Hospice Physician

Big Bend Hospice; Tallahassee (FL); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Relocation bonus

Job summary

Big Bend Hospice in Tallahassee, FL seeks a Hospice Physician to provide medical direction for end-of-life care. You will work with the interdisciplinary group to determine eligibility, oversee care plans, and support patients and families in home, inpatient units, and other settings.

Responsibilities include certifying eligibility, managing symptoms, prescribing treatments, and ensuring regulatory compliance. Requires MD/DO with Florida license; relocation bonus offered to eligible candidates.

Qualifications

• Must hold MD or DO licensure in Florida.
• Board certification in Hospice/Palliative care preferred.
• Excellent communication and collaboration with IDG and families.

Responsibilities

• Certify and recertify hospice eligibility per CMS.
• Perform face-to-face encounters as required.
• Develop, review, and approve plans of care.
• Prescribe medications, DME, and other interventions as appropriate.
• Collaborate with attending physicians and IDG members.
• Provide supervision and guidance to staff as needed.
• Ensure regulatory compliance and documentation timelines.

Skills

Hospice eligibility

Pain management

Communication

Goals of care

Advance care planning

End-of-life decisions

IDG collaboration

Regulatory knowledge

EMR proficiency

Documentation

Quality improvement

Clinical judgment

Hospice philosophy

Interpersonal skills

Education

MD/DO

Tools

EMR systems

Microsoft Word/Excel/PowerPoint

Job description

Job Details

Job Location: Tallahassee, FL 32308

Position Type: Full Time

Education Level: Graduate Degree

Travel Percentage: None

Job Shift: Any

Job Category: Clinical

Job Summary: RELOCATION BONUS!

The Hospice Physician is responsible for the medical direction of the care and treatment of patients served by Big Bend Hospice (BBH), ensuring high quality, compassionate, patient centered end-of-life care. The physician works collaboratively with the interdisciplinary group (IDG) to determine hospice eligibility, establish and oversee individualized plans of care, manage symptoms, and support patients and families through the hospice journey.

The Hospice Physician serves as a liaison between the Hospice and community physicians, as well as with others engaged in health care services, to improve the quality of care provided to Hospice patients and to increase access for appropriate patients served by Hospice. The Hospice Physician, or designee, provides direct medical care as needed to patients in the home, inpatient units, and in multiple healthcare settings.

The Hospice Physician promotes quality outcomes, regulatory compliance, and excellence in palliative and hospice medicine while supporting the organization's mission and values.

Supervisory Duties

• Responsible for collaborating with BBH Nurse Practitioners.

Duties and Responsibilities

Clinical Care

• Certify and recertify hospice eligibility in accordance with CMS regulations.
• Perform face-to-face encounters when required by regulation.
• Conduct medical evaluations for hospice admissions and ongoing care.
• Develop, review, and approve individualized plans of care.
• Provide consultation regarding symptom management, pain control, and end-of-life care.
• Prescribe medications, treatments, durable medical equipment, and other interventions as appropriate.
• Collaborate with attending physicians regarding patient care.
• Participate in complex case reviews and ethical decision-making.
• Provide clinical support to hospice nurses and advanced practice providers.

Promptly respond to interprofessional members to provide oversight to plan of care, level of care decisions, prescriptions, and recommendations for symptom management needs.

Timely review, approval, completion of, or response to:

• Certification of Terminal Illness as needed for new admissions.
• Completes needed administrative documentation including but not limited to the certification of terminal illness, plan of care, and recertification of terminal illness in the Hospice electronic medical record.
• Prompt and accurate completion of death certificates.
• Round and provides direct patient care to IPUs including staffing of new admissions, patient follow-up visits, and family meetings.
• EMR documentation and billing submission.
• Decisions regarding the appropriateness of admissions when necessary.
• Review of admission [medical and psychosocial] history of each patient with a member of the medical team.

Participate in patient rounds in the Inpatient Units. Participate in rotation of nightly call/back up call (average about 1 in 6 or 8) Participate in weekend call or IPU rounding (average about 1 in 5 or 6)

Interdisciplinary Team Participation

• Serve as an active member of the Interdisciplinary Group (IDG).
• Participate in regular IDG meetings.
• Provide medical direction regarding patient goals of care.
• Assist with care planning and transitions of care.
• Support bereavement and psychosocial interventions as appropriate.
• Respectfully consider collaborative input from interdisciplinary team members, ensuring patient, family and/or caregiver needs and wishes are met and honored as appropriate.

Medical Leadership

• Provide clinical guidance and mentorship to physicians, nurse practitioners, physician assistants, nurses, and other clinical staff.
• Promote evidence-based hospice and palliative care practices.
• Assist in developing clinical protocols and standards.
• Participate in quality improvement initiatives.
• Support infection prevention and patient safety activities.

Regulatory Compliance

• Ensure compliance with:
• CMS Conditions of Participation
• State hospice licensing regulations
• Accreditation standards (CHAP)
• Medical staff bylaws
• HIPAA requirements
• Complete documentation in accordance with regulatory timelines.
• Review physician orders and certifications for accuracy and completeness.

Quality Improvement

• Participate in Performance Improvement (QAPI) activities.
• Review hospice quality measures.
• Assist with peer review and clinical audits.
• Analyze trends related to symptom management and patient outcomes.
• Recommend opportunities for clinical improvement.

QualificationsRequired Skills/Abilities

• Hospice eligibility determination
• Pain and symptom management
• Serious illness communication
• Goals of care discussions
• Advance care planning
• End-of-life decision-making
• Interdisciplinary collaboration
• Regulatory knowledge
• EMR proficiency
• Strong documentation skills
• Quality improvement principles
• Excellent clinical judgment
• Knowledge of hospice philosophy and end-of-life care.
• Excellent communication and interpersonal skills.

Education and Experience

Required

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
• Current unrestricted medical license to practice in the State of Florida
• DEA registration.
• Knowledge of hospice philosophy and end-of-life care.

Preferred

• Board certification in Hospice and Palliative medicine or Fellowship Trained/Board eligible or Hospice Medical Director Certified (HMD thru AA).
• Experience in the care of terminally ill patients, knowledge and expertise in palliative care or shows initiative to develop knowledge and expertise quickly over time.
• Working knowledge of Microsoft Word, Excel, PowerPoint, and EMR systems.

CERTIFICATES, LICENSES, REGISTRATIONS:

• Must have a valid MD or DO license to practice medicine in the State of Florida.
• Must possess a valid Florida Drivers' License, current auto insurance, and reliable transportation.
• Must possess DEA license or apply successfully within 3 months of starting employment.