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CommonSpirit Health Director Clinical Services Hospice in UNIVERSITY PLACE, Washington


CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.


This position is responsible for planning, directing and evaluating the daily clinical/nursing operations of the CHI Franciscan Health (CHI-FH) Hospice/Hospice House consistent with the mission and objectives of the organization, and for ensuring compliance with standards of patient care/practice, safety/risk management guidelines and applicable regulatory requirements. Work includes: 1) managing assigned clinical work units, ensuring adequate staffing levels to facilitate quality service delivery; 2) overseeing all Hospice accreditation/audit/survey processes and risk management/safety activities to ensure a safe environment of care for staff, patients and families; 3) assessing marketing needs, developing strategies and implementing tactics to increase market share; 4) developing policies/procedures/training to ensure regulatory compliance; 5) recommending/developing new approaches/initiatives to enhance existing programs; and 6) serving as the Hospice’ “Nursing Representative” as relates to CHI Franciscan Health (CHI-FH) system-wide initiatives, committees and activities and as the principal point of contact and liaison with internal and external constituencies on all compliance, risk management and safety issues. An incumbent assumes responsibility for Hospice administration in the absence of the Associate VP-Hospice/Palliative Care.

Work requires a thorough understanding of professional nursing procedures and of the standards of practice, as well as regulatory requirements relating to Hospice facilities. Because of the different requirements pertaining specifically to Hospice, an incumbent functions independent of the CHI Franciscan Health (CHI-FH) regional Regulatory/Safety Officer. Performance improvement efforts cover a variety of processes, and an incumbent must be sufficiently knowledgeable to recognize important synergies and opportunities in clinical outcomes, cost containment and patient safety and satisfaction.

ESSENTIAL JOB FUNCTIONS: The following section contains representative examples of job duties that might be performed in positions allocated to this job class. CHI Franciscan Health (CHI-FH) is a dynamic organization, and the environment can be fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.


  • Manages and evaluates the operations, programs and resources of the assigned clinical area(s)/facility to assure the safe and appropriate delivery of diagnostic and therapeutic patient care, achievement of clinical core measurement scores, and to ensure that all activities are conducted in a timely and cost-effective manner and in compliance with organizational values, professional standards, collective bargaining agreements, internal policies/standards/procedures and applicable regulatory requirements; participates in the development of, and implements new clinical systems/programs to enhance existing services and raise the standard of care for the patient population served; produces and presents reports on key performance indicators and other significant benchmarking metrics.

  • Staff Management and Development:

  • Plans, manages and evaluates the work of clinical and administrative staff in accordance with the content, spirit and intent of applicable internal/external regulations and standards for human resource management; identifies adequate staffing levels for appropriate coverage to meet budgetary and operational objectives; ensures that employees are qualified and properly trained to perform assigned job duties; holds regular staff meetings and keeps employees appraised of all matters relevant to successful job performance; makes employment decisions, establishes performance standards and evaluates employee performance; educates, guides, counsels and develops staff and addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of authority.

  • Regulatory Compliance:

  • Ensures that all aspects of clinical operations are conducted and documented in compliance with relevant internal policies, standards and procedures and applicable regulatory requirements; assesses, on a continuous basis, services, patient outcomes, quality control, family/patient satisfaction, staffing needs and operational effectiveness to ensure optimal care delivery; ensures that internal controls are sufficient to provide for accurate, complete and compliant programs and processes; identifies need for changes in standards, programs and services, and develops recommendations for consideration by the Director.

  • Keeps abreast of changing regulatory requirements/regulation, clinical/professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current strategies, programs and resources; determines nature/scope of impact on existing activities and determines effective response/solution while maintaining acceptable service levels and work quality.

  • Performance/Quality Improvement:

  • Works with management team to ensure the application of consistent practices relating to interoperations, patient care, quality of human resources activities and CHI Franciscan Health (CHI-FH) standards; assesses the strengths/weaknesses of the assigned clinical area/facility to identify opportunities and provide recommendations to Director for new quality/performance improvement initiatives; implements new processes and ensures that performance improvement activities are conducted in a timely and effective manner; ensures that staff receive the necessary on-site training and consultation to enhance their understanding of quality/performance improvement initiatives.

  • Short- and Long-Term Planning:

  • Participates, as a key member of the management team for the assigned clinical function, in the development of strategies, initiatives and programs addressing matters such as: provision of new services, standardization of procedures across the organization, increasing market share, maximizing resources, cross-selling services, improving cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and other issues of similar complexity and consequence.

  • Procedures Development/Implementation :

  • Recommends, implements and evaluates new/revised procedures, guidelines, training materials and/or general communications in support of assigned clinical area/facility to ensure consistency with the philosophy/values of the organization and compliance with applicable regulatory/accreditation requirements; reviews training materials prior to assimilation into training curricula; ensures that all clinical and related support activities are fully documented in accordance with the standards and practices of the organization; ensures that employees understand and apply internal guidelines appropriately, and monitors compliance with all regulatory requirements.

  • Reviews CHI Franciscan Health (CHI-FH) policies, standards, procedures for applicability to the Hospice environment; researches, analyzes and evaluates the effectiveness of current quality process improvement strategies, initiatives and programs in meeting business needs and regulatory requirements.

  • Business Development/Marketing:

  • Plans and leads efforts to increase referral base and expand market share in the assigned region; proactively identifies the most promising opportunities for increasing market share; pursues meetings with physicians or other referral resources to explain and promote CHI Franciscan Health (CHI-FH) culture, goals, resources and services; keeps abreast of CHI Franciscan Health (CHI-FH) and competitor trends relative to applicable clinical programs, services and volume; participates in community awareness activities to promote clinical programs/services.

Performs related duties as required.


Education/Work Experience Requirements

Bachelor’s degree in Nursing, Healthcare Administration or related field, graduation from an accredited school of nursing, and six years of progressively responsible related work experience that would demonstrate attainment of the requisite job knowledge/abilities, including four years in a supervisory or management capacity. Work experience in the Home Care (Hospice, Home Infusion or Home Health) field is required.

An equivalent amount of additional qualifying work experience that would demonstrate attainment of the requisite job knowledge/abilities may be substituted for up to two years of the education requirement.

Job Knowledge/Abilities:

  • Knowledge of the principles, practices, standards, techniques, protocols and tools/equipment of the nursing profession in general, and of the assigned clinical nursing specialization (Hospice/palliative care).

  • Knowledge of the content, intent and application of federal and state standards and regulatory requirements pertaining to matters within designated scope of responsibility.

  • Knowledge of the principles, practices and methodologies pertaining to healthcare delivery systems.

  • Knowledge of basic statistics, qualitative/quantitative evaluation and analysis, and advanced quality/performance improvement program development/implementation.

  • Knowledge of safety/risk management and regulatory accreditation/survey processes relating to health care organizations (e.g. Hospice).

  • Knowledge of current trends, issues and research in treatment, prevention and education as they relate to QI in a large medical services system.

  • Knowledge of the concepts, practices and tools relating to statistical analysis and the development of program metrics.

  • Knowledge of the concepts, methods and tools of project management sufficient to organize, plan and/or facilitate teams engaged in performance improvement activities in a cross-functional environment.

  • Knowledge of CHI Franciscan Health (CHI-FH) objectives, policies, standards and procedures relating to safety and regulatory compliance in a Hospice environment.

  • Knowledge of hospice organizational and reimbursement issues.

  • Knowledge of issues related to death/dying and the terminally ill. nally ill.

  • Ability to understand financial and/or operational reports, analyze data, identify improvement opportunities and implement effective responses.

  • Ability to plan, manage and evaluate the work of subordinate staff.

  • Ability to define problems, collect data, establish facts, interpret requirements and draw valid conclusions.

  • Ability to read, understand and communicate in English sufficient to perform the duties of the position.

  • Ability to keep abreast of current and changing laws and regulatory standards and their impact on Hospice operations and activities.

  • Ability to develop and implement effective policies, standards and procedures relating to matters under defined scope of responsibility.

  • Ability to express ideas and convey information effectively in verbal and written communication.

  • Ability to organize/develop staff orientation programs and to educate other staff members.

  • Ability to identify compliance deficiencies and/or systemic weaknesses and implement timely corrective action to forestall or remedy.

  • Ability to demonstrate a commitment to the hospice philosophy of care.

  • Ability to establish and maintain effective working relations as required by the duties of the position.

  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.


Licensure as a Registered Nurse by the Washington State Board of Nursing.

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Requisition ID 2021-156367

Employment Type Full Time

Department Home Health and Hospice

Hours / Pay Period 80

Shift Day

Standard Hours 8:00am -5:00 pm

Facility / Process Level : Name CHI Franciscan St Joseph Medical Center


Equal Opportunity CommonSpirit Health™ is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.