Hospice RN Executive Director I

Gentiva Hospice•Winter Garden, FL

About The Position

The RN Hospice Executive Director 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, supports high-quality, patient-centered care, and fosters a culture of compassion, respect, and integrity while meeting business and organizational goals, regulatory standards, and community needs. Areas of responsibility include leadership and employee development, financial performance, community outreach, human resources, office operations, and relationship-building with the Governing Body, referral partners, and the community. The Executive Director is accountable for clinical quality, operational performance, and sustainable census growth. The role promotes compliance with applicable accreditation, licensing, regulatory, and legal requirements; oversees staff, budgets, documentation, patient-care quality, safety, and office operations; and collaborates with the Administrator and corporate leadership. A Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse is required. If the employee is a Registered Nurse, they may be asked to make routine patient visits or participate in an on-call schedule.

Requirements

  • Registered Nurse with at least an associate’s degree in nursing.
  • At least one year of management or supervisory experience.
  • At least two years of hospice or home care experience.
  • Meet all state-specific requirements for the Administrator role when functioning as the Alternate or Interim Administrator.
  • 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.
  • Current license to practice nursing in the state of employment, if applicable.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Ability to meet the requirements of a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

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

Responsibilities

  • Provide hands-on leadership for the hospice program and oversee clinical quality, operational performance, and sustainable census expansion.
  • Promote continuous quality improvement, use statistical and qualitative information to manage quality, and ensure employees have appropriate job-related knowledge and skills.
  • Monitor compliance with accreditation, licensing, regulatory, and legal requirements and ensure policies and procedures are followed.
  • Remain current in relevant trends, developments, and technologies through self-development, in-service attendance, and sharing information with employees.
  • Recommend and implement policies and procedures developed by the Administrator and Governing Body.
  • Manage human resources, including staffing recommendations, selection, supervision, evaluation, performance reviews, disciplinary actions, assignments, workload distribution, orientation, training, and continuing education, in collaboration with the Administrator as specified.
  • Communicate with employees, keep them informed of changes, conduct and document appropriate meetings, and be available when issues arise.
  • Collaborate with the Administrator, corporate leadership, and employees to set performance goals and standards, monitor progress, and redirect efforts when needed.
  • Manage office operations and direct multiple teams at the assigned location, where applicable.
  • Plan and organize tasks and resources; set priorities; track progress; take corrective action; analyze relevant information; and achieve established goals and objectives.
  • Participate in selecting outside service providers and maintain contracts with outside vendors/providers in collaboration with the Administrator.
  • Assess and improve branch or department and individual team performance, and ensure service documentation is accurate and timely.
  • Monitor and supervise the quality of patient care; process emergency calls and requests for assistance; and help solve 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 in collaboration with the Administrator.
  • Provide a safe environment for patients, visitors, customers, and employees.
  • Investigate and document incidents, accidents, grievances, complaints, medication errors, and other problems within policy time frames, and implement corrective or preventive action in collaboration with the Administrator.
  • Work with physicians, patients, families, staff, and others to address problems, needs, and concerns; supervise and evaluate family satisfaction surveys in collaboration with the Administrator.
  • Incorporate safety topics into staff meetings; review safety policies and procedures, including the Emergency Preparedness Plan; and ensure employees understand their safety roles.
  • Manage financial resources prudently; complete financial reviews and budget worksheets on schedule; monitor expenditures and variances; plan resource needs; seek cost reductions without affecting quality; and control overtime and temporary staffing in collaboration with the Administrator.
  • Recommend space and other resources for needed services.
  • If a Registered Nurse, potentially make routine visits to patient homes or institutional settings and/or participate in the 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.
  • 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 programs, 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.
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