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Deputy Medical Director of Adult/Older Adult Services (2243) - Department of Public Health (DPH)-168261

City and County of San Francisco San Francisco, United States
Full-time On-site work

Publication date: 08/11/2026

The BHS Deputy Medical Director of Adult and Older Adult Services reports to the BHS Chief Medical Officer and provides medical leadership, clinical vision, and strategic direction in the Adult and Older Adult System of Care. This role includes some clinical responsibilities, with administrative and managerial work making up the majority of the daily tasks. The Behavioral Health Services (BHS) division of the San Francisco Department of Public Health provides a full range of mental health and substance use services for children, youth, families, adults, and older adults.

Responsibilities

Provides administrative, operational, clinical, and regulatory oversight of medical and psychiatric services in the Adult and Older Adult (A/OA) System of Care; Provides supervision of A/OA Medical Directors, the Director of the Integrated Health Homes, and other medical staff as needed; Develops and implements policies and procedures to comply with local, state, and federal regulations; Partners with A/OA Director to develop, evaluate, and scale clinical programs based on client needs, regulatory changes, and evidence-based interventions; Collaborates with BHS, SFDPH, SF Health Network, and City leaders and establishes effective working relationships with community, local, state, and federal agencies; Serves as a leader, subject matter expert and consultant in complex and high-risk cases; provides leadership and active participation in BHS Safety Planning and Risk Management; Maintains clinical practice with safety net populations, including conservatorship evaluations; Leads and participates in Deputy CMO and Medical Director meetings; Leads and participates in quality improvement, quality assurance, peer review, audit, continuing medical education and provider credentialing activities; Centers DPH and BHS health equity goals in all clinical initiatives and in the planning, development, and implementation of clinical services; Performs other duties as assigned

Requirements

Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in a Psychiatric medical specialty area (i.e. Board Eligible); Five (5) years of post-residency experience as a practicing Psychiatrist; Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California; Possession of valid Board Certification in a Psychiatric medical specialty area can substitute for two (2) years of the required post-residency experience

Nice to have

One (1) year supervising Psychiatric Staff; Board Certified in Psychiatry; Leadership that pairs a clear vision with strong day-to-day execution; Clear, effective communication and presentation skills; A collaborative, adaptable management style that builds strong teams; A proven commitment to equity, diversity, inclusion, and belonging; An approachable, respectful presence with staff, partners, and the community; Creative problem-solving and a drive to move work forward; Experience using performance measures and data to drive clinical excellence; Systems thinking and strong organizational skills; Knowledge of systems improvement methods; Success working within a matrix management structure
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