Director of Patient Care Services

The Elizabeth Hospice•Escondido, CA
•$145,000 - $158,000•Onsite

About The Position

The Director of Patient Care Services provides strategic and operational management of clinical services, including planning, organizing, staffing, and directing program activities in accordance with hospice policies and procedures and applicable state and federal regulations. The role directly oversees Team Managers and the Triage Manager, directs clinical services across assigned care teams, and is accountable for agency compliance with California hospice emergency regulations and the Medicare Conditions of Participation for Hospice Care. The Director participates as a member of the Senior Leadership Team and works with executive leaders to shape strategy, advance patient safety and regulatory excellence, develop teams, and improve quality outcomes. The position oversees clinical care teams and programs that may include RNCM, LVN, HHA, MSW, and spiritual care staff. It leads program development, workforce planning, utilization review, budget development, clinical information-system input, and regulatory reporting. The Director partners with the Director of Quality and Compliance to improve publicly reported outcomes, maintain CAHPS composite scores above state and national benchmarks, and ensure staff follow the organizational care model. The work schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m., with an alternate 9/80 work week and an on-call rotation that includes holidays. The role is based in Escondido, California, and requires travel for staff supervision, public relations, and marketing. Attendance at seminars, conferences, and workshops may also be required. The annual salary range is $145,000–$158,000.

Requirements

  • Meet one of the following criteria consistent with Title 22 CCR section 74852: (a) RN with a baccalaureate or higher degree in nursing or another health-related field and at least two years of full-time supervisory or managerial experience in a hospice or home health agency within the last five years; or (b) RN with at least four years of full-time supervisory or managerial experience in a hospice or home health agency within the last five years.
  • Working knowledge of Title 22 California Code of Regulations sections 74800–74908 (CDPH-18-002E) and the Medicare Conditions of Participation for Hospice Care (42 CFR Part 418).
  • Certified Hospice and Palliative Nurse (CHPN) certification required, or must be obtained within twelve months of hire.
  • Current CPR certification.
  • Current negative TB test or equivalent per agency policy.
  • Active, unrestricted California Registered Nurse license.
  • Current California driver's license, proof of auto insurance, and reliable transportation.

Responsibilities

  • Direct clinical service delivery across assigned care teams and ensure compliance with agency policy and applicable regulations.
  • Identify needed changes in program design, develop proposals, and make recommendations to the Senior Leadership Team.
  • Lead clinical services program development initiatives.
  • Collaborate with the Senior Leadership Team on cross-functional projects and coordinate them with agency plans.
  • Direct implementation of and monitor compliance with state and federal licensing and certification standards, including Title 22 CCR and 42 CFR Part 418.
  • Work with the Chief Operating Officer, Chief Medical Officer, and other leaders to develop policies and procedures supporting high-quality, compliant care.
  • Participate in workforce planning, recruitment strategy, and career development planning for clinical staff.
  • Oversee assigned clinical care teams and programs, including RNCM, LVN, HHA, MSW, and spiritual care staff as applicable.
  • Develop and use recording and reporting systems, manuals, and other resources to support communication, coordination, and effective operations.
  • Direct utilization review activities and incorporate findings into staffing and program decisions.
  • Develop and oversee annual operating budgets for assigned departments.
  • Provide input on clinical information systems and monitor processing of clinical-services data and regulatory reports.
  • Participate in professional and community activities that further the hospice's mission.
  • Partner with the Director of Quality and Compliance to exceed publicly reported industry-standard outcomes, sustain CAHPS composite scores above state and national benchmarks, and ensure adherence to organizational care model standards.
  • Travel for staff supervision, public relations, and marketing; attend seminars, conferences, and workshops as required.
  • Participate in an on-call rotation that includes holidays.

Benefits

  • Competitive hospice industry compensation.
  • Benefits package with multiple plan offerings and generous employer contribution.
  • 401(k) retirement plan with employer match.
  • Supportive work culture encouraging work-life balance.
  • Paid Time Off, paid holidays, and floating holiday.
  • Employee development program managed by an in-house education department to support individualized orientation and professional growth needs.
  • Tuition reimbursement program.
  • Monthly mileage reimbursement.
  • Employee Referral Program.
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