Nksthd
The Executive Director is responsible for the overall leadership, management, and strategic direction of North Kern South Tulare Healthcare District ("NKSTHD"), and its affiliated entities including Gloria Nelson Family Clinic ("GNC Family Clinic") and Delano District Skilled Nursing Facility ("DDSNF"). This role is responsible for the effective administration of all programs and services, ensuring high standards of care, regulatory compliance, financial sustainability, and alignment with community health needs.
The Executive Director directs day-to-day operations, oversees staff and contractors, and ensures efficient and patient-centered service delivery across all facilities. Working in close collaboration with the Board of Directors, this position plays a key role in developing and implementing the District’s long‑term goals, annual budgets, and operational policies aimed at improving health outcomes and organizational performance.
Supervisory Responsibilities
Operates the facility in accordance with federal, state, and professional standards and regulations, maintaining licenses and certification.
Supervises and oversees staffing to ensure that proper standards are met.
Thorough understanding of and support for the skilled nursing facility philosophy.
Excellent interpersonal skills to relate effectively to staff, patients, families, and the community. Duties/ Responsibilities:
Provides overall executive direction of day-to-day and long-term operations and activities of the District, organizing and assigning responsibilities, and directing and overseeing the management provided by subordinate managers.
Collaborates with the governing board to establish long-term strategic goals, objectives, and policies for the district and healthcare facilities.
Oversee the development and implementation of operational policies and procedures for both the district and healthcare facilities.
Ensures all programs, services, and healthcare facilities comply with federal, state, and local laws and regulations.
Oversee the daily operations of the rural health clinic and skilled nursing facility, ensuring high-quality patient care, compliance with healthcare regulations, and a safe environment for residents and staff.
Manage and ensure the facility’s compliance with state and federal healthcare regulations, licensing requirements, and industry best practices.
Work closely with medical staff, including physicians, nurses, and other healthcare professionals, to ensure the effective delivery of health services to the community.
Develop and implement strategies to improve the quality of care, patient satisfaction, and operational efficiency at the healthcare facilities.
Within guidelines established by the Board, directs the establishment of overall strategic plans, long-term goals, and objectives for the district’s operations, services, and healthcare facilities.
Keeps the Board of Directors advised of District activities, laws, issues, or problems that may affect District operations, ensuring that the Board is fully informed about critical matters.
Represents the Board of Directors and the District in contact with various federal, state, and local government agencies, community groups, businesses, and other professional organizations to build and maintain relationships and ensure the District’s interests are represented.
Negotiates a variety of contracts and agreements on the District’s behalf, including those for healthcare services, facility management, and operational partnerships.
Provides general direction on the design, construction, operation, and maintenance of District facilities, including the rural health clinic and skilled nursing facility.
Oversees preparation and implementation of the annual District budget, including budgets for the rural health clinic and skilled nursing facility, ensuring appropriate allocation of resources and effective cost control.
Monitors financial performance, conducts audits, and ensures the district’s fiscal health, while seeking grants and funding opportunities to support district programs and healthcare services.
Hire, train, and supervise district staff, including healthcare facility personnel, ensuring effective performance management, professional development, and staff retention.
Monitors and implements all personnel rules and regulations, ensuring compliance with applicable labor laws, District policies, and organizational standards.
Oversee the implementation and evaluation of district programs, services, and healthcare services.
Ensure that district operations and healthcare services are effective, efficient, and aligned with the district’s goals and policies.
Address complaints and resolve conflicts related to district services and operations, including healthcare services.
Ensure compliance with all relevant laws, regulations, and industry standards affecting both the district and healthcare facilities.
Prepare and submit required reports to local, state, and federal agencies related to district operations and healthcare facility operations.
Monitor changes in laws and regulations affecting the district and healthcare facilities and recommend necessary adjustments to policies or practices
Ensures compliance with public transparency and governance obligations, including the Brown Act, Public Records Act, and other applicable public agency statutes and guidelines.
Performs other related duties that may be reasonably expected as part of this classification.
Education and Experience
A bachelor’s degree in a relevant field, such as Business Administration, Healthcare Administration, Public Health, or a related discipline, is preferred. A master’s degree in Hospital Administration, Health Administration, Public Health Administration, or a similar advanced degree is highly preferred.
The ideal candidate will have at least eight years of experience in a senior management or executive leadership role, preferably within a healthcare environment, public agency, or non-profit setting. Experience working in or with a special healthcare district or government-funded healthcare organization is strongly preferred. A current Nursing Home Administrator (NHA) license required.
A comprehensive understanding of federal and state healthcare legislation, including but not limited to regulations from the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services (HHS), and California healthcare district law, is required. Experience with California Department of Public Health regulations and other state or federal healthcare standards is essential.
Experience working with a publicly elected Board of Directors and understanding the unique governance structure of a publicly accountable organization is preferred. The candidate should also possess a proven ability to effectively communicate with stakeholders, including government officials, medical staff, employees, and the community, and successfully integrate their needs and goals into the operations of the organization.
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to access and navigate each department at the organization’s facilities.
Salary $180,000-$220,000 annually, commensurate with experience
Work Schedule
This is a salaried position with a generally expected work schedule of Monday through Friday during standard business hours (approximately 8:00 a.m. – 5:00 p.m.). Actual work hours may vary based on operational needs.
Attendance is required at Board Meetings, which are held on the last Thursday of each month as well as any special Board meetings as needed.
Occasional evening and weekend hours will be required to attend related events or as directed.
Application To apply, please complete an application online at www.nksthd.org. To be considered for this position, please submit a complete employment application and resume.
Equal Opportunity Employer NKSTHD is an equal opportunity employer. We are committed to fostering a diverse, inclusive, and supportive workplace where all employees and applicants are treated with respect and dignity.
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The Executive Director directs day-to-day operations, oversees staff and contractors, and ensures efficient and patient-centered service delivery across all facilities. Working in close collaboration with the Board of Directors, this position plays a key role in developing and implementing the District’s long‑term goals, annual budgets, and operational policies aimed at improving health outcomes and organizational performance.
Supervisory Responsibilities
Operates the facility in accordance with federal, state, and professional standards and regulations, maintaining licenses and certification.
Supervises and oversees staffing to ensure that proper standards are met.
Thorough understanding of and support for the skilled nursing facility philosophy.
Excellent interpersonal skills to relate effectively to staff, patients, families, and the community. Duties/ Responsibilities:
Provides overall executive direction of day-to-day and long-term operations and activities of the District, organizing and assigning responsibilities, and directing and overseeing the management provided by subordinate managers.
Collaborates with the governing board to establish long-term strategic goals, objectives, and policies for the district and healthcare facilities.
Oversee the development and implementation of operational policies and procedures for both the district and healthcare facilities.
Ensures all programs, services, and healthcare facilities comply with federal, state, and local laws and regulations.
Oversee the daily operations of the rural health clinic and skilled nursing facility, ensuring high-quality patient care, compliance with healthcare regulations, and a safe environment for residents and staff.
Manage and ensure the facility’s compliance with state and federal healthcare regulations, licensing requirements, and industry best practices.
Work closely with medical staff, including physicians, nurses, and other healthcare professionals, to ensure the effective delivery of health services to the community.
Develop and implement strategies to improve the quality of care, patient satisfaction, and operational efficiency at the healthcare facilities.
Within guidelines established by the Board, directs the establishment of overall strategic plans, long-term goals, and objectives for the district’s operations, services, and healthcare facilities.
Keeps the Board of Directors advised of District activities, laws, issues, or problems that may affect District operations, ensuring that the Board is fully informed about critical matters.
Represents the Board of Directors and the District in contact with various federal, state, and local government agencies, community groups, businesses, and other professional organizations to build and maintain relationships and ensure the District’s interests are represented.
Negotiates a variety of contracts and agreements on the District’s behalf, including those for healthcare services, facility management, and operational partnerships.
Provides general direction on the design, construction, operation, and maintenance of District facilities, including the rural health clinic and skilled nursing facility.
Oversees preparation and implementation of the annual District budget, including budgets for the rural health clinic and skilled nursing facility, ensuring appropriate allocation of resources and effective cost control.
Monitors financial performance, conducts audits, and ensures the district’s fiscal health, while seeking grants and funding opportunities to support district programs and healthcare services.
Hire, train, and supervise district staff, including healthcare facility personnel, ensuring effective performance management, professional development, and staff retention.
Monitors and implements all personnel rules and regulations, ensuring compliance with applicable labor laws, District policies, and organizational standards.
Oversee the implementation and evaluation of district programs, services, and healthcare services.
Ensure that district operations and healthcare services are effective, efficient, and aligned with the district’s goals and policies.
Address complaints and resolve conflicts related to district services and operations, including healthcare services.
Ensure compliance with all relevant laws, regulations, and industry standards affecting both the district and healthcare facilities.
Prepare and submit required reports to local, state, and federal agencies related to district operations and healthcare facility operations.
Monitor changes in laws and regulations affecting the district and healthcare facilities and recommend necessary adjustments to policies or practices
Ensures compliance with public transparency and governance obligations, including the Brown Act, Public Records Act, and other applicable public agency statutes and guidelines.
Performs other related duties that may be reasonably expected as part of this classification.
Education and Experience
A bachelor’s degree in a relevant field, such as Business Administration, Healthcare Administration, Public Health, or a related discipline, is preferred. A master’s degree in Hospital Administration, Health Administration, Public Health Administration, or a similar advanced degree is highly preferred.
The ideal candidate will have at least eight years of experience in a senior management or executive leadership role, preferably within a healthcare environment, public agency, or non-profit setting. Experience working in or with a special healthcare district or government-funded healthcare organization is strongly preferred. A current Nursing Home Administrator (NHA) license required.
A comprehensive understanding of federal and state healthcare legislation, including but not limited to regulations from the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services (HHS), and California healthcare district law, is required. Experience with California Department of Public Health regulations and other state or federal healthcare standards is essential.
Experience working with a publicly elected Board of Directors and understanding the unique governance structure of a publicly accountable organization is preferred. The candidate should also possess a proven ability to effectively communicate with stakeholders, including government officials, medical staff, employees, and the community, and successfully integrate their needs and goals into the operations of the organization.
Physical Requirements
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to access and navigate each department at the organization’s facilities.
Salary $180,000-$220,000 annually, commensurate with experience
Work Schedule
This is a salaried position with a generally expected work schedule of Monday through Friday during standard business hours (approximately 8:00 a.m. – 5:00 p.m.). Actual work hours may vary based on operational needs.
Attendance is required at Board Meetings, which are held on the last Thursday of each month as well as any special Board meetings as needed.
Occasional evening and weekend hours will be required to attend related events or as directed.
Application To apply, please complete an application online at www.nksthd.org. To be considered for this position, please submit a complete employment application and resume.
Equal Opportunity Employer NKSTHD is an equal opportunity employer. We are committed to fostering a diverse, inclusive, and supportive workplace where all employees and applicants are treated with respect and dignity.
#J-18808-Ljbffr