Director of Hospice Operations

Job Description

Job Description

Description

Office Location: Elk Grove Village, IL Office
Salary: $120,000 - $150,000 / year
Run the Operation That Makes It All Possible
Behind every patient who receives exceptional hospice care is an organization that runs with precision, purpose, and heart. At Transitions Hospice , our Director of Hospice Operations is the person who makes that possible.

The Director of Hospice Operations is accountable for day-to-day staffing, personnel, clinical outcomes, quality, financial performance, and growth across an assigned region, including all locations and staff within it. The Director exercises hiring, termination, and staffing oversight for the region, and carries out all operational, clinical, and financial functions under the administrative and professional supervision of the Administrator, who serves as the Director's supervisor, evaluator, and regulatory authority for the license under 42 CFR §418.100(b). All Director decisions remain subject to the Administrator's review and override authority when necessary for regulatory or license compliance.

What You'll Do and Our Why

What You'll Do

Growth & Business Development

• Owns the region’s growth agenda — census, referrals, and market share — and is accountable for results.
• Identifies and pursues partnerships and referral relationships (physicians, hospitals, skilled nursing facilities, assisted living, community organisations).
• Partners with the Administrator and Finance on regional budgeting, forecasting, and business planning.
• Owns regional performance metrics (census, admissions, length of stay, discharges, revenue) and reports progress and recommendations to the Administrator.
• Represents the organisation in the community and with external stakeholders, strengthening reputation and presence.

Quality, Compliance & Clinical Oversight

• Leads quality, clinical, and compliance outcomes across the region under the Administrator’s supervision, ensuring hospice services meet organisational standards and philosophy.
• Ensures full regional compliance with federal, state, CHAP, and CMS regulations, laws, standards, and protocols, operating under the Administrator, who holds ultimate regulatory responsibility and authority for corrective action.
• Leads ongoing QAPI activities across the region as part of a unified program under the Administrator’s oversight; monitors occurrences, complaints, negative trends, and patient/family satisfaction, and brings findings and proposed corrective actions to the Administrator.
• Establishes quality benchmarks, tools, and best practices for consistent standards across all sites, subject to Administrator review, keeping the QAPI program centralised and traceable to the certified location.
• Ensures interdisciplinary care is delivered consistently and that clinical and non-clinical staff stay current with hospice regulations, clinical practices, and industry trends.
• Escalates compliance concerns identified through QAPI, complaints, audits, or otherwise via the hospice’s compliance program to the Administrator and, where applicable, the compliance officer/governing body, independent of regional growth or financial goals and consistent with OIG General Compliance Program Guidance on segregating compliance oversight from operations and financial leadership.

Culture, Talent & People Leadership

• Directly leads, develops, and evaluates Clinical Leaders across the region, building an engaged clinical leadership team.
• Owns regional culture: models and reinforces organisational values and patient-care philosophy across all sites.
• Owns selection, onboarding, performance evaluation, and development for Clinical Leaders and site staff; ensures adequate staffing across the region.
• Makes personnel decisions for the region — hires, terminations, suspensions, talent reviews, grievances — under the Administrator’s supervision, partnering with Human Resources as needed.
• Builds leadership bench strength through mentoring and development of site-level leaders.

Operations, Finance & Administration

• Directs day-to-day regional operations, including staffing, scheduling, supplies, equipment, and technology at every site.
• Partners with Finance and the Administrator on operational planning and budgeting.
• Owns business operations and cost controls to support financial stability and performance.
• Ensures accurate, timely data collection and reporting to the Administrator on operational, financial, and growth performance, supporting reporting to the Governing Body.
• Ensures effective conflict and complaint management processes across the region.

Skills, Knowledge and Expertise

What You Bring

• Bachelor's degree in business administration, health care administration, or related field required; Master's degree preferred.
• 5+ years of progressive hospice or home health leadership experience required, including direct clinical leadership oversight.
• Demonstrated track record of driving census and organizational growth in a healthcare services setting.
• Intimate knowledge of Medicare Hospice Certification requirements, CHAP standards, and state and federal hospice regulations.
• Proven ability to supervise and direct clinical and administrative personnel across multiple sites.
• Strong understanding of performance improvement, quality assessment, and utilization management.

How We Support You

Benefits We Offer

• Competitive pay
• Medical / Dental / Vision Insurance plans
• Long & Short-Term Disability
• 401(k) with company match
• Gas Card
• Company provided equipment
• Paid Time Off