Director, Adult and Older Adult System of Care (0933) - Department of Public Health

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 : March 7, 2025 

• Application Deadline : Application filing will close on or after April 14, 2025

• Salary: 0933 Manager V (Range A Salary between $176,878 and $225,758)

• Appointment Type: Permanent Civil Service

• Recruitment ID: PBT-0933-152734

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. 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.

Under the direction of Behavioral Health Services’ Director of Systems of Care, the Director of Adult Older and Older Adults sets the vision and leads the delivery of behavioral health services for adults and older adults. This role oversees mental health and substance use disorder services provided by BHS, Community-Based Organizations (CBOs), and contracted private providers. The Director is responsible for strategic program planning, staff supervision, budget management, fund development, labor relations, and clinical operations, while ensuring collaboration with system partners such as the San Francisco Department of Public Health (SFDPH), CBOs, hospitals, the Mayor’s Office, and other City departments. The Director also plays a key role in coordinating clinical efforts related to Mental Health SF and advancing equitable, high-quality care.

The Director of Adult/Older Adult (A/OA) System of Care performs the following essential job functions:  

• Provides administrative oversight and clinical leadership for all Adult and Older Adult clinical programs and service. 
• Inspires, manages, and develops managers and staff. Monitors performance and coaches staff to reach their highest potential.
• Develops and evaluates policies/procedures to comply with local, state, and local laws and regulations pertaining to mental health and substance use disorder services. Translates regulatory requirements into clinical practice.  Informs policy development by cultivating best practices and lessons learned from providers.
• Collaborates actively with other SFDPH, SF Health Network, Hospital, Ambulatory Care, and BHS leaders. Establishes effective working relationships with members of the community, local, state, and federal agencies. 
• Develops and guides practice improvement approaches within A/OA system of care to promulgate best practices.
• Oversees quality improvement and evaluation activities, collaboration on program effectiveness to foster anti-racist practice, racial justice and behavioral health equity.
• Ensures that A/OA SOC clients receive effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs, practices and preferred language.
• Works in collaboration with the DPH Business Office, Facilities Team to address the operational needs of civil-service programs, including physical plant, equipment, material and supplies.
• Assesses and responds to community needs, provides consultation.
• Directs the gathering/preparation of monthly and annual reports; writes and submits reports.

The Director, Adult and Older Adult System of Care (0933 Manager V) may perform other duties as assigned or required.

Required Minimum Qualifications (all applicants must verify that they meet both elements below):

License: Possession of a valid license in one of the following areas*, AND

• Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Marriage and Family Therapist (LMFT) issued by the California Board of Behavioral Sciences
• Psychologist license issued by the California Board of Psychology
• Doctor of Medicine license issued by the Medical Board of California AND valid Drug Enforcement Administration registration with the United States Department of Justice
• Doctor of Osteopathy license issued by the Osteopathic Medical Board of California AND valid Drug Enforcement Administration registration with the United States Department of Justice

Experience: Five (5) years of professional experience in a behavioral health setting, of which at least three (3) years must include supervising health care professionals

*Applicants possessing a valid equivalent license issued from another state within the United States may apply, but if selected, the candidate will be required to obtain the equivalent license from the appropriate California licensing board within six (6) months of hire date.  A copy of the valid California license must be provided to the supervisor during this period. Failure to show proof of licensure within six (6) months of hire date may result in the dismissal and/or termination of employment. Applicants are encouraged to research and understand all policies and procedures related to transferring a license from their current state to California. Review the information linked below for more information.

• Out-of-State Application for Licensure as a Licensed Clinical Social Worker - California Board of Behavioral Sciences
• Out-of-State Application for Licensure as a Licensed Marriage and Family Therapist
• Out-of-State Application for Licensure as a Licensed Professional Clinical Counselor
• Out-of-State Application for Licensure as a Psychologist - California Board of Psychology
• Application for Physician's and Surgeon's License - Medical Board of California
• Application for Osteopathic Physician and Surgeon's License - Osteopathic Medical Board of California

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).

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

Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Selection Procedures:

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Training and Experience Questionnaire (Weight 100%) After this job ad is unpublished, qualified applicants will receive an online exam link. The exam is designed to measure knowledge, skills, and/or abilities in job-related areas which may include but not be limited to: knowledge of management best practices and principles, ability to direct subordinate managers engaged in diverse activities, ability to establish and maintain relationships with officials, community-based organizations and the public, ability to envision and implement division-wide changes, knowledge of practices to address racial and cultural disparities in behavioral health such as trauma informed care, knowledge of principles, practices and techniques of program planning, development, and evaluation, knowledge of service considerations that target and effectively meet the needs of patients with behavioral health issues, and ability to interpret and evaluate electronic medical records.

The T&E will be emailed to the address listed on the candidate’s online application. Candidates will be required to respond to the T&E in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their T&E responses.

Candidates must achieve a passing score in order to continue in the selection process. Candidates will be placed on the confidential eligible list/score report in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the List.

Eligible List/Score Report:
Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit https://careers.sf.gov/knowledge/process/

The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.

How to apply:

Applications for City and County of San Francisco jobs are only accepted online at careers.sf.gov.

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.

Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.

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.

Terms of Announcement and Appeal Rights:

This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

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. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

Additional information regarding Employment with the City and County of San Francisco: 

• Information about the Hiring Process 

• Conviction History 

• Employee Benefits Overview 

• Equal Employment Opportunity 

• Disaster Service Workers

• Reasonable Accommodation

• Right to Work

• Copies of Application Documents

• Diversity Statement

• Veterans Preference

• Seniority Credit in Promotional Exams

If you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at [email protected] or (628) 271-6828. 

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

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.

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.