CEO/CNO Dual Role

This position is a CEO and CNO dual role. Both job descriptions are listed below.

**CEO:

General Position Summary:

The Chief Executive Officer (CEO) of Perry County Community Hospital (PCCH) is accountable for the planning, directing, and managing of the current operations, future growth and program development for the organization while ensuring responsible use of fiscal, human and physical resources. In conjunction with the Board of Directors, the CEO will develop goals and objectives for the organization. This individual is responsible for ensuring that PCCH delivers high quality, cost effective care. The CEO ensures that the services provided are responsive to our communities’ health needs and integral to the achievement of the hospital’s mission and values.

The CEO provides strategic leadership to ensure the organization remains responsive to the communities it serves, especially in a time of continued uncertainty for the healthcare industry as reimbursement declines, competition increases and demand for services increases. The CEO remains current on industry trends, understands the big picture and uses the strengths of the organization to continue to position it for future success. The CEO must keep the Board informed on issues and matters of public policy as well as specifics about the operations of the organization. To ensure the continued provision of high-quality services, the CEO must develop positive working relationships with the Medical Staff based on trust and partnership. The CEO should also be visible throughout the organization, be open to issues and concerns of the physicians/providers, staff, patients and their families, the community at large and philanthropists.

Being mindful of the Mission of PCCH, the CEO is expected to maintain financial viability, develop and implement a strategic plan, recruit new Medical Staff, enhance the reputation of the hospital throughout Perry County, upgrade the technology infrastructure, and address the remodel and/or additions to the existing physical structures. The Board expects the CEO to enhance community trust and build relationships within leadership across the county, serve as an advocate for additional resources, and work closely with the medical staff and the wider physician and provider community to continue to develop collegial, effective working relationships.

Specific Job Knowledge:

A strong working knowledge of federal healthcare legislation, laws, regulations and guidelines is required. Demonstrated success in integrating the needs and goals of the hospital, the Medical Staff, employees, philanthropists, and our communities. Proven track record of keeping an organization financially healthy is preferred. This will include both successes in generating new revenue and judicious expense control. A broad background in the industry to allow the executive to act as a resource and adviser to the Board in matters pertaining to healthcare. An understanding of the unique characteristics of a publicly elected Board whose members are responsible to their constituents is preferred.

Essential Functions:

Essential duties and responsibilities include the following functions. Nothing in this job description restricts the PCCH Board’s ability to assign, reassign or eliminate functions, duties and responsibilities of this job at any time.

1. Board Administration and Support – The CEO supports the operations and administration of the PCCH Board of Directors by maintaining continual, open and effective communication with the Board members and the Medical Staff. The CEO will ensure that comprehensive orientation and continuing education opportunities are available to the Board. The CEO will facilitate relationships between the Board, legal counsel and accounting and audit organizations, will manage the use of legal counsel for operational matters and will manage the engagement of accounting and audit organizations of operational matters.

2. Medical Staff – The CEO is critical to relationships between the physicians/providers, nurses, staff and the entire hospital. The CEO leads the efforts to support our physicians/providers through recruiting, continuing education opportunities, medical staff and physician referral compliance education and implementation, and medical staff development. The CEO recognizes the ongoing strength and success of the Hospital relies heavily on the strength and success of our medical staff and engages them accordingly. The CEO participates in issues surrounding ethics and quality. The CEO, in conjunction with the Chief of Staff, is responsible for direct oversight of all physician/providers that are employed by the hospital and related organizations. The Governing Board and CEO shall meet periodically with the medical staff to discuss any issues or concerns that either may have.

3. Community and Public Relations – Through exceptional communication and interpersonal skills, the CEO assures that the hospital and its mission, programs, and essential services are consistently presented in a strong, positive image to relevant stakeholders, including patients, physicians/providers, employees, benefactors and taxpayers. As the ‘face’ of PCCH, the CEO or their designee will be actively involved in the community through service organization membership, speaking engagements, community forums, educational offerings and other opportunities to communicate PCCH’s Mission.

4. Compliance – The CEO will ensure the hospital complies with local, state and federal laws and regulations as they apply to the operation of the Hospital.

5. Strategic Planning – The CEO stays current with general trade and industry conditions and their potential impact on Hospital policies and operations, and in collaboration with the Board of Directors, develops the short-term and long-term strategic plan for the Hospital and its offered services. The CEO ensures the strategic plan is articulated both internally and externally, and effectively delegates key activities to ensure timely execution of the strategic plan initiatives.

6. Delivery of Healthcare Services – The CEO has overall responsibility for the design, marketing, promotion, delivery, risk management and quality of all hospital healthcare programs and services provided to our communities. Ensures that policies and practices effectively support sound and safe patient care, and that the delivery of healthcare services provides the highest level of a positive experience to the patient.

7. Financial Management – Recommends annual budget for Board approval and ensures prudent management of Hospital resources within those budget guidelines according to current laws and regulations. Conducts or oversees the negotiation of professional, consultant and service contracts. Ensures that appropriate internal and management controls are established and maintained.

8. Human Resource Management – The CEO organizes functions of the Hospital through appropriate delegation and establishes a formal means of accountability for those assigned duties. Ensures effective management of the human resources of the Hospital according to current personnel policies, laws, and regulations. He/she completes annual evaluations for direct reports in a timely and effective manner.

9. Facilities Management - The CEO oversees the preservation of the asset value of PCCH’s capital investments, oversees the management of construction and facility rehabilitation activities, and ensures disaster and emergency preparedness activities are appropriately planned, exercised, and documented.

10. Other duties as the Board may assign.

Core Competencies:

• Patient focused: Embraces the standards of the Hospital’s Mission, Vision and Values as the center of all decisions.
• Collaborative: Is committed to inviting participation in the evaluation and planning of all major initiatives; works to build consensus and alignment.
• An Achiever: The CEO seeks achievement beyond standard expectations. With a sense of urgency, carries an aura of success predicated on more than achievement of minimum benchmarks; is innately driven to improvement and not satisfied with just compliance. The CEO is dynamic, enthusiastic and energetic in pursuit of personal and organizational goals; approaches challenges as opportunities for improvement with a contagious energy that drives the organization.
• Of strong character: Honest and straight-forward, given to transparency and full disclosure; respectful of others’ feelings and perspectives; able to maintain the highest level of integrity and create confidence even within those with doubts; can quickly and easily address questions of morals or ethics to guide decision making.
• Courageous: The CEO must be able to remain fearless in doing the right thing for the patient, even in the face of strong opposition; not afraid to speak directly; comfortable in presenting a full and accurate picture of any situation.
• A Superior Communicator: The CEO must be a Master of Communication, both verbal and written, and have the ability to have courageous conversations. She/he must be a good listener with innate empathy for differing views. The CEO must be able to communicate clearly and eloquently in order to effectively function in any setting, from a meeting with government officials or community members; to a meeting with a patient’s family; to a hallway conversation with employees.
• Decisive: Have conviction, based on well thought-out analysis and personal strength; is able to pull upon diverse past experiences to craft novel and innovative solutions.
• Visionary: The CEO can take the organization to the next step in its structure, scope, performance and quality improvement; has the ability to stay ‘ahead of the game’ by anticipating demands and constraints within the evolving healthcare industry and be able to ensure PCCH is positioned for continued success.
• Astute: The CEO is bright and is intellectually capable of mastering the complexities of leading this growing hospital; having the business and financial acumen to analyze, comprehend, select and implement innovative solutions and models for the delivery of healthcare to lead the organization to short-term and long-term success.
• Persuasive: Is clear and consistent in the delivery of the message of the hospital’s promise of Excellence, and Mission, Vision and Values. Can present a strong business case for a distinct direction while demonstrating empathy for contrasting views; maintains a truly good sense of humor as a person who enjoys his/her work.
• An Advocate: The CEO is the champion of Perry County Community Hospital, both internally and externally; speaks effectively to clarify and build support for the hospital across our county and in the larger arena of healthcare delivery.
• A Change Artist: The CEO sponsors, champions and facilitates change throughout the organization to meet the challenges of the evolving environment of healthcare delivery.
• Resilient and stable: Is able to manage multiple priorities and demands; is a model of responsiveness from the administrative suite who is flexible, yet predictable and reliable, and will reinforce trust even in times of divergent opinion.
• Visible: The CEO has a style that creates the expectation of regular contact and interaction among staff and physicians/providers; regularly rounds throughout the organization.

Supervisory Responsibility:

The CEO leads the Executive Team and directly supervises the Chief Nursing Officer and Department Directors, including the Human Resources Director, the Compliance/HIPAA Director, Clinic(s) Directors, and other Ancillary Department Directors. In addition, the CEO also supervises/evaluates all physicians/providers throughout the hospital. The CEO carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.

Interpersonal Contacts and Job Skills:

Must have superior interpersonal communication skills to represent the Hospital and accomplish a variety of work with various groups of people: physicians/providers, patients and family members, direct reports and all Hospital staff, the Hospital's Board of Directors, community partners, businesses and organizations throughout the county, the media and the general public. A demonstrated understanding and appreciation for diverse cultures is required.

Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations. Ability to write reports, business correspondence and other professional documents. The CEO has the ability to define problems, collect data, establish facts, and draw valid conclusions in a prompt and effective manner.

Specific Job Effort:

• Be able to sit, stand, and bend throughout the day.
• Be able to push, pull and lift over 20 pounds, occasionally over 100 lbs., possibly assist with lifting and moving patients.
• Responsible for meeting various requirements, conducting various department-related meetings, submitting reports and retaining records as required.
• Must possess adequate vision, hearing and manual dexterity to perform job duties.
• Mental efforts of the position include the ability to handle stressful situations and maintain professional composure.

Education, Experience and Certification/Licensure:

Five years directly related experience with community healthcare facilities of similar size and structure (e.g., independent hospital, rural community hospital, Critical Access Hospital) preferred. Demonstrated administrative and financial management expertise in a small or medium size healthcare organization is highly preferred. Demonstrated understanding of the DNV accreditation process is highly preferred. Demonstrated understanding of clinical care is highly preferred. Demonstrated understanding of a hospital and clinic’s physical plant is highly preferred. Mastery or Word, Excel, Outlook, and Microsoft Windows is highly preferred. Demonstrated ability to create and maintain a highly organized electronic and physical healthcare administrative department.

Job Conditions:

High stress position based on full responsibility for the hospital and its operation. The position is subject to possible exposure to infectious diseases, substances, odors, hazardous materials, noise as well as hostile and emotionally upset patients, family members and members of the public. Requires frequent travel throughout the region as well as occasional overnight travel to professional meetings, etc.

**CNO:

Position General Summary:

The Chief Nursing Officer is responsible for the leadership and overall management of patient care throughout the healthcare setting of the hospital.

Nursing Duties:

A chief nurse is mandated by the hospital administration to maintain clinical and patient-care standards. This includes ensuring that the patients are safe in the hospital and have access to the right medical care. In order to do this, the chief nursing officer has to work closely with the hospital management and stakeholders to acquire the right infrastructure and resources. The CNO also offers the best insights to the management on how they can improve the quality of care in the facility. A chief nursing officer is also responsible for formulating and implementing new nursing strategies. This requires extensive knowledge of the nursing procedures, staff rules, and patient policies.

Administrative Duties:

A chief nursing officer has a wide range of responsibilities, including administrative roles. The chief nurse sometimes performs the duties of a chief administrator or CEO of the hospital. The CNO plans and oversees the daily activities within the hospital and ensures everything runs as planned. This includes organizing, directing, and coordinating medical and health services in compliance with the government regulations and policies set by the board of trustees. The CNO may also shortlist, evaluate, hire nurses, and assist in educating them on the best healthcare practices. In some instances, a chief nursing officer may help in planning budgets and setting rates for the health services.

Leadership Duties:

A chief nursing officer is expected by the government and hospital management to maintain high standards other staff members can follow. The CNO inspires others based on what he/she does and encourages them to uphold the best practices when handling patients. He/she works toward establishing a conductive environment for other nurses by developing strategies aimed at creating collaboration. His leadership duties may go beyond the scope of nursing to serving as a spokesperson, representative, or trainer at medical conferences and seminars. A chief nurse may also review the certifications of other nurses to make sure they comply with the existing professional regulations in the industry.

Liaison with Physicians:

Many hospitals struggle to keep a perfect working relationship between physicians and nurses. A chief nurse acts as the closest link between the physicians, nurses, and hospital administrators. He/she ensures that all the RNs and LPNs offer the best possible support to the doctors in their respective departments. The support may include retrieving patient information, observing the patients based on the doctors' instructions, and providing the right diagnostic tools. To achieve this, the chief nursing officer may need to review the policies of the hospital and make changes where necessary.

This position is an Essential position at the facility to ensure efficient operations and patient care. Employees hired into an Essential position are expected to report to work for their scheduled shifts regardless of the environmental weather and road conditions that may exist.

Position Duties and Responsibilities:

• Providing leadership to nurse employees that will enroll their support, create ownership of goals, and have them actively participate in decisions that impact the hospital
• Maintaining necessary regulatory and compliance approvals and quality accreditations
• Partnering with physicians who use, or will use, the hospital
• Assisting in planning new services that generate additional sources of profitable revenue
• Creating an environment that will encourage recruiting and retention of clinical employees
• Managing costs by continually seeking data that will identify opportunities and take action to eliminate non-value costs
• Establishing standards for nursing practices and maintain authority, accountability and responsibility for nursing services
• Developing organizational patient care programs, policies and procedures that describe how nursing care is assessed, delivered and evaluated.
• Developing and managing the nursing services budget and ensuring sufficient number of qualified staff to assess patient needs
• Plan and provide nursing care interventions and prevent complications, promote improvement and patient comfort and wellness
• Analyzing areas in planning, promoting and conducting organization-wide performance improvement activities
• Representing the nursing services at all meetings including medical staff and hospital board of director meetings; participates with leaders in designing and providing patient care and services
• As a member of the Hospital's senior management team, the CNO will participate in functional decision-making processes necessary to the successful attainment of the hospital's mission in addition to maintaining an awareness of changes in healthcare clinical matters that could have an impact on the success of the hospital.

Facility General Responsibilities:

• Attend facility new hire orientation as scheduled by HR
• Complete Department Orientation Initial Competency within 7 days of hire date
• Complete Department Initial Skills Competency within 90 days of hire date
• Follow facility and OSHA safety rules and procedures
• Respect cultural and religious practices of patients from all backgrounds
• Follow HIPAA regulations at all times
• Be punctual and dependent for assigned shifts
• Dress within the dress code requirements of the facility
• Identifies all patients using at least two identifiers verbally (name and DOB), and by checking ID bracelet
• Follows Hospital Wide and Department Specific policies and procedures
• Must interact with physicians, guest, staff, and patients pleasantly, cooperatively, and effectively

Knowledge, Skills, and Abilities:

• Sound understanding of Emergency Room, Outpatient and Inpatient dynamics and workflow
• Sound understanding of nursing practice and nationally accepted standards of patient care
• Cognitive skills as related to Emergency Department, Outpatient, and Inpatient Nursing
• Critical thinking and problem-solving abilities
• Good Communication skills with ability to communicate appropriately with all age groups
• Ability to perform under stress and cope with difficult situations

• Good time management and organizational skills to complete patient care and documentation each shift
• Sound understanding of moderate sedation including drug administration, monitoring, reversal agents, and adverse reactions
• Through understanding of bedside shift reporting and the use of SBAR
• Serves as the patients’ advocate

Position Requirements: Education, Work Experience, Licensure, Certifications:

• Must be a registered nurse (RN) with current licensure
• Must be able to use Microsoft Office Software with a focus on Excel, SharePoint, Word, Outlook and Teams.
• Must be proficient in written and verbal communication skills
• Must possess detailed knowledge of hospital nursing operations
• A Bachelor's degree in Nursing from an accredited institution is recommended
• Experience with CPSI EMR is preferred
• Experience with ADP Time and Attendance Payroll is preferred
• A Master's degree preferred
• Preferred to have 5 years of demonstrated successful leadership in an acute-care hospital environment (For-profit experience preferred)
• Ability to establish and maintain effective working relationships with hospital staff, physicians, patients, and patient's families
• Ability to maintain confidential information concerning personal, financial, or medical matters

Working Conditions:

Patients need round-the-clock care; therefore working hours include days, nights, weekends, and holidays. Nurses spend a considerable amount of time walking, bending, stretching, standing, and assisting in patient transfers; therefore they must follow proper body mechanics to guard against injury. Nurses must be able to work accurately around frequent interruptions. Nurses may also face hazards from exposure to chemicals, infectious diseases, and body fluids requiring the need to wear PPE. In addition, Nurses treat patients that may be confused, irrational, agitated, and/or uncooperative.

Physical Requirements / Demands:

• Ability to lift twenty (20) pounds. Moving, lifting, or transferring of patients may involve lifting of up to fifty (50) pounds
• Ability to stand and walk for extended periods
• Ability to bend, lean, and stoop without hindrance; requires a full range of body motion
• Fine motor skills
• Vision: Must be able to see clearly with corrective device if necessary
• Hearing: Must be able to hear clearly with hearing assistance device if necessary

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, talk, and hear. The employee is frequently required to walk and reach forward with hands and arms. The employee is occasionally required to sit, stoop, kneel, or crouch. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The overall physical demand rating for a job of the nurse falls within the Medium classification (exerting 20 to 50 pounds of force occasionally, 10 to 25 pounds of force frequently, and negligible up to 10 pounds of force constantly to move objects). Physical Demand requirements are in excess of those for (Light Duty) according to the Dictionary of Occupational Titles.

Statement of Non-Inclusivity:

This job description has been designed to indicate the general nature and level of work being performed by the employee within this classification. It is not designed to contain or be interpreted as a comprehensive list of all duties, skills, responsibilities, and qualifications which may be required of or given to any employee assigned to the position. The skills, duties, requirements, and responsibilities outlined in this job description may be changed or added to when deemed appropriate and necessary by the company or the person who is designated to be managerially responsible for this position. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind. Employment with the company is an at-will relationship.