Regional Health Administrator - Health Care for the Homeless Network

King County - Seattle, WA

Public Health – Seattle and King County values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply, including people of color, immigrants, refugees, women, LGBTQ, people with disabilities, and veterans.

Public Health-Seattle & King County (PHSKC) seeks an outstanding operational leader, strategist, and systems-thinker who is committed to equity and serving vulnerable populations, and who excels at inspiring, supporting and managing people, to serve as a Regional Health Administrator. In this position you will serve as the leader of the PHSKC Health Care for the Homeless Network (HCHN) and be responsible for the oversight, strategic direction, and operational priorities of the Network. HCHN provides critical health care and support services to some of the most vulnerable residents of King County.

King County is seeking to fill a Regional Health Administrator position within Public Health – Seattle & King County (PHSKC), Community Health Services (CHS) Division. The purpose of CHS is to assure that basic health and human services are available to the most vulnerable people in King County. CHS provides direct services through its Public Health Center system as well as assures access to quality services through partnerships and regional programs The Division's 2019-20 biennial budget is $274 million, with more than 580 employees. Approximately 80,000 clients are served annually in the Public Health Center system. In addition, our regional partnership programs support service delivery to more than 300,000 people annually.

Health Care for the Homeless Network provides quality, comprehensive health care for people experiencing homelessness in King County. In 2018, HCHN providers delivered care to over 21,000 individuals: single adults, individual members of homeless families, and unaccompanied youth and young adults. These individuals received over 113,000 visits at clinic and community-based service sites, including outdoor sleeping locations.

HCHN services are tailored to address the numerous obstacles to maintaining good health and addressing chronic physical and behavioral health conditions faced by people experiencing homelessness. HCHN employs a variety of evidence-based and patient-centered strategies to improve outcomes, not only related to health but also to housing and other social services.

Broadly, these strategies include:
Integration of physical health, behavioral health, housing, and social services
Specialized and far-reaching outreach, engagement, and relationship building
Intensive and flexible case management and care/service coordination
Mobile clinical services, including physician, dentist, nurse, behavioral health provider, and social worker
Technical assistance and education for shelter, housing, and encampment operators related to tuberculosis and other disease prevention
Delivery of services using best-practices of Trauma Informed Care, Motivational Interviewing, and Harm Reduction approaches to meeting client's needs.

The HCHN administrative team (11 staff) is part of Public Health - Seattle & King County's Community Health Services division. HCHN providers are either directly employed by Public Health or contracted through community partner agencies including Country Doctor Community Clinic, Evergreen Treatment Services, Harborview Medical Center, HealthPoint, Neighborcare Health, Catholic Community Services, University of Washington Adolescent Medicine, Friends of Youth, and the YWCA of Seattle | King | Snohomish.

HCHN's service delivery model combines clinic-based and community-based services. Clinic services include but are not limited to Seattle & King County Public Health Centers; Neighborcare's Ballard and 45th Street Clinics; Teen Clinic at Country Doctor; and Harborview Medical Center's Third Avenue Clinic, and Robert Clewis Center Clinic. Community-based services meet patients where they spend time: on the streets, in encampments, in homeless shelters, day centers, meal sites, and within transitional housing and supportive housing buildings.

The Regional Health Administrator oversees all aspects of HCHN including direct supervision of administrative staff and has responsibility for performance of the Network relative to program and budget goals and objectives. The Regional Health Administrator is pivotal in building a work environment and partnerships that promote inclusion, teamwork, a culture of learning and continuous improvement, and shared success.

The Regional Health Administrator must work closely with CHS Division Director, Deputy Director and Finance Manager, who provide programmatic and budget oversight of the programs offered through HCHN. The Health Services Administrator must also work closely with the CHS Medical Director and Chief of Dental Services in order to assure clinical quality. Strategic partnerships with King County's Department of Community and Human Services and the City of Seattle Human Services Department are core to the position's role in planning and implementing approaches to address homelessness and the issues effecting homeless populations.

HCHN has a $25 million budget and funding sources include the City of Seattle, King County, the Federal government, and private organizations. A primary source of funding is a Health Resources and Services Administration (HRSA) Health Care for the Homeless federal grant and the Regional Health Administrator serves as the project director for this grant.

The Regional Health Administrator, as the Project Director for the HRSA grant, and, PHSKC, as the HRSA grantee, works collaboratively with the HCHN Governance Council, which is comprised of 18 community members. HRSA vests the Governance Council with certain required authorities related to HCHN operations and administration and, specifically, delineates the scope of these authorities in the areas of community needs assessment, strategic planning, grant applications and budgets, program services and service site changes, program performance evaluation, quality assurance, and operational policies. The Regional Health Administrator serves as an Ex Officio member of the Governance Council: the Governance Council, in turn, conducts an annual review of the Regional Health Administrator's performance of required Project Director duties (examples provided below). Keeping the Governing Council continuously updated regarding HCHN administration and maintaining a cooperative working relationship between PHSKC and the Governing Council represent two core areas of responsibility for the Regional Health Administrator.

If you are an exemplary leader, committed to serving the public and making a difference, CHS has an exciting opportunity for you as a Health Services Administrator.

PRIMARY WORK LOCATION(S): The King County Chinook Building (401 5th Ave, Seattle). It is also expected that the Regional Health Administrator frequently attend meetings with partner agencies and organizations throughout Seattle and King County.

WHO MAY APPLY: This position is open to all qualified candidates.

CONTACT: For more information about the application process, please contact Ma-Eyongerie Frambo, Human Resource Analyst, at

Job Duties
Serve as Project Director for the HHS-HRSA-Health Care for the Homeless federal grant. Maintain positive working relationship with federal project office and respond to requests for information.
Oversee the design and completion of periodic community needs assessments.
Collaborate with the HCHN Governance Council to conceptualize, develop, and implement annual and long-term strategic plans to address homeless health care needs. Assure strategic plan advances progress in the required clinical and fiscal measures for federal health center grantees.
Assure that HCHN maintains compliance with federal health center grant regulations (also known as Federally Qualified Health Center), and other requirements of the program's federal, state, local, and private funders. Maintain knowledge of current grant regulations; issue progress and outcome reports; establish appropriate internal controls; implement an effective system for subcontract monitoring; and assure that the HCHN Governance Council routinely receives accurate updates regarding program performance as well as other information and support required for it to execute its authorities in compliance with federal grant regulations.
Supervise and evaluate the work of multiple professional and support staff. Manage personnel matters such as monitoring performance, providing feedback, and developing training plans.
Oversee subcontract development, negotiation, and monitoring. Assure effective data system for subcontractor reporting. Oversee periodic competitive procurement processes for the program's funds.
Provide direction and technical expertise to staff for ongoing and grant-driven program evaluation. Provide or assure that program staff has access to appropriate clinical expertise and guidance as needed.
Develop and monitor a complex budget involving federal, state, local, and private funds. Establish priorities and methodologies to inform increases or decreases; prepare issue papers and budget justifications; ensure the unit's budget is prepared on time and in the required form.
Assure that the HCHN program is well-integrated with other services in Public Health-Seattle & King County and in the community. Coordinate with staff of other county and city departments.
Develop and maintain positive relationships with current and prospective partners within the homeless service provider and health safety net community. Represent HCHN on various community groups. Participate in departmental, intergovernmental, and community-based committees, task forces, and work groups.
Experience, Qualifications, Knowledge, Skills

Demonstrated commitment to racial and social justice and the opportunity to promote healing and resilience in clients and communities who have experienced marginalization and/or trauma.
Demonstrated effective leadership; one who can assess situations quickly and who views conflict as an opportunity to find common ground and generate cooperation between individuals and agencies.
Demonstrated skill to set, monitor, and achieve strategic and operational objectives.
Demonstrated experience with successfully managing a grant(s) from a federal government program, including competing for awards, reporting on project implementation, and maintaining relationships with program officers.
Demonstrated ability to prepare and manage complex budgets with multiple funding sources.
Demonstrated ability to develop health care programs, services, and or partnerships to provide targeted support to vulnerable populations.
Demonstrated ability in maintaining cooperative relationships with governing boards.
Knowledge of the health issues that intersect with homelessness and the services, agencies, and systems that address the health needs of homeless populations.
Knowledge of public health concepts and their application in a community based health setting including the ability to evaluate community health needs.
Demonstrated skill to develop others; knows how to build a solid team that views challenging tasks and assignments as a way to gain new skills; creates and fosters a sense of "belonging" within the team; demonstrates open dialogue; builds a strong morale and team spirit by helping team members share successes and ownership.
Demonstrated ability to respect, communicate, and relate well to all kinds of people regardless of their status, position, or background; effective at building relationships; has situational awareness and uses tact to diffuse tense situations through personal rapport and communication skills; appreciates and celebrates differences.
Ability to travel in a timely manner between multiple locations within King County for meetings and trainings.

A minimum of three years' experience directing a large federal grant.
A minimum of three years' experience leading health care programs or services for people experiencing homelessness.
A significant track record managing multifaceted programs with a complex array of stakeholders.
Supplemental Information
This selection process may include but is not limited to: evaluation of application materials and supplemental questions, testing and interviewing.

Public Health relies on office automation (Microsoft Office) and web-based enabled tools; therefore candidates must be proficient and comfortable with computer use to perform functions associated with on-going work.

Regular and reliable attendance, effective communication skills, and development of effective working relationships are requirements of all Public Health positions.

Staff may be required to play an active role in the event of a public health emergency, which may include changes in responsibilities and working hours.

Necessary Special Requirements:
Travel to work locations throughout King County with limited or no public transportation services is required. A valid Washington State Driver's License is required to operate King County vehicles.

The selected candidate may be required to pass a thorough background investigation.

Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law.

Employees are required to adhere to Occupational Safety and Health Administration/Washington Industrial Safety and Health Administration (OSHA/WISHA) guidelines including but not limited to completing their mandatory trainings on time.

Union Affiliation: This position is not represented.