Employment Opportunities

San Juan Island EMS has full-time Paramedics, EMTs, and Administration staff. Full-Time employees at San Juan Island EMS are eligible for a generous benefits package which includes: Medical, Dental, HRA, Washington State Retirement Benefits through DRS, and more.

San Juan County Public Hospital District No. 1 is Seeking a Finance Specialist

Job Description:

The Finance Specialist will report to the District’s Finance Director and primarily supports the District’s financial operations, such as generating warrants and payroll for approval by the Finance Director, ordering supplies, or supporting grant work. This role also fills significant general administrative functions such as public records and Board Recording Secretary work.


  • General Admin: Read, research, and route correspondence, draft letters and documents, collect and analyze information, initiate telecommunications, assist in keeping offices organized and clean.
  • Order supplies for all offices
  • Track all inventory at the administrative offices, and work with each department to ensure up to date inventory (each department has a lead responsible for this; the Finance Specialist is responsible for checking that it is done correctly)  
  • Perform administrative support roles as needed, e.g. make travel arrangements, check mail, and other errands
  • Collect approved expenditures and generate warrants for accounts payable to be approved by the Finance Director  
  • Ensure approval of vendors in SAM
  • Prepare payroll for approval; report and track commissioners monthly/quarterly stipends
  • Calculate PTO balances for all employees
  • Assist the Finance Director in preparing monthly and annual financial reports for the Superintendent
  • Help with grants by sending needed documents to the District’s accounting firm and help to ensure District complies with two HRSA grants.
  • File applications for grants and funding assistance (the District will provide training)  
  • Assist with state audits of Hospital District finances (routine in public agencies).
  • Perform research as needed into finances to support development of budgets and other financial documents
  • Draft Accounts Receivable
  • Respond to Public Records Requests according to the laws of the State of Washington and the policies of San Juan County Public Hospital District No. 1, San Juan Island EMS, and Village at the Harbor.
  • Maintain public records files, both electronic and paper.
  • Ensure the proper retiring of records whether to archival or destruction, and document actions.
  • Store existing documents and ensure their longevity.
  • Handle exempt and non-exempt documents under the Public Records Act, archival and non-archival documents, as well as essential and non-essential designated materials.
  • Work with the Superintendent to manage all Board Meeting documents, execute documents, when necessary, liaise with notaries
  • Prepare, display, and publicly produce notices of Hospital District Board Meetings as required by law.
  • Attend, manage telecommunications, record, and draw up minutes of all Board Meetings.
  • All other duties as assigned.

Working Environment

This position works out of an administrative office. All applicants must be able to regularly move up to 30 pounds and occasionally move more than 50 pounds; must be able to traverse an average of one mile daily and spend long periods of time stationary; must possess sight/hearing senses, or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met.


  • Administrative experience
  • High proficiency with MS Office 365 and Windows 10
  • Ability to learn multiple computer programs and web applications
  • General accounting and bookkeeping practices
  • Must be self-motivated and possess a strong work ethic. This is a job that requires a lot of independent work and activity
  • Administrative and professional writing and proofreading skills
  • Ability to communicate verbally
  • Flexibility with 1-3 days per month (on average) of afterhours or irregular work hours 
  • Able to work within an occasionally hectic work environment
  • Organizational ability and multitasking
  • Knowledge of remote conferencing software and calendar tools 
  • Bachelor’s degree preferred or equivalent experience
  • Background with grant administration, WordPress, EDEN preferred
  • Familiarity with the EMS, healthcare, public health, assisted living and/or public safety preferred