas. Every effort has been made to identify the essential function of this position. However, it in no way states or implies that these are the only duties required to be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Specifically, under general direction from the LHH Chief Executive Officer/Nursing Home Administrator (NHA), the Director of Nursing (DON) will:  Plan, organize, direct, supervise and evaluate all nursing services provided in the facility Ensure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programs Actively participates in the development of the Facility Assessment and recommends updates as necessary Manage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing service Review daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possible Assist in the development of and oversees the process for care planning for the individual residents including rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual resident care as related to their physical, emotional, spiritual, psychological, and social needs, and assure that the plan is reviewed and modified as necessary Ensure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basis Oversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occur Creates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommittees Make facility rounds assessing the care of the patients, cleanliness, order and safety of the environment, equipment function, maintenance of a homelike environment and any other observations and report any issues or concerns to the responsible department and/or NHA Assist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies Evaluate and implement recommendations from established committees as they may pertain to nursing services Work closely with the Infection Preventionist to ensure Infection Con