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Job description
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 C ompassion, A ccountability, R espet, E xcellence and S ervice (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!
Mission Healthcare offers competitive benefit packages designed to support the well‑being of our team.
Benefits Available to All Benefit-Eligible Employees
401(k) retirement savings plan
Mileage reimbursement
Employee Assistance Program (EAP)
Paid vacation, sick leave, and holidays
Tuition Reimbursement
Additional Benefits for Employees Regularly Scheduled 30+ Hours per Week:
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
Schedule/Shift :
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
Responsibilities:
Clinical Leadership
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.
Operational Management
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.
Triage Operations Oversight
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.
Performance Improvement and Reporting
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.
Quality and Compliance
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 improvement and performance improvement initiatives.
Escalate reportable events according to organizational policy.
Staff Support and Supervision
Provide coaching and clinical guidance to after-hours staff.
Assist with conflict resolution and customer service concerns.
Support staff performance and accountability.
Promote employee engagement and retention.
Customer Service
Respond to escalated patient, family, and referral source concerns.
Ensure timely resolution of complaints and service issues.
Foster positive relationships with patients, families, and community partners.
Emergency Preparedness
Participate in agency emergency preparedness plans.
Coordinate response activities during disasters, severe weather, or other emergencies.
Ensure uninterrupted patient care services during emergency situations.
Qualifications:
Graduate of an accredited nursing program.
Current, unrestricted Registered Nurse (RN) license.
Minimum of 5 years of hospice, home health, palliative care, or related clinical experience.
Minimum of
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Worksite address
san diego, CA, 92189, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.