Senior Physician Specialist - Jail Health 2232

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 two main Divisions – the San Francisco Health Network and Population Health.

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• Worksite Coverage
  • 425 7th St, San Francisco, CA 94103, USA
  • 1 Moreland Drive, San Bruno, CA 94066

Jail Health’s mission is to provide comprehensive, compassionate, and respectful care for incarcerated people while mitigating the effects of structural racism and historical injustices as a fully integrated and collaborative member of San Francisco's Public Health Department.

The mission of JHS is to provide comprehensive, compassionate, and respectful care for incarcerated people while mitigating the effects of structural racism and historical injustices, as a fully integrated and collaborative member of San Francisco’s Public Health Department. JHS is responsible for the care of over 1,000 individuals on any given day, and more than 8,000 individuals over the course of the year. Our team of eight Nurse Practitioners and eight physicians provides a unique blend of urgent care including infectious disease management and substance withdrawal, as well as full-scope primary care including chronic disease management, health promotion and disease prevention. Our patients are 91% male, 41% Black and 27% Latinx, 35% unhoused, 79% under 45 and 1% over 65, and a majority have a substance use disorder and/or a serious mental illness.

Under the general supervision of the Chief Medical Officer, the Jail Health Services’ Complex Care and Population Health Manager will serve as a clinical leader for healthcare staff and an advocate for patients. They will be responsible for coordinating the care of complex patients in the jail and preparing them for release into the community. This physician leader will also oversee population health improvement efforts across Jail Health. Communication and collaboration with Sheriff’s Department staff is critical.

Duties Include

• Provide full-scope primary care, particularly for complex patients (60% of the time): Collect medical histories, review outside records, perform physical examinations, interpret and evaluate diagnostic tests, and establish treatment plans; counsel and educate patients regarding both preventive care and chronic diseases; manage substance use disorders; refer patients to specialty care when appropriate; document patient information in the electronic medical record.
• Design and implement population health improvement efforts (20% of the time): potential examples include interventions to increase the rate of TB screening, colon cancer screening, and smoking cessation post-release.
• Create workflows and systems to improve the transition from jail to community healthcare (20% of the time), in collaboration with reentry, discharge RN, and other members of the Jail Health team.
• Participate in and lead clinician staff meetings related to complex patients and population health.
• May supervise the work of other healthcare staff.

Work Hours: Full-Time (40 hours/week), typically Monday – Friday from 7:30 AM – 4:00 PM (including 30 min lunch). Evenings, weekends and/or holiday shifts may be required. Intermittent phone coverage on nights and weekends may be required. Shift assignments are subject to change depending on the operational needs of the department

Desirable Qualifications

• Demonstrated commitment to caring for vulnerable and underserved populations including those with serious mental illness and substance use disorders
• Experience working with patients in a carceral setting
• Experience leading quality improvement and/or population health efforts in a clinical setting
• Experience providing care for complex patients with various socioeconomic, medical, and behavioral challenges
• At least one year of independent, full-scope adult primary care practice (Internal Medicine or Family Practice) including acute and chronic disease management

⚠️Required Before Applying⚠️

1. Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California*
   
   AND

2. Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division.**

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.

**Applicants enrolled in a residency program may apply, but if selected, the candidate will NOT be appointed/hired until they demonstrate successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility, obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California, and obtain valid Board Certification in the appropriate medical specialty area for the assigned facility or division.

For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification.

Conditions of Employment

All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer:

• All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet all of the following criteria:
• Be eligible to participate in Medicare, Medicaid, and/or other federal healthcare programs
• Possess a National Provider Identifier (NPI)
• Submit a completed credentialing application and/or required documentation for credentialing
• Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status

Verification

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at https://sfdhr.org/how-verify-education-requirements.

Required Questionnaire 

Applicants must complete the Required Questionnaire linked in this job ad as part of the online application process. The information provided on the Required Questionnaire must be consistent with the information on the application and is subject to verification.

How to Apply

Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link. Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address. 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. 

Selection Procedures

The department may implement screening mechanisms in order to determine applicants’ qualifications for this position.  Only applicants most closely meeting the needs of the department will be invited to continue in the selection process.  Applicants meeting the minimum qualifications are not guaranteed advancement through all steps in the selection process. 

DPH Health Critical Requirements and Information

Please review the following policies regarding DPH employment requirements that safeguard yourself and others. 

• COVID-19 Policies 
• Personal Protective Equipment (PPE)
• Medical Examination Prior to Hiring
• Electronic Health Record (EHR)
• Licensure/Certification/Registration
• Note on ICARE 

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

• Information about the Hiring Process 
• Conviction History 
• Employee Benefits Overview 
• Equal Employment Opportunity 
• Disaster Service Workers
• Reasonable Accommodation
• Right to Work
• Copies of Application Documents
• Diversity Statement

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 if you include a mobile number in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT: All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

#ZR1

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.