Medical Director- Hospice

VITAS HEALTHCARE OF TEXAS LP · CARROLLTON, TX Full Time
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Job Description

Description The medical director of VITAS fulfills two primary functions, each of which is expected to consume approximately one half of the time and work effort of the position: The medical director has overall responsibility for medical direction of the care and treatment of patients and their families rendered by the hospice care team, and shall consult and cooperate with the patient's attending physician. The medical director provides physician direction and guidance to the hospice program, its physician employees, and other staff and volunteers to assure the maintenance of quality standards of care for patients and families. The medical director educates practicing physicians and others engaged in health care services regarding the hospice program and its potential benefits to patients. In fulfilling the two primary functions explained above, the medical director performs the following duties: Quality of Clinical Care Assure appropriate evaluation and certification of terminal prognosis of patients. Assure the quality of initial plans of care. Assure the quality of comprehensive plans of care. Assure the accuracy of documentation. Review revocations. Review recertifications of terminal prognosis. Review the quality of pain and symptom management. Provide medical expertise on pain and symptom management to admission and patient care staff. Provide medical expertise on the evaluation of terminal prognosis to admission and patient care staff. Actively participate in formal QI functions and committees. Actively participate in Interdisciplinary Group. Actively participate in Ethics Committee. Interact with attending physicians as necessary regarding pain and symptom manage¬ment issues and issues involving patient prognosis Periodically attend home care team meetings and rounds in inpatient units. Supervision of team physicians (home care and inpatient) Interview and participate in the hiring and contracting of team physicians with the general manager, patient care administrator and/or team manager. Orient team physicians as to clinical responsibilities and the principles of palliative medicine. Periodically review the quality of clinical care provided by the team physician. Periodically review the quality of the quality of the documentation of visits made by the team physician. Assure that documentation of visits supports the CPT coded level of service billed. Ensure proper team physician participation and support in team meetings. Ensure proper team physician support to the VITAS nurse, team manager, and other clinical team members. Participate with the team manager in the yearly formal evaluation of the team physician. Ensure that a physician on-call rotation is established so that there is team physician support available 24 hours a day, 7 days a week. Management Participate as an active member of the local/regional management team (includes budget process, strategic planning, etc.) Actively participate in responding to audits and denials from third party insurance and intermediaries (i.e. Medicare) Ensure that all contracted physicians (team physicians and consulting physicians) are proper

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.

What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the DFW market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.

Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.

About This Employer

VITAS HEALTHCARE OF TEXAS LP is a Alternate Delivery Site located in CARROLLTON, TX at 4343 N JOSEY LANE 4TH FLOOR.

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Employer profile provided by DFW Senior Living Guide

DFW Area Salary Data

According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the DFW metroplex area earn a median wage of $58.48/hr ($121,638/yr). The typical range is $44.34 – $75.25/hr (25th–75th percentile).

Entry Level (10th) $65,520/yr
DFW Median $121,638/yr
Experienced (90th) $204,838/yr
vs. National Median -1.8%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

Facility Snapshot

Facility Type Alternate Delivery Site

4343 N JOSEY LANE 4TH FLOOR, CARROLLTON, TX 75010

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