Director, Clinical Services - Hospice

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect.

TITLE: Director, Clinical Services (Hospice)
OFFICE LOCATION: Sunnyvale
SCHEDULE: Full Time
SHIFT: M-F 8:30am - 5pm 
Travel Required: Local (26%-49%) 

The posted compensation range of $160,000 - $187,300 (annual salary) + Management Incentive Plan  is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

POSITION SUMMARY: The Director, Clinical Services (DCS) is responsible for the planning, direction, coordination, supervision, evaluation and provision of all nursing services provided by the assigned facility location. The DCS leads the education, training, and development of employees and oversees the coordination, continuity, and quality of clinical care, as well as the management of patient services. The DCS participates in the recruitment of employees, and provides the supervision necessary to facilitate the provision of quality care and patient satisfaction and monitors, evaluates, and takes action on clinical measures of performance.

Essential Key Job Responsibilities:

1.  Adheres to the Compliance Program, including confidentiality of HIPPA protected health information. Maintains confidentiality of client information.
2. Functions as an effective team member and contributes to the development and achievement of location and organizational goals and objectives.
3. Is promptly and professionally available to assist all office and clinical staff.
4. Maintains effective communication and confidentiality of information.
5. Supervises and continually monitors the care provided to patients and ensures safe and therapeutically effective care. Conducts homecare on-site nursing supervisory visits.

1. Creates an “expectation of excellence” and manages performance of direct reports to maximize the value of employees’ contributions towards organizational success.
      a. Establishes strategically aligned goals with employees.
      b. Encourages and creates opportunities for continuous improvement of employees by providing frequent coaching, mentoring and accurate performance feedback.
2. Provides direction and support to employees to deliver quality services with a focus on organizational success.
      a. Ensures appropriate staffing levels are maintained
      b. Recruits and retains qualified, productive and customer-focused employees
      c. Interviews, hires and orients direct reports
      d. Monitors recruitment, retention activities and costs
      e. Provides fair and equitable treatment of all employees
      f. Creates a high performing work environment characterized by transparent and open communication, mutual trust and respect
      g. Provides education and training for employees in support of career goals and the organization’s mission and strategies
      h. Maintains positive employee morale, observable through team spirit, a sense of belonging and recognition of accomplishments
3. Supports and promotes department, branch and organization decisions.

1. Responsible for directing the accurate, complete and timely provision of quality patient care and services in compliance with regulatory, operational and financial requirements.
2. Ensure the patient's plan of care is individualized and appropriate.
3. Assures the accuracy, completeness and timeliness of clinical records in compliance with regulatory, operational and financial requirements.
4. Responsible for assuring compliance with all state, federal, and ACHC regulations and standards.
5. Responsible for ensuring that all HCHB clinical workflow for DCS as well as MCSs is completed and current by the end of each business day.
6. Responsible for monitoring clinical outcome results; developing and implementing plans for improvement. Utilizes both SHP outcome data and company outcome data to ensure positive movement in outcome results.
7. Responsible for monitoring and evaluating clinical measures of performance including, but not limited to productivity standards, documentation completion standards, and management of patient care. Develops and follows through with action plans based upon measurement results.
8. Responsible for the ongoing development of clinical employee knowledge, understanding, and appropriate completion of OASIS, completion of initial and on-going physician orders, and all other clinical documentation tools.
9. Responsible for the accurate, complete and timely communication of regulatory, operational and financial information to clinical and applicable office employees.
10. Provides employee education leadership; with implementation assistance from the Manager, Clinical Services:
       a. New hire orientation
       b. Aide in-services
       c. General employee meetings
       d. Case manager meetings
       e. Formal clinical education
11. Completes assigned work flow accurately and in a timely manner.
12. Actively participates in branch activities such as strategic planning, Professional Advisory Group meetings, budget development and financial performance; provides sales support when necessary.
13. Performs patient visits, patient supervisory visits and shared visits with employees as needed and/or directed by Director, Operations.
14. Ensures appropriate on-call coverage and participates in rotation as needed.
15. Participates in office functions including intake, payer verification, payroll, billing resolution and laptop support as directed by Director, Operations.
16. Acts as back up to Market Director, Operations.
17. May serve as Administrator of Record with the State Regulatory agency.

1. Assures appropriate service utilization and correct OASIS scoring.
      a. Validate frequency of visits based on assessment scoring.
      b. Work aggressively with field employees to ensure that they perform visits appropriately.
      c. Ensure appropriate preceptor(s) for field employees when needed.
2. Reviews all occurrence and complaint reports and related follow up needed.
3. Ensures Quality Assessment Performance Improvement (QAPI) program coordination; including collection and analysis of data measures identified by leadership and the governing body, agency QAPI Committee oversight, implementation of performance improvement activities, QAPI education to inform employees of improvement activities, ongoing evaluation of the effectiveness of improvement activities, documentation of QAPI activities and communication with agency and regional leadership on the program results, activities and effectiveness.
4. All other duties as assigned.

QUALIFICATIONS:

• Current Registered Nurse (RN) license to practice in CA is required.
• BSN required.
• Three years management experience required.
• Two years hospice clinical experience is required
• Has training and experience in health service administration and at least one year of supervisory or administrative experience in hospice or related health programs.  
• Two years of appropriate hospital clinical experience is preferred.  
• Experience in performance improvement philosophies and measurement systems is preferred.
• Experience in budgeting and managing financial performance is preferred. 
• Excellent clinical skills.
• Thorough knowledge and understanding of hospice regulatory requirements.
• Excellent organizational, time management and administrative skills, including the ability to set priorities, manage multiple demands effectively, use good judgment, as well as work independently and interdependently to achieve positive and timely results.
• Excellent clinical skills Demonstrated ability to effectively lead, train, develop, establish and maintain behavior and performance expectations, evaluate and manage employee performance.
• Possesses a strong belief in an organizational culture that encourages valuing, recognizing and empowering employees, and best service excellence practices demonstrated through personal behavior and work ethic is required.
• Good computer skills, familiar with multiple software programs including Google Suite and Windows Based programs. 

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