Clinical Services Manager I – Nursing (Med-Surg, ICU & Infusion) – (Department Promotional Only)

San Mateo Medical Center is currently seeking a professional, goal-oriented full-time, regular (benefited) Clinical Services Manager I who will plan, organize, direct, and supervise the operations of our Medical-Surgical (ADC of 35), Intensive Care Unit (ADC 4), and Infusion Center. As Clinical Services Manager I, you will have the opportunity to manage patient care while ensuring appropriate quality of care and compliance with regulations. In addition, you will participate in training, coaching, and counseling activities and perform other assigned duties.

The Clinical Services Manager I will receive direction from the Chief Nursing Officer/Deputy Director and will exercise direct and indirect supervision over professional, clinical, technical, and clerical staff, including consultants and contract service providers. You will join a dynamic team of professionals committed to the mission of our safety net hospital.

This role oversees a large, complex span of control across multiple service lines and requires the ability to manage high-volume operations, competing priorities, and diverse clinical environments simultaneously. The Clinical Services Manager I is expected to operate with a high level of autonomy, making sound operational and staffing decisions while balancing quality, patient safety, and fiscal stewardship. The position requires strong experience in managing large teams, coordinating across departments, and ensuring alignment of day-to-day operations with organizational goals.

This role is grounded in a culture of continuous improvement, where leaders are expected to actively identify opportunities, lead improvement efforts, and embed sustainable changes into daily operations.

The ideal candidate will:

• Possess a baccalaureate degree in Nursing with certification in a specialty.
• Have three years of progressive management or supervisory experience in an accredited hospital or clinic.
• Possess at least two years of nursing experience in an acute care hospital setting, preferably in Medical-Surgical nursing, Intensive Care, or Infusion Services, with ICU experience highly desirable.
• Bring strong clinical and operational leadership experience in acute care settings, with the ability to manage multiple service lines, including Medical-Surgical, ICU, and Infusion Services.
• Demonstrate experience managing large, complex teams, preferably across multiple departments or programs.
• Have experience with budget development, financial oversight, and resource management, including labor and operational expenses.
• Demonstrate the ability to independently prioritize and manage competing operational demands in a fast-paced, high-acuity environment.
• Have experience leading through complexity and change while maintaining staff engagement and accountability.
• Demonstrate strong critical thinking skills, with the ability to assess operations, identify gaps, and implement and sustain continuous improvement efforts.
• Have experience working in highly regulated healthcare environments and maintaining continuous survey readiness.
• Demonstrate the ability to build effective working relationships across disciplines, including physicians, ancillary departments, and executive leadership.
• Exhibit a leadership style that emphasizes visibility, communication, accountability, and staff engagement.
• Demonstrate the ability to coach, develop, and support staff while appropriately addressing performance issues.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Duties may include, but are not limited to, the following:

• Participate in the development and implementation of goals, objectives, policies, procedures, and priorities within a defined nursing area or program
• Select, supervise, train, and evaluate clinical, professional, technical, and clerical staff
• Organize, supervise, and monitor the provision of nursing care and related services within assigned units or programs 
• Ensure continuous quality improvement and ongoing regulatory readiness of assigned units or programs 
• Lead and support continuous improvement efforts to enhance quality, efficiency, and patient outcomes
• Prepare cost estimates and justifications for budget recommendations; monitor and control expenditures to ensure objectives are achieved within an approved budget 
• Assist in negotiating, administering, monitoring, and evaluating contracts with outside vendors, consultants, and organizations
• Represent the department in and/or chair relevant committees and work groups
• Provide staff support and subject matter expertise to executive leadership on nursing and operational issues
• Maintain effective working relationships with internal and external stakeholders, including Health System divisions, County departments, medical staff, and community partners 
• Supervise the enforcement of applicable nursing standards, codes, and regulations
• Respond to inquiries and provide information to the public, as appropriate
• Perform related duties as assigned

Licensure/Certification: 
Possession of a valid California license as a Registered Nurse (R.N.). Must possess a Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certificates approved by the American Red Cross or American Heart Association.

Education and Experience: 
Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is;

• Three years of professional nursing experience in an accredited hospital or clinic, including at least one year of supervisory experience, unless otherwise specified in the additional qualifications below.
• At least two years of the required experience must be in acute care and surgical nursing, including infusion services such as chemotherapy, telemetry, antibiotic administration, blood transfusions, and pediatric care.

Knowledge of:

• Nurse Practice Act.
• Principles and practices of nursing and clinical systems, including safety and infection control practices.
• Principles and practices of community health care including current trends in research, treatment, prevention, education and related services.
• Principles and practices of program management, including planning, implementation, and evaluation.
• Principles of budget preparation and monitoring.
• Principles of personnel training, supervision and evaluation.
• State and other regulatory requirements for assigned unit or program.
• Emergency Medical Services Act (EMS), relevant EMS regulations and functions, and public safety/law enforcement organizations, if assigned to EMS.
• Principles and practices of public health, public health nursing, epidemiology, communicable disease control and prevention, emergency preparedness response and environmental health, if assigned to disease control and prevention and public health nursing programs.
• Non-profit public/private entities, community/faith-based organizations and related state and federal agencies, as well target population for assigned program, if assigned to public health nursing programs.
• Treatment and intervention practices for acute psychiatric population, if assigned to psychiatric nursing.
• Third-party reimbursement systems, revenue streams, and other principles relevant to the financial management of operating rooms, if assigned to perioperative nursing.

Skill/Ability to:

• Organize, direct, coordinate and evaluate nursing services that ensure quality patient care and conform to all prescribed standards.
• Work cooperatively with other County departments and public and private organizations, including private medical providers.
• Analyze service delivery problems accurately, develop recommendations and take appropriate action to resolve them.
• Develop, evaluate and maintain accurate records; prepare complex and detailed written reports, procedures and contracts.
• Communicate effectively with administrative, medical, professional, clinical and citizen groups.
• Train staff and coordinate activities of contractors, volunteer groups and staff, as appropriate.
• Conduct field public health investigations; administer immunizations, TB skin tests, and chemoprophylaxis; and perform venipuncture and collect diagnostic specimen, if assigned to disease control and prevention and public health nursing programs.
• Maintain medical stability of acute and chronic conditions in a 24/7, non-medical setting, if assigned to correctional health nursing.
• Lead multi-disciplinary patient care conferences, if assigned to psychiatric nursing.
• Provide unit management and support during evening, off hours and weekends, if assigned to administration and designated as nursing supervisor.
• Surgical scheduling systems, if assigned to medical-surgical nursing.

Departmental Promotional Only. Only current County of San Mateo employees in San Mateo County Health with at least six months (1040 hours) of continuous service in a classified regular, probationary, or extra-help/limited term position prior to the final filing date may apply.  

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in the County of San Mateo, California and applicants must participate at their own expense.
  
IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button. If you are not on the County's website, please go to https://jobs.smcgov.org/ to apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire. Online applications must be received by the Human Resources Department before midnight on the final filing date.

TENTATIVE RECRUITMENT TIMELINE
Final Filing Date: Wednesday, October 28, 2026, at 11:59 PM PST
Application Screening: October 29 and October 30, 2026
Panel Interviews: Week of November 2, 2026