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Employment Type:

Part time

Shift:

Description:

Basic Job Function Summary: In Accordance with the Trinity Health at Home (THAH) Mission, The Hospice

Medical Director will be responsible for the overall medical direction of patient and family services. The Hospice

Medical Director will work with the Executive Director, Director of Clinical Services and Hospice Supervisors to

plan and evaluate clinical services. Serve on the Executive Team at the program level. Support Provider

Relations activities, and provide input to the CPI Committee. Assume a leadership role on the QAPI Committee.

Supervision Exercised: THAH Hospice and Palliative Care hospice physicians have an A2 or matrix reporting

relationship into this role.

Minimum Qualifications:

• A physician (Medicine doctor, M.D. or Doctor of Osteopathy, D.O) licensed to practice medicine in state(s)

practicing.

• Ability to operate a motor vehicle required; must possess a valid drivers license and have access to a functional

automobile during work hours.

• Demonstrate ability to assess, plan, evaluate and analyze nursing aspects of patient/family care and work in

collaboration with the Interdisciplinary team

• Demonstrated experience/ability to lead people centered care to patients and families including the

psychosocial, spiritual, and multicultural domains of care

• Demonstrated competence in verbal ,written, and word processing communication

• Demonstrated ability to manage time, meet scheduling targets, and function in an autonomous manner

• Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics and adhere to

the Compliance Program.

Preferred Qualifications:

• Board Certification in Hospice & Palliative Medicine or commitment to work toward board certification in

Hospice & Palliative Care

• Credentialing at one or more hospitals commonly serving patients in the hospice service area or commitment to

obtaining credentialing at one or more hospitals commonly serving patients in the hospice service area.

Essential Function

• Oversee and continually evaluate the quality of medical services hospice patients receive.

• Periodically review all policies and procedures relating to the provisions of medical services and participates in

creating new policies and procedures when needed.

• Create and maintain a network of physicians to serve the needs of hospice patients. Assure that staffing is

available for making patient visits, assessments and certification determinations.

• Responsible for 24-hour availability “on-call” for patient needs.

• Support Provider Relations activities by mentoring physicians and participating in education and promotion of

hospice services to community physicians and hospitals.

• Review the active medical and/or palliative care provided in the home or inpatient setting.

• Act as a consultant to the patient's physician and other members of the hospice team. Act as the liaison

between the patient’s attending physician and the Interdisciplinary team and helps resolve conflicting care

situations.

• Determine the appropriate level of care for hospice admission in conjunction with the interdisciplinary team and

the attending physician.

* The Fair Labor Standards Act ("FLSA") classification noted on this job description might vary depending on your state's wage and hour laws.

JD_THHS_Hospice Medical Director_2019.07.17

• Certify, in conjunction with the attending physician, that the patient's life expectancy is not expected to exceed

six months if the disease follows the expected trajectory. Also, recertifies limited life expectancy at appropriate

intervals according to state and federal regulations

• Attend in person and actively participate in Interdisciplinary Team meetings weekly to discuss patient's plan of

care and provide education to the Interdisciplinary Team members according to Medicare guidelines.

• Maintain a regular schedule of participation in all components of the hospice care program to which assigned.

Assure 24/7 availability of physician coverage for routine and emergency situations.

• Create and assist with the development of ongoing educational programs for community physicians and

physicians affiliated with Trinity Health at Home.

• Attend and actively participate in regularly scheduled meetings of the Executive, QAPI, and Ethics Committees.

Involved in other meetings and staff in-services as needed.

• Support Provider Relations activities to mentor physicians.

• Provide input to QAPI process and attends QAPI Meeting quarterly via WebEx or in person (approximately two

hours each).

• Serve as a leader of the Hospice Interdisciplinary Team responsible for the establishment of policies governing

the day-to-day provision of hospice care and services.

• Consult with the attending physician and the Interdisciplinary Team in establishing a written plan of care for

each hospice patient, and in reviewing and updating the plan of care at intervals specified in the plan.

• Assume direct medical care of patients, or assign a physician to those patients. Encourage the referring

physician’s participation in the continued care of the patient and in the development of the plan of care.

• Assume responsibilities for the medical care of inpatient hospice patients, if the primary physician does not

have attending privileges at the inpatient facility or does not chose to remain attending physician once patient is

admitted to hospice. Agrees to obtain necessary credentialing in order to obtain approval for rounding on

inpatient hospice patients daily.

• Participate in on-call medical coverage for hospice patients on a rotational basis with the other physicians on

the roster.

o Co-ordinate on-call physician services for hospice patients to provide coverage on a 24-hour/7-day basis.

o Designate a physician alternate to perform the duties of the medical director in his/her stead when

necessary.

o Collaborate with the interdisciplinary team on needed face to face visits for symptom management and

other necessary face to face visits. Patients at General inpatient level of care require daily physician visits

for symptom management and active management of the hospice plan of care.

• Physicians expected to perform face to face physician visits to newly admitted patients,

symptomatic patients, or patients requiring face to face visits for certification or re-certification

purposes, on an as needed basis. (Typically 12-15 visits per week, based upon needs of the

program.)

• All documentation to be completed at the time of visit.

o Perform other duties as requested.

o Adhere to the practice of confidentiality regarding patients, families, and the organization.

• The above statements are only meant to be a representative summary of the major duties and responsibilities

performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than

those state sin this description.

Mental and Physical Requirements:

• Frequently lift, stands, and walks up to 50% of time

• Bends, stoops, and twists up to 35% of time

• Ability to perform continuously detailed tasks with frequent interruptions and work reprioritizations (90% of time)

• Must be able to adapt to frequently changing work parameters

• Must be able to travel to various TH/THAH worksites or various work locations as required

Environment of Care: Maintains safe working environment for self, other employees, patients, visitors, and

medical staff in accordance with applicable standards and procedures relevant to the position’s job duties.

Organizational Code of Ethics: Each employee must know and adhere to the Organizational Code of Ethics and

Compliance Program. These programs must be integrated and demonstrated in the various elements of the

employee’s day-to-day role, decision-making, behaviors, and attitudes in accordance with stated standards

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran