Hospice After Hours Clinical Operations Director (RN)

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

Benefits offered by this job

401(k) plan

Mileage reimbursement

Employee Assistance Program

Paid vacation

Tuition reimbursement

Medical insurance

Dental insurance

Vision insurance

Pet insurance

Job summary

Mission Healthcare in the western United States is seeking an After-Hours Director of Clinical Services (RN) to provide clinical leadership and oversee after-hours operations for hospice patients. You will support on-call staff, ensure quality patient care, and promote CMS-compliant practices during evenings, weekends, and holidays.

This role requires a BSN, at least 5 years in hospice/home health, and 2 years of leadership experience.

Qualifications

• Graduate of an accredited nursing program; current, unrestricted RN license.
• Minimum 5 years hospice, home health, palliative care, or related clinical experience.
• Minimum 2 years leadership or supervisory experience.
• Knowledge of hospice regulations and standards; valid driver's license.
• BSN preferred; MSN desirable.

Responsibilities

• Provide after-hours clinical leadership and support to on-call staff.
• Manage after-hours staffing and triage coverage.
• Overssee call management workflows and triage protocols.
• Ensure CMS compliance and patient-centered hospice care.
• Collaborate with physicians, pharmacists, and the care team.

Skills

RN license

Clinical leadership

After-hours management

Triage oversight

Hospice care

Regulatory compliance

Driver's license

Education

Bachelor of Science in Nursing

BSN preferred

MSN desirable

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 Compassion, Accountability, Respect, Excellence and Service (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, and 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.

At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. We are committed to building a diverse team and creating an environment that promotes equity and belonging.

Equal Opportunity & Veteran‑Friendly Employer

We are proud to be an equal‑opportunity employer committed to building inclusive, compassionate healthcare teams. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other legally protected characteristic. All employment decisions are based on qualifications, merit, and business need.

Veterans and military spouses are encouraged to apply. As a veteran‑friendly employer and proud participant in the We Honor Veterans Association, we recognize and value the leadership, teamwork, adaptability, and service‑driven experience military‑connected individuals bring to patient‑centered care and healthcare environments.

Accessibility Commitment

We strive to make our hiring process accessible to all. If you require accommodations at any stage of the employment process due to a disability, please do not hesitate to let us know how we can best meet your needs.

Inclusion Efforts

We continually work to enhance our practices by actively combating discrimination and advancing fairness and inclusivity. We encourage applicants from historically underrepresented groups to apply and join us in our mission to diversify our team and foster an environment where diverse perspectives are embraced, and every employee is given the opportunity to thrive.

Your Voice Matters

Mission Healthcare values your voice. We believe in maintaining a dialogue about diversity and inclusion within our teams and welcome your perspectives and innovative ideas. Together, we aim to build a workplace that reflects the communities we serve and a culture where everyone belongs.

Communication Consent

By submitting an application, you acknowledge and consent to receive communications—including emails, phone calls, and text messages—from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".

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