Hospice Medical Director Designee (Consultant)

Madrona Hospice Care, Inc.; San Rafael (CA); On-site; USD 180,000 - 260,000; Full time

Job summary

Madrona Hospice Care, Inc. seeks a Hospice Medical Director Designee to provide overall medical direction and leadership for our hospice program in the Bay Area. You will guide physician services, maintain medical continuity, and champion high-quality end-of-life care.

The role requires a CA-licensed MD/DO with at least two years of hospice leadership experience, and a commitment to collaborative, interdisciplinary practice in a consultant capacity.

Qualifications

• CA-licensed MD/DO required.
• Minimum 2 years hospice/palliative leadership experience.
• Must be based in the Bay Area.
• Maintains controlled substances registration with state and federal authorities.
• Not excluded from participating in the Medicare program.

Responsibilities

• Medical Direction & Program Leadership: provide medical direction and oversight of the hospice program.
• Regulatory Compliance: ensure adherence to Medicare Conditions of Participation, OSHA, and applicable laws.
• Eligibility Certification & Recertification: certify terminal illness eligibility and oversee adult recertifications.
• Plan of Care Oversight: establish and review plans of care with IDG and update regularly.
• Clinical & Medication Management: oversee medications and pain/symptom management with physicians.
• Interdisciplinary Group Participation: attend IDG meetings and act as medical resource.
• 24-Hour Physician Availability: ensure 24/7 physician coverage for medical needs.
• Quality Assessment & Performance Improvement: contribute to QAPI initiatives and policies.

Education

MD/DO License (CA)

Job description

At Madrona Hospice Care Inc., we've designed a plan of care that will work for you and your family. We understand the importance in providing you the guidance to make those decisions easier and before a time of crisis. That’s why we have a diverse team of experienced professionals to offer a broad range of services.

The Hospice Medical Director Designee will have overall responsibility for the medical component of the hospice program. The Hospice Medical Director Designee will provide oversight of physician services by complementing attending physician care, acting as a medical resource to the interdisciplinary group, assuring continuity of hospice medical services, and assuring appropriate measures to control patient symptoms. The Hospice Medical Director Designee will serve as a hospice champion - promoting and representing the program to physicians, physician groups, discharge planners, other referral sources, community health organizations, and potential donors, as appropriate.

RESPONSIBILITIES:

• Medical Direction & Program Leadership — Provide overall medical direction to the hospice program, devoting best efforts to its proper management and ensuring adherence to organizational policies, bylaws, rules, and regulations.
• Regulatory Compliance — Ensure the program meets all requirements of the Medicare Conditions of Participation, accrediting body standards, OSHA standards (including handling of hazardous medications), and applicable federal and state statutes.
• Eligibility Certification & Recertification — Review patients' medical eligibility for hospice services; provide written certification of terminal illness for initial and all subsequent benefit periods; and perform (or oversee NP-completed) face-to-face encounters within 30 days of the third and subsequent benefit periods, with appropriate attestation.
• Plan of Care Oversight — Establish the plan of care in conjunction with the attending physician and interdisciplinary group (IDG) prior to care, and review and update it at least every 15 days or more frequently as needed; document care in the clinical record with evidence of end-stage disease progression.
• Clinical & Medication Management — Oversee patients' medications and treatments; consult with attending physicians on pain and symptom management; and serve as primary physician when the referring/attending physician relinquishes care or is unavailable.
• Interdisciplinary Group Participation — Attend IDG meetings, serve as the medical resource to the team, and participate in resolving interpersonal conflicts and issues of clinical or ethical concern.
• 24-Hour Physician Availability — Ensure competent physician services are routinely available 24 hours a day to meet patients' general medical needs when not met by the attending physician.
• Quality Assessment & Performance Improvement (QAPI) — Evaluate QAPI plans, participate in QAPI teams and activities, develop and review policies, protocols, and procedures for patient care and treatment, and assess programs for quality and cost outcomes in cooperation with the Administrator and Clinical Director.
• Education & Training — Develop, review, and deliver medical education for physicians, personnel, and volunteers on the care of terminally ill patients, including identifying education needs through QAPI data and measuring program impact on quality of care.
• Community & Physician Liaison — Serve as a hospice champion in the community, act as liaison to community and attending physicians regarding hospice/palliative admission criteria and consultation, and maintain current knowledge of research and trends in hospice care and pain/symptom management.

• Licensed as a Doctor of Medicine or Osteopathy in California without restriction or subject to any disciplinary or corrective action.
• Must possess a CA physician license and a minimum of 2 years of full-time (FT) hospice/palliative leadership experience.
• Maintains controlled substances registration with state and federal authorities.
• Have experience in hospice or palliative care and/or training in end of life care.
• Participates in ongoing medical education activities related to the medical care of hospice and palliative care patients.
• Not excluded from participating in the Medicare program.
• Must be based in the Bay Area.

Not eligible as this is a consultant role for the company.