Hospice Associate Medical Director

HOSPICE ASSOCIATE MEDICAL DIRECTOR

JOB DESCRIPTION:

The associate medical director is a remote position covering Wyoming Everwind Hospice locations (Sheridan, Gillette, and Casper). The Hospice Associate Medical Director provides clinical leadership and physician oversight for the hospice program, ensuring high-quality end-of-life care that meets regulatory requirements and aligns with the hospice philosophy of comfort-focused, patient-centered care. This role is structured as a per diem position, with compensation tied to average daily census (ADC) and weeks of active coverage.

Associate Medical Director shall be a physician licensed to practice medicine in the state of Wyoming. This position shall serve as acting Hospice Associate Medical Director and is intended to be a shared role with the Hospice Medical Director.

Clinical Oversight

• Provide medical direction for all hospice patients, including certification and recertification of terminal illness in accordance with CMS requirements

• Review and approve plans of care in collaboration with the interdisciplinary group (IDG)

• Ensure appropriate symptom management, including pain and complex symptom control

• Be available for consultation to hospice staff regarding patient care needs

Interdisciplinary Team (IDG) Participation

• Actively participate in IDG meetings (approx. 1-2 hours per month)

  • Meetings occur every 14 days with the intention to rotate with the Medical Director

• Provide clinical guidance to nursing, social work, and other team members

• Assist in resolving complex clinical or ethical care situations

Regulatory Compliance

• Ensure compliance with Centers for Medicare & Medicaid Services Conditions of Participation for hospice (42 CFR §418)

• Complete and sign required documentation, including:

  • Certifications of terminal illness (CTIs)

  • Face-to-face encounter attestations

• Support survey readiness and participate in surveys as needed

Physician Collaboration

• Collaborate with attending/primary care physicians to ensure continuity of care

• Serve as attending physician when one is not designated or available

• Provide education and outreach to community physicians as appropriate

Quality & Performance Improvement (QAPI)

• Participate in the hospice Quality Assessment and Performance Improvement (QAPI) program

• Assist in reviewing clinical outcomes and identifying opportunities for improvement

On-Call / Coverage Responsibilities

• Provide physician coverage during assigned weeks including after-hours calls for urgent patient needs

QUALIFICATIONS:

• MD or DO with an active, unrestricted license in the state of operation

• Board certification in Hospice and Palliative Medicine preferred, but not required

• Experience in hospice, palliative care, geriatrics, oncology, or internal medicine strongly preferred

• DEA registration

• Strong knowledge of hospice regulations and end-of-life care practices

COMPENSATION STRUCTURE:

• Per diem model, based on time spent for IDG meetings plus Average Daily Census (ADC) tiers (0–15, 16–30, etc.)

• Anticipated monthly time commitment (IDG prep and meeting, calls, etc.), less than 10 hrs/month