Hospice Medical Director

Hospice Medical Director 

Summary: 

The Hospice Medical Director is a licensed physician (a Doctor of Medicine or Osteopathy) who organizes and assumes overall responsibility for the medical component of the hospice’s care program. The Hospice Medical Director provides the palliation and management of the terminal illness, medical care interventions targeting unmet general medical needs and hospice pre-election and counseling services when these specific needs are not met by the attending physician. The Hospice Medical Director is available for consultation 24 hours per day, 7 days per week and arranges coverage when not available.

Requirements:
The Hospice Medical Director:

• Provides comprehensive medical direction of the hospice program.
• The Medical Director has the required licensure, education, training and qualifications
  required by rule, regulation, law and/or statute to qualify for the role in their state.
• A minimum of five years of clinical experience in the practice of medicine or osteopathy.
• Have current state and federal registrations to prescribe and administer drugs, including
  controlled substances.
• Eligible to participate in the Medicare and Medicaid programs.
• Board Certified in a related specialty.
• Has expertise in the medical care of terminally ill individuals.
• Knowledgeable about the psychosocial, spiritual, and medical aspects of hospice care.

Responsibilities

The Hospice Medical Director provides an oversight of physician services including:

• Complementing attending physician care
• Acting as a medical resource person to the interdisciplinary team conferences
• Assuring overall continuity of the hospice medical services
• Assuring that all patients receive appropriate measures to control uncomfortable
  symptoms.

The Hospice Medical Director is responsible for:

• Collaborate with the interdisciplinary team to ensure that the medical needs of
  the patient are met and provide oversight of the plan of care.
• Certify that the patients meet the medical criteria for hospice admission based
  upon available diagnostic and prognostic indicators, review of medical records,
  and hospice nursing reports.
• Complete all necessary documentation required of the Hospice Medical Director
  by Medicare and other payers to certify and recertify each patient’s terminal
  condition.
• Adhere to requirements, terms and conditions requires by Medicare Conditions of
  Participation, ACHC and federal and state laws governing provision of services.
  Revised March 2023
• Direct the symptoms management of hospice patients through consultation with
  hospice nurses.
• Collaborate with the patient’s attending physician to develop and update the
  patient’s plan of care, to identify needs not met by the attending physician, and to
  ensure pain and symptom management and control.
• Re-certify patients, as appropriate, for continuation of the Medicare Hospice
  Benefit at appropriate levels of care of funded through Medicaid, third-party
  payer, or other resources.
• Serve as a medical resource to hospice staff, patients, families, and attending
  physicians regarding pain and symptom control management.
• Act as a resource to attending physicians regarding palliative medicine and
  hospice care and ensure that the provision of direct medical services to patients
  are provided either directly or through arrangements, as appropriate, in the
  absence of the patient’s attending physician.
• Attend interdisciplinary team conferences weekly and assess continued hospice
  appropriateness for patients.
• Participate in the plan of care development and manage oversight of medications
  and treatments.
• Document care provided in the patient’s clinical record providing evidence of
  progression of the end-stage-disease process.
• Maintain current knowledge of the latest research and trends in hospice care and
  pain/symptom management.
• Work in a team approach with the interdisciplinary team
• Participate in performance improvement programs, including charts reviews,
  making recommendations for improving care as indicated.
• Provide consultation and education to colleagues and attending physicians,
  acting as a patient advocate.
• Review and develop protocols for treatment and propose the most current
  options for interventions.
• Demonstrate knowledge in communications and counseling patient/family in
  dealing with end-of-life issues.
• Participate in resolution of interpersonal conflict and issues of clinical and ethical
  concerns.
• Participate in the development, updates, and implementation of patient care
  policies and emergency procedures.
• Provide medical care for hospice patients without a primary physician or who
  require consultation.
• Make home visits to select hospice patients as needed.
• Provide consultation on all hospice patients admitted to a facility for inpatient
  care or residing in a skilled nursing facility.
• Act as a liaison to physicians in the community.

Why Constellation?

• Family-Centered Culture: At Constellation, we treat our team members like family. We understand that exceptional patient care starts with a happy and supported workforce.
• Recognition as a Great Place to Work: We've been certified as a Great Place to Work for six consecutive years, from 2018 to 2023. We're also honored to be among the Top 25 Places to Work for in Healthcare in the US.

Constellation Hospice is a leading hospice care provider dedicated to providing compassionate and dignified end-of-life care to our patients and their families. Our team of experienced and dedicated professionals is committed to creating a supportive and collaborative environment where nurses can thrive and make a profound impact on the lives of others.