City and County of San Francisco / Public Health / Clinical Nurse Specialist

Job-title file

Clinical Nurse Specialist

Provide direct patient care — assess conditions, administer treatment and medication, and coordinate with physicians.

11 employees hold this title in Public Health. Median total compensation for the role is $361,481, above the department median of $150,926.

Employees: 11
Total payroll: $4.2M
Role median: $361,481
Agency median: $150,926
Comparison: Above

What the records show

Role pay distribution

Pay distribution for this role

$350,293$486,301+

Hover a bar for its range; click to filter the list below.

How total compensation varies among the 11 people in this role. Even for one job title, pay differs with seniority, step, overtime, and tenure. Each bar is a pay range; the far-right bar collects the highest earners.

Compare jurisdictions

Clinical Nurse Specialist beyond City and County of San Francisco

This role is reported in 3 jurisdictions. In City and County of San Francisco, the median of $361,481 ranks #1 of 3. See Clinical Nurse Specialist across all of City and County of San Francisco →

Highest-paying jurisdictions for this role

Los Angeles County

$263,624 · 17

New York Public Authorities

$153,410 · 11

Median total compensation for comparable Clinical Nurse Specialist roles in other jurisdictions. Titles are matched by normalized name across sources, not identical job classification, and pay is not cost-of-living adjusted. Each bar links to that jurisdiction’s page for the role.

Same department

Other job titles in Public Health

Accountant III 35
Administrative Analyst 44
Behavioral Health Clinician 306
Certified Nursing Assistant 675
Clinical Pharmacist 61
Diagnostic Imaging Assistant 39
Epidemiologist 2 38
Food Service Worker 173
Health Care Analyst 61
Health Care Billing Clerk 2 44
Health Program Coordinator 1 39
Health Program Coordinator 2 78
Health Program Coordinator 3 194
Health Worker 2 180
Health Worker 3 208
Health Worker 4 58
Home Health Aide 41
Hospital Eligibility Worker 259
Human Resources Analyst 35
Is Business Analyst 38
Is Business Analyst-Principal 53
Is Business Analyst-Senior 34
Licensed Vocational Nurse 254
Manager I 54
Manager II 50
Manager III 35
Medical Assistant 238
Medical Evaluations Assistant 238
Medical Record Technician 32
Medical Records Clerk 56
Medical Social Worker 78
Nurse Manager 107
Nurse Practitioner 236
Nursing Assistant 52
Nursing Supervisor 32
Occupational Therapist 49
Patient Accounts Clerk 34
Pharmacist 67
Pharmacy Technician 104
Physical Therapist 62
Physician Specialist 109
Porter 376
Pr Administrative Analyst 51
Psychiatric Technician 47
Public Health Nurse 75
Public Service Trainee 66
Radiologic Technician I, II, III 78
Registered Nurse 1,911
Sen Hospital Eligibility Worker 103
Senior Administrative Analyst 71
Senior Behavioral Health Clinicn 109
Senior Clerk 151
Senior Environmental Health Inspector 50
Senior Human Resources Analyst 52
Senior Physician Specialist 57
Senior Psychiatric Physician Specialist 70
Special Nurse 1,908
Stationary Engineer 48
Supervising Physician Specialist 33
Unit Clerk 61

Record list

Employees with this title

Page 1

Kathleen Mackerrow

Clinical Nurse Specialist/Public Health

2025 total comp

$502,032

Sub-department: Nursing
Organization group: Community Health
Base pay: $296,845
Overtime: $114,969
Other pay: $5,072
Benefits: $85,146
Total compensation: $502,032
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1.25

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $17,045

At Public Health, Kathleen Mackerrow serves as a Clinical Nurse Specialist within Nursing. They work permanent civil service, 1.25 FTE. Their 2025 pay totaled $502,032. Their bargaining unit is SEIU, Local 1021, RN.

Piera Wong

Clinical Nurse Specialist/Public Health

2025 total comp

$423,380

Sub-department: Nursing
Organization group: Community Health
Base pay: $297,150
Overtime: $42,205
Other pay: $530
Benefits: $83,495
Total compensation: $423,380
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1.1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,988

Piera Wong holds the role of Clinical Nurse Specialist at Public Health within Nursing. Their status is permanent civil service, 1.1 FTE. In 2025, their total compensation was $423,380. Union affiliation: SEIU, Local 1021, RN.

Luis Belicena

Clinical Nurse Specialist/Public Health

2025 total comp

$380,520

Sub-department: Nursing
Organization group: Community Health
Base pay: $297,183
Overtime: $0
Other pay: $420
Benefits: $82,917
Total compensation: $380,520
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,428

Luis Belicena holds the role of Clinical Nurse Specialist at Public Health within Nursing. Their status is permanent civil service. In 2025, their total compensation was $380,520. Union affiliation: SEIU, Local 1021, RN.

Osnat Gabriel

Clinical Nurse Specialist/Public Health

2025 total comp

$378,399

Sub-department: Nursing
Organization group: Community Health
Base pay: $276,709
Overtime: $22,230
Other pay: $458
Benefits: $79,003
Total compensation: $378,399
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1.01

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $24,211
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,455

Osnat Gabriel holds the role of Clinical Nurse Specialist at Public Health within Nursing. Their status is permanent civil service, 1.01 FTE. In 2025, their total compensation was $378,399. Their bargaining unit is SEIU, Local 1021, RN.

Rachel Limon

Clinical Nurse Specialist/Public Health

2025 total comp

$374,521

Sub-department: Nursing
Organization group: Community Health
Base pay: $252,796
Overtime: $39,984
Other pay: $4,588
Benefits: $77,152
Total compensation: $374,521
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1.13

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,379

At Public Health, Rachel Limon serves as a Clinical Nurse Specialist within Nursing. They work permanent civil service, 1.13 FTE. Their 2025 pay totaled $374,521. Their bargaining unit is SEIU, Local 1021, RN.

Annelie Nilsson

Clinical Nurse Specialist/Public Health

2025 total comp

$361,481

Sub-department: Nursing
Organization group: Community Health
Base pay: $280,697
Overtime: $0
Other pay: $420
Benefits: $80,365
Total compensation: $361,481
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,223

At Public Health, Annelie Nilsson serves as a Clinical Nurse Specialist within Nursing. They work permanent civil service. Their 2025 pay totaled $361,481. Their bargaining unit is SEIU, Local 1021, RN.

Grace Chen

Clinical Nurse Specialist/Public Health

2025 total comp

$359,997

Sub-department: Nursing
Organization group: Community Health
Base pay: $279,450
Overtime: $0
Other pay: $420
Benefits: $80,128
Total compensation: $359,997
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,161

Grace Chen holds the role of Clinical Nurse Specialist at Public Health within Nursing. Their status is permanent civil service. In 2025, their total compensation was $359,997. Union affiliation: SEIU, Local 1021, RN.

Kelly Brandon

Clinical Nurse Specialist/Public Health

2025 total comp

$359,887

Sub-department: Nursing
Organization group: Community Health
Base pay: $279,450
Overtime: $0
Other pay: $420
Benefits: $80,017
Total compensation: $359,887
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,050

Kelly Brandon works as a Clinical Nurse Specialist for Public Health within Nursing. Their status is permanent civil service. Kelly earned $359,887 in 2025. Union affiliation: SEIU, Local 1021, RN.

Maria-Elena Healy

Clinical Nurse Specialist/Public Health

2025 total comp

$356,712

Sub-department: Nursing
Organization group: Community Health
Base pay: $276,850
Overtime: $0
Other pay: $447
Benefits: $79,415
Total compensation: $356,712
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.99

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $24,986
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,058

Maria-Elena Healy is a Clinical Nurse Specialist at Public Health within Nursing. They work permanent civil service, 0.99 FTE. 2025 total compensation came to $356,712. Union affiliation: SEIU, Local 1021, RN.

Andre Michaud

Clinical Nurse Specialist/Public Health

2025 total comp

$353,022

Sub-department: Nursing
Organization group: Community Health
Base pay: $273,900
Overtime: $0
Other pay: $420
Benefits: $78,703
Total compensation: $353,022
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 0.98

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $24,727
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $15,019

Andre Michaud works as a Clinical Nurse Specialist for Public Health within Nursing. Their status is permanent civil service, 0.98 FTE. Andre earned $353,022 in 2025. Their bargaining unit is SEIU, Local 1021, RN.

Lorna Rose

Clinical Nurse Specialist/Public Health

2025 total comp

$350,293

Sub-department: Nursing
Organization group: Community Health
Base pay: $271,115
Overtime: $0
Other pay: $420
Benefits: $78,758
Total compensation: $350,293
Employment type: Permanent Civil Service
Union / bargaining unit: SEIU, Local 1021, RN
Full-time equivalent (FTE): 1

Source-specific fields

Data As Of: Jun 14, 2026
Data Loaded At: Jun 15, 2026
Department Code: DPH
Health and Dental Benefits: $25,225
Job Code: 2323
Job Family Code: 2300
Organization Group Code: Community Health
Other Benefits: $14,976

Lorna Rose holds the role of Clinical Nurse Specialist at Public Health within Nursing. Their status is permanent civil service. In 2025, their total compensation was $350,293. They are represented by SEIU, Local 1021, RN.