Deputy Director

St. James Infirmary | San Francisco, California


St. James Infirmary (SJI) offers free, confidential, nonjudgmental medical and social services for Sex Workers (current or former) of all genders and sexual orientations. We are the first occupational safety and health clinic in the U.S. St James Infirmary is a 501(c)(3) and opened in 1999.

Job Summary

The Deputy Director creates and provides the clinic team with the support and structure required to handle the day-to-day duties of providing services to our community. The Deputy Director is the anchor of the clinic and is available for all types of tasks, the foreseen and especially the unforeseen. The Deputy Director is a problem solver, emotionally available for staff, is a calming presence, and can handle any crisis with efficiency and grace.

The Deputy Director works closely with the Executive Director and Clinical Director on projects such as developing/streamlining clinic policies, working with other community organizations and groups on advancing social justice and human rights for our communities, presenting at conferences and to other groups (such as medical students), hosting site visits for program partners and funders, providing support in program evaluation activities, and is a collaborative leader in program planning and development. The Deputy Director must represent the clinic and our issues both professionally and with style and enthusiasm, have an excellent understanding of Sex Worker issues, harm reduction approaches & social justice, and a background in health settings and/or HIV social service settings.

Reports To

Executive Director


Leadership & Staff Supervision

  • Provide ongoing supervision, support, and feedback to Program Coordinators and Managers, and therapy and case management staff, and ensure program compliance.
  • Support the professional development of Program Coordinators and Managers, and other staff through training, mentoring, coaching and promotion of self-efficacy, and facilitating connections to relevant resources.
  • Work with Program Coordinators and Managers to develop & evaluate their programs in ways that are both sustainable and responsive, meet the needs of the community through productive collaborations, as well as adhere to reporting requirements.
  • Collaborate with Executive Director on recruitment, hiring, and training of new staff.
  • Support the Medical Director and Clinical Coordinator on medical staff recruitment, hiring, training, performance evaluations, team meetings, and ongoing relevant trainings for medical team.
  • Complete and keep current all job descriptions for staff.
  • Provide formal written performance evaluations of staff upon completion of their introductory employment period, and annually thereafter.
  • Document all performance issues and disciplinary actions for staff when they occur.
  • Work collaboratively with Executive Director on warnings, terminations, suspensions, and leave of absences.
  • Collaborate with the Executive Director and other Coordinators/Managers as appropriate on trainings, in-services, and all-staff meetings.
  • Attend HIV Services/Outreach, Harm Reduction, Therapy & Supportive Services, Medical, Registration, and Volunteer team meetings as needed.
  • Attend weekly supervision sessions with Executive Director.

Clinic Support

  • Work collaboratively with the HIV Services Manager to provide on-duty management coverage during Wednesday night drop-in clinic – running pre-clinic meeting, doing group or individual check in’s with staff, writing clinic log, assisting with distributing surveys, troubleshooting problems, resolving conflict, and monitoring overall function of clinic activities and quality assurance practices.
  • Complete and review, if necessary, all incident reports for situations that occur during clinic.
  • Respond to conflicts by engaging in mediation with participants, collaborating with the input of staff and delivering warnings, suspensions and contracts for participants violating behavioral agreements.
  • Work with clinic staff to ensure that medical records requests are fulfilled in a timely manner
  • Work with Clinical Director to modify and implement Q/A protocols
  • Maintain monthly schedules for clinic-based activities, and notify active staff and Program Coordinators and Managers of schedules at least one week before the beginning of each month.
  • Develop or compile appropriate flyers, brochures, and handouts for events and informational needs. 

Advocacy, Policy & Communications

  • Work with Executive Director & staff to identify priority policy areas and develop strategic responses and interventions that are in harmony with the mission of SJI.
  • Attend and present at stakeholder meetings, policy discussions, panels, and conferences that advance the social justice mission of SJI and the greater Sex Worker community.
  • Coordinate with the Executive Director and Management Team on policy advocacy communications including email alerts, press releases, and op ed pieces.
  • Support the leadership development of SJI staff, volunteers and community members in all opportunities for engagement in advocacy, education and policy work.
  • Support existing community partnerships and collaborations, and engage in cross-movement relationship building on an on-going basis.
  • Respond to media requests and develop the media presence of the SJI as appropriate.

Administrative Duties

  • Produce written program reports on an annual basis, or as needed / requested by the Executive Director.
  • Collect and approve all timesheets, checking hours, allocating to cost centers, and submitting to CFO in a timely manner.
  • Work with Executive Director, Executive Assistant, Technical staff and IT personnel to troubleshoot computer and phone issues as needed
  • Work with Program Coordinators and Managers to develop/enhance relationships with community organizations serving overlapping populations and draft MOU’s to formalize agreements
  • Assist with quality assurance and evaluation activities including creating, delivering and analyzing staff and participant satisfaction and information gathering surveys, reviewing and distributing reports, providing programmatic support during monitoring periods, and developing work plans.
  • Assist with enhancements and updates to SJI website.
  • Attend monthly All Staff meetings, bi-weekly Management Team meetings, weekly pre-clinic meetings, and applicable trainings throughout the year
  • Coordinate and/or participate in public speaking engagements and conferences, as available
  • Check phone messages for Office B phone every day and Registration desk on days unstaffed and put all messages into appropriate staff in-boxes; Call back individuals who request general information, appointments and media requests.
  • Maintain professional and supportive relationships with co-workers and engages in conflict resolution and mediation with and on behalf of staff as needed.
  • Other duties as assigned or requested by the Executive Director.


  • Bachelor's degree required, Master's Preferred
  • Experience in or detailed knowledge of the sex industry and occupational health and safety issues affecting/impacting Sex Workers
  • Experience working with people who use substances, including injection drugs, and understanding of harm reduction principles and programming
  • Experience working with people living with or affected by HIV/AIDS
  • Cultural sensitivity and willingness to work with people of different ethnic backgrounds, genders, sexual identity and orientations, people who use substances, people with mental health issues, people with disabilities, and people living with HIV/AIDS
  • Commitment to SJI’s mission and values, and proven ability to provide outstanding leadership, and work cooperatively with other colleagues and community members with the highest degree of integrity
  • Experienced supervisor of diverse and multi-disciplinary programs (2+ years in the field of health or social services)
  • Experience in program development, community organizing & facilitation
  • General office and administrative experience
  • Excellent written and verbal communication skills
  • Organized and strong attention to detail
  • Able to handle and thrive in a multi task and fast-paced environment
  • Capable of protecting sensitive information in a confidential manner
  • Flexibility with schedule and activities
  • Microsoft Office, Web/Internet, Social Media, and other computer skills desired
  • Bi-lingual Spanish-speaking strongly desired


The Deputy Director position is a Full Time position at 32 hours per week, with the possibility of increasing to 40 hours per week. St. James Infirmary offers a competitive salary, commensurate with experience and skills, health insurance, and other employee benefits.

How to Apply

Please submit a thoughtful cover letter explaining your interest in St. James Infirmary and where/how you found out about this career opportunity. Email your cover letter and resume along with a 1-2 page writing sample to Please write your name and the title for this position (“Your Name – Deputy Director”) in the subject line of your email. Incomplete applications will not be considered.

St. James Infirmary is an equal opportunity employer. We prioritize hiring someone with experience in the sex industry, and encourage LGBTQ people, women, and people of color to apply.

St. James Infirmary


Organization: Nonprofit Organizations