Jobs at SJI

Last Updated: Tuesday, March 20, 2018

About St. James Infirmary

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. run by Sex Workers for Sex Workers!

To learn more, please visit our website at


There are many factors which affect the working conditions and experiences for all Sex Workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. It is the philosophy of St. James Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals while providing culturally competent and non-judgmental services.


Position Overview

In this integral leadership role, the Executive Director will advance our mission and enhance programming to more broadly serve the Sex Worker community as we move closer towards our 20th year of service. St. James Infirmary’s Executive Director is a full time, salaried, San Francisco-based position with a flexible schedule, reporting directly to the Board of Directors. The Executive Director is responsible for the organization’s consistent achievement of all organizational goals and objectives, and conducts oversight for the day-to-day operations of the organization, including fundraising, developing and maintaining community networking activities and strategic partnerships, evaluating and ensuring the operation and quality of programs and services, supervising staff, and representing the agency in public.

The Executive Director supervises the Executive Assistant, Development & Policy Director, and Programs Director, and oversees the overall functioning of their respective departments.

The Executive Director will be based in our downtown clinic space, but is also expected to travel locally and nationally for meetings and conferences as needed. Evening and weekend hours may sometimes be required.


Duties and Responsibilities:

Organizational Leadership and Program Development

  • Provide leadership that supports the mission and philosophy of SJI and serves all Sex Workers
  • Provide oversight for the entire organization, and ensure compliance with the Operations Manual and all organizational policies and procedures to provide high quality and efficiently run programs and services, that operate in accordance with government and funding guidelines, quality assurance protocols, and accounting practices
  • Review all operational systems, licensing requirements, human resources policies and practices, agency and program protocols, staffing structures and job descriptions as needed to assure consistent and high quality operations
  • Serve as liaison to the Board of Directors, attend all meetings and prepare summaries and reports for each meeting, and correspond with members regarding Board activities
  • Coordinate strategic planning activities, led by the Board of Directors and staff, with input from participants and community members
  • Maintain a working knowledge of significant developments, policies, and trends in the field


  • With input from the Board of Directors, and in collaboration with the Chief Financial Officer, develop, manage, and oversee the agency budget
  • Coordinate the development and implementation of a comprehensive 5-year fundraising plan for the organization
  • In collaboration with the Board and Development staff, lead all fundraising activities including grant-writing, individual donor campaigns, and fundraising events in order to meet the financial needs of the organization and ensure consistent operations and programming
  • Engage new and existing partners from various sectors to support and enhance fundraising activities
  • Supervise process for tracking fundraising activities and assessing continual funding growth

Staff Supervision and Support

  • Oversee the recruitment, employment, and release of all personnel, including paid staff and volunteers
  • Ensure that job descriptions are appropriately developed, that consistent supervision is conducted, that performance evaluations are held, and that solid human resource practices are in place
  • Provide individual supervision for Executive Assistant, Development and Policy Director, and Programs Director, and communicate with Chief Financial Officer, and Consultants on a weekly basis
  • Facilitate monthly all staff meetings, weekly Coordinators meetings, quarterly agency support meetings, and applicable staff trainings throughout the year
  • Keep accurate time and payroll records for all staff, and approve bi-monthly timesheets and invoices
  • Encourage staff leadership development and ongoing education, and assist staff in relating their specialized work to the overall programming and activities of the organization
  • Maintain a culture which attracts, retains, and motivates a diverse group of professional individuals

Research and Evaluation

  • Establish effective channels for communicating feedback on agency functioning, program delivery, and participant experiences for the purposes of providing exceptional and culturally competent services
  • Develop and maintain protocols for obtaining and evaluating data on the communities we serve for the purposes of promoting best practices, complying with grant awards and contracts, and informing policy efforts to improve the quality of life for Sex Workers
  • Disseminate relevant findings in applicable journal publications, academic and public forums, and engage with appropriate researchers to enhance programming and services for Sex Workers locally and globally

Community Relations

  • Oversee the promotion of all activities of the organization through strategic communications included but not limited to social media, reports and materials, essays and articles, and other community/public/media engagement
  • Promote collaboration among the San Francisco Department of Public Health and other City Departments, public and private agencies and foundations, community based organizations, and individuals through formal and informal agreements in order to enhance existing programs which serve Sex Workers
  • Supervise collaborative activities with other service providers and organizations, and approve and maintain all documentation on partnership agreements
  • Serve as a community liaison to facilitate community outreach forums and policy discussions by communicating with individuals and agencies and monitoring activities
  • Represent the organization and core philosophies of the organization to community groups and organizations, funders, government agencies, media, and the general public


  • Master’s degree in Social Work, Public Health, or other related fields OR equivalent work experience (5+ years in the field of health or social services)
  • Experienced supervisor of diverse and multi-disciplinary programs and staff, with a demonstrated commitment to the growth and skill development of workers
  • Experience with grant-writing, cultivating individual and major donors, developing fundraising campaigns, and coordinating fundraising events
  • Familiarity with methods of research and evaluation, and the dissemination of findings, preferably in a non-profit context
  • Experience in or detailed knowledge of the sex industry, social justice and occupational health and safety issues affecting/impacting Sex Workers
  • Experience working with transgender, gender non-conforming, and/or intersex people
  • 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, 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
  • Excellent written and verbal communication skills
  • Highly 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/Intenet, Social Media, and other computer skills are MANDATORY
  • Access and Filemaker Pro experience is desired



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 – Executive 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.


The Executive Director position is Full Time at 40 hours per week. St. James Infirmary offers a competitive salary, commensurate with experience and skills, health insurance, and other employee benefits.