Executive Director, Home Health and Hospice (ADMINISTRATOR)

Torrance Memorial Medical Center•Torrance, CA

12d•$234,000 - $415,958

About The Position

The Executive Director of Home Health and Hospice is responsible for total management, development, operation, and evaluation of the Home Care, Home Based Palliative Care, and Hospice Agency consistent with policies, procedures, and directives from the Governing Body. This position serves as Administrator of the Home Health Agency as well as the Hospice Program, meeting any applicable requirements of California regulations, Medicare regulations, and Accreditation Standards for Home Health and Hospice Care. Core Competencies Assumes fiscal responsibility for conducting operations within the scope of the authorized program budget, and has responsibility for daily financial management. Develops and maintains administrative procedures to assure fiscal accountability and control, equitable personnel practices, efficient office management, and the attainment of management objectives. Develops, evaluates and implements administrative policies, goals and objectives, and programs including annual evaluation and revision of Quality Assessment Performance Improvement Plan, Emergency Operations Plan, Infection Control Plan and Compliance Plan specific to Home Health and Hospice. Develops the annual budget, including capital budget requests, growth targets, productivity targets and new programs to ensure financial stability. Develops, maintains, and ensures efficient management of the administrative office including compliant billing and medical records management. Ensures the development and maintenance of patient care policies and procedures in accordance with home health and hospice industry standards and scope of practice regulations. Mentors agency leadership and staff to promote a harmonious, coordinated work force to provide high quality home health and hospice care. Ensures assignment of an appropriate alternate administrator in his/her absence. Ensures availability for adequate support for all paid, voluntary, and contracted staff. Ensures clear, effective working lines of accountability and responsibility between and within the service staff and administrative staff. Ensures maintenance of an efficient and effective communication system between all aspects of program services; interdisciplinary care team, home care, inpatient care, Medical Director, attending physicians, and medical center administration. Implements all personnel policies approved by the Board of Trustees. Informs employees of expected standards of care; monitors conformance to these standards. Ensures adequate orientation, continuing education, and inservice training for all employees, which is documented and evaluated. Oversees employment, termination, management, and evaluation of personnel participating in the program, either directly or by delegation. Supports adherence to the chain of command for problem resolution. Implements and maintains a planned and systematic process of quality assurance and process improvement using Lean principles with required reporting to and approval of the Governing Body. Fulfills all regulatory requirements of the license and certification including notices of changes In management and ownership, CMS revalidation, OSHPD reporting, Hospice Conditions of Participation reporting and any required submission to preserve market basket updates and Value Base Purchasing requirements. Participates in Health Care System's performance improvement activities via task forces, BPI projects, etc Ensures the development of financially sound contracts that meet regulatory and accrediting body standards. Participates and holds membership in organizations and conferences that relate to standards, accreditation, legislation, and licensure. Represents Home Health and Hospice in the community to other institutions, public bodies, government agencies, organizations, services, groups, and persons. Acts on recommendations for improvement generated through agency performance improvement activities. Works cooperatively with federal agencies, intermediaries, and third party payors in executing the Home Health and Hospice Programs. Ensures the identification and assessment of future trends, which may affect the organization, its services, and funding of the organization. Ensures the ongoing development and diversification of the organization. Implements plans to meet the long-range programmatic and fiscal goals as defined and approved by the Board of Trustees. Incorporates identified areas targeted for further study, uses conclusions from reviewing trended data and recommendations from QAPI committee when formulating improvement plan. Provides leadership and vision in developing the long-range plans of the agency in the context of community need. Works toward integrating Home Health and Hospice into the health care continuum system. Conducts strategic planning to promote growth of the home health and hospice programs in accordance with the Organization Operational Goals. Monitors financial performance and adapts operations as needed using sensitivity analysis, pro forma development, flex budgeting, forecasting and vendor contract review. Utilized current industry benchmarks to evaluate performance. Ensures that staff and organization stay current on local and national issues and trends and changes in regulations.

Requirements

Masters Healthcare, Business, or related field
10 years Hospital or Home Health Management
3 years Home Health Mangement
Three years experience in home health and hospice administration and operations
Expert knowledge of corporate business and financial management, CMS Conditions of Participation, Title 22 Requirements, and Joint Commission Requirement
Registered Nurse License

Nice To Haves

Nursing (BSN) preferred
Cert in Home Health, Hospice, Admin, Leadership or other relevant cert within 6 mo of hire

Responsibilities

total management, development, operation, and evaluation of the Home Care, Home Based Palliative Care, and Hospice Agency consistent with policies, procedures, and directives from the Governing Body
Administrator of the Home Health Agency as well as the Hospice Program, meeting any applicable requirements of California regulations, Medicare regulations, and Accreditation Standards for Home Health and Hospice Care
Assumes fiscal responsibility for conducting operations within the scope of the authorized program budget, and has responsibility for daily financial management
Develops and maintains administrative procedures to assure fiscal accountability and control, equitable personnel practices, efficient office management, and the attainment of management objectives
Develops, evaluates and implements administrative policies, goals and objectives, and programs including annual evaluation and revision of Quality Assessment Performance Improvement Plan, Emergency Operations Plan, Infection Control Plan and Compliance Plan specific to Home Health and Hospice
Develops the annual budget, including capital budget requests, growth targets, productivity targets and new programs to ensure financial stability
Develops, maintains, and ensures efficient management of the administrative office including compliant billing and medical records management
Ensures the development and maintenance of patient care policies and procedures in accordance with home health and hospice industry standards and scope of practice regulations
Mentors agency leadership and staff to promote a harmonious, coordinated work force to provide high quality home health and hospice care
Ensures assignment of an appropriate alternate administrator in his/her absence
Ensures availability for adequate support for all paid, voluntary, and contracted staff
Ensures clear, effective working lines of accountability and responsibility between and within the service staff and administrative staff
Ensures maintenance of an efficient and effective communication system between all aspects of program services; interdisciplinary care team, home care, inpatient care, Medical Director, attending physicians, and medical center administration
Implements all personnel policies approved by the Board of Trustees
Informs employees of expected standards of care; monitors conformance to these standards
Ensures adequate orientation, continuing education, and inservice training for all employees, which is documented and evaluated
Oversees employment, termination, management, and evaluation of personnel participating in the program, either directly or by delegation
Supports adherence to the chain of command for problem resolution
Implements and maintains a planned and systematic process of quality assurance and process improvement using Lean principles with required reporting to and approval of the Governing Body
Fulfills all regulatory requirements of the license and certification including notices of changes In management and ownership, CMS revalidation, OSHPD reporting, Hospice Conditions of Participation reporting and any required submission to preserve market basket updates and Value Base Purchasing requirements
Participates in Health Care System's performance improvement activities via task forces, BPI projects, etc
Ensures the development of financially sound contracts that meet regulatory and accrediting body standards
Participates and holds membership in organizations and conferences that relate to standards, accreditation, legislation, and licensure
Represents Home Health and Hospice in the community to other institutions, public bodies, government agencies, organizations, services, groups, and persons
Acts on recommendations for improvement generated through agency performance improvement activities
Works cooperatively with federal agencies, intermediaries, and third party payors in executing the Home Health and Hospice Programs
Ensures the identification and assessment of future trends, which may affect the organization, its services, and funding of the organization
Ensures the ongoing development and diversification of the organization
Implements plans to meet the long-range programmatic and fiscal goals as defined and approved by the Board of Trustees
Incorporates identified areas targeted for further study, uses conclusions from reviewing trended data and recommendations from QAPI committee when formulating improvement plan
Provides leadership and vision in developing the long-range plans of the agency in the context of community need
Works toward integrating Home Health and Hospice into the health care continuum system
Conducts strategic planning to promote growth of the home health and hospice programs in accordance with the Organization Operational Goals
Monitors financial performance and adapts operations as needed using sensitivity analysis, pro forma development, flex budgeting, forecasting and vendor contract review
Utilized current industry benchmarks to evaluate performance
Ensures that staff and organization stay current on local and national issues and trends and changes in regulations