Description:
Waterfall Clinic, Inc. dba Waterfall Community Health Center (WCHC) is a rural Oregon Federally Qualified Health Center (FQHC) and an integrated patient-centered primary care clinic serving insured and uninsured children and adults with a special emphasis on care for individuals who experience barriers to accessing care due to income, language, cultural and social barriers.
Job Purpose: Chief Executive Officer
The CEO provides strategic leadership and oversight of the executive team to ensure high-quality, accessible, equitable, and patient-centered care and integrated services, operational excellence, financial sustainability, and compliance with HRSA Health Center Program Requirements, Oregon Health Authority (OHA) regulations, and all state, federal, and FQHC program standards. The CEO works closely with the Board of Directors in setting the organization’s vision, ensuring strong governance, and representing the FQHC to community partners, regulators, and funders. The CEO leads at a strategic level while delegating daily operations, clinical direction, and financial management to the appropriate executive leads.
The CEO fosters a culture of integrity, respect, accountability, service excellence, safety, and continuous improvement; ensures strong community partnerships; and leads organizational sustainability in a rural healthcare environment.
Essential Responsibilities: Executive Leadership
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Adhere to the spirit of Waterfall Community Health Center to remove barriers to care, and our mission statement while performing assigned duties
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Demonstrate the core values of Integrity, Respect, Accountability, Compassion, Partnership, and Collaborative Communication
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Develop collaborative partnership with the Board of Directors to ensure that the organization fulfills its vision, mission, goals, and strategic direction by effectively managing all key components of organization’s operations
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Foster a workplace that results in the development, growth, and retention of a highly performing Executive Team
Strategic Leadership & Governance
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Provide leadership and oversight to the Executive Team to implement Board-approved strategic plans and organizational vision
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Strengthen governance practices, support Board development, and ensure compliance with all HRSA Health Center Program requirements and OHA regulations
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Present timely performance, quality, financial, and compliance reports to the Board
Executive Team Leadership
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Guide and support the Executive Team in respective areas of responsibility
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Ensure alignment across clinical, operational, financial, and administrative functions
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Facilitate executive team decision-making and accountability for deliverables
Financial Sustainability & Compliance
7. Collaborate with the CFO to steward financial health, budgeting, forecasting, and diversified revenue strategies, including federal grants, Medicaid/Medicare reimbursements, and value-based care contracts
8. Ensure robust financial controls and compliance with federal/state standards
Community and Stakeholder Relations
9. Act as the primary external representative to community partners, CCOs, local governments, tribal entities, and other stakeholders
10. Strengthen partnerships that advance access, care coordination, and population health in rural communities
Organizational Culture & Human Capital
11. Promote an inclusive and mission-driven culture grounded in equity, safety, and continuous improvement
12. Work with leadership to recruit, retain, and develop a high-performing workforce
Quality and Performance Improvement
13. Oversee organizational performance measurement through the executive team
14. Champion continuous quality improvement, patient experience, and data-driven outcomes
15. Ensure compliance with company policies and procedures as applicable to area(s) of responsibility
16. Handle confidential information and materials appropriately and maintain a secure work area
17. Other duties as assigned
Essential Responsibilities: ORGANIZATIONAL TEAM MEMBER
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Participate in quality and organizational process improvement activities when requested
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Support and contribute to effective safety, quality, and risk management efforts by adhering to established policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities
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Openly, clearly, and respectfully share and receive information, opinions, concerns, and feedback in a supportive manner
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Work collaboratively by mentoring new and existing co-workers, building bridges, and creating rapport with team members across the organization
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Provide excellent customer service to all internal and external customers, which includes team members, patients, students, visitors, and vendors, by consistently exceeding the customer’s expectations
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Advance personal knowledge base by pursuing continuing education to enhance professional competence
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Promote individual and organizational integrity by exhibiting ethical behavior to maintain high standards
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Represent organization at meetings and conferences as applicable
Essential Responsibilities: PERSONNEL MANAGEMENT
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Plan, orient and assign work to personnel that supports goals and objectives contained in the organization’s Strategic Plan and delivers outstanding team-based services
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Promote a culture of risk-management, team-based, values-based, high-performance, and continually improving practice that values learning and a commitment to quality
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Establish and monitor assigned staff performance, assign accountabilities, set objectives, and establish priorities
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Assist in the recruitment, hiring, orientation, development, and evaluation of assigned staff, including the completion of Performance Reviews and merit wage adjustments
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Promote employee retention, productivity, and satisfaction through ongoing support, encouragement, empowerment, coaching and effective teamwork
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Ensure staff comply with approved organizational policy and procedure
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Knowledge of federal and state employment and labor laws
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Assist employees to read, interpret and apply policies and procedures
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Support and mobilize assigned staff to engage in their assigned work through implementation of team building, performance coaching and problem-solving strategies
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Ensure staff are cross-trained to accomplish the goals and objectives of the organization
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Responsible to back-up assigned staff workloads when necessary
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Respond to the needs of direct and indirect staff with clear, open, and honest communication, mutual respect, and consistent follow through to generate trust and enhance personal effectiveness
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Recommend discharge of employees, when indicated, based on work performance and behaviors
Knowledge, Skills, & Abilities:
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Critical attention to detail for accuracy, timeliness, and organization of assigned work
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Ability to report to work as scheduled, and willingness to work a flexible schedule when needed
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Proficient in Electronic Health Records (EHR), Microsoft Office Suite and Windows Operating System (OS)
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Knowledge and understanding of how the positions’ responsibilities contribute to the department and company goals and mission
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Knowledge of federal and state laws including OSHA, HIPAA, Waste Fraud and Abuse
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Training in, awareness and understanding of equity, diversity, inclusion, and the equity lens: ability to analyze the unfair benefits and/or burdens within a society or population by understanding the social, political, and environmental contexts of policies, programs, and practices; additional mandatory trainings per company policy
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A respectful and friendly demeanor, with a non-judgmental approach
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Ability to handle stress and sensitive situations effectively while projecting professionalism
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Ability to communicate professionally, both conversing and written
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Ability to work with diverse populations and interact with people of differing personalities and backgrounds
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Sensitive to economic considerations, human needs and aware of how one’s actions may affect others
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Poised; maintains composure and sense of purpose
Working Conditions: Administrative/Office Clerical
This position must have the ability to remain in a stationary position, often for long periods of time, and occasionally move about inside the office to access office machinery; and frequently communicate and exchange accurate information.
Work Condition: Healthcare Facility
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Employee generally works within the interior of a healthcare facility office.
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Employee may travel locally and be responsible for own transportation; out of area travel may be required on occasion.
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Hours of operations and specific staff scheduling may vary based on operational need.
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The healthcare facility office environment is clean with a comfortable temperature and moderate noise level.
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TB test required upon hire.
Exposed to:
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Healthcare facility cold and heat controls.
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Close contact with employees and the public, in a healthcare facility.
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Potential exposure to communicable diseases.
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Potential exposure to escalated or angry patients.
Machines, equipment, tools, and supplies used:
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Constantly operates a computer and other office productivity machinery, such as postage machine, fax, copier, calculator, multi-line telephone system, scanner.
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May answer a high volume of telephone calls, complete documentation, and use computer programs to either obtain or record information.
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May be required to use standard precautions due to threat of exposure to blood and bodily fluids.
Multiple Duties: Must be able to work under conditions of frequent interruption and be able to stay on task.
Other Information:
This job description is intended to provide only basic guidelines for meeting job requirements. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of Waterfall Clinic employees. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Requirements:
Qualifications, Education, & Experience
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Bachelor’s degree in healthcare administration, public health, business or related field required; Master’s in previously listed field(s) strongly preferred
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Minimum seven years’ experience in a senior leadership position in community health, nonprofit healthcare, or similar organization required
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Experience with FQHC operations, HRSA/Bureau of Primary Health Care (BPHC) compliance, and rural healthcare delivery
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Demonstrated strategic, financial, and operational leadership
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Exceptional interpersonal, communication, and community engagement skills
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Ability to handle sensitive information with objectivity, confidentiality and professionalism
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Certified Medical Practice Executive (CMPE) preferred
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Prior experience reporting to or working with a nonprofit governing board
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Previous experience directly supervising C-suite leaders, prior oversight of multi-site health services preferred
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Knowledge of Oregon’s CCO model, Medicaid managed care, and integrated care systems preferred
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Bilingual speaking skills desirable
Core Competencies
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Strategic and operational leadership
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Financial acumen and business management
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Relationship building and collaborative communication
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Cultural competence and person-centered care
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Compliance and risk mitigation
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Talent management and workforce development
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Community partnership and advocacy
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Data-driven decision making
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Crisis and change management
