Job Summary

• Responsible for managing, directing, coordinating and controlling the overall operations of a hospital. Provides leadership to ensure attainment of strategic objectives and the delivery of quality, economical health care services and other related lines of business. Initiates and enforces organization-wide policies and procedures that support the accomplishment of the hospitals objectives and programs. Ensures nursing and clinical department’s goals, objectives, standards of performance, policies and procedures are appropriate for the patient population served. Oversees the organizing of nursing and clinical departments according to administrative and nursing service guidelines; ensures compliance with legal, organizational, and medical staff standards. Has authority and responsibility for establishing, directing, and implementing the Standards of Nursing Practice and the clinical operations and financial matters related to all nursing and clinical care areas and functions.

Essential Functions

• Embraces and works to advance the National Quality Program objectives and the journey towards a High Reliability Organization (HRO). Promotes a culture that encourages employees to identify safety issues and to speak up to enhance safety practices for employees and patients. 
• Responsible for all aspects of hospital operations; clinical, ancillary, and support departments. 
• Assures that all policies established by the Governing Body of the hospital are implemented appropriately. 
• In collaboration with the Market CEO, directs the strategic planning for the hospital. 
• Responsible for developing, interpreting and communicating hospital policies, objectives and operational procedures to the department managers and others as necessary. Includes assessing the patient population, risk factors and the scope of services. 
• Contributes to and/or leads the appropriate initiatives outlined in the Strategic Quality Plan. Maintains a system which verifies licensure/certification, qualifications, experience, and competency of each member of the nursing department and evaluates each member on a timely basis. Serves on the Hospital Quality Council. Understands and supports the organization’s continuous quality initiatives. Represents nursing services on various corporate, hospital and medical staff committees/meetings. 
• Develops and monitors the hospital budget, ensuring operations does not exceed the approved budget. 
• Oversees the finance/business office functions of the hospital to ensure that funds are collected and expended appropriately. 
• Ensures staffing plans are appropriate for the hospitals departments. 
• In coordination with the Market CEO, hospital board, the medical staff and other hospital personnel, responds to the community’s needs for quality health care services by monitoring the adequacy of the hospital’s medical activities. 
• Serves as a member of the hospital executive committee and other administrative committees as designated. Attends governing board meetings. 
• Conducts job responsibilities in accordance with the standards set out in the Company's Code of Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. 
• Oversees and provides direction to hospital leadership grading hospital mission and objectives, expected productivity and efficiency, establishing policies and procedures are in compliance with federal state and local laws, regulations and ordinances. Works with hospital leadership to foster high employee morale and a positive work environment for employees. 
• Develops a strong working knowledge of the electronic medical record. Assures compliance with all regulatory and accreditation requirements. Always maintains survey readiness. Participates in and coordinates survey preparation.
• Ensures maintenance of physical properties in good and safe state of repair and operation
• Promotes adherence to the Company's Code of Conduct and the Corporate Compliance Agreement by monitoring employee performance and identifying and responding to compliance issues
• Acts as Privacy officer for the hospital. Implements necessary privacy policies and procedures
• Reviews all patient complaints regarding the hospitals privacy policies and procedures and/or privacy practice
• Collaborates with Regional leadership to advance safety and quality