Description
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.
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.
Requirements
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
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
