Hospice Administrator

Summary: The Hospice Administrator provides executive leadership and operational oversight of the hospice agency within the health system. This role is accountable for clinical quality, regulatory compliance, financial performance, strategic growth, patient and family experience, and integration with health system priorities. The Administrator ensures hospice services are delivered in accordance with federal and state regulations, Conditions of Participation, accreditation standards (as applicable), and health system policies, while advancing interdisciplinary, patient-centered care.

In addition, has responsibility for internal and community activities that will encourage support, fund raising, stewardship, and promotion of these services to underserved populations.

Provide day-to-day leadership for hospice operations including clinical services, intake/referral management, scheduling, supply chain, DME coordination, pharmacy and medication management workflows, volunteer services, bereavement, and inpatient/contracted care settings as applicable.

Establish and monitor operational goals, performance metrics, and service standards aligned with health system strategy. Promote an organizational culture of safety, accountability, compassion, and continuous improvement. Maintain 24/7 operational readiness through appropriate on-call leadership structures and escalation pathways.

Ensure ongoing compliance with applicable federal and state hospice regulations, including Medicare/Medicaid requirements, Conditions of Participation, HIPAA, infection prevention requirements, ACHC regulations, and applicable state licensure rules. Lead survey readiness activities, including internal audits, policy management, corrective action plans, and staff education to sustain compliance. Partner with system compliance and legal teams to manage risk, respond to incidents, and oversee corrective action as needed.

Collaborate with the hospice Medical Director, Director of Nursing/Clinical Manager, and interdisciplinary team leaders to maintain clinical excellence, appropriate documentation, and timely service delivery.

Oversee quality program execution: performance improvement initiatives, patient/family satisfaction, complaint management, clinical outcomes, and reporting requirements. Recruit, hire, coach, and evaluate hospice leadership and staff in collaboration with HR and clinical leaders. Ensure staff competencies, orientation, continuing education, and performance management processes meet regulatory and organizational standards.

Ensure delivery of person-centered end-of-life care, including support of cultural, spiritual, and psychosocial needs. Ensure effective transitions of care and continuity across health system settings (acute, post-acute, outpatient, and community).

Develop and manage the hospice operating budget, including revenue, expense control, productivity, staffing models, and cost per day. Monitor key financial indicators: census, average daily census, length of stay, payer mix, case mix, visit utilization, and margin. Ensure accurate billing processes and documentation integrity in partnership with revenue cycle leadership.

Execute growth strategies aligned with health system priorities: referral development, service line expansion, and community partnerships. Build relationships with hospitals, primary care, oncology, long-term care, assisted living, home health, and community providers to support timely and appropriate hospice access. Analyze market trends and competitive landscape to support strategy and program positioning.

Align hospice operations with enterprise standards for HR, compliance, IT, safety, purchasing, and quality. Participate in system committees and initiatives related to care coordination, post-acute strategy, population health, and value-based care.

Serve as a visible hospice leader within the community, promoting hospice education, outreach, and community engagement. Support philanthropic or foundation initiatives and community-based programs aligned with hospice mission as applicable. Performs annual evaluation of services in conjunction with the advisory board, and relays information to McLeod Health Board of Trustees.

Performs other duties as assigned.

Work Schedule: 80 Hours Bi-weekly. Full Time

Qualifications /Training:

Must be knowledgeable of state licensure laws, the Conditions of Participation of the Federal Health Insurance Program for the Aged and Disabled (Title XVIII, Social Security Act, Section 1861), and the regulations relating to Hospice, and all other pertinent regulatory needs. Must have knowledge of managed care case

management, quality improvement programming, and principles of staff and patient education. Must have thorough understanding of all hospice and home care services and referral systems. Must possess in-depth knowledge of community resources available to client base. Must be knowledgeable of principles of leadership and interprofessional team dynamics. Must have at…