Job Description

ESSENTIAL DUTIES: 

Under the clinical supervision of the Nurse Manager, the Registered Nurse in the Ambulatory Care Nursing specialty serves as a member of a multidisciplinary health care team, which delivers primary and urgent care services to a multicultural, multilingual, diverse client population. Essential functions include:

• Performs timely client/patient telephone advice and triage assessment with clinical competence and judgment for urgent/drop in care;
• Documents appropriately in electronic medical record;
• Uses multiple EMR platforms to gather patient information;
• Responds to emergencies as they occur in a timely fashion with clear delegation to Medical Evaluation Assistant (MEA)/Health Worker (HW) staff and reports to provider staff;
• Performs nursing assessment, implements plan of care and arranges for follow up care for primary care patients, women, adolescents and children;
• Acts as a team leader for different clinics or as Charge Nurse for the Health Center;
• Delegates MEA/HW tasks to enhance patient care and clinic flow, and mentors MEA/HW staff;
• Provides patient education on a variety of topics (e.g. pregnancy counseling, contraception, HIV, diabetes, hypertension, asthma and other specific diagnostic procedures);
• Provides team-based medical management according to defined algorithms for patients with chronic diseases;
• Provides panel management of patient cohorts with abnormal screening results;
• Participates in daily Continuous Quality Improvement (CQI) activities;
• Maintains , manages and monitors tracking list of patients with health care maintenance and chronic care problems;
• Performs initial and continued assessment of client health status, immunization, and TB screening, based on established protocols;
• Administers immunizations (pediatric/children/adult), medications and blood draws consistent with current guidelines and established protocols;
• Provides client care in a manner that is both non-discriminatory and non-judgmental;
• Communicates effectively with the client/patient, clinic staff, the public at large and departmental staff in a non-discriminatory manner;
• Works with other members of the health care team to provide comprehensive primary care services;
• Performs new patient orientation clinic (obtain initial health history, medication reconciliation, care history and update health care maintenance);
• Participates in pre-clinic daily huddle, identifies high needs patients for the clinic session;
• Supervises and trains non-licensed staff working in the clinic (e.g. Medical Evaluation Assistants, Health Workers II and III);
• Covers clinical job duties of non-licensed staff when required by nurse manager; and 
• Performs other related duties as assigned/required.

Qualifications

1. Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License; AND

2A. One (1) year of verifiable experience (EQUIVALENT TO 2,000 HOURS) within the last three (3) years as a Registered Nurse in an acute or urgent care, ambulatory care, or primary care clinical setting; OR

2B. One (1) year of verifiable experience (EQUIVALENT TO 2,000 HOURS) within the last three (3) years as a Registered Nurse in any setting AND documentation of successful completion of a preceptorship program in the Ambulatory Care setting.

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.

*NOTE:  One year 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.

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. Eligibles 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.

AS OF OCTOBER 14, 2016, IN ORDER TO PLACE YOU AT THE APPROPRIATE SALARY STEP YOUR APPLICATION MUST CONTAIN VERIFIABLE RN EMPLOYMENT HISTORY FOR UP TO 21 YEARS. A RESUME CANNOT SUBSTITUTE FOR THE NEED TO FULLY COMPLETE YOUR EMPLOYMENT APPLICATION. INFORMATION REGARDING SALARY PLACEMENT

VERIFICATION OF EXPERIENCE AND EDUCATION - Applicants may be required to submit verification of qualifying education and experience, at any point in the application, examination or departmental selection processes. Verification of 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 service, and signature of the employer. San Francisco City and County employees do not need to submit verification of their City employment, but must submit verification of outside experience. San Francisco City and County 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. For information on how to verify education requirements, please visit HOW TO VERIFY EDUCATION REQUIREMENTS. 

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. • California Registered Nurse (RN) Licenses

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: 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

NOTE: Please be very clear in your application how you meet the Minimum Qualifications of this position. Applications that do not appear to meet the Minimum Qualifications may not move forward in the recruitment process.

Additional Information

APPLICATION DEADLINE -  CONTINUOUS

MINIMUM QUALIFICATION SUPPLEMENTAL QUESTIONNAIRE (MQSQ) (WEIGHT: QUALIFYING): Candidates will be required to submit an MQSQ at any point in the application, examination or departmental selection process.  APPLICANTS MUST ALSO COMPLETE THE PRELIMINARY QUESTIONS.  This MQSQ 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 MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications.  Please provide proof of your licenses, certifications, and Senior Preceptorships, if applicable.

TRAINING AND EXPERIENCE EVALUATION/SUPPLEMENTAL QUESTIONNAIRE (SQ) (WEIGHT: 100%): The SQ will be sent to those qualified candidates who demonstrate to meet the minimum qualifications. Candidates will be required to submit the completed SQ in the time frame indicated and responses on the SQ cannot be changed once submitted. A passing score must be achieved on the SQ in order to be placed/ranked on the Eligible List.  Candidates will be placed in rank order according to their final score on the SQ.  After the confidential eligible list/score report is adopted, the department may administer additional selection procedures to make a final hiring decision. The SQ is designed to measure knowledge, skills and/or abilities in job-related areas that have been identified as critical for satisfactory performance in this position. All relevant experience, education and/or training must be included in the application to be reviewed during the scoring process. The department may administer additional position-specific selection procedures to make final hiring decisions.

CONTINUOUS RECRUITMENT/ELIGIBLE LIST:

The City and County of San Francisco tests continuously for Class 2320 Registered Nurse. Please note that an eligible list is established for each Class 2320 Registered Nurse specialty area. Candidates interested in multiple specialty areas must apply separately to each recruitment.

Any applicant whose application is deemed not qualified may reapply after 3 months upon successfully meeting the minimum qualifications for the given specialty area.

NAMES OF SUCCESSFUL CANDIDATES WILL BE ADDED TO THE EXISTING ELIGIBLE LIST WITH AN ELIGIBILITY PERIOD OF TWELVE (12) MONTHS. CANDIDATES ARE NOT ALLOWED TO REAPPLY DURING THEIR 12-MONTH ELIGIBILITY PERIOD. NAMES ARE REMOVED FROM A CONTINUOUS LIST AT THE END OF THE ELIGIBILITY PERIOD. CANDIDATES DO NOT HAVE THE OPTION TO AUTOMATICALLY EXTEND THEIR ELIGIBILITY. IF YOU WISH TO REAPPLY AFTER YOUR ELIGIBILITY EXPIRES, RETURN TO THE ANNOUNCEMENT FOR THE SPECIALTY AREA THAT YOU ARE INTERESTED IN. PLEASE NOTE, REAPPLYING IS NOT PERMITTED WHILE YOUR NAME IS STILL ON THE ELIGIBLE LIST.

NOTE: Successful candidates will be placed on the eligible list in rank order according to their final score on the Supplemental Questionnaire. This score is valid for twelve (12) months. Although your score will not change during your eligibility period, your rank on the eligible list may change when a new eligible list is established.

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.

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

ELIGIBLE LIST: The eligible list resulting from this examination 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.

All your information will be kept confidential according to EEO guidelines.

TERMS OF ANNOUNCEMENT: The terms of this announcement may be appealed under Civil Service Rule 110.4.  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 http://sfgov.org/civilservice/rules.

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., weakens the seal between 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

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. DIVERSITY STATEMENT

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. MEDICAL EXAMINATION INFORMATION 

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

INFORMATION ABOUT THE HIRING PROCESS CONVICTION HISTORY EMPLOYEE BENEFITS OVERVIEW EQUAL EMPLOYMENT OPPORTUNITY DISASTER SERVICE WORKER ADA ACCOMMODATIONS VETERAN'S PREFERENCE SENIORITY CREDIT IN PROMOTIONAL EXAMINATIONS RIGHT TO WORK COPIES OF APPLICATION DOCUMENTS DIVERSITY STATEMENT

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be vaccinated against COVID-19 as a condition of employment.  For details on how it is applicable to your employment, please click here.

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.