Hospice Medical Director, Full-Time

The role of the Hospice Medical Director has responsibility for the medical component of the hospice program and assures efficient and effective quality of care for the patients we serve. This includes the establishment and maintenance of medical standards/protocols and systems of monitoring accountability, a focus on the continual improvement of care access, care delivery, and ensuring compliance with applicable standards and regulations. The HMD participates routinely in certification, recertification, and decertification of terminal prognosis for hospice patients, including the necessary collaboration and documentation to support eligibility decisions. In addition, the HMD provides direct and indirect supervision of all hospice providers. The HMD works collaboratively with Chief Medical Officer and the Chief Clinical and Operations Officer to provide medical excellence. Clinical responsibilities will include seeing patients in the inpatient unit, or other care settings, as needed, and participating in daytime, after-hours, weekend, and holiday provider coverage, as needed.

Key Responsibilities (not all-inclusive)

• Work to achieve performance goals for self and for the Hospice Provider Team
• Works with Leadership Team and Clinical Directors to ensure quality patient care is delivered according to agency guidelines and state and federal regulations and standards
• Support the ongoing development and implementation of policies and procedures that guide and support clinical practice standards and the provision of medical staff services
• Demonstrate effective supervision for the hospice physicians/providers while providing standards for excellence for all service and support lines, including education and training of clinical providers in hospice eligibility, certification, and recertification, proper documentation, and billing
• Conduct providers documentation reviews eligibility, billing, and clinical care
• Provide guidance to the Care Access Team to ensure patient eligibility, related/unrelated medication review, and accurate and timely completion of the Hospice Addendum.
• Complete Start of Care reviews/approvals and complete initial CTI narratives
• Provide clinical care when needed and participate in night, weekend, and holiday on-call medical coverage for hospice patients on a rotational basis with other hospice providers
• Provide clinical summaries for ADRs and audits and participate in the appeals process (redetermination, reconsideration, Administrative Law Judge hearings) and/or adjudication
• Serve as collaborating physician for Hospice and Palliative Care Advance Practice Providers; number will be determined by organizational best practice in accordance with state regulations
• Participate in the accreditation and survey process
• Maintain a working knowledge of applicable National, State, and local laws and regulations, CHAP accreditation, and Medicare and Medicaid Programs: Hospice Conditions of Participation and Payment.

Qualifications

• Doctor of Medicine degree or Doctor of Osteopathic Medicine degree from an accredited institution (required)
• HPM Board Certification or Certificate of Added Qualification and/or Hospice Medical Director Certification credential (required)
• Minimum of 3 years' experience in hospice and palliative care clinical practice
• Minimum of 2 years' experienced in a clinical leadership role