The Medical director of VITAS fulfills two primary functions, each of which is expected to consume approximately one half of the time and work effort of the position:
The Medical director has overall responsibility for medical direction of the care and treatment of patients and their families rendered by the hospice care team, and shall consult and cooperate with the patient's attending physician. The medical director provides physician direction and guidance to the hospice program, its physician employees, and other staff and volunteers to assure the maintenance of quality standards of care for patients and families.The Medical director educates practicing physicians and others engaged in health care services regarding the hospice program and its potential benefits to patients.In fulfilling the two primary functions explained above, the Medical director performs the following duties:
Quality of Clinical CareAssure appropriate evaluation and certification of terminal prognosis of patients.Assure the quality of initial plans of care.Assure the quality of comprehensive plans of care.Assure the accuracy of documentation.Review revocations.Review recertifications of terminal prognosis.Review the quality of pain and symptom management.Provide medical expertise on pain and symptom management to admission and patient care staff.Provide medical expertise on the evaluation of terminal prognosis to admission and patient care staff.Actively participate in formal QI functions and committees.Actively participate in Interdisciplinary Group.Actively participate in Ethics Committee.Interact with attending physicians as necessary regarding pain and symptom manage ment issues and issues involving patient prognosisPeriodically attend home care team meetings and rounds in inpatient units.Supervision of team physicians (home care and inpatient)Interview and participate in the hiring and contracting of team physicians with the general manager, patient care administrator and/or team manager.Orient team physicians as to clinical responsibilities and the principles of palliative medicine.Periodically review the quality of clinical care provided by the team physician.Periodically review the quality of the quality of the documentation of visits made by the team physician.Assure that documentation of visits supports the CPT coded level of service billed.Ensure proper team physician participation and support in team meetings.Ensure proper team physician support to the VITAS nurse, team manager, and other clinical team members.Participate with the team manager in the yearly formal evaluation of the team physician.Ensure that a physician on-call rotation is established so that there is team physician support available 24 hours a day, 7 days a week.ManagementParticipate as an active member of the local/regional management team (includes budget process, strategic planning, etc.)Actively participate in responding to audits and denials from third party insurance and intermediaries (i.e. Medicare)Ensure that all contracted physicians (team physicians and consulting physicians) are properly credentialed via the VITAS Credentialing process.Serve on the VITAS Credentialing Committee.In Wisconsin the medical director also supervises the following functions of the consultant pharmacist:Ensure medications are utilized within accepted standards of practice.Ensure a system is developed and maintained that documents the disposal of controlled drugs.Community RelationsEducate community physicians on the principles of palliative medicine.Provide resource and consultative support to community physicians in palliative medicine.Attend and present at medical staff and other medical community conferences on palliative medicine.Serve as liaison between the hospice and community physicians.Make regular contacts with practicing physicians to introduce the hospice program, to educate physicians regarding individuals for whom hospice may be appropriate, and to answer clinical and other concerns of physicians with respect to hospice.Assist in introducing the VITAS program to long term care providers, managed care providers, hospitals, and others.Conduct educational seminars, in services, and presentations to physicians, nurses, and other health care audiences whose support for and understanding of the hospice program is integral to assuring that hospice services are made accessible to patients and families.Education and ResearchWHO WE ARE
We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee experience. Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients lives.
Our priority is to care: For our patients, for each other, and for the future.
WHAT YOU LL DO
As a patient care administrator (PCA), you will join the senior leadership team for a VITAS service area, ensuring the clinical, financial, and operational aspects of hospice are running smoothly within your purview.
You will support all the members of the interdisciplinary team, including nurses, social workers, chaplains, and more. You will coach team members, consult on clinical matters, and lead performance improvement initiatives to elevate the patient experience.
WHERE YOU LL WORK
Our PCAs work at a local VITAS office every day, supporting team members as needed.
WHAT S EXPECTED FROM YOU
Our PCAs blend leadership skills and clinical expertise to effectively manage their team, ensuring quality and continuity of care for patients. In addition to your RN license and at least four years of healthcare management experience, you ll have the traits that make the VITAS Difference: Commitment, Compassion, and a Can-do Attitude.
You will keep patient welfare at the center of everything you do, giving your best each day in service of our core commitment: Extending comfort and dignity to all people at the end of their life s journey.
QUALIFICATIONS
PCA Requirements and Qualifications
Director of Patient Care Services RequiredRN with BSN or another health related field and3 years experience within last 5 in hospice, home health, primary care clinic, or health facility andOne year in a supervisory or administrative positionOR
RN with 4 years experience in last 5 in a hospice, home health agency, primary care clinic or health facility andOne year in a supervisory or administrative capacity.
EDUCATION
Job Responsibilities
Facilitate clarification of patient and family goals of care.Facilitate access to appropriate support models of care (i.e., hospice, rehabilitation, on-going aggressive treatment).Assist with diagnosis, treatment and management of acute and chronic health conditions.Educate facility staff, co-workers and the community on all aspects of palliative care and the services provided by VITAS Palliative Care.Attend, participate, and lead (when applicable) internal VITAS Palliative Care s team meetings.Consult with the referring physician, the acute care team and other involved providers to contribute to the patient s plan of care.Prepare and maintain accurate patient records, charts and documents to support the medical practice and reimbursement for services provided.Prescribe medications including controlled substances to the extent delegated and licensed and after collaboration with palliative care and referring physician.Order diagnostics / treatments as needed after collaboration with palliative care and referring physicians.Interpret, evaluate and communicate diagnostic findings to the appropriate parties.Collaborate with and supervise palliative care team members, when applicable.Assist in development of clinical practice guidelines / standards in support of quality palliative care as requested by supervisor.Utilize a customer service approach in all interactions with VITAS customers.Adhere to the practice of confidentiality regarding patients, families, staff and the organization.Participate in on-call rotation as needed.Other duties as requested by supervisor.Experience:
Minimum 2-5 years nursing experience; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred.Knowledge of the interdisciplinary team concept.Experience in patient education, care planning and management of pain and other symptoms for patients with advanced, serious illness is desired.Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions.Working knowledge of computers, internet access, and the ability to navigate within an automated system as well as a variety of software packages such as Outlook, Excel and Word.Education:
Masters of Nursing from an accredited university.Job Responsibilities
Nurse practitioner for palliative and hospice, community based. Read LessJob Description
A program senior leadership role responsible for the Admissions Department s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results.
Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource.
Position structure
Reports to and managed by the Program s GMLeadership
Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-neededCollaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth Responsible for program s successful rollout and sustainability of national, divisional, and regional initiatives within their programLead by example through field coaching, account development, and community activities Created a positive culture of growth and developmentStrategy
Ensure Admissions Department has active and an actionable strategic plan documented in the system Ensure program Admission Department actively collaborates with other program departments in development of strategies to ensure alignmentCustomer Service
Develop a customer-service oriented Admissions Department by identifying and responding to the customer s needs and wants by recognizing the customer is the center of VITAS businessReview and provide guidance on program-related customer complaints.Support and develop quality improvement initiatives based on internal and external survey results and time in fieldMAKM (Measurement, Analysis, and Knowledge Management)
Admissions-focused process improvement project management for the programAdmissions Performance KPI (Can change based on national direction): Length of Intake/Same Day AdmitSpeed to Referral/AppointmentTraining Completion/Competency Program Scheduler Performance/Quality Exceed operating budget targetsWorkforce
Program oversight and ensured adherence to standards and performance in the areas of: Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external)Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creationRecruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiringRetention: develop, implement, and monitor retention initiatives, provide ongoing staff support, provided regular feedback through field coaching as part of required time in field, and implement company retention activities per standardOperations
Compliance with AM required duties as here and within training materialsAudits: Daily, weekly, monthly, quarterly and annualMonthly program, region, division and national meetings Budget and operation expense and performance managementResults
Support a collaborative approach in achieving program, region, division and national Admissions related goals, KPIs and metrics.Experience:
5+ years nursing preferred 3+ years in a leadership/management role preferred Hospice admissions experience preferredAbility to work on various assignments simultaneouslyKnowledge of industry policies and practicesAbility to motivate and develop othersAbility to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutionsProficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.)Demonstrates experiences of developing strategies and solutions to improve Admissions performanceAbility to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set
EDUCATION
Requires completion of accredited Nurse Practitioner program. State licensure is also required.Certification & Licensure:
Current RN/NP licensePhysical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Benefits Include
Competitive compensationHealth, dental, vision, life and disability insurancePre-tax healthcare and dependent care flexible spending accountsLife insurance401(k) plan with numerous investment options and generous company matchCancer and/or critical illness benefitTuition ReimbursementPaid Time OffEmployee Assistance ProgramLegal InsuranceRoadside AssistanceRead Less
Experience:
Education:
Job Responsibilities
Nurse practitioner for palliative and hospice, to do Goals of Care for HCA Lake City Medical Center and also be cross-trained in admissions. Read LessExperience:
Education:
Job Responsibilities
Nurse practitioner for palliative and hospice, to do Goals of Care for HCA Lake City Medical Center and also be cross-trained in admissions. Read LessJob Description
A program senior leadership role responsible for the Admissions Department s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results.
Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource.
Position structure
Reports to and managed by the Program s GMLeadership
Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-neededCollaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth Responsible for program s successful rollout and sustainability of national, divisional, and regional initiatives within their programLead by example through field coaching, account development, and community activities Created a positive culture of growth and developmentStrategy
Ensure Admissions Department has active and an actionable strategic plan documented in the system Ensure program Admission Department actively collaborates with other program departments in development of strategies to ensure alignmentCustomer Service
Develop a customer-service oriented Admissions Department by identifying and responding to the customer s needs and wants by recognizing the customer is the center of VITAS businessReview and provide guidance on program-related customer complaints.Support and develop quality improvement initiatives based on internal and external survey results and time in fieldMAKM (Measurement, Analysis, and Knowledge Management)
Admissions-focused process improvement project management for the programAdmissions Performance KPI (Can change based on national direction): Length of Intake/Same Day AdmitSpeed to Referral/AppointmentTraining Completion/Competency Program Scheduler Performance/Quality Exceed operating budget targetsWorkforce
Program oversight and ensured adherence to standards and performance in the areas of: Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external)Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creationRecruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiringRetention: develop, implement, and monitor retention initiatives, provide ongoing staff support, provided regular feedback through field coaching as part of required time in field, and implement company retention activities per standardOperations
Compliance with AM required duties as here and within training materialsAudits: Daily, weekly, monthly, quarterly and annualMonthly program, region, division and national meetings Budget and operation expense and performance managementResults
Support a collaborative approach in achieving program, region, division and national Admissions related goals, KPIs and metrics.Experience:
5+ years nursing preferred 3+ years in a leadership/management role preferred Hospice admissions experience preferredAbility to work on various assignments simultaneouslyKnowledge of industry policies and practicesAbility to motivate and develop othersAbility to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutionsProficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.)Demonstrates experiences of developing strategies and solutions to improve Admissions performanceAbility to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set
EDUCATION
Requires completion of accredited Nurse Practitioner program. State licensure is also required.Certification & Licensure:
Current RN/NP licensePhysical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Benefits Include
Competitive compensationHealth, dental, vision, life and disability insurancePre-tax healthcare and dependent care flexible spending accountsLife insurance401(k) plan with numerous investment options and generous company matchCancer and/or critical illness benefitTuition ReimbursementPaid Time OffEmployee Assistance ProgramLegal InsuranceRoadside AssistanceRead Less
