Hospice RN Executive Director II

Gentiva Hospice•Nashville, TN

18h

About The Position

The RN Hospice Executive Director 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 while fostering compassion, respect, and integrity. The Executive Director is accountable for clinical quality, operational performance, sustainable census growth, and meeting business and organizational goals, regulatory standards, and community needs. Responsibilities span team leadership and development, human resources, office operations, financial performance, community outreach, and communication and relationship-building with the Governing Body, referral partners, and the community. The role ensures the location delivers outstanding service while upholding the company’s mission, vision, and values. It also promotes regulatory compliance, quality improvement, patient and family safety, accurate documentation, and effective management of financial and other resources. A Registered Nurse may be asked to make routine visits to patient homes or institutions and/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.
Current license to practice nursing in the state of requested employment, if applicable.
CPR certification.
Current automobile insurance and a valid driver’s license.
Must 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.
Ability to perform varied tasks and adapt to changing duties without loss of efficiency or composure.
Ability to communicate effectively with people of all socioeconomic backgrounds and influence opinions, attitudes, or judgments.
Ability to make generalizations, evaluations, or decisions based on sensory or judgmental criteria, and to demonstrate patient advocacy.
Responsible workplace conduct, maturity, cooperation, flexibility, and tact when dealing with coworkers and hospice team members.
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.
Thorough knowledge of managed care principles, regulatory guidelines (including Medicare, Medicaid, ACHC, and human resources), and management principles.
Must meet applicable state-specific requirements for the Administrator role if functioning as the Alternate or Interim Administrator.

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.
Two or more years of hospice or home care experience if also functioning as the office location’s Clinical Nursing Supervisor.
Three years of direct patient care experience in a clinical setting.
Three to five years of healthcare sales or management experience.

Responsibilities

Lead a mid-sized hospice program and remain accountable for clinical quality, operational performance, and balanced, sustainable census growth.
Promote excellence in care and service and incorporate continuous quality improvement into daily operations.
Use 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.
Recommend and implement policies and procedures developed by the Administrator and Governing Body.
Manage human resources, including recommending staffing levels, selecting and supervising interdisciplinary team members with the Administrator, determining employee qualifications and competence, completing performance evaluations, addressing disciplinary situations, and distributing workloads appropriately.
Collaborate with the Administrator, corporate leadership, and employees to establish performance goals, monitor progress, and redirect efforts when goals are not being met.
Promote employee communication, conduct and document staff meetings, keep employees informed, and remain available when issues arise.
Provide or promote orientation, in-service training, continuing education, and, when needed, educational programs for outside agencies.
Direct teams and office operations; plan and organize tasks and resources to achieve strategic goals and objectives.
Set priorities, evaluate relevant information, measure progress, take corrective action, and consider the broader effects of location decisions.
Participate in selecting outside service providers and ensure vendor and provider contracts are managed with the Administrator.
Assess and improve location, department, and 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 reimbursements, payroll, and other expenses.
Recommend market opportunities for new programs or services and ensure marketing and public information materials and activities are accurate.
If a Registered Nurse, potentially perform routine patient visits in homes or institutions and/or participate in the on-call schedule.
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 with the Administrator.
Work with physicians, patients, families, staff, and others to address problems, needs, and concerns.
Supervise and evaluate family satisfaction surveys with the Administrator.
Include safety topics in staff meetings and review safety procedures, including the Emergency Preparedness Plan, ensuring employees understand their responsibilities.
Manage financial resources prudently, complete financial reviews and budget worksheets on schedule, maintain expenditures within approved budgets, justify variances, anticipate resource needs, and seek cost reductions without affecting quality.
Control overtime and use of temporary personnel with the Administrator, except when justified by volume increases or staffing decreases, and recommend space and other resources for needed services.
Remain current in relevant trends, developments, and technologies through self-development, in-service attendance, 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 and 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 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.