School Nurse and Manager of Health Team

The Primary School - East Palo Alto, California - Full time


The Primary School is creating a new school model that brings together all of the adults in a child’s life, including parents, educators, and medical and mental health providers, starting from a very early age. We recognize the entrenched racism that exists within our public systems and the unjust impact this has had on families of color. Our aim is that children and families most impacted by systemic poverty and racism receive the multidisciplinary support they deserve to be well, learn, and thrive.

Long-term, we hope to create a game-changing school model that can be replicated across the country. As we continue to learn and grow, we plan to share what we’ve learned and pursue policy and systems change on a local, state, and national level. We are proud to receive funding from the Chan Zuckerberg Initiative, a major national philanthropy.

Our approach has three defining characteristics:

  • We start early. We start working with children as young as 8 months and provide full-time school starting at age three to reach them at a critical stage in development.
  • We partner with parents. We believe that when parents thrive, children thrive, so we support the wellness and growth of parents alongside the growth of their children.
  • We integrate services. Our unique model unites health care and education, building a multi-disciplinary team and holistic system of care around a child’s full needs.

In 2016, we opened our flagship school in East Palo Alto, California, with our first class of four year olds. We have grown to serve over 300 children and their families through a birth to three program, parent wellness program, full-day preschool, and elementary school, which will grow through eighth grade. In 2021, we opened our second site in the East Bay.


We are continuing to grow our East Palo Alto site and are excited to launch 5th grade for our 2022-2023 school year. In our school we currently serve ~320 students across two preschool grades (3 and 4 year olds), kindergarten, and first grade through fourth grade. Beyond school, core components of our model include partnering closely with parents throughout their child’s development and supporting parent wellness; coordinating early screening and developmental support; and working with existing health care providers in the community to coordinate care for children.


Given The Primary School’s unique focus on health integration and building a new school model, the school nurse role offers a unique opportunity to leverage unique programs and partnerships to impact student health in a way unlike other school nursing roles in the area. The School Nurse reports to the Executive Director at the EPA campus site and will serve as Manager of the EPA campus health team.

In addition to bringing essential and core school nursing functions to The Primary School EPA campus, the school nurse role will be responsible for leading and implementing health integration programming of The Primary School model. This entails leveraging a school site to bring more accessible health services to campus that prevent and address health barriers to learning, fostering partnerships that help families navigate the health care system, and supporting programs that build life-long health behaviors for our students. The school nurse will bring clinical expertise about the health care needs of children to the leadership role and work in partnerships with the central office Medical Director to design and refine programs that reimagine how well child care, developmental services, and social emotional supports are delivered to support the whole child. Leading this health integration work will require management over a health team, support for the school operations team to respond to school health needs, and then collaborate closely with school teaching teams, parent coaching team, birth-to-three team, and our health care partners at Ravenswood Family Health Center. Finally, in collaboration with our learning and data team, as leader of the site’s health team, the school nurse role will oversee our tracking of annual goals, health outcomes, and improvement processes that build the school models rapid cycle learning and evaluation engine.


Using the National Association of School Nursing’s Framework for 21st Century School Nurses, we outline core responsibilities of this role into five categories at our school site. This framework acknowledges the important responsibilities of the current day school nurse specialty as well as provides guidance for how this unique school nurse role can be a leader of the schools population health by using health integration programming to keep students healthy and ready to learn.

Standards of Practice: Core School Nurse Duties

  • Support school leaders, school operations team, and other staff (childcare staff, health team, parent coaches) with basic training in response to common school health needs, including basic first aid and triage; maintain manual for school site response to common school injuries and ailments
  • Establish programs and policies towards the control of spread of any communicable disease at school site
  • Provide more complex first aid and appropriate referral for sick and injured students;
  • Assist in identification and management of safety and health hazards at school site
  • Participate in the development of school site(s)' emergency and crisis plans
  • Help to identify the physical and mental health care needs of specific student populations and provide linkage to health services/resources
  • Plan and implement services at school to meet physical and mental health care needs as well as services that prevent health barriers to learning; core programs include vision and hearing screening with appropriate follow up evaluations, asthma screenings and supports, and routine onsite dental screenings and follow up.
  • Counsel students, parents, parent coaches, and school leaders in methodologies to improve health‐related attendance problems
  • Identify, implement and evaluate health goals and objectives for student IEPs, 504 Plans, MTSS/COST, and other cross-team structures at school
  • Interpret health and developmental assessments to parents, teachers, administrators and other professionals directly concerned with the student
  • Interpret health mandates, recommendations and trends to school personnel
  • Conduct professional development programs for teachers, administrators and other school staff related to issues having an impact on student health and welfare

Leadership: Health Team Manager

  • Manager of the campus health team, including supervision and management of two health fellows each year and other staff assigned to the health team
  • Accountability to Key Performance Indicators (KPI) and goals outlined annually for the health program
  • Oversight of the health team budget and expenses
  • Participate in the school “leadership council” and EPA site team leadership meetings
  • Collaborate with the central Medical Director to design and refine health integration programing

Care Coordination

  • Lead weekly case management health team meetings to respond to and address health needs of students in coordination with students’ medical homes
  • Leverage partnerships with surrounding community clinics, coordinate communication with students’ medical homes and facilitate a coordinated response to identified health needs
  • Provide case management services to students with physical and mental/behavioral health needs
  • Assist students, parents, and caregivers to identify appropriate public, private and/or community resources for necessary medical care and mental health needs
  • Support students complete annual well child physicals each year with their medical homes and ensure immunizations remain up-to-date
  • Support birth-to-three team with developmental screening follow up, referrals, or other medical services follow up to ensure families connect with appropriate services and therapy
  • Participate in team meetings, student/parent conferences, consultation meetings and staff meetings to help address student health concerns or health barriers to learning and create a team-based approach to care

Community Health

  • Collaborate with school design team and school leaders to enhance the educational process and the promotion of an optimal level of wellness for students, families and staff
  • Collaborate with school team to support with school health education curriculum, focused on six core health behaviors: hand washing, oral health, sleep, nutrition, physical activity, and media health
  • Serve as liaison between school site(s) and local health service providers/agencies in the community to build out community health partnerships
  • Maintain and cultivate the partnership with Ravenswood Family Health Center, the school site’s medical partner clinic, including leading a pediatric working group, quarterly leadership meetings, and scoping partnership charter projects each year
  • Participate in the development and implementation of health promotion activities that foster healthy home behaviors through variety of activities at school site
  • Orchestrate onsite events such as community vaccine events for flu or COVID vaccines or community health nights at school
  • Collaborate with parent coaching team to support addressing social determinants of health with connections to appropriate community resources and coordination with medical homes

Quality Improvement

  • Support and manage effective systems for the collection of data for required tracking and learning reports/KPI processes
  • Assess and evaluate the effectiveness of services delivered and health programming
  • Develop and coordinate quality improvement activities for school health services
  • Participating in monthly data review meetings with our learning team


  • Registered Nurse license issued by State of California
  • Prior experience as a registered nurse in clinical settings

A Plus If

  • Bachelor’s of Science in Nursing
  • Valid California credential in school nurse services
  • Prior experience in school nurse settings
  • Program and personal management experience
  • Spanish or Tongan speaking


The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk, hear, and communicate with both adults and children. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee is frequently required to stand, walk, sit, and reach with hands and arms. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is moderate to high.


Annual salary range begins at $90,000-$110,000. Compensation is commensurate with qualifications and experience, plus excellent health benefits, 401k retirement plan, flexible spending account (FSA), dependent care FSA, and generous paid time off, including a competitive paid parental leave benefit.


TPS values diversity; people of all backgrounds are encouraged to apply. Please complete the online application and submit your most recent resume. These short-answer questions are designed to replace a cover letter, so take your time with them and copy in your answers from a separate document. If you feel that the questions do not accurately capture what you have to offer The Primary School, you are also welcome to attach a cover letter. Applications are being reviewed on a rolling basis so we encourage you to submit yours soon. We look forward to reading your application!

The Primary School provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.The Primary School complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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Experience Level

Entry Level

The Primary School

The Primary School is creating a new school model that brings together all of the adults in a child’s life, including parents, educators, and medical and mental health providers, starting from a very early age.
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