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 

  1. Administers various types of anesthetics by inhalation, intravenous injection, epidural, spinal and block methods.  
  2. Checks anesthesia machines to assure proper working order; checks resuscitation equipment.  
  3. Assembles and maintains sterility of appropriate anesthesia equipment and administers medication to patients under anesthesia.  
  4. 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.  
  5. Accompanies patient to recovery room and reports condition to receiving nurse.  
  6. 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: 

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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Experience, Knowledge, Skills and Abilities - The CRNA must show evidence of analytic thinking necessary to care for a group of patients. - Must demonstrate observational skills and the ability to set priorities. - Must be able to function under stress with good interpersonal and communication skills. - Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management. - Must have physical abilities and manual dexterity to function as an anesthesia care provider and have the ability to administer all types of anesthetics, using a variety of techniques. - Clinical Responsibilities - The following list of anesthesia and related services should be utilized to delineate the clinical responsibilities of the individual who can demonstrate new or continued competency. More clinical responsibilities may be added as additional education and experience are obtained by the individual practitioner. •Pre-anesthesia assessment •Requesting laboratory/diagnostic studies •Pre-anesthetic medication •General anesthesia and adjuvant drugs •Regional anesthesia placement and monitoring •Sedation techniques •Cardiopulmonary resuscitation management •Invasive and noninvasive placement and monitoring •Airway management techniques •Mechanical ventilation/oxygen therapy •Fluid, electrolyte, and acid-base management •Blood, blood products, plasma expanders •Peripheral intravenous/arterial catheter placement •Central venous catheter placement •Pulmonary artery catheter placement •Acute and chronic pain therapy •Post-anesthesia care/discharge •Seeks physician direction based on patient condition Additional Job Details (if applicable) ABOUT US: Brigham and Women's Hospital is a 793-bed, world-class academic medical center based in Boston, Massachusetts. Consistently ranking in the top 20 hospitals in U.S. News & World Report, we serve patients from New England, across the United States, and from 120 countries around the world. A major teaching hospital of Harvard Medical School, Brigham and Women's Hospital has a legacy of clinical excellence that continues to grow year after year. Brigham and Women’s Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. Remote Type Onsite Work Location 45 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $110.71 - $156.02/Hourly Grade MNA2221CR At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.