Chief Executive Officer

Leadership Opportunity:

Harlan County Health System is looking for a Chief Executive Officer (CEO). In partnership with the management team and the Board of Trustees, the successful candidate will maintain and enhance HCHS's ability to support and expand the outstanding programs offered by the health system. In addition, the CEO will develop strategies for increased funding to enable the organization to grow to meet the increasing demand for services, and to enable Harlan County Health System to meet the challenges and opportunities presented by the Affordable Care Act and ongoing changes to federal and state-supported reimbursement models. The ideal candidate will have demonstrated success in maintaining and enhancing the financial position of an organization, strong abilities in fiscal and executive staff management and development and the ability to innovate by adapting to changing environments and identifying and capitalizing on new opportunities.


Responsibilities of the CEO :

Reporting to the Board of Trustees, the CEO will be responsible for assisting in the development and implementation of the strategic plan, while providing leadership for the overall success of Harlan County Health System (HCHS). The CEO oversees an leadership team that facilitates the day to day functions of the hospital and clinics in accordance with defined budgetary guidelines and established policies/procedures.

  • In conjunction with the Board of Directors, provides overall strategic vision for the hospital.
  • Partners with the board to meet organizational needs.
  • Effectively recruits and retains medical staff members.
  • Effectively supervises the business affairs of the hospital.
  • Develops positive relationships with local industry, local government, potential key health care providers, and the general public.
  • Provides leadership and mentoring to Leadership Team.


  • Master’s Degree in healthcare administration or related field.
  • Multiple years of healthcare leadership experience.
  • Recent experience as Executive of an Critical Access Hospital preferred.
  • Financial expertise in healthcare fiscal management.
  • Ability to work cooperatively with physicians.
  • Experience with physician clinic management a plus.
  • Experience in negotiation and execution of payer agreements.



A brand-new opportunity for a Critical Access Hospital Controller has just become available at Harlan County Health System, a Critical Access Hospital with two Rural Health Clinics in beautiful Alma, Nebraska! Experience in healthcare, specifically with Critical Access Hospitals, is preferred for this position, however qualified applicants from other industries will be considered.

The Controller will report to the Chief Executive Officer. The Controller will be responsible for the maintenance of financial records, payroll, accounts payable, accounts receivable, internal and external financial reporting, and regulatory compliance. The controller will oversee the A/P, GL, payroll, patient registration and business office clerks as well as Financial Counseling.  The Controller will complete Month End Financial Statements, Adjusting & Closing Entries, Audit Prep, and Leases.

The ideal candidate for Controller has a strong analysis background and is currently either a Controller or Senior Accountant. In collaboration with the Chief Executive Officer, the Controller will help achieve the mission of the hospital by bringing to light any issues that may affect the hospital’s ability to provide patient care.

The hospital is currently undergoing a new Meditech implementation and the Controller will be actively involved in the transition.

With affordable housing and great schools, the area surrounding this well-regarded hospital has it all. Ample outdoor activities and clean air make this the perfect choice.

A competitive salary and comprehensive benefit package is available. Contact Anamarie Schluntz at aschluntz@harlancohealth.org or 308-928-2151


Foundation Director

A brand-new opportunity  Hospital Foundation Director has just become available. 

The Harlan County Health System Foundation Director supports the mission of the Harlan County Health System  Foundation by providing the leadership of initiatives necessary to grow the awareness and successfully complete HCHS Foundation Projects. The effort involves engaging individuals and conservation partners willing to assist with the success of the Harlan County Health System Foundation.

Key responsibilities include actively pursuing one-on-one philanthropic gifts, managing community fundraising activities, educational outreach programs and providing local support on behalf of HCHS. Will oversee all elements of multiple special events and mission related campaigns; engage sponsors and build relationships with company representatives, managing and recruiting participants and volunteers from the communities.

The ideal candidate for Foundation Director  holds a Bachelor’s Degree in Marketing, Communications, Public Relations or Business management or has prior successful philanthropic fundraising experience.

A competitive salary and comprehensive benefit package is available. Contact Anamarie Schluntz at aschluntz@harlancohealth.org or 308-928-2151


Laboratory Manager

Harlan County Health System (HCHS) is looking for a Laboratory Manager. This opportunity will allow the right individual to direct the operations, staff management/education, budget, quality, policy / procedures, reporting, and compliance with all state, federal, and local regulatory boards in addition to actively performing all laboratory duties. Oversight includes: Chemistry, Hematology, Blood Bank, Coagulation, Serology, Urinalysis, and Microbiology.

HCHS serves communities in a close knit rural area. The close proximity to Harlan County Reservoir provides numerous recreational opportunities including hunting, fishing, boating, camping and many more. The area offers exceptional school systems and is a wonderful place to raise a family or relax and enjoy a slower paced rural lifestyle.

Very competitive salary and benefits package. The current Director will be available as a reference as she will be retiring. Please send resume to HCHS Attn: Anamarie Schluntz, PO Box 836, Alma, NE 68920, or call 308-928-2151.

  • Requires Bachelors Degree along with a certificate of completion from a school for Medical Technology.
  • At 3-5 years previous experience as a Medical Technologist;
  • Demonstrated leadership and ability to plan, develop, and direct the Lab Dept.;
  • Ability to manage a budget; ability to exercise outstanding judgment; strong analytical and reasoning skills; strong interpersonal and customer service skills with demonstrated ability to establish and maintain positive, professional working relationships; excellent oral and written communication skills;
  • Knowledge of/ability to gain knowledge of organizational policies, regulations, and procedures and CLIA Standards, ability to maintain quality control standards, and ability to act in a supervisory role, perform effective performance evaluations, mentor, coach and discipline staff.


Registered Nurse

Harlan County Health System is now taking applications for a full time night shift RN (work three 12 hour shifts/week). New graduates are welcome. Competitive salary and benefit package.

The Registered Nurse:

Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes. Performs comprehensive nursing assessments in an efficient and effective manner.Administers and performs nursing assessments in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Performs patient rounding for all patient assignments. Evaluates outcomes of patient care, consults with other specialists as required, adjusts nursing care processes as necessary and evaluates patient progress toward desired outcomes prior to discharge to ensure optimal patient care. Demonstrates personal accountability in the overall delivery of patient care in a competent, professional and compassionate manner. Arranges for patients' ordered diagnostic and therapeutic services. Demonstrates sensitivity to patient comfort and privacy. Observes emotional stability of patients expresses interest in their progress and prepares for continuing care after discharge. Assists physicians with examinations, procedures and other processes related to direct patient care. Performs patient/family teaching for assessed knowledge deficits. Acts as a patient advocate to ensure the patient’s best interests are met. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves CNO regarding patient care issues in a timely and appropriately manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the Care Plan team. Completes patient and family education throughout the patient’s stay and at discharge. Cooperates with other nursing personnel to maintain good employee relations and meet all departmental objectives. Performs emergency treatment as required. Follows standards of BLS, ACLS, TNCC, PALS interventions as needed. Performs and maintains documentation and communicates effectively. Promotes and ensures patient and staff safety in all aspects of responsibilities.

Patient Safety and High Quality Patient Care are our Priority. Please send resume to:  HCHS, Attn:  Ana Schluntz, PO Box 836, Alma, NE 68920, or aschluntz@harlancohealth.org


Licensed Practical Nurse/LPN

Come join our team at Harlan County Health System a 19 bed Critical Access Hospital. The hospital is located in beautiful Alma, Nebraska, near Harlan County Lake, Nebraska’s second largest lake. We are in need of a full time and PRN night shift LPN. New graduates are welcome. Willingness to work a flexible schedule and to fill in when needed and excellent bedside manner and communication skills are most important. We offer a competitive salary and benefit package. Patient Safety and High Quality Patient Care are our Priority. Please send resume to HCHS Attn. Ana Schluntz, PO Box 836, Alma Nebraska, 68920. Or aschluntz@harlancohealth.org


 CNA/Ward Clerk

Harlan County Health System is now taking applications for a full time night shift CNA/ Ward Clerk (work three 12 hour shifts/week). Experience preferred. Competitive salary and benefit package. Patient Safety and High Quality Patient Care are our Priority. Please send resume to:  HCHS, Attn:  Ana Schluntz, PO Box 836, Alma, NE 68920, or aschluntz@harlancohealth.org