Hospice RN Executive Director II

Overview

Lead with Compassion. Serve with Purpose. Transform Hospice.

We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management.

If you’re a natural leader who is passionate about patient-centered care, team development, and clinical excellence, we invite you to bring your talent to a place where you can truly make a difference.

The Executive Director RN II provides strategic leadership and operational oversight for an assigned Hospice location with a mid-sized census. This role will oversee and lead the day-to-day operations, including managing and directing interdisciplinary teams, ensuring the delivery of high-quality and patient-centered care, fostering a culture of compassion, respect and integrity to meet business and organizational goals, regulatory standards, and community needs. Responsibilities include leadership and development, financial performance, community outreach, human resources, office operations and communication and relationship building with the Governing Body, referral partners, and the community. In this role, the Administrator ensures the assigned Hospice location delivers outstanding service, while upholding the company’s mission, vision and values.

Essential Functions

• Provides leadership for a mid-sized hospice program, accountable for clinical quality, operational performance, and balanced, sustainable census growth.
  • Demonstrates a commitment to excellence through focusing on quality care and/or service.
  • Incorporates continuous quality improvement principles in day-to-day activities.
  • Uses statistical and qualitative information to manage quality.
  • Ensures employees exhibit technical knowledge and effective skill education related to their job.
  • Promotes and monitors compliance with requirements and standards established by accrediting or licensing agencies, regulatory agencies and state or federal law relevant to areas of responsibility.
  • Ensures that policies and procedures are followed.
  • Stays current on the latest trends, developments and technologies relative to area of work by actively pursuing self‑development, attending in‑services, and circulating relevant information to appropriate employees.
  • Recommends and implements policies and procedures, developed by the Administrator and Governing Body, that guide and support the provision of services.
• Manages Human Resources effectively.
  • Shows consistency between words and actions.
  • Promotes positive communication and keeps employees informed of changes by ensuring meetings with appropriate staff are conducted and documented, and remains available to employees when issues arise.
  • Provides core orientation, and location‑ and job‑specific orientation, in‑service training and continuing education for employees, volunteers and contract personnel.
  • Conducts educational programs for outside agencies as deemed necessary.
  • Recommends a sufficient number of qualified and competent persons to provide services and is responsible for the selection, supervision, and evaluation of interdisciplinary team members in collaboration with the Administrator.
  • Collaborates with the Administrator, corporate leadership and employees to establish goals and standards for performance; reviews and monitors progress regularly and redirects efforts where goals are not being met.
  • Determines qualifications and competence of employees, in collaboration with the Administrator.
  • Completes all performance evaluations in collaboration with the Administrator prior to due date.
  • Takes appropriate and timely action in disciplinary situations in collaboration with the Administrator and documents actions taken in accordance with policy.
  • Makes appropriate assignments among employees in accordance with their personal abilities and limitations and ensures fair and consistent workload distribution.
• Manages Office Operations effectively.
  • Directs multiple teams at the assigned location, if applicable.
  • Plans and organizes tasks and resources to achieve strategic goals and objectives.
  • Recognizes, establishes and deals with priorities consistently.
  • Measures progress toward set goals; takes corrective action on projects as appropriate and considers the impact of department/location decisions on the overall functioning of the provider, the company and its hospice affiliates.
  • Reviews and analyzes facts of a situation when developing a plan of action and considers all relevant information to make the most informed decision possible.
  • Achieves predetermined objectives and goals.
  • Participates in selecting outside sources for needed services in collaboration with the Administrator.
  • Ensures contract management for services from outside vendors/providers is maintained.
  • Assesses and improves branch/department and individual team performance.
  • Ensures documentation of services is accurate and timely.
  • Monitors and supervises quality of patients’ care at the assigned location(s), processes emergency calls and requests for assistance.
  • Assists with problem solving for patients in all settings.
  • Prepares, monitors, and reviews monthly bills, supply costs, expense requests, mileage reimbursement, payroll and other expenses.
  • Makes recommendations for service areas regarding market opportunities for new programs or service.
  • Ensures accuracy of marketing materials, public information materials and activities in collaboration with the Administrator.
  • May be asked to perform routine visits to patient homes or institutional settings and/or participate in an on‑call schedule (only if a Registered Nurse).
  • Provides a safe environment for patients, visitors, customers and employees.
  • Investigates and completes detailed reports of any incidents/accidents, grievances, complaints, medication errors and other problems within the established time frames and implements corrective and/or preventive action immediately in collaboration with the Administrator.
  • Works with physicians, patients, families, staff and others regarding problems, needs and concerns.
  • Responsible for supervision and evaluation of family satisfaction surveys in collaboration with the Administrator.
  • Incorporates safety topics into staff meetings.
  • Regularly reviews safety policies and procedures (including the Emergency Preparedness Plan) and ensures all employees are oriented to and understand their role in safety policies and procedures.
• Manages Financial Resources prudently and effectively.
  • Completes financial reviews in collaboration with the Administrator on a recommended schedule.
  • Submits budget worksheets by scheduled deadlines.
  • Ensures annual expenditures are within the annual budget, except where variances are volume‑driven and approved.
  • Anticipates resource needs and plans budgets to meet those needs within known parameters.
  • Justifies budget variances on a regularly scheduled basis and continually seeks ways to reduce costs without compromising quality.
  • Controls use of overtime and temporary personnel, in collaboration with the Administrator, except when justified by increased volume or decreased staffing levels.
  • Recommends space and other resources for needed services.

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• Registered Nurse with minimum of associate’s degree in nursing required.
• Bachelor’s degree in Nursing (BSN) from an accredited school of nursing preferred.
• Master’s degree in business, nursing or related field preferred.

Experience

• Minimum one year management/supervisory experience required.
• Two or more years’ experience in hospice/home care required.
• Meets all state‑specific requirements for the Administrator role (if functioning as the Alternate or Interim Administrator).
• Three years’ experience in direct patient care in a clinical setting preferred.
• Three to five years of healthcare sales/management experience preferred.
• Strong understanding of hospice regulations, compliance, and Medicare conditions of participation.
• Proven ability to manage teams, budgets, and interdisciplinary operations.
• Exceptional communication, organizational, and leadership skills.
• Commitment to high‑quality, compassionate care for patients and families.

Licenses, Certifications and/or Registration

• Current license to practice nursing in the state of requested employment, if applicable.
• CPR Certification.
• Current automobile insurance and valid driver’s license.

We Offer

Benefits for All Associates (Full‑Time, Part‑Time & Per Di­em):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full‑Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company‑paid Life & Long‑Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Apply Now:

If you’re an experienced Hospice RN leader looking for your next challenge, we want to hear from you. Join a team that values compassion, leadership, and meaningful work—when life matters most.

Legalese

• This is a safety‑sensitive position.
• Employee must meet minimum requirements to be eligible for benefits.
• Where applicable, employee must meet state-specific requirements.
• We are proud to be an EEO employer.
• We maintain a drug‑free workplace.

Location

Gentiva Hospice

Our Company

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

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