Hospice Clinical Operations Director; RN

Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare’s core values.

By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!

• 401(k) retirement savings plan
• Mileage reimbursement
• Employee Assistance Program (EAP)
• Paid vacation, sick leave, and holidays
• Tuition Reimbursement

• Medical, dental, and vision insurance
• Flexible Spending & Health Savings Accounts
• Disability, life, and AD&D insurance
• Pet insurance

Pay range (depending on experience): $140k-160k

The After-Hours Director of Clinical Services is responsible for providing clinical leadership and operational oversight during non-business hours, including evenings, weekends, holidays, and emergency situations. This position supports on-call staff, ensures quality patient care, manages after-hours clinical operations, facilitates timely response to urgent patient needs, and promotes compliance with hospice regulations, policies, and standards of practice.

Territory/

Location:

Hybrid

• Provide after-hours clinical oversight and support to on-call nursing staff.
• Serve as the primary escalation resource for complex patient care situations.
• Assist with symptom management, end-of-life care interventions, and clinical decision-making.
• Support adherence to hospice philosophy and patient-centered care.
• Collaborate with physicians, nurse practitioners, pharmacies, and interdisciplinary team members as needed.

• Manage after-hours staffing and triage coverage.
• Coordinate urgent visits and resource allocation.
• Facilitate communication between field staff and leadership
• Ensure continuity of care during evenings, weekends, and holidays.
• Address operational issues affecting patient care delivery.

• Monitor after-hours triage performance to ensure timely response to patient, family, facility, and referral source calls.
• Oversee call management workflows and patient prioritization processes.
• Ensure appropriate utilization of telephone triage, telehealth resources, and urgent visit deployment.
• Identify trends impacting response times, patient satisfaction, or service delivery and implement corrective actions.
• Collaborate with clinical leadership to develop and maintain after-hours triage protocols and best practices.

• Develop and maintain operational dashboards for after-hours performance metrics.
• Analyze trends related to call volume, response times, visit utilization, documentation compliance, and patient outcomes.
• Prepare routine reports for clinical and operational leadership.
• Lead initiatives to improve efficiency, reduce response delays, enhance patient experience, and strengthen regulatory compliance.
• Participate in Quality Assurance Performance Improvement (QAPI) activities related to after-hours services.

• Ensure compliance with CMS Conditions of Participation and state hospice regulations.
• Review and address patient safety concerns and clinical incidents.
• Monitor adherence to documentation and visit standards.
• Participate in quality…