Hospice After Hours Clinical Operations Director (RN)

missionhealthcare; San Diego (CA); On-site; USD 140,000 - 160,000; Full time

Job summary

Mission Healthcare, a leading home health and hospice provider, seeks an After-Hours Director of Clinical Services to oversee clinical leadership and operations during non-business hours. The role ensures quality patient care, supports on-call staff, and maintains compliance with hospice standards.

You will coordinate after-hours triage, staffing, and dangerous situations, collaborating with physicians, pharmacies, and the interdisciplinary team to sustain continuity of care and patient

Qualifications

• Graduate of an accredited nursing program.
• Current, unrestricted RN license.
• Minimum of 5 years of hospice, home health, or palliative care clinical experience.

Responsibilities

• Provide after-hours clinical oversight and support to on-call staff.
• Coordinate urgent visits and triage coverage.
• Ensure compliance with CMS Conditions of Participation and state hospice regulations.
• Lead performance improvement and reporting for after-hours services.
• Collaborate with physicians and interdisciplinary team members.

Skills

Clinical leadership

Staff supervision

Customer service

Education

RN licensure

Job description

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission-to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espet, E xcellence and S ervice (CARES), Mission Healthcare's core values. By joining our team, you will have the opportunity to impact patient's lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

Mission Healthcare offers competitive benefit packages designed to support the well‑being of our team.

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