It varies, but the traditional role for the pure outpatient hospice MD is 24/7 for calls/emails/rxs/admissions for the hospice site(s) they serve. Unless you have a large (100+) census, it's only you. Clinically, the RNs report to you for your orders. NPs usually just do the face to face visits, paid per visit, and won't interact as much with you. You meet with the team 2 or 4 times per month to stay compliant and sign the treatment plan. You also write admission and recertification narratives. You probably won't have any patient encounters, but that may be their model. If they lose all the NPs, you may be required to travel for all the face to face visits. It's all in the contract.
This is one possibility.
Realistically it depends on the hospice.
Things you’ll definitely be doing:
-fielding medication questions on titration, discontinuation, and symptom management in general (most commonly pain, dyspnea, agitation, nausea, constipation, anxiety, depression, with a smattering of others)
-final buck for eligibility
-meeting idt every two weeks at least (larger hospices are usually weekly with half list each week)
Things you may do depending on model:
Face2face visits
Videoconference
Home visits
Determine need for escalation of care
Deal with any unusual situations or medications outside an algorithm
Determine graduation or discharge with cause
Paracentesis or other bedside procedures
There are many other potentials, but those are pretty common
