Job Summary: The Hospice Manager coordinates the hospice interdisciplinary team to insure competent, accurate and safe delivery of holistic care to all patients/families. This position Coordinates and directs delivery of patient care to a designated geographical area and team. Provides leadership to clinical team directs staff meetings and patient care conferences on a regular basis, builds teams.

Essential Values-Based, Leadership and Management Competencies: Demonstrates values-based competencies in line with the four core values that are the foundation of all activities performed by employees in order to achieve the Mission of the St. Joseph Health System.

Dignity: Demonstrates competence in communication and interpersonal relations.

Excellence: Demonstrates competence in continuous improvement, continuous learning, accountability, and teamwork.

Service: Demonstrates competence in customer/patient focus and adaptability.

Justice: Demonstrates competence in community orientation and stewardship.

Essential Functions:

• Monitors staffing productivity and identifies staffing needs to insure adequate staff coverage to meet safe and timely patient care delivery.
• Is knowledgeable of federal Conditions of Participation, state licensing regulations and accreditation standards and is able to interpret regulations for clinical staff to insure patient advocacy, informed decision making and compliance with policies and regulations.
• Is knowledgeable of reimbursement requirements for all third party payers.
• Review Plans of Care to insure orders, frequencies and documentation are complete and accurate.
• Monitors census for current active patients and timely discharges.
• Performs joint supervisory home visits at time of review or more often as needed to insure compliance with network policies, assess competence of staff, compliance with Standard Precautions, and quality of care delivery.
• Completes staff performance reviews in timely manner, addresses performance weaknesses and coaches staff for improvement. Initiates progressive discipline action collaboratively with Manager and the Human Resources Department.
• Facilitates and insures quality initiatives are implemented.
• Is a good steward of resources working within Budget, managing productivity and practicing cost containment.
• Monitors and informs administration of serious patient/staff concerns or any other situation that would be high risk for the network. Follows chain of command appropriately.
• Monitors and manages visit utilization, supply utilization and staff overtime to insure good financial management.
• Insures staff meets competency requirements via orientation and annual skills lab attendance at all mandatory inservices. Demonstrates knowledge of human resources principles and network policy.
• Coordinates the IDG meetings in a timely manner so that the Plans of Care are reviewed for each patient, all deaths are reviewed, problems are identified and solved through in an interdisplinianry approach, staff receives emotional and clinical support.
• Assigns RN Case managers and Social Workers to new patients.
• Communicates with patients/family as needed for care issues.
• Schedules all clinical, on-call and triage staff for weekdays, weekends, holidays 24/7, communicates coverage to the Answering Service and appropriate hospice staff.
• Coordinates admissions to hospice with Hospice Admission Coordinators and HH Admission.
• Participates in Palliative Care Conferences as requested.
• Coordinates care with Home Health, Private Duty, and Pharmacy as needed to meet the patient's needs.
• Obtains authorization for and coordinates the implementation of Continuous Care, Respite Care, and inpatient care.
• Assesses need and provides authorization for medications, supplies, and equipment that are not routinely covered by hospice.
• Conducts interviews of potential employees.
• Acts as a role model to facilitate change and to develop and maintain employees.

Additional Responsibilities:

• Rotates management on-call for after hours care.
• Participates in quality improvement activities.
• Participates in staff education and in-services.
• Completes compliance education and understands all applicable policies.
• Attends community meetings and inservices as requested.
• Performs other duties as assigned.

Knowledge / Skills / Abilities:

• Effective skills in communication, problem-solving, interpersonal relationships and prioritization.
• Has the flexibility to adapt to new and changing situation.
• Has critical thinking skills, able to make decisions, handle multiple concurrent tasks.
• Exhibits good organizational and time management skills.
• Demonstrated skill in end of life care, staff supervision, documentation requirements, hospice regulations, service coordination or case management.
• Sufficient background knowledge and expertise in clinical decision-making for the patient population assigned to meet the needs of patients.

Age-Related Competencies:

• Human development knowledge/skills: Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development and psychosocial characteristics and interventions for age specific requirement of the assigned patients.

• Age-specific patient needs that employee is required to understand and meet: Demonstrates the ability to assess and interpret age appropriate data about the patient's status in order to identify age-specific needs and provide the care needed.

• Additional requirements: Demonstrates age appropriate communication skills for the patient population served. Demonstrates knowledge of age-specific community resources.

Information Management:

• Treats all information and data within the scope of the position with complete confidentiality and security.

Risk Management:

• Cooperates fully in all risk management activities and investigations.

Safety Requirements:

• Is knowledgeable of, observes and complies with Home Health Network Codes of Safe Practice, safety policies and emergency procedures.

Minimum Position Qualifications:

Education: Completes necessary education to attain RN Licensure in state of California.

Experience: Two years recent clinical experience as an RN in Hospice. One year of prior supervisor or management experience.

License / Certification: Current California RN; CA Driver's License and proof of current auto liability insurance; and BLS.

Preferred Position Qualifications:

License/ Certification: Certified Hospice and Palliative Care Nurse (CHPN)

Environmental Conditions:

• Knowledge of proper procedures for handling exposure to communicable diseases and blood borne pathogens.
• Knowledge of the proper technique to handle exposure to hazardous material.

Physical Requirements: Defined on the attached Physical Demand Analysis.

Since 1988, St. Joseph Health, Home Care Services has been a trusted leader in home health, hospice and infusion pharmacy, helping clients throughout Orange County, Los Angeles County and the Inland Empire receive the quality care they need in the comfort of their home. A member of the St. Joseph Hoag Health alliance, St. Joseph Health, Home Care Services is guided by our core values of excellence, service, dignity and justice in everything we do. With over 700 caring employees, we are dedicated to restoring the health and well-being of clients and families at all stages of life's journey.

St. Joseph Health, Home Care Services provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Joseph Health, Home Care Services complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.