Job Information
Hospice of Michigan Director & Nurse Practitioner, Geriatric Practice in Kalamazoo, Michigan
Job Summary : The Director & Nurse Practitioner, Geriatric Practice provides both clinical services and administrative leadership over geriatric practice operations. This position leads the design, launch, and early operations of a geriatric primary care practice, serving as the internal owner of the provider practice build. In this capacity, the Director translates clinical vision into operational execution, ensuring workflows, staffing models, and systems support high-quality, coordinated, value-based care.
In addition to leadership responsibilities, the Director serves as a Nurse Practitioner and primary clinical provider for the program, delivering high-quality care to geriatric patients. The role is accountable for standing up the primary care service line, overseeing day-to-day operations through launch, and positioning the practice for scale, sustainability, and integration as it evolves. Over time, responsibilities will shift toward a greater focus on administrative leadership; however, during the initial launch phase, the role will maintain a meaningful level of direct clinical involvement.Essential Functions:
Serves as the owner of the provider practice build and launch, accountable for translating strategy into operational execution.
Functions as the lead primary care provider for geriatric patients.
Partners closely with senior leadership to align internal practice readiness with external partner commitments during launch and early scaling.
Designs, builds, and operationalizes the geriatric primary care model, ensuring workflows support high-quality, coordinated, value-based care delivery.
Owns and oversees internal clinical support operational workflows, including:
- Scheduling and patient access
Intake and onboarding processes
Communication pathways across providers, care teams, and partners
Clinical and administrative documentation standards
EHR configuration and implementation
Plans and oversees the rollout of the first assisted living facility partnership, ensuring operational readiness, role clarity, and smooth execution.
Serves as the day-to-day operational leader of the provider practice through launch and early stabilization, addressing issues in real time and adjusting workflows as needed.
Collaborates with clinical leadership to align operational processes with population health goals, quality metrics, and patient outcomes.
Leads cross-functional coordination with finance, IT, compliance, HR, and clinical operations to support practice launch and sustainability.
Supports EHR implementation and optimization to ensure workflows, documentation, and reporting support care coordination and value-based performance.
Establishes and monitors key operational and clinical performance indicators, using data to identify gaps and drive continuous improvement.
Serves as the primary internal and external representative of the program, ensuring consistent and professional communication with all stakeholders.
Manages and resolves all program-related complaints and concerns in a timely, thorough, and professional manner.
Duties as assigned within the Nurse Practitioner scope of practice. This could include collaboration on research, education, innovative clinical partnerships, and new business development.
Maintains a patient caseload for Geriatric patients, providing diagnosis and treatment of symptoms, including recommending/prescribing medications and treatments (as preferred by referring provider) according to the collaborative agreement, NP scope of practice laws, and as approved by the VP, Physician Practice/CMO.
Identifies operational risks early and proactively escalates and resolves issues to protect patient experience, staff engagement, and organizational reputation.
Contributes to the design of scalable staffing, workflow, and governance models to support future practice expansion.
Supports organizational transition planning as the practice matures and operational responsibilities shift under a new structure.
Actively works to coach and/or mentor direct reports and subordinates to improve performance. Ensures appropriate corrective action and performance improvement plans are administered per organizational guidelines, when appropriate, in collaboration with Human Resources.
Ensures internal and external education, training and activities for self and staff to promote personal and professional growth and to ensure staff competency is maintained at all times.
Seeks to promote knowledge of palliative care and hospice philosophies and articulates and promotes the NorthStar Care Community vision, mission, and values within the community.
Upholds the NorthStar Care Community Code of Conduct, policies, procedures, protocols and processes and all regulatory and legal requirements.
Models the NorthStar standards to care for every person, every time, 100% of the time.
Qualifications:
Master of Science in Nursing (MSN) and graduate of an accredited Nurse Practitioner program (e.g., Family, Adult-Gerontology, Pediatric) required.
Master of Public Health or Master of Business Administration also preferred.
Current, active Nurse Practitioner license in the state of Michigan required with authorization to practice as an NP in accordance with state regulations is required.
Seven (7) to eight (8) years of experience in home-based primary care or assisted living facility experience preferred; leadership experience will be considered as equivalent experience.
Demonstrated experience with geriatric practice operations and standing up new service lines.
Strong understanding of home-based primary care models and value-based care structures, including ACOs, Medicare Advantage, and I-SNPs.
Working knowledge of clinical workflow design across disciplines, including providers, nursing, care coordination, and administrative teams; working knowledge of care coordination workflows, transitions of care, and population health operations.
Familiarity with assisted living facility workflows and operating environments is strongly preferred.
Strong project management skills, with the ability to manage complex, multi-workstream initiatives from planning through execution, are required.
Experience designing and operationalizing scheduling, intake, triage, communication, and documentation workflows; Data-driven operational mindset, using metrics and KPIs to guide decisions and improvement.