After-Hours Hospice Ops Director (RN)

Mission Healthcare; San Diego (CA); Hybrid; USD 140,000 - 160,000; Full time

Benefits offered by this job

401(k) plan

Mileage reimbursement

Employee Assistance Program (EAP)

Paid vacation, sick leave, holidays

Tuition reimbursement

Relocation assistance

Medical, dental, and vision insurance

Flexible Spending & Health Savings A/c

Disability, life, and AD&D insurance

Pet insurance

Job summary

Mission Healthcare is seeking an After-Hours Director of Clinical Services to lead on-call nursing teams and ensure quality patient care during evenings, weekends, and holidays, with emphasis on hospice compliance and leadership across sites.

RN licensed, 5+ years hospice care, and 2+ years supervisory experience are required. BSN preferred; CHPN preferred. This hybrid role supports a broad after-hours operational scope and patient-centered care excellence.

Qualifications

• Graduate of an accredited nursing program.
• Current, unrestricted RN license.
• Minimum of 5 years hospice, home health, 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.

Responsibilities

• 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.
• 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.
• Monitor after-hours triage performance to ensure timely response to patient, family, 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.
• 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.
• 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.
• 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.
• 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.
• Participate in agency emergency preparedness plans.
• Coordinate response activities during disasters, severe weather, or other emergencies.
• Ensure uninterrupted patient care services during emergency situations.

Skills

Clinical leadership

After-hours oversight

Staff supervision

Hospice operations

Regulatory compliance

Communication

Education

RN license

BSN preferred; MSN desirable

Graduate of accredited nursing program

CHPN preferred

Job description

Mission Healthcare is seeking an After-Hours Director of Clinical Services to lead on-call nursing teams and ensure quality patient care during evenings, weekends, and holidays, with emphasis on hospice compliance and leadership across sites.

RN licensed, 5+ years hospice care, and 2+ years supervisory experience are required. BSN preferred; CHPN preferred. This hybrid role supports a broad after-hours operational scope and patient-centered care excellence.