Executive Director | Palouse Surgery Center

Essential Functions & Responsibilities

• Provides leadership consistent with AAAHC governance standards, ensuring the governing body maintains ultimate authority for quality of care.
• Implements policies, ensures organizational accountability, and maintains effective communication with leadership and medical staff.
• Ensures nursing services meet AAAHC standards for quality of care, patient rights, and clinical oversight.
• Maintains accountability for safe, evidence-based nursing practice and competency validation.
• Leads the AAAHC Quality Improvement (QI) program, ensuring ongoing, data-driven performance improvement.
• Oversees infection prevention, risk management, and patient safety activities consistent with AAAHC standards.
• Ensures continuous compliance with AAAHC accreditation standards, CMS Conditions for Coverage, and state regulations.
• Maintains survey readiness and oversees policy development, review, and implementation.
• Ensures financial practices support quality patient care in alignment with AAAHC expectations for organizational management and resource utilization.
• Oversees billing and coding processes to ensure compliance with regulatory requirements and accurate reporting, supporting AAAHC expectations for administrative oversight.
• Ensures surgical services are delivered efficiently and safely, consistent with AAAHC standards for surgical services and patient care coordination.
• Maintains Environment of Care program consistent with AAAHC standards, including life safety, emergency preparedness, and equipment management.
• Ensures compliance with AAAHC standards for medical records, including accuracy, confidentiality, and timely completion.
• Ensures staff qualifications, training, and competency meet AAAHC human resources standards.
• Promotes ongoing education and performance evaluation.

Qualifications

• Preferred: MBA or other applicable master’s degree
• Preferred: BSN or MSN
• Licenses/Certifications:
  • Preferred: [Idaho] or compact state Registered Nurse
  • Preferred: Current Basic Life Support (BLS)
  • Preferred: ACLS and PALS within 6 months of hire