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Director of Clinical Operations (RN)
Director of Clinical Operations (RN)Three Oaks Hospice • Saint Louis, MO, US
Director of Clinical Operations (RN)

Director of Clinical Operations (RN)

Three Oaks Hospice • Saint Louis, MO, US
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  • [job_card.full_time]
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Job Description

Job Description

At Three Oaks Hospice we make a steadfast promise to our patients to Listen , Care and Serve as a trusted partner devoted to providing the highest-quality hospice and palliative care and to serve with compassion bringing peace during this season of life.

WHY WORK FOR US :

Grounded in a collective mission to listen, care and serve, we are committed to building a best-in-class hospice company with a culture focused on patient care, clinical quality and superior service.

  • Outstanding compensation package
  • Medical Insurance after 30 days of employment
  • Life and AD&D & Long-term Disability – 100% Company Paid for employee.
  • Generous Paid Time Off
  • Comprehensive new hire onboarding with ongoing support
  • Opportunities for advancement
  • Work / Life balance – we practice standardize staffing models and patient ratios

We are looking for a passionate Director of Clinical Operations to join our leading team of hospice care professionals and make a difference, by listening, caring, and serving.

Position Summary : The Director of Clinical Operations (DCO) provides strategic leadership, operational oversight, and clinical guidance to ensure the delivery of high-quality hospice care across the agency. This role holds accountability for aligning patient-centered care with regulatory compliance, operational efficiency, financial performance, and staff development. The DCO is responsible for overseeing clinical and non-clinical teams, optimizing staffing models, ensuring survey readiness, and driving operational excellence across assigned teams. Partnering closely with the Senior Director of Clinical Operations (SDCO) (f applicable), Executive Director (ED), Hospice Medical Director (HMD), Area Vice President of Operations (AVPO), and Regional Vice President of Operations (RVPO), the DCO ensures clinical operations consistently meet or exceed quality, compliance, and growth goals while fostering leadership development and a culture of accountability.

Essential Duties :

  • Direct the overall clinical operations of the assigned team(s), ensuring standardization of processes, outcomes, and regulatory compliance, and ensuring all patients receive compassionate, timely, and high-quality care.
  • Supervise and support Registered Nurses (RN), Licensed Practical Nurses / Licensed Vocational Nurses (LPN / LVN), Certified Nursing Assistants (CNA), Social Workers (SW), Chaplains (CH), Team Managers (TM), and Interdisciplinary Group (IDG) members.
  • Ensure consistent implementation of clinical policies, procedures, and evidence-based practices across all teams.
  • Ensure timely hospice admissions by streamlining workflows and partnering with intake and clinical teams to provide rapid access to care, symptom management, and support at the point of need.
  • Partner with Medical Directors and attending physicians to ensure accurate documentation, timely certifications, and effective symptom management.
  • Lead and facilitate IDG meetings, ensuring timely updates, thorough eligibility review, and seamless care coordination.
  • Lead or participate in Quality Assurance Performance Improvement (QAPI) programs and Performance Improvement Projects (PIPs).
  • Audit clinical documentation for accuracy, completeness, and compliance, addressing deficiencies promptly in collaboration with Compliance.
  • Promote effective collaboration among physicians, nurses, social workers, facility partners, and internal departments to ensure coordinated, patient-centered care.
  • Ensure appropriate, timely, and safe transitions of care (e.g., level-of-care changes, discharges, transfers).
  • Maintain continuous compliance with Medicare Conditions of Participation, state regulations, and accreditation standards.
  • Oversee preparation for regulatory and accreditation surveys to ensure ongoing readiness.
  • Monitor compliance with face-to-face (F2F) visits, hospice eligibility documentation, and timely physician certifications.
  • Track and act on key quality indicators, including CAHPS scores, audit scores, ALOS, HOPE compliance, and clinical record reviews.
  • Lead root cause analyses of clinical deficiencies, survey citations, and patient / family complaints; implement corrective action plans.
  • Drive performance improvement initiatives focused on patient / family satisfaction, clinical quality outcomes, and regulatory adherence.
  • Partner with the ED, SDCO (if applicable), AVPO, and regional leadership to manage budgets, resource allocation, and productivity standards.
  • Develop and manage staffing models in adherence to company best practices that balance patient care needs, efficiency, and financial goals.
  • Monitor and act on weekly / monthly KPIs, including :

    • ADC & Growth Metrics : census trends, referral conversions

  • Utilization Metrics : ALOS, GIP % of days, Continuous Care % of days, HVLDL, NTUCs
  • Staffing & Productivity Metrics : caseload ratios, visit productivity, cost per patient day, labor ratios
  • Quality Metrics : CAHPS, survey / audit scores, HOPE compliance
  • Monitor and control labor spend, overtime, and contract labor usage while maintaining company-established staffing ratios and productivity expectations.
  • Implement corrective action plans when KPIs fall below target.
  • Mentor and develop the assigned team(s) to ensure high performance, strong retention, and succession planning.
  • Identify and prepare high-potential team members for future leadership pathways.
  • Ensure structured onboarding, ongoing education, and competency validation for all clinical hires within assigned team(s).
  • Promote a culture of accountability, collaboration, and professional growth across the team.
  • Conduct regular meetings with direct reports and oversee performance management and staff engagement.
  • Serve as a key liaison between clinical operations, medical leadership, business development, and administrative functions.
  • Foster effective communication across teams to ensure seamless patient care and care coordination.
  • Serve as acting Administrator or Executive Director as needed.
  • Participate in community relations activities to strengthen organizational presence and referrals.
  • Demonstrate urgency and ownership in addressing patient / family concerns, ensuring timely service recovery.
  • Participate in on-call rotation and serve as Administrator On-Call when assigned.
  • Respond promptly to after-hours issues related to patient care or staffing.
  • Perform other duties as assigned.

    • Qualifications :

  • Bachelor of Science in Nursing (BSN) required. Master’s degree in nursing, Healthcare Administration, or related field preferred.
  • Current and active Registered Nurse (RN) license.
  • Minimum of 2 years of clinical management or supervisory experience in hospice or home health.
  • Strong knowledge of hospice philosophy, end-of-life care, and pain / symptom management principles.
  • Demonstrated experience in working effectively within an IDG.
  • Proficient in Electronic Medical Records (EMR) systems. Homecare Homebase strongly preferred.
  • Thorough understanding of Medicare, Medicaid, and accrediting body standards (ACHC, CHAP, or Joint Commission).
  • Knowledge QAPI programs, compliance audits, and performance improvement initiatives.
  • Ability to lead, coach, and develop clinical teams, fostering accountability and engagement.
  • Strong operational skills, including budget management, cost-per-patient-day oversight, and resource allocation.
  • Ability to analyze operational and clinical data for continuous improvement.
  • Excellent oral and written communication skills, ability to interact effectively with patients, families, staff, and physicians.
  • Strong problem-solving and decision-making abilities in a fast-paced environment.
  • High level of professionalism, emotional intelligence, and customer service orientation.
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