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Housecall Providers https://www.housecallproviders.org/

Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.

Our Mission

Improving lives by bringing health care home.

Our Vision

To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.

Our Values

Compassion and respect, authentic relationships, collaboration, courage, social justice.

Diversity Statement

We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.

The quadruple aim is real at Housecall Providers

In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

Job Title

Medical Director - Hospice

Requisition #

25073

Exemption Status

Exempt

Management Level

Director

Direct Reports

Hospice physician(s) and/or other clinical providers

Manager Title

Vice President, Housecall Providers

Department

HCP Hospice

Pay and Benefits

Estimated hiring range $288,810 - $352,990 /year, 10% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits

Posting Notes

This Hospice Medical Director role is primarily remote, with 60% clinical and 40% administrative responsibilities. It involves intermittent community-based patient visits, averaging 2-3 times per month across the Portland metro area.

Job Summary

The Hospice Medical Director is responsible for providing clinical leadership and expertise to the hospice for the purpose of improving patient medical care and symptom palliation. This position facilitates a culture of collaboration with the hospice team and ensure integration of primary and palliative medicine by building relationships with referring PCPs and specialists. The Hospice Medical Director also identifies opportunities to improve care delivery, use resources effectively, and comply with legal, regulatory and clinical policies and procedures. This position is an integral part of the interdisciplinary team (IDT) and attends IDT meetings as scheduled, acting as a medical resource for the team, guiding the work of those who provide direct medical services (RN, NP, PA, LPN, CNA), and assuring compliance with medical standards of care for hospice.

Essential Responsibilities

Clinical Leadership and Care

+ Reviews patient eligibility for hospice services; certifies patients meet medical criteria for admission and recertification based on available prognostic indicators.

+ Assists the IDT in developing, implementing, and updating a plan of care that is coordinated with the attending physician to ensure that the needs of the patient are being met.

+ Provides coverage and support to hospice staff for provision of medical services in the absence of the attending physician or after normal business hours.

+ Renders the necessary medical management, in consultation with the attending physician, consistent with the plan of care and the patient’s needs.

+ Acts as a resource to hospice staff, patients, family members, and attending physicians regarding pain and symptom control measures.

+ Performs home visits related to patient assessment and care as needed and appropriate.

+ Ensures that medical services and support are available to hospice patients and the IDT 24/7, either directly or through arrangements.

+ Provides consultation, support, and education to the hospice IDT, attending physicians, and other colleagues regarding medical eligibility, symptom management, and any other issues related to the care of hospice patients.

+ Documents care provided in the patient’s clinical record, including evidence of end-stage-disease progression.

+ Reviews patients’ medications and other treatments to ensure they are medically necessary and cost-effective.

+ Provides clinical leadership in the development and review of clinical protocols and processes that support appropriate referral and consistent, quality care.

+ Provides guidance to hospice IDT and Ethics Committee in the resolution of conflict and ethical issues.

+ Utilizes appropriate resources to maintain knowledge and skills for the hospice care in all settings including regulatory/reimbursement guidelines and integrates into clinical practice.

Operations

+ Assures overall continuity of hospice medical services.

+ Assures that the patient receives appropriate measures to control uncomfortable symptoms.

+ Assures physician representation/participation in the development of patients’ hospice plan of care.

+ Actively participates in quality improvement initiatives and programs; identifies opportunities for quality improvement in patient care and safety.

+ Participates in organization and program budgeting and strategic planning.

+ Actively participates in the development and updating of patient care policies and emergency procedures.

+ Provides timely and appropriate response to internal and external customer needs.

Education/Counseling

+ Participates in family meetings to educate patients and families on medical conditions and the pros and cons of treatments or medications.

+ Consults with the patient’s PCP as needed regarding eligibility for hospice care, pain and symptom control. Complements attending physician care.

+ Provides continuing education for hospice IDT.

+ Acts as a liaison to referral sources, community physicians, other community agencies and health care settings; provides ad hoc activities to support education to colleagues related to admission criteria for hospice and palliative care, outreach or fundraising goals.

+ Acts as a spokesperson for hospice within the larger medical community.

Employee Supervision

+ Directs team(s) and establishes team direction and goals in alignment with the organizational mission, vision, and values.

+ Identifies work and staffing models; recruits, hires, and oversees a team to meet work needs, using an equity, diversity, and inclusion lens.

+ Identifies department priorities; ensures employees have information and resources to meet job expectations.

+ Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.

+ Manages, coaches, motivates, and guides employees; promotes employee development.

+ Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.

+ Ensures team adheres to department and organizational standards, policies, and procedures.

+ Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).

+ Performs supervisory tasks in collaboration with Human Resources as needed.

Organizational Responsibilities

+ Perform work in alignment with the organization’s mission, vision and values.

+ Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.

+ Strive to meet annual business goals in support of the organization’s strategic goals.

+ Adhere to the organization’s policies, procedures and other relevant compliance needs.

+ Perform other duties as needed.

Experience and/or Education

Required

+ Licensed physician (MD or DO) in the State of Oregon

+ Certification by the American Board of Medical Specialties in hospice and palliative care or completion of the Hospice Medical Director certification

+ Drug Enforcement Administration (DEA) license

+ 3 years’ experience as a hospice medical director and/or hospice physician

+ CPR certification at hire or within 6 months in position

+ Medical leadership experience

+ Valid driver’s license, acceptable driving record and automobile liability coverage or access to an insured vehicle

Preferred

+ Minimum 4 years’ experience in a supervisory position

+ 5 years of clinical experience in geriatrics, safety net populations and/or palliative medicine

+ Experience with the mental health, substance use and behavioral health issues

+ Experience with medical ethics and quality improvement methodology

Knowledge, Skills and Abilities Required

Knowledge

+ Hospice philosophy and pain and symptom management

+ Population served (adult & geriatric) in hospice including culture, demographics, patterns of disease, barriers to care and other unique features or special needs

+ Ethical and medico-legal aspects of medical practice and end of life care

+ State and federal laws and regulations governing the practices of physicians, nurse practitioners and physician’s assistants

+ Hospice Conditions of Participations including clinical and regulatory knowledge regarding patient prognosis and hospice eligibility for certification and recertification purposes

+ Trauma Informed Care

Skills and Abilities

+ Ability to contribute to a positive atmosphere; demonstrates positive interactions with internal and external partners

+ Cultural competence in working with diverse social and economic situations without imposing own values

+ Respect for appropriate professional boundaries and ability to communicate effectively

+ High degree of diplomacy, credibility and persuasiveness to consistently cultivate effective working relationships

+ Effectively expresses ideas and gains acceptance

+ Proficiency in data collection, analytical capability, and ability to design and implement constructive change to improve program and patient outcomes

+ Leadership of a diverse group of people toward a common vision with proven results related to motivation, engagement, and goal attainment

+ Ability to act as a role model for staff for professional behavior and appropriate work ethic

+ Open leadership style

+ Actively seeks out and supports collaborative thinking and problem solving with others inside and outside the organization

+ Demonstrates cooperation and teamwork

+ Advanced computer skills, including Electronic Medical Records systems, MS office, Outlook, and the internet

+ Work with dying individuals in home setting, including ability to provide emotional support to patients and caregivers

+ Work under pressure to meet deadlines

+ Take initiative and utilize innovative techniques and ingenuity

+ Work in a continuously improving environment and support others to embrace change

+ Support and consult with the team after hours, weekends and holidays, according to schedule

+ Plan, prioritize and coordinate multiple projects or tasks

+ Build productive professional relationships, hold staff accountable and resolve conflicts successfully

+ Commit to process improvement, employee development, principles of cultural competence, and personal growth

+ Adhere to organizational standards, policies, and procedures

+ Demonstrate use of safety judgment on a case-by-case basis

+ Utilize proper body mechanics and safe working techniques and reports unsafe environments/practices to supervisor in a timely manner

+ Ability to work effectively with diverse individuals and groups

+ Ability to learn, focus, understand, and evaluate information and determine appropriate actions

+ Ability to accept direction and feedback, as well as tolerate and manage stress

+ Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day

+ Ability to stand, climb stairs, bend, lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day

+ Ability to walk, crouch, crawl, and reach for at least 3 hours/day

+ Ability to operate a motor vehicle

Working Conditions

Work Environment(s): ☒ Indoor/Office ☒ Community ☐ Facilities/Security ☐ Outdoor Exposure

Member/Patient Facing: ☐ No ☐ Telephonic ☒ In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards.

Equipment: General office equipment and/or mobile technology

Travel: Requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Work Location: Hybrid-Community 2 days/week

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.