Hospice Director of Clinical Operations (DCO

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Three Oaks Hospice
and our sister companies—
Agape Hospice Care, Sage Hospice, Primary and Palliative Care, Elevation Hospice of Colorado, Elevation Hospice, and Primary and Palliative Care of Utah.We are growing and looking for compassionate professionals who want to make a meaningful impact while building a rewarding career in hospice and palliative care.

Together, we share a unified mission to deliver best-in-class care to patients and families. While each organization maintains its own identity and local culture, we operate as one connected network—using shared systems and support to create a smooth, consistent, and candidate-friendly hiring experience.

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Position Summary:The Director of Clinical Operations (DCO) provides strategic leadership, operational oversight, and clinical guidance to ensure the delivery of high-quality hospice care across the agency. This role holds accountability for aligning patient-centered care with regulatory compliance, operational efficiency, financial performance, and staff development. The DCO is responsible for overseeing clinical and non-clinical teams, optimizing staffing models, ensuring survey readiness, and driving operational excellence across assigned teams.

Partnering closely with the Senior Director of Clinical Operations (SDCO) (f applicable), Executive Director (ED), Hospice Medical Director (HMD), Area Vice President of Operations (AVPO), and Regional Vice President of Operations (RVPO), the DCO ensures clinical operations consistently meet or exceed quality, compliance, and growth goals while fostering leadership development and a culture of accountability.

• Direct the overall clinical operations of the assigned team(s), ensuring standardization of processes, outcomes, and regulatory compliance, and ensuring all patients receive compassionate, timely, and high-quality care.
• Supervise and support Registered Nurses (RN), Licensed Practical Nurses/Licensed Vocational Nurses (LPN/LVN), Certified Nursing Assistants (CNA), Social Workers (SW), Chaplains (CH), Team Managers (TM), and Interdisciplinary Group (IDG) members.
• Ensure consistent implementation of clinical policies, procedures, and evidence-based practices across all teams.
• Ensure timely hospice admissions by streamlining workflows and partnering with intake and clinical teams to provide rapid access to care, symptom management, and support at the point of need.
• Partner with Medical Directors and attending physicians to ensure accurate documentation, timely certifications, and effective symptom management.
• Lead and facilitate IDG meetings, ensuring timely updates, thorough eligibility review, and seamless care coordination.
• Lead or participate in Quality Assurance Performance Improvement (QAPI) programs and Performance Improvement Projects (PIPs).
• Audit clinical documentation for accuracy, completeness, and compliance, addressing deficiencies promptly in collaboration with Compliance.
• Promote effective collaboration among physicians, nurses, social workers, facility partners, and internal departments to ensure coordinated, patient-centered care.
• Ensure appropriate, timely, and safe transitions of care (e.g., level-of-care changes, discharges, transfers).
• Maintain continuous compliance with Medicare Conditions of Participation, state regulations, and accreditation standards.
• Oversee preparation for regulatory and accreditation surveys to ensure ongoing readiness.
• Monitor compliance with face-to-face (F2F) visits, hospice eligibility documentation, and timely physician certifications.
• Track and act on key quality indicators, including CAHPS scores, audit scores, ALOS, HOPE compliance, and…