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This is a Citywide Exam posting. Your application to this posting is an application to take a citywide exam.

+ Application Opening: November 14, 2025

+ Application Deadline: Continuous

Salary: $80,340 - $97,578 Annually (https://careers.sf.gov/classifications/?classCode=2587)

+ Appointment Type: Permanent Civil Service (https://careers.sf.gov/knowledge/role-types/)

+ Recruitment ID: REF58271N

Positions may be located at the following locations, but not limited to: Zuckerberg San Francisco General Hospital (ZSFG), Laguna Honda Hospital (LHH), various clinics, and the Department of Homelessness and Supportive Housing (HOM).

Shift: Days, evenings, weekends, and/or holiday shifts may be required, depending on the position.

General Job Description

Under general supervision, the 2587 Health Worker 3, performs a wide variety of the more difficult paraprofessional duties in a service program; works with professional staff in extending effective services to clients of the program served; plans, develops, and follows through on all contacts and cases; may supervise a small staff of workers, primarily Health Worker 1 and 2. The essential duties include, but are not limited to the following:

+ In therapeutic rehabilitation programs, assists in the planning of recreational, educational, and work therapy activities;

+ Interviews and screens patients;

+ Identifies patient’s general condition and assists in assessing specific patient conditions and in treatment planning in conjunction with professional staff;

+ May perform crisis intervention activities;

+ Represents program staff in meetings with local community groups and governmental and social agencies to provide information on the activities and goals of the assigned program;

+ As part of a therapeutic program, may conduct craft, recreation, and other activity groups;

+ As directed, may assist in conducting therapy sessions with professional supervision;

+ Maintains records incidental to other assigned duties, including patient's charts;

+ May conduct surveys and operate technical equipment;

+ Supervises others, primarily in the lower Health Worker classifications; and

+ When assigned to a specialized activities program, plans, implements, supervises, coordinates, publicizes, evaluates and documents the activities for patients, including social, creative, educational, physical and religious programs.

The 2587 Health Worker 3 performs other related duties as assigned/required.

Working Conditions: Some positions may require employees to work directly with individuals within locked jails and psychiatric facilities; the homeless population and individuals who have or are carriers of infectious/communicable diseases. Some positions may also require exposure to inclement weather conditions and/or heavy lifting.

Two (2) years of verifiable experience within the last five (5) years, working with a culturally diverse population performing a combination of at least two (2) of the following duties:

+ serving as a liaison between targeted communities and healthcare agencies;

+ providing culturally appropriate health education/information and outreach to targeted populations;

+ providing referral and follow up services or otherwise coordinating care;

+ providing informal counseling, social support and advocacy to targeted populations;

+ escorting and transporting clients;

+ providing courier/dispatcher functions;

+ performing pre-clinical examinations of vital statistics, such as measuring a patient’s weight, height, temperature and blood pressure.

Substitution: Possession of a Community Health Worker Certificate from City College of San Francisco can substitute for 6 months of experience.

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).

Note: Special Conditions - Depending on the department's needs, some positions may require applicants to meet additional special condition(s), which include, but are not limited to:

+ Bilingual Proficiency in English and a target language. Applicants must indicate on the application form the language(s) in which they claim proficiency.

+ Possession of a valid Alcohol and other Drugs Counseling Certification accredited by the National Commission for Certifying Agencies

+ Activity Therapist Experience

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 (https://careers.sf.gov/knowledge/#:~:text=Employment%20Applications%20and%20Minimum%20Qualifications) 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 verification is required, information on how to verify education 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.

Selection Procedures

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

Multiple-Choice Examination: (Weight: 100%)

Candidates that meet the minimum qualifications will be invited to participate in a multiple choice exam that is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to:

+ Ability to: work effectively in diverse, multicultural environments by understanding the ethnic, economic, and social factors affecting communities; providing trauma-informed, culturally responsive, and equitable care; and addressing barriers that impact marginalized populations; establish and maintain effective and cooperative working relationships; coordinate services and schedule appointments; and prepare, organize and maintain records; implement activities and programs; assess client needs through interviews and evaluations and apply sound judgment to develop appropriate services or treatment plans; interpret and apply office policies, laws, regulations and procedures; read and review information such as forms and documents; apply de-escalation or counseling techniques in sensitive or high stress situations; train individuals, evaluate work performance, and provide constructive feedback; lead, motivate, and supervise staff and other support staff; work with patients/clients with substance use disorders and behavioral health needs; orally communicate effectively, professionally, and courteously with others in a clear and understandable manner; communicate written information in a clear, concise, and understandable manner; and/or utilize technology and work with data using various software and systems.

+ Knowledge of: principles of activity therapy; and/or health and community services.

Candidates must achieve a passing score on the multiple choice exam in order 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.

Scores attained on the 2587 Health Worker 3 Assessment will be 'banked' for three years from the test date. Candidates are not required to retest during this period. Applicants who qualify for another job using the same 2587 Health Worker 3 Assessment within one year of the 2587 Health Worker 3 test date will have their score applied to that recruitment automatically. After one year, a candidate can either (a) apply their test score to the other recruitment or (b) retest. Retesting is allowed after one year from the test date only if a candidate applies and is qualified. The retest score becomes the official score for candidates who choose to retest due to its recency.

The use of “banked” scores may change if the assessment is revised significantly in the future. Candidates with “banked” scores would be required to take the revised exam sooner than the three-year period if they apply to a job opportunity using the same revised exam.

For tips and guidance on how to prepare and take multiple choice examinations, you can view the Multiple-Choice Test Preparation Manual (http://sfdhr.org/sites/default/files/FileCenter/Documents/18426-Multiple% 20Choice%20Test%20Prep%20Manual.pdf)

Language Proficiency Exam: For positions requiring bilingual fluency, candidates deemed qualified who meet the special language condition must pass a departmentally approved language proficiency exam prior to appointment. Only those eligible candidates who pass the bilingual proficiency test will be considered for the bilingual position

Certification

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

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.

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

Applicants may be contacted by email about this recruitment 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.

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 http://sfgov.org/civilservice/rules.

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

+ Candidate Knowledge Center (https://careers.sf.gov/knowledge/)  with information on:

+ Position Types and Hiring Process

+ Diversity Statement

+ Applications and Minimum Qualifications

+ Right to Work

+ Copies of Application Documents

+ Disaster Service Workers

+ Conviction History (https://sfdhr.org/conviction-history-faq)

+ Employee Benefits Overview (https://sfdhr.org/benefits-overview)

+ Equal Employment Opportunity (https://sfdhr.org/equal-employment-opportunity)

+ Disaster Service Workers (https://careers.sf.gov/knowledge/#:~:text=a%20later%20date.-,Disaster%20Service%20Workers,-By%20State%20law)

+ Reasonable Accommodation

+ Veterans Preference (https://sfdhr.org/veterans-preference)

+ Seniority Credit in Promotional Exams

If you have any questions regarding this recruitment or application process, please contact the analyst, Juliette Soto at [email protected] or (628)271-6709.

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.