Hospice After Hours Clinical Operations Director (RN)

Mission Healthcare

$140K — $160K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Graduate of an accredited nursing program.
  • Current, unrestricted Registered Nurse (RN) license.
  • 5+ years in hospice, home health, or palliative care.
  • 2+ years in a leadership role.
  • Strong knowledge of hospice regulations and standards.
  • Valid driver's license and reliable transportation.
  • BSN preferred; MSN desirable.

Responsibilities

  • Provide clinical oversight to after-hours nursing staff.
  • Serve as the primary resource for complex patient care situations.
  • Assist with symptom management and clinical decision-making.
  • Support hospice philosophy and patient-centered care.
  • Manage after-hours staffing and triage coverage.
  • Monitor after-hours triage performance and response times.
  • Coordinate urgent visits and address operational issues.

Benefits

  • 401(k) retirement savings plan
  • Mileage reimbursement
  • Employee Assistance Program (EAP)
  • Paid vacation, sick leave, and holidays
  • Tuition Reimbursement
  • Medical, dental, and vision insurance
  • Flexible Spending & Health Savings Accounts
  • Disability, life, and AD&D insurance
  • Pet insurance
Full Job Description
Benefits Available to All Benefit-Eligible Employees
  • 401(k) retirement savings plan
  • Mileage reimbursement
  • Employee Assistance Program (EAP)
  • Paid vacation, sick leave, and holidays
  • Tuition Reimbursement

Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week:
  • Medical, dental, and vision insurance
  • Flexible Spending & Health Savings Accounts
  • Disability, life, and AD&D insurance
  • Pet insurance


Pay range (depending on experience): $140k-160k

Schedule/Shift:

The After-Hours Director of Clinical Services is responsible for providing clinical leadership and operational oversight during non-business hours, including evenings, weekends, holidays, and emergency situations. This position supports on-call staff, ensures quality patient care, manages after-hours clinical operations, facilitates timely response to urgent patient needs, and promotes compliance with hospice regulations, policies, and standards of practice.

Territory/Location: Hybrid

Responsibilities:
Clinical Leadership
  • Provide after-hours clinical oversight and support to on-call nursing staff.
  • Serve as the primary escalation resource for complex patient care situations.
  • Assist with symptom management, end-of-life care interventions, and clinical decision-making.
  • Support adherence to hospice philosophy and patient-centered care.
  • Collaborate with physicians, nurse practitioners, pharmacies, and interdisciplinary team members as needed.

Operational Management
  • Manage after-hours staffing and triage coverage.
  • Coordinate urgent visits and resource allocation.
  • Facilitate communication between field staff and leadership
  • Ensure continuity of care during evenings, weekends, and holidays.
  • Address operational issues affecting patient care delivery.


Triage Operations Oversight
  • Monitor after-hours triage performance to ensure timely response to patient, family, facility, and referral source calls.
  • Oversee call management workflows and patient prioritization processes.
  • Ensure appropriate utilization of telephone triage, telehealth resources, and urgent visit deployment.
  • Identify trends impacting response times, patient satisfaction, or service delivery and implement corrective actions.
  • Collaborate with clinical leadership to develop and maintain after-hours triage protocols and best practices.

Performance Improvement and Reporting
  • Develop and maintain operational dashboards for after-hours performance metrics.
  • Analyze trends related to call volume, response times, visit utilization, documentation compliance, and patient outcomes.
  • Prepare routine reports for clinical and operational leadership.
  • Lead initiatives to improve efficiency, reduce response delays, enhance patient experience, and strengthen regulatory compliance.
  • Participate in Quality Assurance Performance Improvement (QAPI) activities related to after-hours services.

Quality and Compliance
  • Ensure compliance with CMS Conditions of Participation and state hospice regulations.
  • Review and address patient safety concerns and clinical incidents.
  • Monitor adherence to documentation and visit standards.
  • Participate in quality improvement and performance improvement initiatives.
  • Escalate reportable events according to organizational policy.

Staff Support and Supervision
  • Provide coaching and clinical guidance to after-hours staff.
  • Assist with conflict resolution and customer service concerns.
  • Support staff performance and accountability.
  • Promote employee engagement and retention.

Customer Service
  • Respond to escalated patient, family, and referral source concerns.
  • Ensure timely resolution of complaints and service issues.
  • Foster positive relationships with patients, families, and community partners.

Emergency Preparedness
  • Participate in agency emergency preparedness plans.
  • Coordinate response activities during disasters, severe weather, or other emergencies.
  • Ensure uninterrupted patient care services during emergency situations.


Qualifications:
  • Graduate of an accredited nursing program.
  • Current, unrestricted Registered Nurse (RN) license.
  • Minimum of 5 years of hospice, home health, palliative care, or related clinical experience.
  • Minimum of 2 years of leadership or supervisory experience.
  • Strong knowledge of hospice regulations, standards, and best practices.
  • Valid driver's license and reliable transportation.
  • BSN preferred; MSN desirable.
  • Certified Hospice and Palliative Nurse (CHPN) preferred.
  • Multi-site hospice operations experience.
  • Experience managing after-hours or on-call clinical operations.


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