The incumbent in this position is responsible for the overall administrative management and operation of the facilities for the affiliate/managed organization as delegated by the Board of Directors. The CEO will have the necessary authority to affect this responsibility, subject to such policies as may be adopted by the Board or any committees to which the Board has delegated power for such action. The CEO shall, unless otherwise expressly provided, be an ex officio member, without vote, of all matters except those in which the board has formally designated some other person or group to act.

Essential Job Functions

• Understands the various Management Services, Medical Services and/or Staffing Services Agreements between Billings Clinic and affiliate/managed site. Delivers on responsibilities and expectations contained in the Agreement to the Board and to Billings Clinic.
• Participates with the affiliate Board of Directors in the following capacities:
a) Evaluates the effect of external forces on the institution, recommends short-term and long-range plans that support the institution’s philosophy and general objectives.
b) Informs and interests the affiliate in current trends, issues, problems and activities in health care generally, in community health needs, and in the institution to facilitate policy making. Recommends facilities policy positions concerning legislation, government administrative policies and other matters of policy.
c) Assists in identifying potential Board members and updates long-range plans.
• Develops, retains, recruits and leads a talented team committed to accomplishing the goals and objectives.
a) Recommends, implements, and evaluates plans and systems that ensure a sufficient number of qualified and competent staff to provide care/services.
b) Adheres to administrative policies and procedures relating to human resource management.
c) Demonstrates and encourages an ethic of open communication and teamwork throughout the organization. Builds an environment of shared commitment to the organization’s goals and responsibility to achieve quality outcomes. Provides consultation for related concerns and acts as a customer advocate by demonstrating sensitivity to ethical and legal ramifications of practice.
d) Leads in educational programs, participating as a teacher and preceptor. Pursues formal and informal education in health care management.
e) Negotiates professional contracts and sees that appropriate salary administration guidelines and pay structures are developed and maintained.
• Monitors the adequacy of the facilities medical activities through coordination with the Board, medical staff and nursing personnel, and the policies needed to ensure quality health care services.
a) Ensures institutional operating stability by creating a work environment that is satisfactory to staff physicians.
• Promotes health care services that are produced in a cost-effective manner while maintaining high standards of quality.
a) Assures the sound fiscal operation of the institute including timely, accurate and comprehensive development of a realistic, cost-effective annual budget and its implementation.
b) Plans for capital equipment through budget and obtains approvals for capital purchases above specified threshold. Plans the use of physical resources for the institution and ensures against physical damages.
c) Arranges contractual relationships with consultants, contractors, architects, etc., on behalf of the Board in planning and developing facilities, finances and personnel programs.
d) Combines organizational resources in such a way as to maximize quantity and/or quality to obtain a set of results.
• Ensures compliance and regulations of governing facilities and the rules of accrediting bodies by continually monitoring the organization’s service delivery and initiating changes as required. Participates in litigation for the facilities and informs the Board of the need to initiate litigation. Makes recommendations to the Board for final settlements of all lawsuits against the facilities.
• Works with legislators, regulatory agencies and representatives of the industry to ensure that legislative and regulatory policies promote the health of the community and do not place unmanageable encumbrances upon the facilities. Supports state and national associations, testifies before legislative regulatory bodies, and solicits Board and community support.
• Encourages the integration of the facilities within the community by utilizing and effective communication and public relations program.
a) Listens to the auxiliary, staff and volunteers to improve service and generate community involvement with the facilities. Speaks to community groups concerning health programs and new programs.
b) Represents the Board to the community and the hospital in state and national associations concerned with health care delivery.
c) Initiates, develops and maintains cooperative relationships with the business community and with other facilities. Collaborates on fund-raising efforts such as living wills, trusts, etc.
• Fosters a smooth functioning, efficient organization through timely and effective resolution of disruptions.
• Participates in evaluation, selection and integration of health care technology and information management systems that support quality of care/financial needs and the efficient use of resources.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.

Minimum Qualifications

Education
• Bachelor’s degree in a relevant field
• Master’s degree in hospital administration, health, business, or public health preferred
Experience

• Five years’ experience in hospital administrative position with responsibility for administrative supervision and Board of Trustees contact
• Critical Access Hospital experience preferred

Certifications and Licenses

• Current Montana license/certification appropriate to discipline if applicable
• Montana Nursing Home Administrator license required (can be obtained after hire within first year)

Note

• Must reside in the community the affiliated/managed facility serves

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.