Hospice RN Administrator I

Gentiva Hospice•Bakersfield, CA

About The Position

The RN Hospice Administrator provides strategic leadership and operational oversight for an assigned hospice location with a developing census. The administrator 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. The role encompasses leadership and staff development, financial performance, community outreach, human resources, office operations, and relationship building with the Governing Body, referral partners, and the community. The administrator is accountable for clinical quality, operational performance, and sustainable census growth, and ensures that the location upholds the company’s mission, vision, and values. The role promotes regulatory and accreditation compliance, continuous quality improvement, accurate and timely documentation, and safe care. It includes employee selection, supervision, evaluation, education, performance management, and workload assignment; operational planning and performance monitoring; contract and vendor oversight; budget preparation and expense management; incident investigation and corrective action; and collaboration with patients, families, physicians, staff, and other stakeholders. The administrator may perform routine visits to patient homes or institutional settings and/or participate in the on-call schedule.

Requirements

  • Bachelor’s degree in nursing (BSN) from an accredited school of nursing or a higher degree.
  • At least two years of management or supervisory experience in a post-acute setting within the last five years.
  • Meet 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.
  • Strong communication, organizational, and leadership skills.
  • Commitment to high-quality, compassionate care for patients and families.

Nice To Haves

  • At least two years of hospice or home care experience.
  • At least three years of direct patient care experience in a clinical setting.

Responsibilities

  • Provide hands-on leadership for a hospice program, overseeing clinical quality, operational performance, and sustainable census expansion.
  • Promote continuous quality improvement and monitor compliance with accrediting, licensing, regulatory, state, and federal requirements.
  • Develop and recommend policies and procedures in collaboration with the Governing Body.
  • Keep current with relevant trends, developments, and technologies through self-development, in-services, and sharing information with employees.
  • Manage human resources, including recommending staffing levels, selecting and supervising interdisciplinary team members, determining employee qualifications and competence, and completing timely performance evaluations.
  • Provide or arrange core, location-specific, and job-specific orientation, in-service training, and continuing education for employees, volunteers, and contract personnel; conduct educational programs for outside agencies as needed.
  • Set goals and performance standards with the Governing Body, corporate leadership, and employees; monitor progress and redirect efforts when needed.
  • Address disciplinary situations promptly, document actions, and assign work according to employees’ abilities and limitations while distributing workload fairly.
  • Direct location teams and plan and organize tasks and resources to achieve strategic goals and objectives.
  • Monitor progress toward goals, take corrective action as appropriate, assess team and location performance, and consider the impact of decisions on the company and its hospice affiliates.
  • Manage outside service selection and vendor contracts.
  • Ensure accurate and timely service documentation and monitor the quality of patient care at assigned locations.
  • 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 reimbursements, payroll, and other expenses.
  • Recommend market opportunities for new programs or services and ensure the accuracy of marketing and public information materials and activities.
  • Maintain a safe environment for patients, visitors, customers, and employees; investigate and report incidents, accidents, grievances, complaints, medication errors, and other problems, and implement corrective or preventive action.
  • Work with physicians, patients, families, staff, and others to address problems, needs, and concerns; supervise and evaluate family satisfaction surveys.
  • Include safety topics in staff meetings and regularly review safety procedures, including the Emergency Preparedness Plan, ensuring employees understand their roles.
  • Manage financial resources, complete financial reviews and budget submissions on schedule, monitor expenditures and variances, anticipate resource needs, and seek cost reductions without affecting quality.
  • Control overtime and temporary staffing except when justified by increased volume or decreased staffing; recommend space and other resources for needed services.
  • May perform routine visits to patient homes or institutional settings and/or participate in the on-call schedule.

Benefits

  • 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.
  • Generous paid time off and seven paid holidays.
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN programs.
  • Free continuing education units (CEUs).
  • Company-paid life and long-term disability insurance.
  • Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.
  • Competitive pay.
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