Chief Executive Officer

Harrison County Community Hospital District•Bethany, MO

About The Position

The Chief Executive Officer (CEO) serves as the Board of Directors' direct executive representative and is responsible for the overall administration, leadership, management, and operation of Harrison County Community Hospital. The CEO has authority to direct hospital activities and departments in accordance with Board policies, regulatory requirements, and applicable laws. The CEO provides strategic leadership to support safe, high-quality patient care; financial stability; operational excellence; regulatory compliance; and organizational growth. The role works collaboratively with the Board of Directors, Medical Staff, employees, legal counsel, community stakeholders, and healthcare partners to advance the organization's mission and vision. The CEO is expected to demonstrate integrity, accountability, transparency, sound judgment, and strict confidentiality regarding organizational, financial, and personnel matters. The CEO directs operational, clinical, financial, and administrative functions; develops and implements strategic plans; leads quality and improvement initiatives; oversees personnel and executive leadership; and maintains relationships with the Board, Medical Staff, healthcare providers, community partners, regulators, and other stakeholders. The role also oversees hospital business affairs, budgets, financial management, reporting, legal and regulatory coordination, and compliance with applicable requirements, including Critical Access Hospital Conditions of Participation and Missouri Department of Health requirements. The position is full-time and based at Harrison County Community Hospital (HCCH). It reports to the Board of Directors. A master's degree in a related field is required preferred, though comparable education, training, and/or relevant healthcare leadership experience may be considered in lieu of a master's degree. FACHE or another healthcare leadership certification is preferred. Seven to ten years of progressive senior leadership experience in a hospital or healthcare organization is preferred.

Requirements

  • Exceptional leadership, organizational, and strategic planning skills.
  • Advanced communication and interpersonal skills to engage employees, Medical Staff, Board members, regulators, and community stakeholders effectively.
  • Strong financial management and business acumen.
  • Knowledge of healthcare operations, reimbursement methodologies, compliance requirements, and healthcare industry trends.
  • Ability to analyze complex issues and make sound decisions in a dynamic environment.
  • Demonstrated ability to lead organizational change and performance improvement initiatives.
  • Skills in conflict resolution, relationship management, and team development.
  • Ability to maintain confidentiality and exercise sound professional judgment.
  • Master's degree in Healthcare Administration, Business Administration, Public Health, or a related field required preferred; comparable education, training, and/or relevant healthcare leadership experience may be considered in lieu of a master's degree.
  • Minimum of seven to ten years of progressive senior leadership experience in a hospital or healthcare organization preferred.
  • Occasionally lift and carry items weighing up to 10 pounds.
  • Frequently walk, stand, and move throughout hospital facilities.
  • Sit and stand for extended periods and attend meetings.
  • Operate computers, telephones, and standard office equipment.
  • Communicate effectively and review detailed reports and documents.

Nice To Haves

  • Fellow of the American College of Healthcare Executives (FACHE) or another healthcare leadership certification.
  • Experience in Critical Access Hospital operations.
  • Demonstrated success in financial management, strategic planning, physician relations, regulatory compliance, and organizational leadership.

Responsibilities

  • Serve as the chief executive officer and authorized administrative representative of the Board of Directors in managing and operating the hospital.
  • Develop, implement, and evaluate strategic plans supporting the hospital's mission, vision, goals, long-term sustainability, and continued independence.
  • Direct and oversee operational, clinical, financial, and administrative functions to support efficiency, effectiveness, and quality outcomes.
  • Lead hospital departments and coordinate organizational activities to ensure effective patient care and healthcare service delivery.
  • Lead initiatives to improve patient safety, quality outcomes, operational effectiveness, employee engagement, and patient satisfaction.
  • Select, employ, supervise, develop, evaluate, discipline, and discharge hospital employees and agents in accordance with Board policies, laws, and organizational procedures.
  • Recruit, mentor, and hold executive leaders accountable for performance, strategic objectives, quality outcomes, and financial results.
  • Maintain effective working relationships with Medical Staff, healthcare providers, and community partners to promote coordinated, high-quality care.
  • Keep the Board informed about operations, strategic initiatives, financial performance, organizational risks, significant personnel actions, and other matters affecting the hospital.
  • Support the Board through timely communication, recommendations, reports, and implementation of Board-approved initiatives.
  • Serve as the official liaison and communication channel between the Board of Directors and Medical Staff.
  • Coordinate with legal counsel on legal, compliance, governance, contractual, and regulatory matters affecting the Hospital District, and communicate matters to the Board as appropriate.
  • Direct hospital business affairs, including financial records, revenue cycle activities, purchasing, contract administration, and resource management.
  • Ensure hospital funds are collected, safeguarded, managed, and expended appropriately in the organization's best interests.
  • Prepare and submit annual operating and capital budgets for Board review and approval.
  • Provide regular financial, operational, quality, compliance, and strategic reports to the Board, and prepare special reports as requested.
  • Monitor financial performance and implement strategies supporting fiscal responsibility, growth, and long-term sustainability.
  • Ensure compliance with federal, state, and local laws, regulations, accreditation standards, licensure requirements, and organizational policies.
  • Ensure ongoing compliance with Critical Access Hospital Conditions of Participation (42 C.F.R. §485.601 et seq.) and applicable Missouri Department of Health requirements.
  • Establish, support, and evaluate quality improvement, patient safety, risk management, and performance improvement programs.
  • Represent the hospital with governmental agencies, regulatory bodies, community organizations, healthcare partners, and other external stakeholders.
  • Foster integrity, accountability, teamwork, transparency, continuous improvement, and exceptional patient care.
  • Perform other duties necessary for effective hospital management and operation as assigned or directed by the Board of Directors.
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