Chief Executive Officer

Chief Executive Officer (CEO)

Department: Executive

Reports to: KPHC Board of Directors

FLSA Status: Exempt

Type of Position: Full-Time

Revised Date: 12/20/2022

MISSION & VISION STATEMENT:

The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: “ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE” and the VISION OF KPHC is: “HEALTHY PEOPLE, HEALTHY COMMUNITY, and HEALTHY LIFESTYLE”.

POSITION PURPOSE:

This position is responsible for the overall administration and programmatic oversight of all programs provided by the KPHC. This position assures the highest quality of care to the community of Santo Domingo Pueblo. The CEO uses executive authority to make operational decisions, recommend new policies and procedures and/or amendments to existing policies to the Health Board. The CEO collaborates closely with the KPHC Board of Directors in the management and direction of the Corporation’s programs and services; including the SDHC.

PERFOMANCE EXPECTATIONS:

In performance of their respective tasks and duties all employees of the Kewa Pueblo Health Center are expected to conform to the following:

• Uphold all principles of confidentiality and patient care to the fullest extent.
• Adhere to all professional and ethical behavior standards of the healthcare industry.
• Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
• Possess and maintain an environment of cultural awareness and sensitivity enabling the facility to fulfill its mission by meeting or exceeding its goals.
• Take responsibility for all day-to-day operations of the facility and health services provided to the patients.
• Maintain a current insurable driver’s license.
• Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and procedures, as well
• Consistently maintains professional and ethical standards adhering to all KPHC Policies, Compliance Standards and HIPAA.

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES:

• Supervises the executive staff, completes staff performance evaluations, performs job training and orientation, uses employee diagnostic instruments for performance and improvements, and evaluates and implements performance management systems specific to departmental issues. Includes assignment of duties, work schedules, leave requests, and monitoring of employee work standards.
• Coordinates staff development and ensures compliance with continuing education requirements for all KPHC employees while continuously focusing on the needs of the Corporation’s programs and services.
• Implements project goals and objectives, reviews implementation plans to determine relevance and appropriateness of goals and objectives. Reviews project activities to determine if activities lead to expected outcomes and programmatic accountability to patients and clients.
• Develops and maintains an effective patient grievance system and external appeals process, which assures timely follow-up and resolution. Provides for the regular evaluation of services and ensures results are reported to staff and Board. Monitors and revises policy implementation which supports the rights of patients.
• Maintains on-going, effective communication throughout the Corporation including, but not limited to, coordination of quality assurance, quality improvement and regulatory compliance of all services offered to the community of Santo Domingo.
• Actively pursues alternate resources to support Corporation program activity including grants, contracts, staffing agreements, and third-party reimbursements.
• Monitors systems responsible for accounting, budgeting, responsibility reporting, internal controls, auditing, and cost reporting in collaboration with the Chief Financial Officer.
• Responsible for all financial reporting of the Kewa Pueblo Health Corporation and its programs, to include monthly financial statements, budget preparation and maintenance, billing, payroll, etc. Develops operating and fiscal policies for the Corporation, as needed.
• Be accountable for planning, organizing, and directing facility operations to ensure that quality care is provided and the financial integrity of the KPHC is well-maintained.
• Prepares an annual budget, in coordination with the Finance Department, for the Corporation programs and services showing the expected revenue and expenditures as required by the KPHC Board. Monitors and administers the approved budget; advises executive staff and/or the KPHC Board of shortages and appropriate adjustments needed.
• Ensures compliance with applicable laws and regulations, as well as policies and procedures set forth by the KPHC Board, medical staff, and/or AAAHC or other regulatory agency.
• Makes decisions according to policy and uses good judgement for decisions if no policy exists. Recommends and/or develops proposed policies or policy revision for approval. Implements procedures for approved policies and assures consistent implementation.
• Oversees the Corporation’s performance of all PSFAs assumed from the IHS per Pub. L. 93-638 or per other grant or contract funding sources, and coordinates performance with all IHS retained or buy-back services whether at the Santa Fe Service Unit, Albuquerque Area Office or Headquarters levels of the IHS.
• Encourages the integration of the medical facility and services with the community through effective communication, visibility, and other public outreach programs.
• Sets the mission, vision and values of the KPHC programs and services and directs the Corporation’s progress towards them.
• Holds staff accountable for performance/performance improvement and motivate, recognize, and reward positive results.
• Performs long-range program planning, in the form of a Strategic Plan, constantly looking ahead to the future and planning for the activities of the Corporation to meet the Pueblo of Santo Domingo’s health needs through collaboration with the leadership team that is presented and approved by the KPHC Board.
• Acts as liaison among the KPHC programs, Santo Domingo tribal programs, Indian Health Services (IHS), State of New Mexico and any other outside agencies.
• Represents KPHC and the Pueblo of Santo Domingo on health related boards and/or committees as appropriate.
• Attends monthly KPHC Board Meetings; reports meeting actions and recommendations to staff, the community and other departments as appropriate.
• Informs and advises the KPHC Board on current trends, problems, and activities in healthcare to facilitate policy making and governance oversight.
• Establishes processes for the identification, reporting, analysis and prevention of adverse or sentinel events and ensures consistent and effective implementation of solutions.

• Oversees implementation of processes to ensure compliance with privacy laws such as HIPAA and Privacy Act, prevention of fraud and abuse and NPDB reporting.
• Provides monthly reports to the KPHC Board of Directors on program workload statistics, staffing, accomplishments and challenges. Conducts a bi-annual evaluation and review of all Corporation programs including utilization of services, continuous quality improvement and existing KPHC policies and procedures.
• Takes personal responsibility for the operation, measurement, assessment, and improvement of the performance of all KPHC clinical facilities and health services provided to the community.
• Responsible for ensuring appropriate maintenance and improvements for all KPHC facilities, grounds and infrastructure.
• Responsible for adhering to non-discriminatory employee practices in regard to race, color, region, sex, national origin, age or handicap. In conjunction with the Human Resources Department, develops an affirmative action plan including appropriate objectives and goals, and communicates those to employees.
• Maintains positive participation in all levels of the decision making process.

• Performs other related administrative and leadership duties as necessary or in the best interest of the KPHC and/or requested by the KPHC Board.

MINIMUM MANDATORY QUALIFICATIONS:

Education:

Experience:

• Five (5) years of progressive experience in management, administration and supervision, in an executive capacity, within the health care field.
• Experience with Human Resources Management and development & administration of financial management processes and systems.

Mandatory Knowledge Skills, Abilities and Other Qualifications:

• Knowledge and understanding of the principles, procedures and associated regulations and standards for the delivery of rural, community-oriented health care delivery systems.
• Knowledge and experience with the provisions of P.L. 93-638 Indian Self-Determination and Education Assistance Act contracting and the IHS system.

• Ability to supervise, train and evaluate professional and para-professional health care providers.
• Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.

• Knowledge of personnel management requirements such as EEO, employee and labor relations, position management, recruitment and training.

• Knowledge of the principles and practices of management and fund accounting, finance, and business administration. Skill in the development, preparation, and control of budgets.
• Experience with strategic planning, analyzing problems, projecting consequences, identifying solutions, and implementing recommendations.
• Familiarity with the mandatory reporting requirements under the Indian Child Protection Act, with regards to suspected incidence of child abuse or child neglect.

• Extensive knowledge of appropriate accrediting and certification requirements, such as JCAHO, AAAHC, Medicare/Medicaid, OSHA, etc.
• Knowledge of policies and regulations on Tort Claims and Third Party Claims.

• Ability to communicate effectively, in the English language, both verbally and in writing with staff and the general public.
• Computer literate and skilled in operating business computers and office machines, including Word, Excel, Access, presentation software (such as PowerPoint).

• Incumbent may be required to work day, evening or holiday shifts.
• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers

PREFERRED QUALIFICATIONS:

• 10 or more years of experience in management, administration and supervision, in an executive capacity, within the health care field.
• Bilingual skills in English and the Keres native language.
• Prior experience working with Indian Health Services (IHS), a Tribe or Tribal Organization.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. This position may be exposed to certain health risks that are inherent when working within a health center facility.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors and staff.

MENTAL DEMANDS:

There are a number of deadlines associated with this position. The employee must also multi-task and interact with a wider variety of people on various and, at times, complicated issues.

OTHER:

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination.

Disclaimer: The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.