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Hospice Administrator, Longview and Vancouver, WA

Community Home Health & Hospice


Longview and Vancouver, WA

June 6, 2019

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TITLE: Hospice Administrator
DEPT./LOCATION: Hospice – Longview and Vancouver
REPORTS TO: President & CEO
SUPERVISES: Inpatient and Outpatient Clinical Coordinators, Volunteer Coordinators, Bereavement Coordinators, Education Coordinator, Administrative Assistant, Hospice Medical Director

SUMMARY: The Hospice Administrator is responsible for overall management and financial success, clinical outcomes, and performance of the Hospice program. This position is responsible for nursing, social work, chaplain, home health aide and hospice administrative staff, by assessing and ensuring quality patient care and documentation in accordance with the agency’s objectives and policies. The Hospice Administrator will be responsible for supervising daily operations, implementation of new programs, development of metrics to measure performance, developing positive relationships with external organizations, and collaborating effectively with all program areas within the agency. The Hospice Administrator is also responsible for Medical Staff at the agency (employees and independent contractors). Successful outcomes for this role include excellent patient satisfaction, excellent clinical performance measures (outcomes, hospitalization rates, infection rates), staff alignment with the agency strategic plan, favorable variation (if any) from budget, planned approach to projects/assignments, standardized procedures in all program areas, effective collaboration between Inpatient and Outpatient Hospice programs, continuity and high quality Medical Staff services, and high staff ratings from staff engagement surveys.


  1. Responsible for supervision and assignment of all staff working in the clinical program areas within scope of responsibility, including annual and periodic evaluations.
  2. Is responsible to develop and ensure conformity to agency policies, procedures, and professional standards.
  3. Responsible for knowledge of regulations affecting the hospice program. Provides appropriate supervision and leadership to assure compliance with applicable regulations.
  4. Reviews and develops policies and procedures and keeps programs and practice current.
  5. Reviews and evaluates services provided through a variety of surveillance activities including QI reports, variance reports, patient satisfaction surveys, productivity reports, management reports, staff engagement surveys, benchmarking, etc.
  6. Assures coordination of interdisciplinary and interagency services and provision of continuity of care within disciplines.
  7. Ensures that documentation of clinical care is thorough, effective, and adequately represents the care provided by clinicians. Educates staff related to regulatory requirements for adequate documentation and looks for ways to streamline processes using the EMR or other automation tools. Standardizes approach to documentation wherever possible.
  8. Ensures that case conferences make efficient use of staff time and focus on patient outcomes. Develops planful approach to conducting team meetings.
  9. Is primarily responsible for personnel activity to include hiring, disciplinary action, timely performance evaluations, leave of absence/earned leave, ongoing training/continuing education planning, and accountability. Minimizes HR risk with thorough documentation and adherence to policies and procedures. Consults with HR Director and President & CEO regarding complicated HR issues or those with risk potential.
  10. Assesses continuing education needs of staff. Works with the Education Coordinator and/or QI Department to plan for and conduct staff continuing education.
  11. Fosters a safe, positive, supportive, and collaborative environment in hospice departments. Attends to issues as indicated from staff engagement surveys.
  12. Assists in community education regarding available services to the hospital, nursing homes, physicians, and general public. Assesses community health area needs on an ongoing basis and discusses possible ways of meeting these needs with the President & CEO. Works collaboratively with the Community Relations Department to plan for and follow up with community referral sources and organizations.
  13. Makes community presentations to a variety of audiences which may include care providers, donors, volunteers, community groups, businesses, civic groups, etc.
  14. Participates in quality improvement activities and takes an active role in planning reviews, implementing new systems, and educating staff. Benchmarks performance to measure success and makes data-driven decisions. Processes and reviews variance reports carefully to identify trends or training opportunities. Follows up on variance reports promptly.
  15. Responsible for budget development and implementation. Thorough understanding of reimbursement and monthly financial schedules. Able to interpret, analyze and produce financial statements and explain variances. Educates clinical staff on financial matters. Ensures appropriate review of program expenses before payment.
  16. Assures adequate staffing and backup coverage for all hospice programs.
  17. Plans and provides for adequate and skilled staffing in administrative areas of the program.
  18. Rotates through supervisor on-call as needed.
  19. Plans and provides for peer review and QI activity.
  20. Works with Building and Grounds and safety committees to maximize safety and minimize risks for patients, staff, volunteers, and families visiting hospice facilities.
  21. Serves as co-chair of the Medical Staff Committee, including setting agendas, providing for meeting records, coordination outside of meetings, reporting to the Board of Directors and adhering to bylaws.
  22. Ensures coverage for all Medical Director responsibilities including on-call, IDG, and documentation as required.
  23. Ensures Medical Staff comply with agency policies and procedures including ongoing education. Ensures that Medical Staff are competency-checked and evaluated annually. Arranges for peer review of Medical Staff as part of annual evaluation.
  24. Evaluates quality of Medical Director services.
  25. Negotiates for and maintains contracts with Medical Director(s) who are independent contractors. Adjusts and/or terminates contracts as needed.
  26. Oversees scheduling of Medical staff to ensure continuity of care for hospice care centers and for medical on-call.
  27. Appropriately involves Medical Staff in developing and maintaining positive relationships with other organizations.
  28. Participates with the President & CEO in evaluating program related issues.
  29. Maintains emergency preparedness of the program. Plans for foreseeable emergencies (example; inclement weather).
  30. Ensures proper utilization of agency resources and prioritizes deployment of agency resources.
  31. Performs all other duties as assigned by President & CEO.
  32. Supports the Agency’s Mission and Value Performance Standards.


  1. Works independently by taking initiative to complete work correctly, on time, and follows processes to ensure consistency in delivery of care.
  2. Works effectively in groups by respecting other’s thoughts and opinions through attentive listening, and responds in a polite and appropriate manner.
  3. Takes ownership of mistakes and informs supervisor; learns and takes initiative to make changes when needed.
  4. Speaks directly to someone when there is a question or problem instead of talking to others first. Uses appropriate steps to resolve conflict when conflict arises.
  5. Remains mindful of the impact of actions towards others and employs good habits with communication and timely documentation.
  6. Receives coaching and feedback with an open mind, and adjusts to incorporate changes to meet outcomes and goals successfully.
  7. Seeks opportunity to improve, learn, and grow professionally on a daily basis.


  1. Bachelor’s Degree in related field (nursing, therapy, social work, health administration) required. Master’s Degree in related field and/or CHPN certification preferred.
  2. Current WA and OR licenses.
  3. Knowledge of home health and hospice regulations and third party reimbursement.
  4. At least 5 years related supervisory experience required with demonstrated leadership ability and positive outcomes.
  5. Ability to communicate effectively using all types of media; 1-on-1, groups, written, and presentations.
  6. Computer skills, particularly using laptop for clinical documentation. Proficient use of MS Office tools.
  7. Excellent organization and training skills.
  8. Valid driver license, reliable auto, and proof of current auto insurance.
  9. Proof of TB screening.
  10. BBP Training and HIV/AIDS education.
  11. Current CPR card.
  12. Must be able to pass a pre-employment background check and drug screen.


Potentially unsafe and unsanitary home environments. Potential travel in inclement weather. Office environment.


Vision and hearing correctible to normal. Ability to lift objects weighing 30 pounds on an occasional basis. Extensive computer work while sitting at a desk. Ability to travel to various CHHH sites or offsite meetings is routinely required, whether using agency owned vehicles or personal vehicle.

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