Hospice RN Administrator I

Gentiva Hospice • Bakersfield, CA

5d • $150,000 - $160,000

About The Position

The Administrator RN I provides strategic leadership and operational oversight for an assigned hospice location with a developing census. The role leads day-to-day operations and interdisciplinary teams, ensuring high-quality, patient-centered care and a culture of compassion, respect, and integrity while meeting organizational goals, regulatory standards, and community needs. Responsibilities span team leadership and development, financial performance, community outreach, human resources, office operations, and relationship-building with the Governing Body, referral partners, and the community. The Administrator ensures the location delivers outstanding service while upholding the company’s mission, vision, and values.

This hands-on leadership role is accountable for clinical quality, operational performance, and sustainable census growth. It includes regulatory and quality oversight; employee selection, supervision, evaluation, education, and performance management; management of office operations, budgets, contracts, and resources; patient-care monitoring and problem solving; safety and incident response; and communication with patients, families, physicians, employees, and community partners. The Administrator may be asked to make routine visits to patient homes or institutional settings and/or participate in an on-call schedule.

The position requires a BSN or higher, a current nursing license in the state of employment, CPR certification, automobile insurance, and a valid driver’s license. Candidates need at least two years of management or supervisory experience in a post-acute setting within the past five years and must meet state-specific Administrator requirements. Hospice or home-care experience, direct patient-care experience, and knowledge of hospice regulations and Medicare conditions of participation are preferred or otherwise identified as relevant qualifications. The stated salary range is $150,000 to $160,000, with compensation varying based on factors such as location, experience, education, skills, licensure, certifications, and equity.

Requirements

• Bachelor’s degree in nursing (BSN) from an accredited school of nursing, or a higher level degree.
• Minimum of two years of management or supervisory experience in a post-acute setting within the last five years.
• Meets all state-specific requirements for the Administrator role.
• Current license to practice nursing in the state of requested employment.
• CPR certification.
• Current automobile insurance and a valid driver’s license.
• 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.

Nice To Haves

• Two or more years of hospice or home-care experience.
• Three years of direct patient-care experience in a clinical setting.

Responsibilities

• Provide hands-on leadership for a hospice program and oversee clinical quality, operational performance, and sustainable census growth.
• Promote continuous quality improvement and use statistical and qualitative information to manage quality.
• Promote and monitor compliance with accreditation, licensing, regulatory, state, and federal requirements; ensure policies and procedures are followed.
• Develop, recommend, and implement policies and procedures in collaboration with the Governing Body.
• Manage human resources, including employee selection, supervision, evaluation, qualification and competency determinations, assignments, workload distribution, performance evaluations, and timely disciplinary action.
• Establish performance goals and standards with the Governing Body, corporate leadership, and employees; regularly monitor progress and redirect efforts when needed.
• Keep employees informed, conduct and document staff meetings, remain available to employees, and promote positive communication.
• Provide or arrange orientation, in-service training, continuing education, and educational programs for employees, volunteers, contract personnel, and outside agencies as needed.
• Direct teams at the assigned location and organize tasks and resources to achieve strategic goals and objectives.
• Monitor progress toward goals, take corrective action, assess branch and team performance, and consider the impact of decisions on the company and its hospice affiliates.
• Manage office operations, outside service selection, vendor/provider contracts, and timely and accurate service documentation.
• Monitor and supervise the quality of patient care; process emergency calls and requests for assistance; and help resolve patient problems in all settings.
• Prepare, monitor, and review monthly bills, supply costs, expense requests, mileage reimbursement, payroll, and other expenses.
• Recommend service-area opportunities for new programs or services and ensure the accuracy of marketing and public-information materials and activities.
• Provide a safe environment for patients, visitors, customers, and employees; investigate and document incidents, accidents, grievances, complaints, medication errors, and other problems; and implement corrective or preventive action.
• Work with physicians, patients, families, staff, and others regarding problems, needs, and concerns; supervise and evaluate family satisfaction surveys.
• Incorporate safety topics into staff meetings and review safety procedures, including the Emergency Preparedness Plan, ensuring employees understand their roles.
• Manage financial resources prudently; complete financial reviews and budget worksheets on schedule; monitor budget variances; control overtime and temporary staffing; seek cost reductions without affecting quality; and recommend space and other resources.
• May perform routine visits to patient homes or institutional settings and/or participate in an on-call schedule.

Benefits

• Competitive pay.
• 401(k) with company match.
• Career advancement opportunities.
• National and local recognition programs.
• Teammate Assistance Fund.
• Medical, dental, and vision insurance for full-time associates.
• Mileage reimbursement or fleet vehicle program for full-time associates.
• Generous paid time off and seven paid holidays for full-time associates.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
• Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support, for full-time associates.
• Free continuing education units (CEUs) for full-time associates.
• Company-paid life and long-term disability insurance for full-time associates.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager