Job Description

Hospice & Palliative Care Physician

Larkspur

By The Bay Health, a non-profit established in 1975, set the standard for hospice in the U.S. by emphasizing the role of the patient in making important medical decisions. Our spectrum of home-based services now includes Skilled Home Health Care, Palliative Care, Adult Hospice Care and Pediatric Care. Our team approach strives to address practical, social, emotional and spiritual aspects of care, with the goal to maximize quality of life for our patients, caregivers and families.

This full-time position offers competitive pay and a supportive work environment.

The Palliative Care and Hospice Physician provides clinical, operational, and strategic leadership to ensure delivery of high-quality, patient-centered palliative care, hospice, and GIP services. This role partners with the interdisciplinary teams to expand program reach, maintain compliance, and strengthen stakeholder relationships while fostering a supportive environment for staff and learners. As a UCSF Affiliate, our team is privileged to train the next generation of HPM doctors as part of the faculty, for the Hospice and Palliative Medicine fellowship.

This role will have a lot of variety within it. It will:

1. Provide palliative care program oversight and outreach activities.

2. Partner closely with a Marin based hospice team to provide expert symptom management, determine hospice eligibility, and support patients and families during serious illness.

3. Provide clinical leadership for General Inpatient (GIP) programs

Schedule:

Approximately 38 hours per week (ability to flex up or down; Monday - Friday within 8:30am - 5:00pm

Location:

Remote/hybrid; Onsite in our Larkspur offices 1 time per week to support in person IDT meetings. Hospice focus around 20 hours per week, GIP focus around 10 hours per week (fully remote), and Palliative Care focus 8 hours per week.

Pay Range:

$150.00 - $160.00 hourly

Essential Duties & Responsibilities include (but are not limited to):

Clinical & Program Leadership

• Provide physician oversight for hospice patients via telephone and telemedicine
• Manage complex symptoms and adjust medications to maximize comfort and quality of life
• Respond to admission and clinical consultation calls from nurses and admission staff
• Certify hospice eligibility in accordance with Medicare guidelines
• Collaborate closely with hospice nurses, nurse practitioners, social workers, chaplains, and other interdisciplinary team members
• Provide after-hours physician coverage during assigned call rotations
• Provide overall medical leadership to the Palliative Care Program and two NPs
• Oversee delivery of high-quality, evidence-based palliative care in alignment with IDT
• GIP Program Oversight: supporting GIP, providing direct patient care and ensuring compliance, quality, and patient-centered care delivery

Team Management & Development

• Lead, mentor, and evaluate physicians, advanced practice providers, and interdisciplinary staff within the program
• Foster a culture of collaboration, respect, and continuous learning
• UCSF HPM Fellowship Preceptor: Serve as a preceptor for Hospice and Palliative Medicine fellows rotating through the program, fostering clinical skills, professional growth, and mentorship

Quality, Compliance & Operations

• Monitor program quality metrics, clinical outcomes, and patient satisfaction
• Ensure compliance with regulatory standards, accreditation requirements, and organizational policies

Certificates, Licenses, Registrations, Experience:

• M.D. or D.O.
• Board Certified or Board Eligible in Internal Medicine, Family Medicine, Geriatrics, or a related specialty
• Active California medical license
• DEA registration
• Excellent communication and clinical decision-making skills
• 1 year Hospice or Palliative experience

Preferred

• Hospice and Palliative Medicine board certification or fellowship training
• Previous hospice, palliative care, geriatrics, hospital medicine, or complex chronic disease management experience

By the Bay Health is proud to serve our community as an equal employment opportunity employer. Everyone is valued and welcome at BTBH. Our organization is committed to diversity, equity and continues to build a culture of inclusion by recruiting, screening, hiring and retaining any qualified individual without regard to age, race, color, ethnicity, religion, gender, gender identity or expression, sexual orientation, disability, marital status, registered domestic partner status, citizenship, physical or mental disability, legally protected medical condition, family care status, military care status, veteran status or any other consideration made unlawful by Federal, state, or local laws.

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