Medical Director
- Location
- West Des Moines, IA 50266; Council Bluffs, IA 51503; St Peters, MO 63376; St. Louis, MN 63103
- Employment type
- Full-time
- Last seen
- Oct 12, 2026
About the role
Work Where You Matter!
At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.
Medical Director (MD)
Position Overview
The Hospice Medical Director serves as the physician responsible for the medical component of the hospice program in accordance with the Medicare Conditions of Participation. The Medical Director provides clinical leadership, physician oversight, and consultation to ensure the delivery of high-quality, patient-centered hospice care. The Medical Director collaborates with the interdisciplinary team, organizational leadership, attending physicians, and community providers to promote clinical excellence, regulatory compliance, quality improvement, and compassionate end-of-life care.
The Hospice Medical Director is the organization's designated Medical Director for the assigned Medicare-certified hospice (PTAN). The Medical Director may delegate clinical responsibilities to Hospice Physicians and Physician Designees as appropriate but retains overall responsibility for the medical component of hospice services.
Essential Functions and Skills
Responsibilities
- Provides overall medical leadership for the hospice program in accordance with the Medicare Conditions of Participation.
- Oversees the medical component of hospice services and serves as the organization's designated Hospice Medical Director
- Certifies and confirms patient eligibility and diagnosis for all admissions to the Hospice program based upon available diagnostic and prognostic indicators and recertifies patient as appropriate.
- Ensures physician services are available on a 24-hour basis to meet patient needs when not otherwise provided by the attending physician.
- Acts as primary physician for patients who referring/attending physician's desire to relinquish that care and/or if the referring/attending physician are not available for further contact.
- Covers the responsibility of the Hospice physician/physician designee when they are off duty.
- Designates a qualified Physician Designee to provide physician coverage during periods of absence, consistent with organizational policy
- Collaborates in a team approach with the IDT and attends the IDT conferences to ensure the medical needs of the patients are met; that the patient receives appropriate measures to control uncomfortable symptoms by oversight of medications and treatments and provides oversight of the plan of care and continuity of Hospice medical services.
- Collaborates with attending physicians and the interdisciplinary team to develop, review, and revise individualized plans of care.
- Conducts in-person visits as needed to evaluate and document the patient’s clinical condition, including symptom management and disease progression; ensures timely documentation in the clinical record to support face-to-face (F2F) and medical visit requirements.
- Reviews emerging clinical evidence and promotes implementation of best practices in hospice and palliative medicine.
- Participates in the development and updating of patient care policy's emergency procedures.
- Collaborates with organizational leadership on strategic initiatives, program development, physician engagement, and clinical operations
- Champions quality improvement, takes an active role in QAPI projects when improving medical practice and/or interdisciplinary practice affecting patient or organizational outcomes.
- Ensures physician services comply with Medicare Conditions of Participation, accreditation standards, applicable state and federal laws, and organizational policies
- Provides oversight and guidance in the development, evaluation, and enforcement of clinical protocols and organizational policies to ensure compliance with established standards, optimize quality and cost outcomes, and support patient care, medical education, and emergency preparedness.
- Acts as a liaison and provides consultation to community physicians and health care providers regarding agency services, admission criteria for Hospice and participates in community programs and events to help promote the agency's mission in the end-of-life care.
- Manage comprehensive administrative duties, including death certificates, CTIs, physician narratives, FMLA documentation, capacity forms, and various other medical paperwork.
- Adheres to requirements, terms, and conditions required by Medicare conditions of participation, CHAP, and federal and state statutes governing the provision of services.
