Hospice Assistant Director of Nursing (ADON)

JOL HEALTHCARE•Bastrop, TX

10d•$100,000 - $0

About The Position

The Assistant Director of Nursing (ADON) supports the Regional Director of Hospice Operations (RDO) in providing clinical leadership and oversight of hospice nursing services. The ADON helps ensure patients and families receive high-quality, compassionate, and timely care in accordance with physician orders, individualized plans of care, hospice standards, and applicable federal and state regulations. The role works closely with the interdisciplinary team, nurses, physicians, patients, and families to promote quality outcomes, continuity of care, regulatory compliance, and effective clinical operations. The ADON may provide direct patient care as needed and serves as a clinical resource for the nursing team. The position supports nursing staff supervision, scheduling, orientation, education, admissions, assessments, care coordination, clinical documentation, quality improvement, and regulatory readiness. It also participates in interdisciplinary group meetings and the on-call rotation as required. Work may take place in patient homes, facilities, the hospice office, and other healthcare settings. Travel to patient homes, facilities, and other locations may be required, and schedules may vary based on program needs.

Requirements

Current, unrestricted Registered Nurse (RN) license in the state of Texas.
Graduate of an accredited nursing program.
Knowledge of hospice philosophy, end-of-life care, and interdisciplinary care delivery.
Strong clinical assessment and critical-thinking skills.
Excellent communication, organization, and leadership skills.
Ability to work effectively with patients, families, physicians, and interdisciplinary team members.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Proficiency with electronic medical records and clinical documentation systems.
Current CPR certification as required by the organization.
Ability to travel to patient homes, facilities, and other locations as required.
Ability to sit, stand, walk, bend, stoop, and lift as necessary to perform job duties.
Ability to safely perform or assist with patient-care activities within scope of practice and organizational policies.
Ability to communicate effectively with patients, families, caregivers, and healthcare-team members.

Nice To Haves

Hospice, home health, palliative care, or other appropriate clinical experience.
Previous supervisory, leadership, or management experience.

Responsibilities

Assist with the overall management and coordination of hospice nursing services.
Provide clinical guidance, support, and direction to RNs, LVNs/LPNs, CNAs, and other clinical staff.
Monitor nursing services and support appropriate patient assessments, reassessments, symptom management, and comfort-focused care.
Review patient records, clinical documentation, and plans of care for completeness, accuracy, and compliance.
Provide clinical support regarding changes in patient condition, symptom management, medication concerns, and end-of-life care.
Participate in patient care visits as needed, including admissions, routine visits, supervisory visits, and visits related to changes in condition.
Assist with supervising and evaluating nursing staff and supporting staff performance and development.
Help coordinate nursing assignments and patient coverage to promote continuity and timely care.
Assist with staff orientation, onboarding, competency assessments, and ongoing education; identify educational needs and help coordinate training.
Promote communication and teamwork among nursing staff and the interdisciplinary team.
Serve as a resource on hospice policies, procedures, clinical standards, and regulatory requirements.
Assist with addressing performance concerns and implementing corrective action when appropriate and directed by the RDO.
Help coordinate timely hospice admissions, review referrals and patient information, and support appropriate initial and comprehensive assessments.
Monitor changes in patient condition, assist with interventions and plan-of-care updates, and promote communication with physicians about clinical changes and treatment needs.
Coordinate care among hospice staff, physicians, facilities, hospitals, pharmacies, DME providers, and other care-team members.
Assist the RDO with compliance with federal and state hospice regulations, Medicare Conditions of Participation, and organizational policies and procedures.
Participate in QAPI activities, chart and clinical audits, survey preparation, documentation reviews, and incident, complaint, or adverse-event reviews as requested.
Help ensure assessments, care plans, orders, certifications, recertifications, and other clinical documentation are completed accurately and on time.
Participate in interdisciplinary group meetings and collaborate with physicians, social workers, chaplains, aides, volunteers, and other hospice team members.
Help communicate and address patient and family needs, coordinate services according to changing needs and goals of care, and promote patient and family education.
Participate in the hospice on-call rotation as required and provide after-hours clinical guidance when assigned.
Assist with urgent patient-care concerns and changes in condition, and help coordinate staffing and clinical coverage when necessary.
Assist the RDO with day-to-day nursing department operations, staffing, scheduling, and coverage needs.
Monitor clinical staffing needs and communicate staffing concerns to the RDO.
Assist with maintaining nursing policies, procedures, protocols, and clinical resources; attend meetings and complete reports and documentation accurately and on time.
Perform other duties as assigned by the Director of Nursing or Administrator.