City and County of San Francisco

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City and County of San Francisco

Nurse Manager (2322) - Long Term Care/Geriatric Nursing - Citywide - (H00190)

$200,174 - $291,330 / year
Company Description 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. This is a Citywide Exam posting. Your application to this posting is an application to take a citywide exam. Application Opening : Friday, February 13, 2026 Application Deadline : Application filing will close on or after Wednesday, February 25, 2026. Salary : $200,174 - $291,330 Annually Appointment Type : Permanent Civil Service Recruitment ID : CBT-2322-H00190 San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. 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. Job Description Under general supervision, the Nurse Manager (Long Term Care/Geriatric Nursing) supervises the delivery of patient care at a licensed general acute care/skilled nursing facility with rehabilitation services. ESSENTIAL DUTIES: Directs and manages nursing care on assigned units, operating 24 hours a day, 7 days a week. Assesses, plans, implements, and evaluates care using resident outcomes data. Provides clinical leadership within the institution. Ensures unit compliance with regulatory standards. Represents the Nursing Division in a variety of meetings and committees. Ensures fiscal responsibility in managing resources. Maintains, monitors, and promotes a resident-centered philosophy which supports the autonomy, dignity, and rights of residents and others. The 2322 Nurse Manager (Long Term Care/Geriatric Nursing) may perform other duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications Qualifications MINIMUM QUALIFICATIONS ( Required ): LICENSE : Possession of a valid, including temporary or interim, California Registered Nurse License issued by the Board of Registered Nursing (BRN); AND EDUCATION : Possession of a baccalaureate degree from an accredited college and/or university in Nursing, Nursing Administration, or a closely related field; AND EXPERIENCE : Two (2) years (equivalent to 4,000 hours) of experience as a Registered Nurse in a long-term care, rehabilitation, or acute care hospital, within the last five (5) years . Substitution Two (2) years of additional experience as an Assistant Nurse Manager/Charge Nurse in a long-term care facility, licensed home health agency or other hospital setting may be substituted for the educational requirement. One (1) year (2,000 hours) of work experience is equivalent to 30 Semester Credits or 45 Quarter Credits. Please note that some Nurse Manager positions may have the following SPECIAL CONDITIONS: Must possess and maintain a Resident Assessment Coordinator- Certification Training (RAC-CT) certification. For more information on RAC-CT, click here . Spanish Fluency SPECIAL CONDITION: 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. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 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). VERIFICATION OF EDUCATION AND EXPERIENCE: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . 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. Spanish Additional Information Selection Procedures : After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. Training & Experience Evaluation: (Weight: 100%) The Training & Experience Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of: Nursing process, principles and practices and their relation to the promotion of wellness and the prevention and treatment of illness and injury; body substance precautions and infection control practices; the designated specialty; budgeting principles; supervisory and administrative practices; clinical systems; research methods; and program planning and evaluation. Ability and Skill to: Effectively plan, organize, assign, supervise and evaluate work of subordinates; work with interdisciplinary staff; exercise sound judgment and think logically and objectively; instruct and train assigned staff; recommend service improvements; establish an effective working relationship with employee organizations; and communicate effectively; demonstrate sensitivity to ethnically, culturally and socially diverse populations served by the CHN and the Population Health and Prevention Division of the Department of Public Health. Candidates must achieve a passing score on the Training & Experience Evaluation to continue in the selection process and will be placed on the confidential eligible list 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 10 Scores. Eligible List/Score Report : 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. The eligible list/score report resulting from this civil service examination process 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. The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. 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 https://sf.gov/departments/civil-service-commission 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 Worker ADA Accommodation Veterans Preference Seniority Credit in Promotional Exams Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. 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. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. If you have any questions regarding this recruitment or application process, please contact the analyst, Elaine Adams at [email protected] or (628) 271-6974 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.
RN Full-time
City and County of San Francisco

Public Health Nurse (2830) – Citywide – H00192

$172,354 - $230,698 / year
Company Description 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 – February 13, 2026 Application Deadline – Continuous Salary : $172,354 - $230,698 Annually Appointment Type: Permanent Civil Service Recruitment ID: CCT-2830-H00192 San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. 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. START with this ⚠️ REQUIRED ASSESSMENT ✅ at: https://forms.gle/3bi8YGLeXxKt9wDm8 Then , submit an online application SHIFTS: Varied. Days, evening, nights, weekends and/or holiday shifts may be required, depending on position. Location: Varied by program area and location. As of April 25, 2024, in order to place you at the appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on our application. The information that you provide on the application will be used to determine your salary step. For additional information please see paragraph 414 of the collective bargaining agreement. To see a copy of the 1021 MOU click here . Job Description GENERAL JOB DESCRIPTION: Under general supervision, the 2830 Public Health Nurse performs professional nursing duties. Essential duties include but are not limited to all or some of the following: Renders public health nursing services in the field of maternal, child and adult health; conducts home visits for birthing and postpartum people and families; interprets treatment plans and assists clients in understanding; provides health education related to nutritional needs, hygiene and safety measures; guides clients after delivery regarding postpartum and newborn care and explains how to access emergency medical assistance; assesses the health, safety, and development of newborn infants and supports clients within infant care. Renders direct nursing services to vulnerable populations including children, adults, and older adults with disabilities, special health care needs, clients with chronic illness, mental health, and/or substance use disorder; assists priority populations with access to medical care as needed; links/refers cases to appropriate human services, community, and safety net resources; maintains supervision of cases and keeps appropriate records of nursing and other services rendered. Renders nursing services and care in connection with the control of infections and non-infectious diseases; interviews cases and those suspected of active infections in their homes, in the assigned district or at the district health center; interprets medical advice in regard to care and treatment and instructs patients how to assist themselves. Applies concepts of community organization and collective impact strategies when working with communities to meet their health needs. May utilize community engagement and quality improvement strategies to improve health outcomes for clients and communities. Performs case finding in a variety of settings, maintains nursing documentation in the health record, and makes such information available to medical and administrative staff as needed. Provides coordination and facilitation of community health and public health nursing services to assigned clients in accordance with program guidelines. Ensure follow up assessment and linkage to services from programs. Conducts comprehensive health, psychosocial, educational, and environmental assessments/screenings in the home, within and outside San Francisco City and County. Provides care coordination of complex medical and health needs of these population including accessing and coordinating services identified in the individualized service plan. Prepares and maintains individual client records in individual charts; uses required forms for referrals, consents, and narrative and statistical records; prepares various statistical information and reports related to client outcomes. Assists with health promotion/risk reduction intervention and provides health education, screening, advocacy, and counseling for clients of all ages, including children and adolescents from marginalized populations. Utilizes harm reduction principles in education and interventions. Utilizes a race equity framework and lens to address health and racial inequities in populations served by the Department of Public Health. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/ Qualifications Minimum Qualifications (Required) LICENSE : Possession of a valid permanent/temporary California license as a Registered Nurse issued by the California Board of Registered Nursing; AND CERTIFICATE: Possession of a valid Public Health Nurse Certificate issued by the California State Department of Health; AND EXPERIENCE : One (1) year (equivalent to 2,000 hours*) of verifiable experience as a Registered Nurse in an acute hospital, primary care facility, home health agency, and/or public health agency within the last five (5) years; AND LICENSE* : Possession of a valid current California Driver’s License issued by the California Department of Motor Vehicles. (Possession of a valid California Driver’s License is required at the time of appointment.) Please provide proof of your licenses and certifications by uploading them to your application. Note on 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). SPECIAL CONDITIONS: Special conditions associated with the position(s) to be filled may differ from the standard minimum qualifications associated with this classification. Examples of possible special conditions include Pediatrics Experience and Bilingual Proficiency. Positions with bilingual special conditions can only be filed by eligible candidates who pass the bilingual proficiency assessment. Applicants should indicate the language(s) in which they claim proficiency and must clearly indicate work experience in the application. Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . 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. *Applicants without a valid California Driver License may apply and participate in the selection process but will have to obtain the license prior to appointment. Additional Information After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. Training and Experience Evaluation: (Weight: 100%) The Training and Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of: Modern nursing techniques and principles of public health nursing; community resources available to persons in need of health services; epidemiological principles; public health concepts; case management; socio-behavioral concepts; effects of illness on individuals and on home environmental conditions; mechanical, chemical and biological effects of substances on the health of individuals, families, and communities. Ability to: Work with the general public; plan, organize and execute public health nursing routines on own initiative and responsibility; apply time management practices; communicate effectively orally and in writing; and prepare and maintain related professional and technical reports and case histories. Candidates will be required to respond to the training and experience evaluation must submit the completed questionnaire as directed to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their responses. Candidates must achieve a passing score on the training and experience evaluation to continue in the selection process and will be placed on the confidential eligible list 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 List. Eligible List/Score Report : 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. The eligible list/score report resulting from this civil service examination process 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. Candidate names will remain on the list for a maximum period of 12 months . Candidates that are not selected and expire off the list may re-apply. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. 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 https://sf.gov/departments/civil-service-commission 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 Worker ADA Accommodation Veterans Preference Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. 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. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. Your application will be active for the duration of the eligible period listed above. You do not need to reapply during this period. If you have any questions regarding this recruitment or application process, please contact the analyst, Katrina Navarro at [email protected] or (628) 271- 6717. 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.
City and County of San Francisco

Nurse Manager, Whole Person Integrated Care (2322) - Citywide – H00191

$200,174 - $291,330 / year
Company Description 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 This is a Citywide Exam posting. Your application to this posting is an application to take a citywide exam. Application Opening: Friday, February 13, 2026 Application Deadline: Application filing will close on or after Tuesday, February 24, 2026. Salary: $200,174 - $291,330 Annually Appointment Type: Permanent Civil Service Recruitment ID: CBT-2322-H00191 San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. 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. The Department of Public Health’s Whole Person Integrated Care (WPIC) is accepting applications for a full-time position in class 2322 Nurse Manager. START with this ⚠ Minimum Qualifications Supplemental Questionnaire ✅ Then, submit an online application Job Description Under the supervision of the WPIC Director of Nursing, the Nurse Manager supervises the delivery and evaluation of nursing care of medically and psycho-socially vulnerable clients who are experiencing homelessness, staying in shelters or living in supportive housing sites. The Nurse Manager oversees the teams responsible for assessment, care plan development and coordination of care for some of the city’s most complex clients. The program goal is to stabilize clients wherever they are living, prevent hospital admission and advocate for/refer clients to the appropriate level of care. The Nurse Manager coordinates all nursing support services to ensure the health and safety of clients. The Nurse Manager will work closely with other WPIC program nurse managers. The Nurse Manager performs the following essential job functions: Assesses, plans, implements, and evaluates care using patient outcomes data Collaborates managing common health care problems present in homeless populations and develops innovative interventions and models to improve care of high risk/high vulnerability individuals experiencing homelessness. Leads or participates in WPIC clinical case conferences, other case conferences, meetings, nursing staff meetings and administrative / management meetings Participates in quality improvement efforts such as conducting quality control (QC) activities, evaluating critical incidents/unusual occurrences/patient safety issues, and overseeing an overall quality assurance program Coordinates hiring, provides supervision, coordinates assignments/scheduling, and completes performance appraisals for a multi-level and multi-cultural staff of registered nurses, licensed vocational nurses, health workers and public health aides Develops, maintains, and updates nursing and infection control and hazardous waste policies, procedures, and standards to maintain compliance Develops and maintains emergency response plan and coordinates dissemination of plan to program staff Ensures that all occupational injuries and illnesses are reported per departmental protocol Maintains occupational health program for the screening of clinic employees for select communicable diseases and compliance of Departmental and Division program Maintains systems for ordering and inventory as well as for receiving and responding to patient complaints Participates and collaborates with members of the administrative team to develop systems that facilitate safe, efficient, comprehensive and client-centered care Serves as liaison between RESTORE program and nursing leadership within SFDPH / SFHN Ambulatory Care The 2322 Nurse Manager also performs other related duties as required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/ Qualifications Minimum Qualifications Possession of a valid California Registered Nurse License; AND Possession of a baccalaureate degree from an accredited college and/or university in Nursing, Nursing Administration, or a closely related field; AND Whole Person Integrated Care (WPIC) Specialty: Two (2) years (equivalent to 4,000 hours) of Registered Nurse experience working with individuals experiencing homelessness, substance use disorder, or co-existing psychiatric conditions. Substitution Up to two years of additional experience as a Registered Nurse working with individuals experiencing homelessness, substance use disorder, or co-existing psychiatric conditions may be substituted for the required degree on a year-for-year basis. Thirty (30) semester or forty-five (45) quarter units equal one year.- Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 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). DESIRABLE QUALIFICATIONS: The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring. Clinical experience in Homeless Healthcare Knowledge of MOUD/MAT for people with opioid use disorder Experience in supervising a large multi-disciplinary clinical team/staff Sensitivity to a multi-cultural, multi-diagnosed, diverse, urban patient population Ability to work well with diverse staff, collaborators, and patients including cultural, language, sexual identity, gender and other diversity considerations Has prior training and/or direct work or community service experience in anti-racism, racial justice, and/or racial equity initiatives and/or projects. Sensitivity to and experience working with LGBTQ and gender non-confirming individuals Individuals who have lived experience with Black/African American populations Experience in supervising nursing staff and developing and enforcing operational procedures Strong clinical skills Ability to work as part of a team, prioritize and handle multiple tasks and to work independently in a high-pressure environment Excellent oral and written communication skills Excellent problem-solving skills. High level of accountability, with the ability to work independently Excellent attendance record Previous experience or training in harm reduction Previous experience or training in street outreach and healthcare for homeless people Experience with patient data collection, patient documentation and healthcare quality management Knowledge of management theories/principles; systems and change theories; conflict resolution and customer service skills Ability to conduct chart audits and investigations, critically analyze adverse outcomes and ascertain/write action plans VERIFICATION OF EDUCATION AND EXPERIENCE: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . 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. Additional Information Selection Procedures: After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following. Minimum Qualification Supplemental Questionnaire (MQSQ): Candidates will be required to complete an MQSQ as part of the employment application. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications. Training and Experience Exam: (Weight: 100%) The Training and Experience Exam is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of nursing theory and practice; Ability to plan, organize, coordinate and evaluate nursing activities, Knowledge of problem solving process, Ability to supervise, Ability to communicate effectively Candidates must achieve a passing score on the Training and Experience exam to continue in the selection process and will be placed on the confidential eligible list 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 Ten Scores . Eligible List/Score Report: 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. The eligible list/score report resulting from this civil service examination process 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. The duration of the eligible list resulting from this examination process will be of six months and may be extended with the approval of the Human Resources Director. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. 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 https://sf.gov/departments/civil-service-commission 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 Worker ADA Accommodation Veterans Preference Seniority Credit in Promotional Exams Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. 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. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. If you have any questions regarding this recruitment or application process, please contact the analyst, Stephen Lee at [email protected] or (628) 271-6838. 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.
RN Pediatric Full-time
City and County of San Francisco

Pediatrics Clinical Nurse Specialist (2323) - Department of Public Health

$213,590 - $308,074 / year
Company Description 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 – Friday, January 9, 2026 Application Deadline – The application filing will be open continuously at least through Friday, March 6th, 2026 and will close any time thereafter. Salary : $213,590 - $308,074 Annually Appointment Type : Permanent Civil Service Recruitment ID : CBT-2323-H00184 San Francisco is a vibrant and dynamic city, on the forefront of economic growth & innovation, urban development, arts & entertainment, as well as social issues & change. This rich tapestry of culture and ideas is sustained by our City's commitment to heighten the quality of life for the diverse population of San Franciscans and residents of the greater Bay Area. Our employees play an important role not only in making our City what it is today, but also in shaping the future of San Francisco. 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. Job Description Under general medical and nursing direction, you will perform pediatric clinical nursing duties in hospitals, clinics, and community health centers. As a core member of a multidisciplinary clinical team, you will manage complex pediatric patient care from birth to age 17. You will provide consultation, education, and advanced practice support to registered nurses, public health nurses, and other clinical staff to enhance care quality, safety, and outcomes for pediatric populations. ­ 1. Evaluates individual nursing care needs of selected patients in the area of specialty; determines what types of nursing care would best meet those needs; designs a program of nursing care for each patient and works out practical methods of implementing this care after staff consultation and discussion; participates in the formulation of discharge plans; making provision for any necessary post discharge nursing care. 2. Provides direct nursing care to individuals or groups of patients where in-depth or specialized nursing care is required; in the psychiatric specialty leads in individual and group therapy sessions. 3. Gives professional advice and consultation services to registered nurses and public health nurses in specialized nursing care; defines objectives and principles of nursing in the area of specialty and assists nurses in developing their professional skills; may provide clinical supervision and education to professional and non-professional nursing staff. 4. Participates in formulating standards, policies and procedures for the specialized nursing plan, and relates it to other disciplines within the total treatment program; as well as to other health organizations and to the community. 5. Facilitates, directs, and in some instances initiates referrals of patients and families to appropriate professional personnel and community resources. 6. Participates in clinical investigations and studies in the area of nursing specialty. 7. In public health nursing, is responsible for on-going comprehensive study of needs for nursing and health care services in the community and assists with designing and implementing plans for meeting such needs.+ Please note that incumbents in this classification may be required to perform duties as listed in the class specification, which can be found on DHR’s website: https://careers.sf.gov/classifications/ Qualifications Minimum Qualifications Education: Possession of a master’s degree in nursing from an accredited college or university; AND License and Certification: Registered Nurse License: Possession of a valid California Registered Nurse (RN) license issued by the California Board of Registered Nursing*; AND Clinical Nurse Specialist Certificate: Possession of a valid Clinical Nurse Specialist (CNS) certificate issued by the California Board of Registered Nursing**. *Note: Applicants who meet all other qualifications and possess an active Registered Nurse license from another state may apply and participate in the selection process but must obtain a valid California Registered Nurse (RN) license prior to appointment. **Note : Applicants who meet all other qualifications and have completed all requirements to obtain the Clinical Nurse Specialist Certificate may apply and participate in the selection process but will need to obtain the CNS Certification prior to appointment. Information on Licensure by Endorsement An out-of-state registered nurse is an RN who holds a current, active license issued by another U.S. state, territory, or Canada and seeks licensure in California. These applicants may obtain a California Registered Nurse license through the endorsement process administered by the California Board of Registered Nursing (BRN). Licensure by endorsement allows qualified nurses to practice in California after meeting BRN education, examination, and background requirements. Licensure by Endorsement Information on the Clinical Nurse Specialist Certification: The clinical nurse specialist is a BRN certified RN who is an advanced practice nurse providing expert clinical practice, research, education, consultation and clinical leadership with an identified patient population. The scope of clinical nurse specialist practice includes patients, nursing personnel and organization systems. Clinical nurse specialists work in direct patient care and indirect patient care activities that affect a broad range of patients. There are three methods to qualify for certification as a clinical nurse specialist with the BRN. General reporting of prior disciplines are required for all methods. Click to open the Clinical Nurse Specialist application instructions. Application instructions also include associated forms that may be attached to online application as needed. Apply Online DESIRABLE QUALIFICATIONS: Two (2) years work experience in pediatric bed side nursing Two (2) years of experience within the last three (3) years in an acute care Pediatric ICU or Pediatric ED Possesses a certificate in Pediatric Advance Life Support (PALS) The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). VERIFICATION OF EDUCATION AND EXPERIENCE: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . 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. Additional Information 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 Evaluation : (Weight: 100%): Candidates that meet the minimum qualifications will be invited to participate in a Training and Experience Evaluation that is designed to measure the knowledge, skills, and abilities in job related areas including, but not limited to: Ability to Understand the impact of social-psychological stress on individuals and communities Work as part of a multidisciplinary health team Inform and motivate other members of such a team Design and implement new or revised nursing techniques as required to meet specific needs encountered in nursing practice Continue to seek professional development and to assist other members of the team in developing their own professional skills in the area of specialty 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 Ten Scores. Eligible List/Score Report : 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. The eligible list/score report resulting from this civil service examination process 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. The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments. Terms of Announcement and Appeal Rights: 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. [Note: The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at https://careers.sf.gov/ .] The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. 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 https://sf.gov/departments/civil-service-commission 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 Worker ADA Accommodation Veterans Preference Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. 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. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. If you have any questions regarding this recruitment or application process, please contact the analyst, Katrina Navarro at [email protected] or (628) 271-6717 . 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.
CRNA Full-time
City and County of San Francisco

Certified Registered Nurse Anesthetist CRNA (2330) - Department of Public Health

$281,190 - $405,314 / year
Company Description 2/23/2026 - Minor revision. Previous applicants need not reapply. 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. This is a Position-Based Test conducted in accordance with CSC Rule 111A . Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/ Application Opening – February 9, 2026 Application Deadline – Application filing will close on or after February 16, 2026 Annual Compensation : $281,190 - $405,314 Appointment Type : Permanent Civil Service Recruitment ID : TBD Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose. 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. The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. ✅ START with this Required Evaluation forms.gle/hJw4XKNGzP8GPXkX6 ✅ Then , submit an online application Job Description Under general supervision, administers various types of anesthesia to render patients insensitive to pain during operations, deliveries and other therapeutic and diagnostic measures; observes anesthetized patients for adverse reactions and takes remedial action; maintains records of anesthesia administered and condition of patient prior to and throughout anesthesia; and performs related duties as required. The Certified Registered Nurse Anesthetist (CRNA) requires responsibility for: carrying out established methods and procedures in administering anesthetics; achieving moderate economies and/or preventing moderate losses through efficient handling of equipment, materials and supplies; making responsible contacts with physicians, surgeons and nursing staff on specialized matters; preparing detailed medical and technical records relative to anesthetics administered and patients reactions. Nature of work involves sustained physical effort and manual dexterity with some exposure to health and accident hazards and disagreeable elements. Essential Duties Administers various types of anesthetics by inhalation, intravenous injection, epidural, spinal and block methods. Checks anesthesia machines to assure proper working order; checks resuscitation equipment. Assembles and maintains sterility of appropriate anesthesia equipment and administers medication to patients under anesthesia. When patient arrives in surgery: checks patient; evaluates pre-operative condition; makes entries in anesthesia record log; administers various drugs and administers oxygen as necessary for each particular operation; gives blood transfusion when clinically appropriate; monitors patient per American Society of Anesthesiologists (ASA) standards; discontinues anesthesia at conclusion of operation. Accompanies patient to recovery room and reports condition to receiving nurse. Maintains an accurate anesthesia narcotic record. The 2330 Certified Registered Nurse Anesthetist (CRNA) performs other related duties as assigned. Qualifications Minimum Qualifications LICENSE: Possession of a valid permanent/temporary (including interim permit) California Registered Nurse License; AND CERTIFICATION: Valid Certification as a Registered Nurse Anesthetist. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. Verification of Education and Experience Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . 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. Additional Information 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 Evaluation (Weight: 100%) The Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: surgical nursing principles and procedures, including various types and methods of administering anesthesia; standard operating room methods, equipment and procedures; anesthesia equipment, instruments and drugs used in various types of surgery. Candidates must achieve a passing score on the Evaluation to continue in the selection process and will be placed on the confidential eligible list 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 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. The eligible list/score report resulting from this civil service examination process 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. The duration of the eligible list resulting from this examination process will be of 6 months and may be extended with the approval of the Human Resources Director. To find Departments that use this classification, please see the city’s Position Counts by Job Codes and Departments . Terms of Announcement and Appeal Rights: 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 Worker ADA Accommodation Veterans Preference Right to Work Copies of Application Documents Diversity Statement Where to Apply All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. 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. Computers are available for the public (9:00 a.m. to 4:00 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 and at the City Career Center at City Hall , 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from [email protected] 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. If you have any questions regarding this recruitment or application process, please contact the analyst, [email protected] (628) 271-6704. 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.
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