2320 Registered Nurse - Ambulatory Care

Recruitment #CCT-2320-PH1079


2320 Registered Nurse




TYPE OF APPOINTMENT: Current Permanent Civil Service employees in Class 2320 Registered Nurse are encouraged to apply.




The Department of Public Health’s Community Health Network – Advice Nurse Line is accepting applications for one (1) full time position in class 2320 Registered Nurse [Ambulatory Care Nursing] to function as a bilingual Spanish/English Advice Nurse.


This position is responsible for assisting in the management of patients’ healthcare by conducting triage assessments and providing nurse telephone advice for primary care patients who receive their healthcare within the Community Health Network.



Under general supervision of the Nurse Manager of the Nurse Advice Line, the Registered Nurse is responsible for general clinical nursing duties that demonstrate a high level of independent functioning and clinical knowledge. The essential job functions include the following:

·         Answers incoming phone calls from primary care clinics and gives clinical advice to patients;

·         Collects, analyzes and interprets client/patient data using the nursing process via telephone;

·         Documents phone calls electronically, updating databases and makes assessments;

·         Functions as an Advice Nurse to the CHN  primary care clinics at an off-site location;

·         Schedules patient appointments, reviews patient records electronically; faxes requested documents electronically through computer software; and charts electronically to update patient information in the database;

·         Utilizes the advice protocols and protocol manual(s);

·         Utilizes and documents in multiple electronic medical record systems on a computer while speaking on the phone;

·         Triages the client/patient (e.g. determines the acuity of the client/patient condition);

·         Formulates impression of clients/patient’s condition;

·         Provides self-care advice;

·         Documents nursing assessment/advice given on appropriate records;

·         Maintains the quality of client/patient care;

·         Works in close contact with the Community Health Network’s New Patient Appointment Unit (NPAU) and provides RN level clinical consultation to that unit as needed; and

·         Performs other duties as assigned.



Specialty A:             Ambulatory Care Nursing

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

2. One (1) year of verifiable experience (equivalent to 2,000 hours) within the last five (5) years as a Registered Nurse in an acute care setting, ambulatory care or primary care clinic setting. 



This position requires English and Spanish language fluency. Successful candidates will be required to take and pass a language examination.


The above minimum qualification reflects special conditions associated with the position to be filled. They may differ from the standard minimum qualifications associated with this class code.



  • Prior experience working in family practice, family planning and women’s health/prenatal care.
  • Prior experience working as a telephone advice nurse.
  • Prior experience or interest in developing and implementing relevant trainings for peers and/or colleagues.
  • Ability to demonstrate problem-solving skills.
  • Possession of a Bachelor of Nursing degree.
  • Excellent verbal and written communication skills.
  • Excellent time management skills.
  • Experience with Microsoft Excel, Word and PowerPoint.


The stated desirable qualifications may be considered at the end of the selection process when candidates are referred for hiring.



Cardiopulmonary Resuscitation (CPR) Certificate Requirement / Provision:

Possession of a valid Cardiopulmonary Resuscitation (CPR) Certificate issued by the American Heart Association is required as a provision to employment for all positions.  Eligibles who do not possess such a certification may participate in this examination process and be appointed to a position(s), but will be required to obtain the certificate within two (2) weeks of hire date and maintain validity throughout length of employment.  A photocopy of the valid Cardiopulmonary Resuscitation (CPR) Certificate must be provided to the appropriate supervisor of the appointment within the allotted time frame.  Failure to demonstrate/show proof of possession of valid certification within two (2) weeks of hire date and throughout length of employment may result in dismissal and/or termination of employment.



City and County of San Francisco employment applications are only accepted online. Click the “Apply” button to begin the application process. Choose “I am a New User” to register a new account or “I have previously applied” if you already have an account established. Follow the instructions on the screen.



Computers are available for the public (from 8:00 a.m. to 5:00 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, San Francisco.


Applicants may be contacted by email about this announcement and, therefore, it is their responsibility to ensure that their registered email address is accurate and kept up-to-date.  Also, applicants must ensure that email from CCSF is not blocked on their computer by a spam filter.  To prevent blocking, applicants should set up their email to accept CCSF mail from the following addresses (@sfgov.org, @sfdpw.org, @sfport.com, @flysfo.com, @sfwater.org, @sfdph.org, @asianart.org, @sfmta.com).


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.


All work experience, education, training and other information substantiating how you meet the minimum qualifications must be included on your application by the filing deadline.  Information submitted after the filing deadline will not be considered in determining whether you meet the minimum qualifications.


Applications completed improperly may be cause for ineligibility, disqualification or may lead to lower scores.


If you have questions regarding this vacancy, please contact:


Anna Robert, RN, MSN, DrPH

Nurse Manager


 via email at   Anna.Robert@sfdph.org       or via phone at 415-759-3596






All applicants must be able to produce a copy of required licenses, certifications and/or preceptorship when requested throughout the application/examination process.  Failure to provide verification(s) may result in rejection of application and removal from the examination process.


Experience:  All applicants must be able to produce employment verification(s) if requested throughout the application/examination process.  Failure to present documentation may result in rejection of application and removal from the examination process.


Verification of all experience needed to qualify if requested must be on the employer's letterhead indicating the name of the applicant, job title, dates of employment, hours per week, duties performed and must be signed by the supervisor and/or appropriate representative.  City employees do not need to submit verification of qualifying City work experience if experience gained is from the class to which appointed.  Credit for experience obtained outside of the employee's class will only be allowed if recorded in accordance with the provisions of Civil Service Commission Rules.  City employees relying upon qualifying work experience gained outside the City and County of San Francisco must submit written verification of such experience as described above. Verification of experience may be waived if impossible to obtain.  The applicant must submit a signed statement with the application explaining why verification cannot be obtained.  Waiver request will be considered on a case-by-case basis.  Failure to submit the required verification or request for a waiver at the time of filing may result in rejection of the application.


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.





Drug Calculation Test/Written Exam: Candidates will be expected to pass a drug calculation test and/or a written exercise, depending on the specialty area, to continue in the examination process.                                                                        WEIGHT: Pass/Fail

Oral Examination: Candidates will be interviewed to determine their relative knowledge, ability and skill level in one or more of the following job related areas as appropriate. These areas may include, but not be limited to: knowledge of physiology and disease process; knowledge of current psychotropic and other medications; knowledge of standard of care; knowledge of multi-disciplinary team approach to patient care; ability to make and document nursing assessments; knowledge of principles of nursing care plans; ability to perform emergency nursing skills; ability to communicate; and knowledge of leadership principles.                                                                                           WEIGHT: 100%


The Certification Rule for this selection procedure will be Rule of Three Scores. 


1.    The number of persons to be placed on an eligible list will be determined by the needs of the department(s); therefore applicants who receive passing scores are not guaranteed placement on the eligible list.

2.    Departments may utilize additional selection procedures to make final hiring decisions.

3.    No waivers of employment offers will be allowed.

4.    If appointed, eligibles possessing interim permits or temporary licenses must present full and unrestricted California Registered Nurse licenses prior to completion of the probationary period.

5.    Valid licensure must be kept current throughout length of employment. Failure to demonstrate/show proof of possession of required valid licensure may result in dismissal and/or termination of employment.

6.    Information regarding California Registered Nurse (RN) licenses may be obtained from the California Board of Registered Nursing, 400 R Street, Suite 4030, P.O. Box 944210, Sacramento, CA 94244-2100, telephone: (916) 322-3350. Web address: http://www.rn.ca.gov/

7.    Some positions may require bilingual fluency in a variety of languages depending upon the department’s needs. Only those eligibles who pass the bilingual proficiency test will be considered for these positions. Applicants must indicate the language(s) in which they claim proficiency on the application.

8.    Applicants with disabilities who meet the minimum eligibility requirements for this job announcement can find information on requesting a reasonable ADA Accommodation at:

9.    Important Employment Information for the City and County of San Francisco can be obtained at http://www.sfdhr.org/, or hard copy at 1 South Van Ness Avenue, 4th Floor.

10. Terms of Announcement:
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

11. Information regarding requests for Veterans Preference can be found at:

12. Prior to appointment, some positions require that candidates complete a personal history statement and pass a thorough background investigation to determine the candidate’s suitability for employment. The investigation is limited to job-relevant and legally mandated matters, and may include a reference check, verification of employment history and education, military and financial history, fingerprinting, and criminal and motor vehicle records. Some positions require that candidates undergo drug/alcohol screening. Failure to obtain and maintain security clearance may be basis for termination from employment. In addition, prior to appointment, at the department's expense, applicants may be required to take a TB Screening Test and/or a medical examination.

13. Make sure your application and any attachments to the application submitted at the time of filing are complete and accurate and include details on all experience, education, training and other information that qualifies you for this recruitment.  Failure to submit a complete and accurate application at the time of filing may result in your ineligibility for this recruitment or inability to receive full credit for scoring purposes.  Any new information concerning work experience, education, training and other information that is submitted after the filing deadline may not  be used for scoring or considered to determine whether you meet the minimum qualifications.




The Department of Public Health is an Equal Opportunity Employer

Women, Minorities, and Persons with Disabilities are encouraged to apply



ISSUED: April 26, 2013


DPH/LL  415-206-5417 (DHR Pos No 01123781)

Disaster Service Workers

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.



All employees hired on or after January 10, 2009 will be required (pursuant to San Francisco Charter Section A8.432) to contribute 2% of pre-tax compensation to fund retiree healthcare. In addition, most employees are required to make a member contribution towards retirement, typically 7.5% of compensation. For more information on these provisions, please contact the personnel office of the hiring agency.

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