Hospice RN Executive Director I

Gentiva Hospice•Winter Garden, FL

About The Position

The RN Hospice Executive Director 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 while fostering compassion, respect, and integrity and meeting organizational goals, regulatory standards, and community needs. Responsibilities span leadership and staff development, clinical quality, financial performance, community outreach, human resources, office operations, and relationship-building with the Governing Body, referral partners, and the community. The position is responsible for ensuring the location delivers outstanding service in accordance with the company’s mission, vision, and values. The Executive Director leads a hospice program with growth opportunity and is accountable for clinical quality, operational performance, and sustainable census expansion. The role oversees compliance, staffing and performance management, budgets and expenses, office and vendor operations, patient-care quality and documentation, safety, and service-area opportunities. When the incumbent is a Registered Nurse, the role may also involve routine patient visits and participation in an on-call schedule. The position requires a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Requirements

  • Current Registered Nurse license to practice in the state of requested employment, if applicable.
  • Minimum 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 state-specific requirements for the Administrator role if functioning as the Alternate or Interim Administrator.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • 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.
  • Must complete a Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse.

Nice To Haves

  • Bachelor of Science 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.
  • Lead day-to-day operations and direct interdisciplinary teams at the assigned location.
  • Promote quality improvement, use statistical and qualitative information to manage quality, and ensure services and documentation meet applicable standards.
  • Promote and monitor compliance with accreditation, 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 staff selection, supervision, evaluation, assignments, workload distribution, discipline, orientation, training, and continuing education, in collaboration with the Administrator as specified.
  • Collaborate with the Administrator, corporate leadership, and employees to establish goals and performance standards, monitor progress, and redirect efforts as needed.
  • Plan and organize tasks and resources, set priorities, measure progress, take corrective action, and achieve established objectives.
  • Oversee office operations, outside service selection and contract management, and branch and team performance.
  • Monitor patient-care quality, ensure accurate and timely service documentation, process emergency calls and assistance requests, 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 marketing and public information materials and activities are accurate.
  • Provide a safe environment; 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, ensuring employees understand their roles.
  • Manage financial resources prudently, complete financial reviews and budget worksheets on schedule, monitor and justify budget variances, 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 levels.
  • Recommend space and other resources needed to provide services.
  • When a Registered Nurse, may perform 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.
  • 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 (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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