Hospice RN Administrator I

Gentiva Hospice•Oxford, NC

19h

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 business and organizational goals, regulatory standards, and community needs. Areas of responsibility include leadership and staff development, financial performance, community outreach, human resources, office operations, and communication 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. The role is accountable for clinical quality, operational performance, and sustainable census growth. It monitors regulatory compliance, manages staffing and resources, oversees budgets and office operations, supports patient care and problem-solving, and advances safety, quality improvement, and employee education. The Administrator may perform routine visits to patient homes or institutional settings and/or participate in an on-call schedule.

Requirements

Associate’s degree in Nursing and Registered Nurse qualification required.
At least one year of management or supervisory experience required.
At least two years of hospice or home care experience required.
Meet all state-specific requirements for the Administrator role.
Current license to practice nursing in the state of requested employment, if applicable.
CPR certification.
Current automobile insurance and a valid driver’s license.
Strong understanding of hospice regulations, compliance, and Medicare conditions of participation.
Demonstrated 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

Bachelor’s degree in Nursing (BSN) from an accredited school of nursing preferred.
Three to five years of healthcare sales or management experience preferred.
Three years of direct patient care experience in a clinical setting preferred.

Responsibilities

Provide hands-on leadership for a hospice program, with accountability for clinical quality, operational performance, and sustainable census expansion.
Promote excellence in quality of care and service, incorporate continuous quality improvement, and use statistical and qualitative information to manage quality.
Promote and monitor compliance with accrediting, 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 recommending staffing levels, selecting and supervising interdisciplinary team members, evaluating employees, determining competence, completing performance evaluations, and taking timely disciplinary action when needed.
Promote communication with employees, keep them informed of changes, conduct and document appropriate meetings, and remain available to staff when issues arise.
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.
Collaborate with the Governing Body, corporate leadership, and employees to establish goals and performance standards; monitor progress and redirect efforts when goals are not met.
Assign work according to employees’ abilities and limitations and ensure fair, consistent workload distribution.
Direct assigned location teams, plan and organize tasks and resources, set priorities, measure progress, and take corrective action as appropriate.
Assess branch, department, and team performance; consider the impact of decisions on the company and its hospice affiliates; and make informed decisions to achieve objectives.
Participate in selecting outside service providers and maintain contracts for services from vendors and providers.
Ensure service documentation is accurate and timely and monitor and supervise the quality of patient care at assigned locations.
Process emergency calls and requests for assistance and help resolve problems for patients in all settings.
Prepare, monitor, and review monthly bills, supply costs, expense requests, mileage reimbursement, payroll, and other expenses.
Recommend service-area market opportunities for new programs or services and ensure 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 promptly.
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 policies and procedures, including the Emergency Preparedness Plan; ensure employees understand their safety responsibilities.
Manage financial resources prudently, complete financial reviews and budget worksheets on schedule, keep expenditures within approved budgets, justify variances, anticipate resource needs, and seek cost reductions without affecting quality.
Control overtime and use of temporary personnel 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.
Remain current in relevant trends, developments, and technologies through self-development, in-services, and sharing relevant information with employees.

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 & Spine Concierge Care, for full-time associates.
Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways, 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.