Job Abstract

Company:

We are looking for a Director of Clinical Services (RN Required) to float between our programs in Connecticut, New Jersey, Massachusetts, Virginia, Maine and New Hampshire. There will be weekly travel required.

Position Summary

The Hospice Director of Clinical Services - Floating is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Hospice Director of Clinical Services - Floating will provide Hospice Director of Clinical Services functions intermittently in assigned programs. S/he travels extensively as they will be working in different locations as needed. The Hospice Director of Clinical Services - Floating directs and manages the interdisciplinary team (IDT) in meeting the needs of the hospice patient and family in a manner consistent with the guidelines and policies of Compassus. S/he communicates patient information to the business office and promotes a positive working relationship with the family, physician, and other agencies. May serve as program's alternate and/or Administrator, responsible for carrying out administrative and management functions and oversight in the absence of the Hospice Area Executive of Clinical Operations.

Position Specific Responsibilities

• Floats to regional programs based on need, and at the direction of the Hospice Regional Executive of Clinical Operations, providing Hospice Director of Clinical Services functions.
• Available remotely to regional programs via virtual assistance.
• Mentors, coaches, and educates Hospice Director of Clinical Services team members, Hospice Director of Clinical Services new hires, and assists in Hospice Director of Clinical Services absences in regional programs.
• Travel coordinated with the Hospice Regional Executive of Clinical Operations based on regional and program need.
• Directly supervise up to 20 team members, temporarily as needed. Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary staff; planning, assigning, and directing work; appraising performance; rewarding and disciplining team members; addressing complaints and resolving problems.
• Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program.
• Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patient’s attending physician is not available.
• Attends/Leads Interdisciplinary Team (IDT) meetings, ensuring:
  • Patient care needs are identified and discussed with the full complement of the IDT.
  • All required members of the core team are present and engaged in the IDT meeting.
  • Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting.
  • Patient re-certifications are discussed and completed in a timely manner.
  • Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, changes to visit frequency, or need for emergency transportation.
• Participates in the development and update of patient care policies and emergency procedures.
• Ensures hospice services are available 24/7.
• Follows state regulatory requirements for supervision of nursing services.
• Manages all members of the IDT including aspects of scheduling, productivity, mentoring, pay practices, time keeping, performance reviews, and team member support.
• Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment.
• Documents in the patient’s clinical record when required; demonstrates proficiency with documentation requirements.
• Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement.
• Participates in performance improvement programs.
• Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed.
• Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes.
• Establishes departmental goals consistent with corporate goals and objectives.
• Supervises patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care.
• Models and facilitates communication between team members including medical records, business office, intake, clinical team, and leadership.
• Participates in care delivery for patients as needed including conducting admissions, recertification visits, routine visits, and discharge visits.
• Manages the care for a caseload of patients if needed to support ebb and flow of census changes.
• Participates in after-hours shifts as needed including primary and back-up on-call.
• Serves as the administrator on call when scheduled.
• Make and/or delegate post-admissions calls.
• Directs responsibility for the management of pharmacy, medical supplies, durable medical equipment, mileage, and labor for the program to meet budget expectations.
• May be designated the administrator or alternate administrator for the licensure of the program based on state requirements.
• Ensures maximum utilization of resources.
• Performs other duties as assigned.

Education and/or Experience

• Associate or Bachelor's degree in Nursing required.
• Minimum of three (3) years in healthcare required, preferably in a nursing facility, home health or hospice setting.
• Experience in leadership or management strongly preferred.
• Experience with Electronic Medical Record systems a strong plus.

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Understanding and acceptance of hospice philosophy. Must be of high integrity including maintenance of confidential information including all personnel and patient records. Ability to work a flexible schedule, to include some evenings and weekends. Must be able to travel.

Certifications, Licenses, and Registrations

• Active and unencumbered Registered Nurse license in state(s) of employment, in addition to every state in the Region this role will be covering required.
• Certification in Hospice and Palliative Nursing a plus but not required.

State Specific Requirements
California

• "Director of Patient Care Services”:
  • A Registered Nurse with a baccalaureate or higher degree in nursing or another health-related field with three (3) years of experience within the last five (5) years in a hospice or home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity; or
  • A Registered Nurse with four (4) years of experience within the last five (5) years in a hospice, home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity.

Connecticut

• An agency supervisor of clinical services shall be a Registered Nurse with an active license to practice nursing in this state, and shall have one of the following:
  • A master's degree from a program approved by the National League for Nursing or the American Public Health Association with a minimum of one (1) year full-time clinical experience in a home health agency or related community health program which included care of the sick at home; or
  • A baccalaureate degree in nursing and a minimum of three (3) years of full-time clinical experience in nursing, at least one (1) year of which was in a home health agency or community health program which included care of the sick at home; or
  • A Registered Nurse who has been continuously employed in the position of Supervisor of Clinical Services in a home health agency in this state since January 1, 1979; or
  • A diploma in nursing or an associates’ degree in nursing and:
    • A minimum of three (3) years of full-time or full-time equivalent clinical experience in nursing within the past five (5) years, at least one (1) year of which was in a home health care agency or community health program which included care of the sick at home; and
    • Evidence of certification by the American Nurses' Association as a community health nurse or completion of at least six (6) credits received within two (2) years in community health nursing theory or six (6) credits in health care management from an accredited college or university program or school of nursing.

Louisiana

• Registered Nurse with at least three (3) years of experience. At least one (1) year of which must be full time in hospice, home health care or oncology. The Director of Nursing Services cannot be concomitantly employed by any other licensed healthcare agency.

Maine

• Registered Nurse with at least one (1) year of experience and training in hospice nursing care.

Mississippi

• Registered Nurse with at least three (3) years of experience. At least one (1) year of which must be full time in hospice, home health care or oncology. The Director of Nursing Services cannot be concomitantly employed by any other licensed healthcare agency.

New Hampshire

• Registered Nurse, Advanced Practice Registered Nurse, or bachelor’s degree in a health field related to hospice care.

New Jersey

• Registered Nurse plus:
  • A master's degree in nursing or a health related field and two (2) years combined public/community health nursing and progressive management experience in public health nursing; or
  • A bachelors’ of science degree in nursing or a health related field and three (3) years combined public/community health nursing and progressive management experience in public health nursing.

South Carolina

• Registered Nurse plus:
  • Bachelor’s degree; or
  • Associate degree and three (3) years of experience in health care within the last five (5) years.

Texas

• Registered Nurse in Texas and have one (1) year experience as a Registered Nurse in the last 36 months. Must qualify or be able to qualify as the delegated back-up administrator per T.A.C 40-1-97.259, including required education/clock hours of training.

Virginia

• Registered Nurse with education and experience in the needs of the terminally ill.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Estimated salary range $63315 - $108487 / year. Actual salary will vary by geographic location and experience.