Director of Clinical Operations Hospice

UnitedHealth Group•Hot Springs, AR

21h•$67,392 - $101,088•Onsite

About The Position

Elite Hospice, part of LHC Group and the Optum family, is seeking a Clinical Director to assist the Executive Director in all functions of clinical oversight. This role involves managing patient eligibility, services provided, and care supervision. The position requires maintaining administrative practices, agency philosophy, goals, and policies to ensure compliance with state and federal regulations. A key aspect is enhancing agency profitability while upholding quality of care and fostering staff motivation and retention. The company culture emphasizes Caring, Connecting, and Growing together.

Requirements

Current and unrestricted RN licensure in the state of practice
Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation

Nice To Haves

Current CPR certification or ability to complete within 90 days of hire
3+ years of experience in a hospice, home health, or other health care service delivery system setting
2+ years of healthcare leadership

Responsibilities

Compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
Ensures that the hospice agency employs only qualified hospice personnel
Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
Promotes hospice education to referral sources and the community at large
Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
Ensures that patient care services are provided according to the plan of care, as ordered by the physician
Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
Ensures adequate staffing through recruitment and retention activities
Ensures timely completion of assigned hospice agency staff evaluations
Identifies education needs and ensures adequate clinical and process education for clinical staff
Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety. Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
Completes required courses through LHC Group learning management system and attends in-services, when applicable
Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient.
Oversees and/or directly investigates all patient-related sentinel events
Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
May act as back-up to the agency Executive Director/Executive Administrator