Manages and directs the organization toward its primary objectives. Establishes current and long range objectives, plans and policies, subject to the approval by the Board of Trustees (BOT). Dispenses advice, guidance, direction and authorization to carry out major plans and procedures, consistent with established policies and BOT approval. Oversee the adequacy and soundness of the organization’s financial structure. Reviews operating results of the organization, compares them to established objectives, and takes steps to ensure that appropriate measures are taken to correct unsatisfactory results. Represents the organization with major customers, shareholders, the financial community, and the public.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Plan, develop, organize, implement, evaluate, and direct the facility’s programs and activities in accordance with guidelines issued by the BOT.
Develop and maintain written policies and procedures and professional standards of practice that govern the operation of the facility.
Establish rapport in and among departments so that each can realize the importance of teamwork.
Assist department directors in the development, use, and implementation of departmental policies and procedures and professional standards of practice.
Review the facility’s policies and procedures at least annually and make changes as necessary to assure continued compliance with current regulations.
Interpret the facility’s policies and procedures to employees, patients, family members, visitors, government agencies, etc., as necessary.
Ensure that public information (policy manuals, brochures, website data, etc.) describing the services provided by the facility is accurate and fully descriptive.
Help ensure that all employees, patients, visitors, and the general public follow the facility’s established policies and procedures.
Represent the facility at and participate in top-level meetings.
Represent the facility in dealings with outside agencies, including governmental agencies and third party payers, or provide an authorized representative of the facility when unable to attend such meetings.
Make written and oral reports/recommendations to the BOT concerning the operation of the facility.
Make routine inspections of the facility to assure that established policies and procedures are being implemented and followed.
Participate in state/federal surveys of the facility as needed. Assist in developing plans of correction for cited deficiencies and provide the BOT with relative information on survey findings, plans of correction, monitoring guidelines, and follow-up survey results.
Maintain an adequate liaison with families and patients.
Maintain a good public relations program that serves the best interest of the facility and community alike.
Conduct community awareness programs as necessary to keep the community informed of the facility’s programs, services, activities, etc.
Delegate a responsible staff member to act in your behalf when you are absent from the facility.
Work with the facility’s insurance carrier, legal counsel, and other designated personnel as appropriate.
Assume the administrative authority, responsibility and accountability of directing the activities and programs of the facility.
Serve on various committees of the facility and provide reports of such committee meetings to the governing board as directed or as may become necessary.
Assist the Quality Assurance/Performance Improvement Committee in developing and implementing appropriate plans of action to correct identified quality deficiencies.
Evaluate and implement recommendations from the facility’s committees as necessary.
Assist in the recruitment and selection of competent department directors, supervisors, facility non-licensed staff, consultants, etc., as appropriate.
Delegate administrative authority, responsibility, and accountability to other staff personnel as deemed necessary to perform their assigned duties.
Consult with department directors concerning the operation of their departments to assist in eliminating/correcting problem areas, and/or improvement of services.
Ensure that an adequate number of appropriately trained licensed professional and non-licensed personnel are on duty at all times to meet the needs of the residents.
Counsel/discipline personnel as requested or as may become necessary.
Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Terminate employment of personnel when necessary, documenting and coordinating such actions according to SCHC policy.
Serve as liaison to the governing board, medical staff, and other professional and supervisory staff.
Maintain an excellent working relationship with the medical profession and other health related facilities and organizations through formal working and transfer agreements.
Assist in the development and implementation of medical and nursing services policies and procedures and professional standards of practice.
Ensure that physicians and providers are in compliance with facility policies governing the admission, medical treatment, visit requirements, plan of care, orders, etc.
Attend and participate in workshops, seminars, etc., to keep abreast of current data affecting nursing facilities, as well as to maintain a professional status.
Ensure that all personnel attend and participate in annual in-service training programs relative to hazard communication, TB management, bloodborne pathogens, infection control, fire safety and disaster preparedness, etc.
Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility.
Encourage and support teamwork.
Safety and Sanitation
Ensure that all facility personnel, patients, visitors, etc., follow established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.
Ensure that the building and grounds are maintained in good repair.
Review accident/incident reports (e.g., falls, injuries of an unknown source, abuse, etc.). Monitor to determine the effectiveness of the facility’s risk management program.
Ensure that facility procedure manuals identify safety precautions and equipment to use when performing tasks that could cause bodily injury or exposure to a hazardous chemical or infectious waste.
Other(s) that may become necessary/appropriate to assure that the facility is maintained in a clean, safe and sanitary manner.
Equipment and Supply Functions
Authorize the purchase of major equipment/supplies in accordance with established purchasing policies and procedures.
Ensure that the facility is maintained in a clean and safe manner for patient comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services.
Ensure that adequate supplies and equipment are on hand to meet the day-to-day operational needs of the facility and residents.
Budget and Planning Functions
Ensure annual operating budget is prepared for approval by the BOT and allocate the resources to carry out programs and activities of the facility.
Review monthly financial statements and provide such information to the BOT.
Ensure that adequate financial records and cost reports are submitted to authorized government agencies as required by current regulations.
Keep abreast of the economic condition/situation and make adjustments as necessary to assure the continued ability to provide quality care.
Maintain the confidentiality of all patient care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
Ensure that the patient’s rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints, are well established and maintained at all times.
Review complaints and grievances. Discuss such actions with patient and family as appropriate.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge and understanding of regulations within a Long Term Care, Critical Access Hospital and FQHC.
Minimum of five years' experience in a similar role preferred.
Financial expertise in hospital fiscal management.
Master's Degree in Healthcare Administration or related field preferred.