Home Health RN Executive Director

Gentiva Hospice•Houston, TX

About The Position

Overview Lead with Compassion. Serve with Purpose. Transform Home Health. We have an exciting and rewarding opportunity for a Home Health RN Executive Director / RN Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in home health, hospice, or clinical operations management. If you're a proven leader who is passionate about driving quality care, developing high-performing teams, and ensuring operational excellence, we invite you to bring your expertise to a role where you can make a lasting impact. About You You’re a confident, solutions-focused leader who can step in, assess quickly, and guide a team toward success. You excel at balancing clinical excellence with operational efficiency, and you’re passionate about empowering your staff to provide the best possible patient experience.

Requirements

Current RN license in good standing in the state of practice.
Associate's degree in Nursing or related field.
2+ years of experience as a Home Health Administrator, Director of Operations, or equivalent leadership role.
Strong knowledge of CMS regulations and home health compliance requirements.
Proven leadership, communication, and problem-solving skills.

Nice To Haves

Experience as an interim or turnaround leader in home health.
Bachelor's degree in Nursing or related field.
Background in managing multi-site or high-volume agencies.
Track record of improving operational metrics in a short time frame.

Responsibilities

Direct the day-to-day operations of the home health branch, ensuring compliance with all applicable federal, state, and accreditation standards (CMS, Medicare, Joint Commission, etc.)
Oversee the coordination of patient admissions and discharge planning to ensure a seamless patient experience
Provide clinical oversight and leadership to interdisciplinary home health staff, including RN Case Managers, LPNs, therapists (PT, OT, ST), aides, and administrative personnel
Interview, hire, train, supervise, and evaluate staff while fostering a supportive and collaborative team culture
Promote best practices in skilled nursing, chronic disease management, and patient-centered home care
Monitor and improve operational efficiency, service delivery, and patient satisfaction
Lead performance management efforts, including staff evaluations, scheduling, workload distribution, and addressing employee concerns
Ensure continuous survey readiness and participate in quality assurance and performance improvement (QAPI) initiatives
Manage branch financial performance, including budgeting, payroll, supply costs, and referral development
Build and maintain strong relationships with physicians, hospital discharge planners, and community referral sources

Benefits

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