Promotive Only - Health Worker 4 (2588) - Citywide

THIS IS A CITYWIDE RECRUITMENT FOR CURRENT CITY EMPLOYEES ONLY.

This is a Promotional Only recruitment in accordance with Class-Based Test (CBT) Civil Service Rules. This recruitment is restricted to current permanent civil service employees of the City and County of San Francisco working within the immediate lower-level classification, 2587 Health Worker 3.

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.

Application Opening – February 3, 2026

Application Deadline – Application filing will close on or after February 10, 2026

Salary :  $95,186 - $115,804 / Annually ()

Appointment Type : Permanent Civil Service ()

Recruitment ID :  CBT-2588-PR0002

⚠️Please complete these two steps when applying,

Complete the required Training and Experience Assessment at the time of application :  Training and Experience Assessment ()

Submit an online application by clicking the “Apply Now” button and filling one out

Under general supervision, the 2588 Health Worker 4 supervises, coordinates, and instructs a staff of paraprofessional workers in a service program of the Public Health Department; participates in organizing and directing in-service training activities for Health Workers; provides administrative supervision for Health Workers and assists in planning for their most effective use in the assigned program; provides community oriented direct and indirect services. The essential duties include, but are not limited to the following :

May supervise a specific health or rehabilitation program; plans, directs, and coordinates the educational, recreational, therapeutic and work projects of the program participants as directed by professional staff;

Supervises and trains lower classification of paraprofessional personnel in the skills required for successful performance of their assigned duties;

Assists in preparation of in-service training materials; provides liaison with Team Leaders regarding function and performance of Health Workers I, II, and III;

Meets with representative of the local community and professional and social agencies to inform them of the scope of available treatment programs and to elicit their cooperation and support;

Provides community education services;

Assists in planning and execution of programs and operations, research projects, and reports, as directed; evaluates data and suggests programs in the preventive areas of social and health adjustments;

May interview and screen program clients, identifying general client condition;

Performs crisis intervention activities under professional direction;

Provides broad social counseling activities and assists in group therapy sessions;

When assigned to a specialized activity program, is responsible for supervising the program on specified wards or units and / or assisting the director of the program.

The 2588 Health Worker 4 may perform other related duties as assigned / required.

Minimum Qualifications – Required

• Current Permanent Civil Service City Employee in class 2587 Health Worker 3, who passed probation;
• AND

EXPERIENCE :  Three (3) years of verifiable experience within the last five (5) years, 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.

Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.

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 Requirements :

Special Qualifications including specialized knowledge, abilities, education, experience, or license may be established for individual positions.

Resumes will not be accepted in lieu of a completed City and County of San Francisco application. Applications completed improperly may be cause for ineligibility, disqualification or may lead to a lower score.

Selection Procedures :

Please answer the assessment carefully and thoroughly. It will serve as the Training and Experience Assessment for this recruitment and will be used to determine your eligibility for this recruitment as well as your score and rank on the eligible list. Qualified applicants will be ranked on the eligible list based on the amount of training / education and experience above the minimum qualifications for the 2588 Health Worker 4, along with any additional qualifying points (e.g. promotive status), as outlined in Civil Service Commission (CSC) rules. All work history will be verified using official City records, which will serve as the final authority in determining qualifying service.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Important Note : Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Certification

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

Eligible List / Score Report :

Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit

The duration of the eligible list resulting from this examination process will be 6 months and may be extended with the approval of the Human Resources Director.

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 ] 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

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 ()

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 Juliette.Soto@sfdph.org 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.