Amassed track record of results for strong leadership in directing the medical component of hospice services for patients with life-limiting illnesses offering end-of-life care at home and in hospital settings. Maintained oversight of strategic planning, utilization management, quality care and appropriate clinical policies, procedures and protocols. Conducted initial clinical evaluations of new referrals, certified condition, verified program eligibility, and determined, with interdisciplinary team, medically indicated plan of care and treatment updates to limit pain and maximize quality of life. Supervised the performance of four attending physicians executing treatment plans and served as primary resource in matters related to medications, standing orders, standards of care, special equipment, emergency procedures and support to nursing professionals. Coordinated and managed day-to-day referral processes, produced medical certificates and statistical reports concerning patient hospital admissions, program withdrawals and deaths; and served as the primary interface between ancillary services and patients. Consulted on new contracts with private health insurance carriers, interpreted contract terms, benefits and negotiated coverage of hospice care services.
- Assisted in the modification and adaptation of clinical protocols, standards for progress notes, and hospital admission criteria.
- Authored instruction manual on recognizing and responding to common symptoms and signals of terminally ill patients.
- Established indicators and structured performance metrics as a basis to evaluate performance of medical staff and improve efficiencies.