Hospice & Palliative Care Physician

About the role

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 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.

Responsibilities

• Provide palliative care program oversight and outreach activities.
• Partner closely with a Marin-based hospice team to provide expert symptom management, determine hospice eligibility, and support patients and families during serious illness.
• Provide clinical leadership for General Inpatient (GIP) programs.
• 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.
• Support GIP, provide direct patient care, and ensure compliance, quality, and patient-centered care delivery.
• Lead, mentor, and evaluate physicians, advanced practice providers, and interdisciplinary staff within the program.
• Foster a culture of collaboration, respect, and continuous learning.
• Serve as a preceptor for Hospice and Palliative Medicine fellows rotating through the program, fostering clinical skills, professional growth, and mentorship.
• Monitor program quality metrics, clinical outcomes, and patient satisfaction.
• Ensure compliance with regulatory standards, accreditation requirements, and organizational policies.

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

Pay Range $150.00 - $160.00 hourly

Requirements

• 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 Qualifications

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