Hospice RN Executive Director II

Gentiva Hospice•Crossville, TN

About The Position

The RN Hospice Executive Director II provides strategic leadership and operational oversight for an assigned hospice location with a mid-sized census. The role leads day-to-day operations and interdisciplinary teams, ensuring high-quality, patient-centered care and fostering a culture of compassion, respect, and integrity while meeting organizational goals, regulatory standards, and community needs. Areas of responsibility include 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 Executive Director ensures the location delivers outstanding service while upholding the company’s mission, vision, and values. The position oversees clinical quality, operational performance, census growth, regulatory compliance, employee development and performance, office operations, patient-care quality, safety, and financial resources. It works collaboratively with the Administrator and corporate leadership on policies, staffing, performance, budgets, vendor services, and corrective actions. The role is based in an office environment, with occasional travel to patient homes or institutional settings. It may include routine patient visits or participation in an on-call schedule if the employee is a Registered Nurse. The role requires an associate’s degree in nursing and a current nursing license in the state of employment, where applicable. A BSN and a master’s degree in business, nursing, or a related field are preferred. Minimum experience includes one year of management or supervisory experience; two or more years in hospice or home care are required if also functioning as the office’s Clinical Nursing Supervisor. The position also requires CPR certification, current automobile insurance, a valid driver’s license, and transportation for work.

Requirements

Registered Nurse with at least an associate’s degree in nursing.
At least one year of management or supervisory experience.
Two or more years of hospice or home-care experience if also functioning as the Clinical Nursing Supervisor for the office location.
Meet state-specific requirements for the Administrator role if functioning as the Alternate or Interim Administrator.
Current license to practice nursing in the state of employment, if applicable.
CPR certification.
Current automobile insurance and a valid driver’s license.
Have and maintain transportation for work.
Ability to operate a computer, facsimile equipment, copier, and cell phone effectively.
Sensitivity to the feelings of terminally ill patients and their families before and after a patient’s death.
Flexibility to perform varied tasks and change between different types of work without loss of efficiency or composure.
Ability to communicate effectively with people from all socioeconomic backgrounds.
Ability to influence people’s opinions, attitudes, or judgments about ideas or things.
Ability to make generalizations, evaluations, or decisions based on sensory or judgmental criteria.
Evidence of patient advocacy, maturity, cooperation, tact, and responsible workplace conduct.
Organizational and leadership abilities; knowledge of terminally ill patients and their families, the hospice concept, and the roles of hospice disciplines.
Excellent patient-assessment skills and good oral and written communication skills.
Thorough knowledge of managed-care principles, regulatory guidelines such as Medicare, Medicaid, and ACHC, human resources, and management principles.

Nice To Haves

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

Responsibilities

Provide leadership for a mid-sized hospice program and be accountable for clinical quality, operational performance, and balanced, sustainable census growth.
Promote excellence and continuous quality improvement, using statistical and qualitative information to manage quality.
Promote and monitor compliance with accrediting, licensing, regulatory, state, and federal requirements, and ensure policies and procedures are followed.
Stay current with relevant trends, developments, and technologies through self-development, in-service attendance, and sharing relevant information with employees.
Recommend and implement policies and procedures developed with the Administrator and Governing Body.
Manage human resources, including staff communications, orientation, training, continuing education, staffing recommendations, team-member selection, supervision, evaluation, assignments, and disciplinary actions in collaboration with the Administrator.
Establish goals and performance standards with the Administrator, corporate leadership, and employees; monitor progress and redirect efforts when needed.
Direct the location’s teams and organize tasks and resources to achieve strategic goals and objectives.
Assess and improve location, department, and team performance; monitor progress, take corrective action, and ensure accurate and timely service documentation.
Participate in selecting outside service providers and maintain contract management in collaboration with the Administrator.
Monitor and supervise the quality of patient care; process emergency calls, assist with requests for help, and support problem-solving for patients in all settings.
Prepare, monitor, and review monthly bills, supply costs, expense requests, mileage reimbursement, payroll, and other expenses.
Recommend market opportunities for new programs or services and ensure marketing and public-information materials and activities are accurate in collaboration with the Administrator.
When requested, conduct routine visits to patient homes or institutional settings and/or participate in the on-call schedule if a Registered Nurse.
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 to address problems, needs, and concerns.
Supervise and evaluate family satisfaction surveys in collaboration with the Administrator.
Incorporate safety topics into staff meetings and 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, monitor budget variances, anticipate resource needs, seek cost reductions without compromising quality, and control overtime and temporary staffing in collaboration with the Administrator.
Recommend space and other resources needed to provide services.

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.