Clinical Facilities Manager

Job Description

Job Description

POSITION: CLINICAL FACILITIES MANAGER

To serve as a member of the team to provide appropriate and adequate professional nursing care as prescribed by the physician in compliance with applicable RN licensure and agency policies and procedures to those patients who desire to receive hospice care.

Listed below is an outline of the essential duties and responsibilities that will be required. Administrative authority, responsibility, and accountability necessary to perform the assigned duties under the supervision of the Chief Clinical Officer are delegated to the Clinical Facilities Manager.

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

Collaborates with the Chief Clinical Officer, Admissions Department, and Executive Leadership

POSITION SUMMARY

The Clinical Facilities Nurse Manager is a leadership role responsible for driving clinical excellence, strengthening facility partnerships, and supporting hospice census growth within assigned nursing facilities.

This position requires full accountability for:

• Management of a patient caseload
• Clinical leadership and oversight of hospice staff in facilities
• Active development of facility relationships to generate appropriate hospice referrals and admissions.

The RN is expected to operate with a high level of autonomy, initiative, and accountability, ensuring both quality patient outcomes and measurable contribution to organizational growth.

ESSENTIAL RESPONSIBILITIES

1. Clinical Caseload Management (Non-Negotiable)

• Maintains a consistent and appropriate hospice patient caseload.
• Completes timely admissions, recertifications, routine visits in accordance with agency standards.
• Ensures all documentation is accurate, timely, and compliant with regulatory requirements.
• Demonstrates strong clinical judgment in symptom management, decline identification, and care planning.
• Actively participates in IDT and ensures follow-through on all care plan interventions.

2. Facility Leadership & Staff Accountability

• Serves as the clinical lead for all hospice care delivered within assigned facilities.
• Holds hospice staff accountable for:
  • Visit frequency compliance
  • Documentation standards
  • Quality of care delivery
• Provides real-time coaching, redirection, and escalation when performance concerns arise.
• Identifies and addresses gaps in care, communication, and coordination within facilities.
• Ensures hospice presence in facilities is professional, responsive, and highly visible.

3. Facility Relationship Ownership & Growth Expectations

• Takes full ownership of assigned facilities as key referral sources.
• Establishes and maintains strong, consistent relationships with:
  • DONs
  • Administrators
  • Social workers
  • MDS coordinators
  • Floor nurses
• Actively identifies hospice-appropriate patients through:
  • Chart reviews
  • Facility rounding
  • Participation in care conferences
• Provides ongoing education to facility staff on hospice eligibility and services.
• Drives referral activity by ensuring hospice is top-of-mind and trusted within each facility.
• Expected to contribute to sustained census growth and increased referral conversion rates.

4. Leadership Participation & Organizational Accountability

• Actively participates in:
  • Leadership meetings
  • IDT
  • QAPI initiatives
• Brings forward:
  • Facility-specific challenges
  • Growth opportunities
  • Quality concerns
• Contributes to strategic planning related to:
  • Facility partnerships
  • Clinical operations
  • Patient experience

5. Compliance & Performance Standards

• Maintains strict adherence to:
  • Medicare Conditions of Participation
  • Agency policies and procedures
• Ensures readiness for audits, surveys, and regulatory review.
• Supports quality outcomes including:
  • Visit compliance
  • Timely documentation
  • Reduction in missed visits.
  • Appropriate utilization of services

PERFORMANCE EXPECTATIONS (KEY ACCOUNTABILITIES)

The Clinical Facilities Nurse Manager will be evaluated on:

• Patient Care
  • Timeliness and quality of documentation
  • Clinical outcomes and symptom management
  • IDT participation and follow-through
• Staff Oversight
  • Reduction in missed visits.
  • Improvement in staff performance within facilities
  • Responsiveness to clinical issues
• Facility Engagement
  • Frequency of facility presence and rounding
  • Strength of relationships with key facility staff
  • Participation in facility meetings and care conferences
• Growth Contribution
  • Increase in hospice referrals from assigned facilities.
  • Conversion of referrals to admissions
  • Identification of hospice-appropriate patients
• Leadership & Reliability
  • Effectiveness in AOC role
  • Accountability, follow-through, and communication
  • Participation and engagement in leadership initiatives

QUALIFICATIONS

• Current Registered Nurse (RN) license in Texas or Compact State
• Minimum 2–3 years hospice experience required.
• Experience in nursing facilities strongly preferred.
• Demonstrated leadership and accountability in prior roles.

CORE COMPETENCIES

• Leadership and accountability
• Relationship building and influence.
• Clinical expertise in hospice and end-of-life care
• Decisive problem-solving
• Strong communication and presence
• Ability to drive both quality and growth simultaneously.

POSITION EXPECTATION STATEMENT

This is a high-visibility leadership role. The Clinical Facilities Manager is expected to:

• Take ownership of assigned facilities.
• Actively influence referral patterns
• Lead by example clinically and operationally
• Be accountable for both patient care quality and business outcomes.

General

a. Shall know and conform to the Texas Nursing Practice Act as delineated in Title 3, Subtitle E, Chapter 301 of the Texas Occupations Code, the Board of Nurse Examiner’s standards, rules and regulations as delineated in Title 22, Part 11 of the Texas Administrative Code, as well as all federal, state, or local laws, rules or regulations affecting the nurse’s current area of nursing practice. 

b. Maintains Licensure as required by Title 3, Subtitle E, Chapter 301 of the Texas Occupations Code and Title 22, Part 11 of the Texas Administrative Code.

c. Notifies Hospice immediately of any pending action against the license or pending suspension or any suspension or action taken against the license.

d. Has knowledge of and follows Hospice policies and procedures.

e. Maintains a professional appearance.

f. Displays a consistent positive attitude. 

h. Adheres to Hospice of El Paso Mission and Value Statement. 

i. Performs other duties as assigned.

1. Subject to hostile and emotionally upset patients, family members, etc.

2. A willingness to work beyond normal working hours, and in other positions temporarily, when necessary.

3. Subject to falls, burns from equipment, infectious disease, odors, etc., throughout the workday. 

4. Exposure Level – Category I. Direct contact with blood, other bodily fluids, and potentially infectious materials to which standard precautions apply. Personal protective equipment is made available and must be worn.

QUALIFICATIONS

• Current Registered Nurse (RN) license in Texas or Compact State
• Minimum 2–3 years hospice experience required.
• Experience in nursing facilities is strongly preferred.
• Demonstrated leadership and accountability in prior roles.

CORE COMPETENCIES

• Leadership and accountability
• Relationship building and influence.
• Clinical expertise in hospice and end-of-life care
• Decisive problem-solving
• Strong communication and presence
• Ability to drive both quality and growth simultaneously.

POSITION EXPECTATION STATEMENT

This is a high-visibility leadership role. The Clinical Facilities Manager is expected to:

• Take ownership of assigned facilities.
• Actively influence referral patterns
• Lead by example clinically and operationally
• Be accountable for both patient care quality and business outcomes.

PHYSICAL REQUIREMENTS

1. Sits, bends, lifts, and walks intermittently during working hours. Can sit for prolonged periods.

2. Can reposition up to 50 pounds of weight.

3. Possesses sight/hearing senses or uses prosthetics that enable these senses to function adequately, so that the requirements of this position can be fully met.