02 Jun 2020


Niobrara County Hospital District operates Niobrara Community Hospital and Rawhide Rural Health Clinic. Niobrara Community Hospital is designated as a Critical Access Hospital and has been certified as a Trauma 4 Facility. We offer emergency room care 24-hours per day and seven days per week, acute care beds, and long-term swing beds and the related ancillary services including laboratory, radiology, 64-Slice CT, and infusion therapy. Rawhide Rural Health Clinic is designated as a Rural Health Clinic and provides primary care services.

Please fill out the online application or email cover letter, application, and resume to Human Resources at:

Drug Free Workplace – Drug Test Required

Niobrara Community Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Position Title: Controller

Reports to: CEO/CFO

Department: Administrative

General Purpose:

The Controller is responsible for planning, organizing, directing, and controlling the functions of the Finance department, as well as oversees books and records on all NHLC transactions and assets. The Controller is also responsible for assisting in preparing financial statements and analyses, as well as budget recommendations.

Essential Duties/Responsibilities:

1. Performs the managerial and working duties as required for the functions of Medical Records, Purchasing, Payroll, Accounts Payable, Accounts Receivable, financial information computer systems, and General Accounting.

2. Maintains knowledge base of industry changes and new regulations and their effect on the healthcare industry especially those changes that affect the Critical Access Hospital program.

3. Supervises the preparation and maintenance of departmental policy and procedure manuals to ensure that fiscal services are done efficiently and performed properly.

4. Establishes controls and review mechanisms for every procedure to ensure that systems and procedures are being followed correctly.

5. Responsible for maintaining the fiscal departments accounting filing system for all records that pertain to the fiscal operations of the hospital. (i.e. Contracts, Medicare / Medicaid rule changes, copies of audit work papers.)

6. Assumes responsibilities of the accounting department without immediate and continuous supervision.

7. Reviews the bank deposit and understands the cash receipt and disbursement systems for cash accounts.

8. Monitors cash for availability to pay vendors and meet payroll, and alerts administration as to any forthcoming deficiencies, through a cash flow reporting system.

9. Responsible for the consolidated reporting requirements of the facility to include preparations of monthly and annual financial and cash flow statements accurately and timely in accordance with standard industry principles, and reports the same to the hospital Board and Finance Committee.

10. Responsible for general accounting functions which includes the preparation and maintenance of records, reports, monthly reconciliation, and general ledger activity on an accurate, timely basis.

11. Assists with the preparation of the annual budgets and for both on an aggregate and departmental basis. Maintains all data required, prepares budget calendar, and annually updates the facilities budget manuals. Works with the department directors, throughout the annual budgeting process and the subsequent implementation. Prepares all budget packages as required.

12. Understands the system for journal entries that are used by the hospital. Journal entries must be well organized, documented, and easy to understand and follow accounting standards for accrual accounting.

13. Understands the Accounts Payable System that makes up the data entry system and balancing of the Accounts Payable detail to the General Ledger.

14. Understands the Payroll System that makes up the data entry system and the balancing of the Accrued Payroll detail accounts to the General Ledger.

15. Understands the Data Processing function as it relates to the monthly and annual cycle of data, and the month end and year end closing of the various accounting systems.

16. Understands the Accounts Receivable function as it relates to the monthly and annual cycle of data, and the month end and year end closing of the various accounting systems.

17. Prepares financial and budget variance analysis of operations and provides recommendations for administration.

18. Works with external auditors, government agencies, and prepares related reports, as required. Assumes responsibilities of a fiscal nature without immediate and continuous supervision.

19. Has a working knowledge of the current network accounting system, error messages, day end, and back up functions of the network.

20. Closely monitors, on a monthly basis, together with the patient accounting staff the accuracy of contractual allowance accounting and the reasonableness of required reserve account balances.

21. Keeps administration consistently advised of activities with written recommendations for solutions. Maintains current knowledge of health care accounting and reimbursement issues and develops reports and recommendations for change.

22. Consistently reviews adequacy of organizational accounting systems and their ability to meet standards of current health care requirements and regulations and makes recommendations for necessary changes to meet the same.

23. Maintains chart of accounts and other table files and performs maintenance as required for accurate financial reporting.

24. Attends hospital committee, medical staff, and hospital board meetings as requested.

25. Responsible for all balance sheet reconciliations on a routine basis.

26. Complies and files those reports that are required by regulation, Social Security, Federal Employment Taxes, Employment Security, etc .

27. Maintains a current knowledge of prospective and negotiated reimbursement regulations and agreements.

28. Consistently reviews adequacy of organizational accounting systems and their ability to meet standards of current health care requirements and regulations and makes recommendations for necessary changes.

29. Prepares required tax reports and maintains supporting documentation. Maintains know-ledge of industry changes and new regulations and their effect on the hospital.

30. Responsible for the annual Medicare Cost Report (including working with third party preparer)

31. Performs all other general financial procedures and duties as assigned by the CEO.

Other Duties/Responsibilities:

Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Maintain quality, safety and/or infection control standards. Perform other related duties as required to ensure the smooth operation of the hospital. This individual is expected to follow all policies and procedures of NHLC and observe the rules and regulations pertaining to Corporate Compliance and confidentiality (HIPAA).

  • Employees are held accountable for all duties of this job.

Supervisory Duties: HR Director, Central Supply personnel, and Revenue Cycle Director

Job Qualifications

Knowledge, Skills, and Ability:

1. The ability to read, write, and speak English is required. Additionally, the ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from patients, regulatory agencies, or members of the business community. The ability to work with mathematical concepts such as probability and statistical inference and apply concepts such as fractions, percentages, ratios and proportions to practical situations. Knowledge of and capability to define problems, collect data, establish facts and draw valid conclusions is also necessary. Excellent typing and computer skills are also necessary. Knowledge of Labor laws, ADA, and laws and regulations pertaining to management of personnel. Principles of supervision and performance evaluation. HIPAA regulations and Corporate Compliance requirements.

Education or Formal Training:

BS Degree required.

Master’s Degree preferred.


2-3 years in a similar field. In-depth knowledge of accepted accounting principles; working knowledge of manual and automated accounting systems; well developed financial analysis capabilities; and demonstrated ability to manage computer operations in finance are essential.

Working Environment:

Working in a hospital creates a unique work environment of both confidentiality and hospitality. The characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This individual can expect a moderate noise level, such as a business office or light traffic, and moderate foot traffic. You must have the ability to hear well enough for any type of position (e.g. normal hearing and audiogram including normal noise and speech discrimination).

Physical Activities:

Under one third of the time you may need to climb, balance, stoop, kneel, crouch or crawl to perform your job duties. One-third to two-thirds of the time you will stand, walk, use your hands, or reach with your hands and arms, or sit. Over two thirds of the time it will be necessary to talk or hear. You will frequently bend, reach and push or pull less than 50 pounds. Occasionally you will squat, kneel, climb on a step ladder, twist at the waist, and rotate above the waist. Up to one-third of the time, you must be able to lift up to 50 pounds from a twelve (12) inch height to waist height. The ability to see with clear vision at 20 inches or less, 20 feet or more, strong peripheral vision, three-dimensional vision and ability to judge distances and spatial relationships (depth perception); and the ability to adjust focus is necessary.

Note: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily in the above listed conditions. Please notify your supervisor as soon as possible if you require any type of reasonable accommodation to perform the essential functions. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job.

Related jobs

Job Details

Jocancy Online Job Portal.