Hospice Director of Health Care Services & RN Manager

Hospice Director of Health Care Services (DHCS) & RN Manager

Position Summary 

The Hospice Director of Health Care Services (DHCS) & RN Manager is responsible for the overall clinical oversight, coordination, and delivery of hospice care services across all settings. This role integrates leadership responsibilities with direct patient care functions, including case management, on-call support, and start-of-care (SOC) services, ensuring high-quality, compliant, patient-centered care. The DHCS & RN Manager ensures that care delivery aligns with hospice regulations, organizational policies, and the interdisciplinary plan of care while supporting staff development, operational efficiency, and quality outcomes. 

Essential Leadership & Operational Functions (DHCS Role) 

• Oversees the planning, coordination, and evaluation of hospice clinical services to ensure compliance with regulatory requirements, standards of practice, and organizational policies.  

• Ensures appropriate staffing levels, including recruitment, onboarding, education, supervision, and retention of qualified hospice personnel.  

• Provides clinical leadership and supervision to nursing staff, aides, and interdisciplinary team members.  

• Ensures ongoing staff competency, education, and adherence to hospice philosophy, regulations, and QAPI initiatives.  

• Oversees patient care quality, documentation, and compliance with federal/state regulations and accreditation standards.  

• Participates in budget planning, operational strategy, and performance improvement initiatives.  

• Communicates regularly with the Director of Operations/Clinical Operations regarding clinical operations, quality metrics, incidents, and regulatory compliance.  

• Maintains oversight of patient records, reports, and clinical data to support compliance and performance monitoring.  

Clinical Case Management Responsibilities (RN Manager Role) 

• Completes comprehensive patient assessments, including physical, psychosocial, and symptom management needs.  

• Develops, implements, and revises individualized plans of care in collaboration with the interdisciplinary group (IDG), patient, and physician.  

• Coordinates care across all disciplines to ensure continuity and achievement of hospice goals. 

• Monitors patient condition and adjusts care plans based on changing needs.  

• Provides patient and family education related to disease progression, symptom management, and care plan.  

• Administers medications and treatments per physician orders and standards of practice.  

• Supervises LPNs/LVNs, hospice aides, and other assigned staff.  

• Participates in IDG meetings and contributes to care planning and outcomes.  

• Maintains accurate and timely clinical documentation.  

On-Call, SOC, and After-Hours Responsibilities 

• Participates in and may oversee on-call scheduling and coverage to ensure 24/7 patient support.  

• Performs on-call duties including triage, symptom management visits, and crisis intervention. 

• Completes Start of Care (SOC) visits, death visits, and urgent patient assessments as needed. 

• Provides follow-up visits and after-hours support for patients with acute needs or transitions in care.  

• Coordinates with answering services and interdisciplinary team members to ensure seamless care delivery.  

Quality, Compliance, & Performance 

• Ensures adherence to CMS Conditions of Participation, state regulations, and accreditation standards. 

• Leads and participates in QAPI activities, including audits, performance improvement initiatives, and outcome tracking.  

• Monitors clinical documentation for accuracy, timeliness, and regulatory compliance. 

• Promotes a culture of safety, patient-centered care, and continuous improvement. 

Minimum Education & Experience Requirements 

• Graduate of an accredited school of nursing; BSN preferred.  

• Active, unrestricted RN license in the state of practice.  

• Minimum of 3 years hospice nursing experience preferred.  

• Minimum of 1-2 years of healthcare management or supervisory experience preferred.  

• Demonstrated leadership experience in hospice or related healthcare setting.  

Knowledge, Skills & Abilities 

• Strong knowledge of hospice regulations, clinical standards, and interdisciplinary care models.  

• Expertise in pain and symptom management.  

• Effective leadership, team development, and staff supervision skills.  

• Excellent communication, problem-solving, and organizational abilities.  

• Ability to manage multiple priorities in a dynamic clinical environment.  

• Commitment to hospice philosophy and patient-centered care.  

Physical & Work Environment 

• Combination of office-based work and field visits in patient homes, hospitals, and facilities. 

• Frequent travel within service area.  

• Exposure to clinical environments and infectious materials requiring appropriate precautions. 

• Able to constantly stand, walk, bend, stoop, squat, kneel and reach freely and assist patients with standing, walking and transferring.  

•  Sufficient endurance to perform the required physical and mental tasks over long periods of time.  

• Able to constantly grasp with thumb in opposition to fingers of palm, i.e. manipulate pen, knobs or objects.  

• Visual acuity, dexterity, and hearing to perform required nursing skills.  

• Able to frequently work on-call hours and evening, night and weekend hours as needed.  

• Medium physical activity that may require frequent lifting, carrying, pushing, or pulling up to 50 lbs. to carry out daily job functions and related activities that may be required.  

Additional Expectations 

• Maintains CPR certification, valid driver’s license/insurance, and required screenings.  

• Supports organizational mission, values, and strategic initiatives. 

• Performs additional duties as assigned.  

Why Work for Interim HealthCare?

Founded in 1966, Interim HealthCare is the nation’s first home care company and a leading employer of Hospice Nurses. Operating through 300 offices, our commitment to you is expressed through a family-oriented culture that values and appreciates Hospice Nurses, and a passion to put patients first. Join a nationwide network of caregivers who are making a significant difference in the lives of others through the personalized, home-based care they provide.

Interim HealthCare provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, gender, religion, sexual orientation, national origin, age, disability or veteran status.