Hospice RN Executive Director III

Gentiva Hospice•Kissimmee, FL

About The Position

The RN Hospice Executive Director III provides strategic leadership and operational oversight for an assigned, large-scale, high-capacity hospice location. 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 organizational goals, regulatory standards, and community needs. The position is accountable for clinical quality, operational performance, sustainable census growth, employee development, human resources, office operations, financial performance, community outreach, and relationships with the Governing Body, referral partners, and the community. The Executive Director oversees compliance with applicable laws, regulations, licensing and accreditation standards, and organizational policies. In collaboration with the Administrator and corporate leadership, the role supports staffing, employee selection and evaluation, orientation and training, performance management, contract oversight, service documentation, quality improvement, safety, and corrective actions. The position monitors budgets and expenses, plans for resource needs, manages costs, and supports marketing and opportunities for new services. If the incumbent is a Registered Nurse, they may be asked to make routine patient visits or participate in the on-call schedule. The role is based in an office environment, with occasional travel to patients’ homes or institutional settings. Potential exposure includes infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

Requirements

  • Registered Nurse with a minimum of 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.
  • Ability to demonstrate sensitivity to terminally ill patients and their families before and after a patient’s death.
  • Ability to adapt to varied tasks and changing priorities without loss of efficiency or composure.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and influence opinions, attitudes, or judgments.
  • Demonstrated patient advocacy, maturity, cooperation, flexibility, and tact in working 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 skills.
  • Thorough knowledge of managed care principles, regulatory guidelines such as Medicare, Medicaid, and ACHC, human resources, and management principles.
  • Ability to meet state-specific Administrator requirements if functioning as the Alternate or Interim Administrator.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

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 Clinical Nursing Supervisor for the office location.
  • Three years of direct patient care experience in a clinical setting.
  • Three to five years of healthcare sales or management experience.

Responsibilities

  • Provide strategic leadership for a large hospice program and oversee clinical quality, operational performance, and balanced, sustainable census growth.
  • Lead day-to-day operations and direct interdisciplinary teams at the assigned location, including multiple teams where applicable.
  • Promote continuous quality improvement and use statistical and qualitative information to manage quality.
  • Monitor compliance with accreditation and licensing standards, regulatory requirements, applicable state and federal laws, and organizational policies and procedures.
  • Recommend and implement policies and procedures developed by the Administrator and Governing Body.
  • Manage human resources, including recommending staffing levels, selecting, supervising, and evaluating interdisciplinary team members in collaboration with the Administrator.
  • Coordinate employee orientation, in-service training, continuing education, and educational programs for outside agencies as needed.
  • Establish performance goals and standards with the Administrator, corporate leadership, and employees; monitor progress and take corrective action when needed.
  • Complete performance evaluations and take timely, documented disciplinary action in collaboration with the Administrator.
  • Assign work according to employee abilities and limitations and ensure fair workload distribution.
  • Plan and organize tasks and resources to achieve strategic goals, establish priorities, evaluate situations, and meet objectives.
  • Assess branch, department, and team performance and take corrective action as appropriate.
  • Participate in selecting outside service providers and maintain contracts with vendors and providers in collaboration with the Administrator.
  • Ensure services are documented accurately and on time, and 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 market opportunities for new programs or services and ensure the accuracy of marketing and public information materials and activities in collaboration with the Administrator.
  • Make routine visits to patient homes or institutional settings and/or participate in the on-call schedule if a Registered Nurse, as requested.
  • 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 actions.
  • 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 procedures, including the Emergency Preparedness Plan, ensuring employees understand their responsibilities.
  • Manage financial resources prudently, complete scheduled financial reviews and budget worksheets, monitor expenditures and variances, anticipate resource needs, and seek cost reductions without affecting quality.
  • Control overtime and temporary staffing in collaboration with the Administrator, except when justified by increased volume or decreased staffing.
  • Recommend space and other resources for needed 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 and spine concierge care, for full-time associates.
  • Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support, 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.
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