Clinical Nursing Director Hospice Sign On Bonus Eligible
Company: Tufts Medicine Care at Home
Location: Framingham
Posted on: February 5, 2026
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Job Description:
About Tufts Medicine Care at Home Care at Home is the region’s
most trusted provider of home health and hospice care for infants,
children and adults. Our care teams proudly serve 110 cities and
towns in the Merrimack Valley, northeastern Massachusetts and
southern New Hampshire. Job Overview Under the direction of the
Vice President/Chief Clinical Officer, this position is responsible
for all community and hospice house performance metrics and program
functions that include ensuring the quality of all services to
meet/exceed industry standards; the agency meets/exceeds budgeted
ADC goals for growth, GIP revenue, operating income and patient
satisfaction. Job Description Minimum Qualifications: 1. Bachelor’s
degree in Nursing (BSN). 2. Massachusetts RN Licensure. 3. Three
(3) years of experience in community hospice clinical operations
and management. 4. Experience in progressive healthcare management.
Preferred Qualifications: 1. Master of Science in Business
Administration (MBA) or related field. Duties and Responsibilities:
The duties and responsibilities listed below are intended to
describe the general nature of work and are not intended to be an
all-inclusive list. Other duties and responsibilities may be
assigned. 1. Works with Medical Director to deliver optimal hospice
care. 2. Ensures contribution from all IDT members in delivery of
hospice care for each patient. 3. Maintains measurement monitors of
critical functions and corrects systems to ensure identified
thresholds are met. 4. 5. Implements corrective actions to improve
clinical performance, workflow and quality. Reviews Incident
Reports and complaints; conducts quality assurance assessments;
recommends corrective action. 6. Maintains current knowledge of
HealthWyse and uses software effectively to monitor operations.
Monitors revenue and expenses including cost per patient day (CPPD)
and implements corrective action when needed. 7. Hires, coaches,
develops, and monitors staff productivity and performance. Address
and documents employee performance issues in a timely manner. 8.
Utilizes team building skills to promote optimal team performance
and support. 9. Prepares and delivers balanced and professional
performance evaluations in a timely manner. 10. Ensures retention
of qualified staff. When staff exit, utilize exit interviews to
prompt changes. 11. Works with VP to administer indigent and grant
monies when available. 12. Works with Volunteer Coordinator to meet
the needs of Hospice patients. 13. Assists with DPH and Joint
Commission site visits. 14. Participates in development and
revising of policies and procedures when needed. 15. Oversees
planning and implementation of CQI and QA programs for Hospice
including annual plan based on clinical, patient satisfaction and
operational issues. 16. Reports Compliance concerns to the CEO or
Chief Compliance Officer when applicable. 17. Promotes hospice
services within the community, develops effective relationships
with referral sources, and maintains liaison with community
agencies, municipal, financial, and spiritual resources. 18. Works
collaboratively with the Vice President of External Relations to
develop a public relations and community education programs.
Remains current on publicly reported outcome metrics. 19. Works
with the VP/CFO regarding accounting, collections, cash flow,
budget and other balance sheet areas. Ensures that all contractual
agreements related to the Hospice Program are honored. Prepares
business opportunity/cost-benefit plans as appropriate. 20. Acts as
a team player with management staff to handle problems in a
proactive manner and maintains a positive and supportive attitude
while maintaining appropriate management boundaries. Ensures
coordination/cooperation horizontally and vertically throughout the
organization. 21. Works collaboratively with Performance
Improvement Coordinator to ensure continual improvement in
performance. 22. Ensures compliance within guidelines set forth by
regulatory agencies (JCAHO, DPH, ERISA etc.) and demonstrates
compliance with Home Health Foundation policies and procedures. 23.
Seeks innovative and alternative ways to deliver care so as to
contain costs and maximize reimbursement. 24. Establishes visit and
patient/staff standards against which to measure performance and
staffing need. 25. Utilizes problem solving skills in maximizing
staff effectiveness, efficiencies, and cost effectiveness. 26.
Communicates expectations to employees in a clear manner including
updates and changes. Physical Requirements: 1. Standing and walking
for extensive periods of time. 2. Occasionally requires lifting and
carrying items weighing up to 10 pounds. 2. Frequent exposure to
hazardous chemicals, sick patients, bodily substances, noise and
possible exposure to radiation, lasers, electric shock, etc. 5.
Regularly exposed to the risk of bloodborne diseases and other
transmissible infections. 6. Contact with patients under wide
variety of circumstances. 7. Subject to varying and unpredictable
situations. 8. Ability to handle emergency and crisis situations.
9. Subjected to irregular hours. 10. May have contact with
hazardous materials. Skills & Abilities: 1. Strong leadership and
emotional intelligence skills. 2. Tact, diplomacy, and sensitivity
in dealing with customer and staff relations. 3. Maintains current
knowledge of, and ensures adherence to: laws; regulations; Medicare
COPs; Joint Commission standards; standards of practice, and
organization’s policies and procedures. 4. Ability to communicate
effectively, both verbally and in writing. 5. Good analytical and
budget management skills. 6. Able to provide own transportation for
job related meetings and appointments outside the office. 7.
Understands operations of organization. 8. Promotes effective
change. 9. Exercises independent judgment. 10. Ability to delegate.
11. Understands organizational human behavior. 12. Utilizes
critical thinking skills . Job Profile Summary This role focuses on
providing professional and nonprofessional nursing care services in
accordance with physician orders. In addition, this role focuses on
performing the following Home Care Nurse duties: Assesses, plans,
implements, and evaluates the care needs of a designated group of
patients or provides nursing care and identified clinical support
tasks within the scope of practice for achievement of the patient’s
plan of care as directed. Provides professional nursing care to
patients. Requires a nursing license. A professional individual
contributor role that may direct the work of other lower level
professionals or manage processes and programs. The majority of
time is spent overseeing the design, implementation or delivery of
processes, programs and policies using specialized knowledge and
skills typically acquired through advanced education. A role that
manages experienced professionals who exercise latitude and
independence in assignments. Responsibilities typically include:
policy and strategy implementation for short-term results (1 year
or less), problems faced are difficult to moderately complex, and
influences others outside of own job area regarding policies,
practices and procedures. At Tufts Medicine, we want every
individual to feel valued for the skills and experience they bring.
Our compensation philosophy is designed to offer fair, competitive
pay that attracts, retains, and motivates highly talented
individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the
role. Individual offers are determined using a comprehensive
approach that considers relevant experience, certifications,
education, skills, and internal equity to ensure compensation is
fair, consistent, and aligned with our business goals. Beyond base
pay, Tufts Medicine provides a comprehensive Total Rewards package
that supports your health, financial security, and career
growth—one of the many ways we invest in you so you can thrive both
at work and outside of it. Pay Range: $134,525.66 - $171,524.44
Keywords: Tufts Medicine Care at Home, Brookline , Clinical Nursing Director Hospice Sign On Bonus Eligible, Healthcare , Framingham, Massachusetts