Hospice Medical Director

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

About The Position

The Hospice Medical Director (HMD) is responsible for the medical component of the hospice program in accordance with Medicare Interpretive Guidelines and the Medicare Hospice Conditions of Participation (418.102). The HMD ensures efficient, effective, high-quality patient care; establishes and maintains medical standards, protocols, and accountability systems; supports continual improvement in access and care delivery; and ensures compliance with applicable standards and regulations. The role routinely participates in hospice patient certification, recertification, and decertification decisions, including the collaboration and documentation needed to support eligibility decisions. The HMD provides direct and indirect supervision of hospice providers and works collaboratively with the Chief Medical Officer and Chief Clinical and Operations Officer. Clinical responsibilities may include seeing patients in the inpatient unit or other care settings and providing daytime, after-hours, weekend, and holiday coverage as needed. The role reports to the Chief Medical Officer and is scheduled for days, Monday through Friday, 8:00 a.m. to 4:30 p.m., with participation in weekend, night, and holiday call coverage.

Requirements

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.
At least three years of clinical practice.
At least two years in a clinical leadership role.
Participation in a leadership role in medical staff organization activities.
Experience treating end-of-life care.
Experience with public speaking.
Possess and maintain applicable privileges with community hospitals.
Demonstrated understanding of Centers for Medicare & Medicaid Services requirements.
Experience collaborating effectively with diverse groups.
Valid, unrestricted medical license to practice medicine in North Carolina.
Valid, unrestricted DEA registration.
Valid driver’s license and proof of automobile insurance.
Knowledge of federal, state, and local regulations and Medicare Conditions of Participation.
Excellent analytical, oral and written communication, interpersonal, and technology skills.
Ability to work under pressure to meet deadlines and to work flexible hours when needed.
Ability to read, interpret, and apply laws, rules, and regulations.
Ability to plan, prioritize, and coordinate multiple projects.

Nice To Haves

Hospice and Palliative Medicine (HPM) Board Certification or Certificate of Added Qualification.
Hospice Medical Director Certification (HMDC).
Board eligibility or board certification in Hospice and Palliative Medicine and/or Hospice Medical Director Certification.

Responsibilities

Work toward individual and Hospice Provider Team performance goals, pursue progress toward the My Learning Plan, and demonstrate Four Seasons values and competencies.
Deliver patient care in accordance with agency guidelines and state and federal regulations and standards.
Work with Leadership Team members and clinical directors to ensure quality patient care in accordance with agency guidelines and applicable regulations and standards.
Support the ongoing development and implementation of policies and procedures governing clinical practice standards and medical staff services.
Supervise hospice physicians and providers, establish standards for excellence, and provide education and training on hospice eligibility, certification and recertification, documentation, and billing.
Review provider documentation related to eligibility, billing, and clinical care.
Serve as a resource to staff on clinical issues, hospice medicine trends, and state and federal regulations.
Represent the organization professionally in the community and demonstrate Four Seasons’ CBRIGHTER values to internal and external stakeholders.
Participate in Complex Case and Eligibility Reviews and oversee, direct, and support medical management decisions that benefit patients and families while supporting organizational objectives.
Guide the Care Access Team on patient eligibility, related and unrelated medication review, and timely, accurate completion of the Hospice Addendum.
Prepare clinical summaries for ADRs and audits, participate in appeals and adjudication processes, and take part in redetermination, reconsideration, and Administrative Law Judge hearings as applicable.
Collaborate with Health Information Management on death certificate completion and timely completion of outstanding orders.
Serve on ad hoc committees as appropriate and interface with the provider community on medical review, utilization review, and quality assurance concerns.
Provide clinical care in any care setting when needed and participate in rotational on-call medical coverage for hospice patients.
Serve as collaborating physician for Hospice and Palliative Care Advanced Practice Providers, with the number determined by organizational best practice and state regulations.
Participate in accreditation and survey processes.
Review and collaborate promptly with the Leadership Team and Quality/Compliance on service recoveries, occurrence reports, and sentinel events.
Represent Four Seasons in state, regional, and national forums and committees as available.
Maintain working knowledge of applicable laws, regulations, TJC requirements, Medicare and Medicaid hospice conditions of participation and payment, and other requirements relating to medical and allied health staff.
Participate in leadership training and meetings and organizational initiatives such as performance improvement, goal planning, and strategic planning.
Perform other similar duties as assigned.
Follow 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 for self-care, childcare, pet care, or elder care.
Medical and dental insurance benefits beginning the first of the month after hire.
403(b) retirement plan with employer match.
20+ days of paid time off per year.
Up to six paid holidays.
Employer-paid short-term disability, long-term disability, and life insurance.
Employer-paid teletherapy and telemedicine coverage.
Health and dependent care flexible spending accounts.
Employee wellness program.
Up to $3,000 in tuition reimbursement each year.