Hospice Medical Director

Four Seasons, The Care You Trust•Flat Rock, NC

9d•Onsite

About The Position

The role of the Hospice Medical Director (HMD) will serve as outlined in the Medicare Interpretive Guidelines and the Medicare Hospice Conditions of Participation (418.102). This individual has responsibility for the medical component of the hospice program and assures efficient and effective quality of care for the patients we serve. This includes the establishment and maintenance of medical standards/protocols and systems of monitoring accountability, a focus on the continual improvement of care access, care delivery, and ensuring compliance with applicable standards and regulations. The HMD participates routinely in certification, recertification, and decertification of terminal prognosis for hospice patients, including the necessary collaboration and documentation to support eligibility decisions. In addition, the HMD provides direct and indirect supervision of all hospice providers. The HMD works collaboratively with Chief Medical Officer and the Chief Clinical and Operations Officer to provide medical excellence. Clinical responsibilities will include seeing patients in the inpatient unit, or other care settings, as needed, and participating in daytime, after-hours, weekend, and holiday provider coverage, as needed.

Requirements

Doctor of Medicine degree or Doctor of Osteopathic Medicine degree from an accredited institution
Hospice and Palliative Medicine (HPM) Board Certification or Certificate of Added Qualification, and/or Hospice Medical Director Certification (HMDC)
Minimum of three years or more of clinical practice
Minimum of two years in a clinical leadership role
Participation in a leadership role in medical staff organization activities
Experience in the treatment of end-of-life care
Experience in public speaking
Possess and maintain any and all applicable privileges with community hospitals
Demonstrated understanding of the Centers for Medicaid and Medicare Services requirements
Experience effectively collaborating with diverse groups
Possess and maintain any and all applicable privileges with community hospitals
Valid, unrestricted, medical license to practice medicine in the state of North Carolina
Board Eligible or Board Certified in Hospice and Palliative Medicine and/or Hospice Medical Director Certification, preferred
Valid, unrestricted, DEA registration
Valid driver’s license and proof of automobile insurance
Knowledge of federal, state, and local regulations
Knowledge of Medicare Conditions of Participation
Excellent analytical skills
Excellent oral/written skills
Excellent interpersonal skills
Excellent technology skills
Ability to work under pressure to meet deadlines
Ability to work flexible hours, if needed
Ability to read, interpret, and apply laws, rules, and regulations
Ability to plan, prioritize and coordinate multiple projects

Nice To Haves

Board Eligible or Board Certified in Hospice and Palliative Medicine and/or Hospice Medical Director Certification

Responsibilities

Work to achieve performance goals for self and for the Hospice Provider Team, pursue progress toward My Learning Plan (MLP) and demonstrate Four Seasons values and competencies
Consistently deliver patient care in accordance with agency guidelines and state and federal regulations and standards
Works with Leadership Team members and appropriate clinical directors to ensure quality patient care is delivered according to agency guidelines and state and federal regulations and standards
Support the ongoing development and implementation of policies and procedures that guide and support clinical practice standards and the provision of medical staff services
Demonstrate effective supervision for the hospice physicians/providers while providing standards for excellence for all service and support lines, including education and training of clinical providers in hospice eligibility, certification, and recertification, proper documentation, and billing
Conduct providers documentation reviews eligibility, billing, and clinical care
Serve as a resource to staff on clinical issues, current trends in hospice medicine, and state and federal regulations
Represent the organization in a professional, competent manner in the community and consistently exhibit our Four Seasons’ CBRIGHTER values for internal and external stakeholders.
Serve as a member of Complex Case and Eligibility Reviews and oversee, direct, and support the rendering of medical management decisions that maximize benefits for patients and families while pursuing and supporting organizational objectives
Provide guidance for the Care Access Team to ensure patient eligibility, related/unrelated medication review, and accurate and timely completion of the Hospice Addendum.
Provide clinical summaries for ADRs and audits and participate in the appeals process (redetermination, reconsideration, Administrative Law Judge hearings) and/or adjudication
Collaborate with Health Information Management (HIM) on the death certificate completion process and timely completion of outstanding orders.
Represent the Agency on ad hoc committees as appropriate; interfaces with the provider community regarding medical review, utilization review, and quality assurance concerns
Provide clinical care when needed, including any care setting; participate in on-call medical coverage for hospice patients on a rotational basis with other hospice providers
Serve as collaborating physician for Hospice and Palliative Care Advance Practice Providers; number will be determined by organizational best practice in accordance with state regulations
Participate in the accreditation and survey process
Timely review and collaboration with Leadership Team and Quality/Compliance regarding service recoveries, occurrence reports, and sentinel events
Represents Four Seasons in state, regional, and national forums, committees, etc. as available
Maintain a working knowledge of applicable National, State, and local laws and regulations, TJC Medicare and Medicaid Programs: Hospice Conditions of Participation and Payment, and other regulatory requirements related to the medical and allied health staff
Participate in leadership training and meetings, organizational initiatives such as performance improvement (PI), goal planning, and strategic planning
Perform other but similar duties as assigned
Practice safety and infection control methods
Assess clients for participation in research studies
Complete annual and ad hoc mandatory education requirements

Benefits

Competitive Salaries, Reviewed Annually
Annual Operational Performance Bonus Opportunities
$0 Employee Premiums on Medical Insurance
Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
Medical & Dental Insurance Benefits First of the Month after Hire
403B Retirement Plan with Employer Match
Generous Paid Time Off Package- 20 + Days of PTO Per Year
Up to 6 Paid Holidays
Employer Paid STD, LTD, & Life Insurance
Employer Paid Teletherapy & Telemedicine Coverage
Health & Dependent Care Flexible Spending Accounts
A Robust Employee Wellness Program
Up to $3k in Tuition Reimbursement Each Year