Executive Director

Job Description

North Kern South Tulare Hospital District is looking for an Executive Director who will serve as the chief administrative officer, providing leadership and implementing policies and programs to carry out the work of the organization and to ensure it remains responsive to the community it serves. Additionally, the Executive Director will be responsible for overall administrative management and operation of the District.

Job Purpose

Supervisory Responsibilities: Responsible for overall administrative management and operation of the District, carrying out supervisory responsibilities in accordance with the District’s policies and applicable laws, and providing oversight to the following positions:

  • DDSNF (skilled nursing facility) Administrator
  • Medical Director, Physician Services contractors, and clinic manager for the Gloria Nelson Center (rural health care clinic);
  • Executive Assistant and Board Clerk
  • Human Resources Director
  • Controller
  • Facilities Manager
  • Admissions & Discharges Coordinator/Public Relations.


  • Participates with the board in charting the course the District is to take in response to developing needs of the community of Delano.
  • Evaluates the effect of external forces on the facilities, recommends long-range plans that support the District’s philosophy and general objectives.
  • Ensures attainment of District objectives through the selection, development, motivation, and evaluation of District staff. Specifies staff accountabilities and evaluates performance.
  • Negotiates professional contracts and sees that appropriate salary structures are developed and maintained.
  • Monitors the adequacy of the District’s medical activities through coordination with the board, the Medical Director, DDSNF Administrator, and nursing staffs, and coordinates development of/enacts policies to assure excellent health care services.
  • Assures the sound fiscal operation of the District including timely, accurate, and comprehensive development of an annual budget and its implementation. Plans for the purchasing of capital equipment and obtains approval for capital purchases above specified threshold. Plans for the use of physical resources of the District and insures against physical damages. Ensures prudent management of District resources within the annual budget guidelines according to current laws and regulations. Ensures that appropriate internal and management controls are established and maintained.
  • Ensures compliance with the regulations of Skilled Nursing Facilities and Rural Health Clinics and the rules of accrediting bodies by continually monitoring the organization’s service delivery and initiating changes as required. Maintains overall responsibility for risk management of all healthcare programs and services; and participates in litigation for the District and informs the board of the need to initiate litigation.
  • Oversees the preservation of the asset value of the District’s capital investments; any construction a facility rehabilitation activities; and the planning, exercising and documenting of disaster and emergency preparedness activities.
  • Encourages the integration of the District in the community by using effective communication and public relations skills. Communicates with staff and volunteers to improve service and to generate community involvement with the hospital.
  • Other duties as the Board may assign. Nothing in this job description restricts the Board’s ability to assign, reassign, or eliminate functions, duties and responsibilities of this job at any time.


Required Skills/Abilities:

  • Ability to perform in a high-stress position with full responsibility for District operations.
  • Ability to handle detailed, complex concepts and problems and to make rapid decisions regarding administrative and operational issues.
  • Ability to plan and implement programs on District-wide basis.
  • Excellent organizational skills and attention to detail.
  • Strong analytical and problem-solving skills.
  • Excellent interpersonal communication skills, and ability to develop smooth and constructive relationships with executive colleagues, and outside agencies, organizations, and individuals.
  • Ability to convey a professional and positive image and attitude regarding the District.
  • A demonstrated understanding of diverse cultures and backgrounds.


Education and Experience:

  • Bachelors degree in relevant field required; Master’s degree in hospital administration, health, business administration, finance, or public health administration preferred.
  • Three to five years of experience in Public Agency or non-profit environment preferred.
  • Three to five years of experience in Healthcare, Finance, and/or Human Resources preferred.
  • Three to five years of business administration and/or experience related to the organization’s industry required with supervisory and leadership experience preferred.
  • A strong working knowledge of federal healthcare legislation, laws, regulations and guidelines is required, including but not limited to those under the authority of the Department of Health and Human Services and the Centers for Medicare and Medicaid Services (CMS).
  • A working knowledge of California Healthcare District Law. Knowledge and experience with California Department of Public Health regulations.
  • Demonstrated success in integrating the needs and goals of a health care organization, its Medical Staff, employees, philanthropists, and the community.
  • Proven track record of keeping an organization financially healthy is preferred.
  • An understanding of the unique characteristics of a publicly elected Board whose members are responsible to their constituents is preferred.

Physical/Mental/Environmental Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 15 pounds at times.
  • Able to sit, stand, and bend throughout the day.
  • Ability to perform a variety of duties, often changing from one task to another, often with frequent interruptions or distractions; ability to adjust priorities quickly as circumstances dictate, and ability to deal with difficult situations involving the public or staff.

Given that the work will be performed in health care facilities, potential exposure to infectious diseases. The wearing of protective equipment may be required.