Hospice Medical Director

Job Title: Hospice Medical Director Job City: Flat Rock Job State: North Carolina Job Type: Full time Work Arrangement: In person Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina. Our Benefits. Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include: Competitive Salaries, Reviewed Annually Annual Operational Performance Bonus Opportunities $0 Employee Premiums on Medical Insurance Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care Medical & Dental Insurance Benefits First of the Month after Hire 403B Retirement Plan with Employer Match Generous Paid Time Off Package- 20-29 Days of PTO Per Year Up to 6 Paid Holidays Employer Paid STD, LTD, & Life Insurance Employer Paid Teletherapy & Telemedicine Coverage Health & Dependent Care Flexible Spending Accounts A Robust Employee Wellness Program Up to $3k in Tuition Reimbursement Each Year Hospice Medical Director Reports To: Chief Medical Officer Shift: Days, Mon-Fri 8-4:30 with participation in weekend/night and holiday call coverage Summary The role of the Hospice Medical Director (HMD) will serve as outlined in the Medicare Interpretive Guidelines and the Medicare Hospice Conditions of Participation (418.102). This individual has responsibility for the medical component of the hospice program and assures efficient and effective quality of care for the patients we serve. This includes the establishment and maintenance of medical standards/protocols and systems of monitoring accountability, a focus on the continual improvement of care access, care delivery, and ensuring compliance with applicable standards and regulations. The HMD participates routinely in certification, recertification, and decertification of terminal prognosis for hospice patients, including the necessary collaboration and documentation to support eligibility decisions. In addition, the HMD provides direct and indirect supervision of all hospice providers. The HMD works collaboratively with Chief Medical Officer and the Chief Clinical and Operations Officer to provide medical excellence. Clinical responsibilities will include seeing patients in the inpatient unit, or other care settings, as needed, and participating in daytime, after-hours, weekend, and holiday provider coverage, as needed. Essential Duties & Responsibilities Work to achieve performance goals for self and for the Hospice Provider Team, pursue progress toward My Learning Plan (MLP) and demonstrate Four Seasons values and competencies Consistently deliver patient care in accordance with agency guidelines and state and federal regulations and standards Works with Leadership Team members and appropriate clinical directors to ensure quality patient care is delivered according to agency guidelines and state and federal regulations and standards Support the ongoing development and implementation of policies and procedures that guide and support clinical practice standards and the provision of medical staff services Demonstrate effective supervision for the hospice physicians/providers while providing standards for excellence for all service and support lines, including education and training of clinical providers in hospice eligibility, certification, and recertification, proper documentation, and billing Conduct providers documentation reviews eligibility, billing, and clinical care Serve as a resource to staff on clinical issues, current trends in hospice medicine, and state and federal regulations Represent the organization in a professional, competent manner in the community and consistently exhibit our Four Seasons’ CBRIGHTER values for internal and external stakeholders. Serve as a member of Complex Case and Eligibility Reviews and oversee, direct, and support the rendering of medical management decisions that maximize benefits for patients and families while pursuing and supporting organizational objectives Provide guidance for the Care Access Team to ensure patient eligibility, related/unrelated medication review, and accurate and timely completion of the Hospice Addendum. Provide clinical summaries for ADRs and audits and participate in the appeals process (redetermination, reconsideration, Administrative Law Judge hearings) and/or adjudication Collaborate with Health Information Management (HIM) on the death certificate completion process and timely completion of outstanding orders. Represent the Agency on ad hoc committees as appropriate; interfaces with the provider community regarding medical review, utilization review, and quality assurance concerns Provide clinical care when needed, including any care setting; participate in on-call medical coverage for hospice patients on a rotational basis with other hospice providers Serve as collaborating physician for Hospice and Palliative Care Advance Practice Providers; number will be determined by organizational best practice in accordance with state regulations Participate in the accreditation and survey process Timely review and collaboration with Leadership Team and Quality/Compliance regarding service recoveries, occurrence reports, and sentinel events Represents Four Seasons in state, regional, and national forums, committees, etc. as available Maintain a working knowledge of applicable National, State, and local laws and regulations, TJC Medicare and Medicaid Programs: Hospice Conditions of Participation and Payment, and other regulatory requirements related to the medical and allied health staff Participate in leadership training and meetings, organizational initiatives such as performance improvement (PI), goal planning, and strategic planning Perform other but similar duties as assigned Other Duties: Practice safety and infection control methods Assess clients for participation in research studies Complete annual and ad hoc mandatory education requirements Knowledge, Skills, and Abilities Knowledge of federal, state, and local regulations Knowledge of Medicare Conditions of Participation Excellent analytical skills Excellent oral/written skills Excellent interpersonal skills Excellent technology skills Ability to work under pressure to meet deadlines Ability to work flexible hours, if needed Ability to read, interpret, and apply laws, rules, and regulations Ability to plan, prioritize and coordinate multiple projects Intent and Function All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate. In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Other Duties: Ensure set up and break down of meeting spaces as necessary while also ensuring the meeting spaces available are neat, clean and in good working order to meet the needs of the organization Ensure all buildings are stocked with necessary equipment, materials and supplies Understand services & responsibilities of staff and volunteers under their supervision Actively participate in Environment of Care Committee with focus on life safety issues and workplace safety Abide by all Four Seasons privacy, confidentiality and HIPAA policies Ensure buildings meet health and safety requirements Conduct and prepare for on-going audits, walk-throughs, and inspections Maintain accurate records (written and electronic), actively using organization’s SharePoint/document repository system for electronic record retention storage Perform detailed work using and promoting industry standard best practice and high-level accuracy Update skills through participation in seminars and continuing education opportunities Develop excellent rapport with others, function as a team member and work independently with minimum supervision Collaboratively complete budget practices and invoicing for Facility needs Demonstrate Four Seasons’ values at all times Consistently utilize technology as Four Seasons’ provides and makes possible Submit weekly big rocks to leader to ensure consistent communication and agreement on priorities Work collaboratively with the Facilities Committee, Environment of Care Committee, Safety Officer and HIPAA Security Officer Collaborate with Home Stores, Warehouse, Foundation, and all of Four Seasons teams consistently and as needs arise. Other duties as assigned Minimum Qualifications Education: Doctor of Medicine degree or Doctor of Osteopathic Medicine degree from an accredited institution Hospice and Palliative Medicine (HPM) Board Certification or Certificate of Added Qualification, and/or Hospice Medical Director Certification (HMDC), Preferred Experience: Minimum of three years or more of clinical practice Minimum of two years in a clinical leadership role Participation in a leadership role in medical staff organization activities Experience in the treatment of end-of-life care Experience in public speaking Possess and maintain any and all applicable privileges with community hospitals Demonstrated understanding of the Centers for Medicaid and Medicare Services requirements Experience effectively collaborating with diverse groups Licensures & Certifications: Possess and maintain any and all applicable privileges with community hospitals Valid, unrestricted, medical license to practice medicine in the state of North Carolina Board Eligible or Board Certified in Hospice and Palliative Medicine and/or Hospice Medical Director Certification, preferred Valid, unrestricted, DEA registration Valid driver’s license and proof of automobile insurance Summary of Physical Requirements Hand dexterity to include gripping, carrying, pushing & pulling Fine finger movements to include writing & typing, frequently Flexion/Extension of arms & wrists Additional gross motor movements including: bending, reaching, twisting, turning, crouching, squatting, & kneeling Near & far visual acuity Ability to hear, understand, & distinguish speech and other sounds Prolonged standing & walking Prolonged sitting, in excess of four hours per day Ability to drive and/or transport self to and from work locations Ascending or descending stairs & ramps Ability to lift, carry, push & pull up to 10 pounds, occasionally About Four Seasons The Care You Trust Four Seasons is a nationally recognized, nonprofit Hospice Care and Palliative Care leader, co-creating quality care in Western North Carolina since 1979. Being a nonprofit means patients are our bottom line, and we provide quality care, no matter of the individual’s ability to pay, thanks to funds from our community raised through our Foundation. Our commitment to providing trusted care means we offer our patients the best advancements in care and have expanded our service lines to include Home Care, Care Navigation, and Grief Services. Our Mission: Co-Creating the Care Experience Co-creating the care experience means that our team of qualified professionals works with you, your family, and your existing healthcare team of providers to create a customized care plan, working together with the goal of providing you with quality care. Our Vision: Innovate Healthcare. Influence Humanity. Impact Life. Our Vision has led Four Seasons to become a leader in Innovative Care, taking part in research and implementing the newest technology to create trusted care that enhances the quality of life for you and your loved ones. Because we are a non-profit, we Influence Humanity and Impact Life by offering quality care, regardless of the ability to pay and are able to focus on the patient and improving our community. Compassion Balance Respect Integrity Gratitude Humility Teamwork Excellence Resilience Together, these values create the acronym CBRIGHTER. At Four Seasons, we “See Brighter” and use these values as a beacon which helps us co-create the very best care. These illuminating values also help our beloved team grow and thrive #J-18808-Ljbffr National Partnership