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 a culture of compassion, respect, and integrity while meeting organizational goals, regulatory standards, and community needs. Areas of responsibility include team leadership and development, clinical quality, 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. This position oversees operational performance and sustainable census growth; supports compliance, continuous quality improvement, and employee education; manages staffing, performance, safety, and office operations; and monitors budgets, expenses, and service quality. The role is based in an office environment, with occasional travel to patients’ homes or institutional settings. A Registered Nurse may also 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.
Current license to practice nursing in the state of requested employment, if applicable.
CPR certification.
Current automobile insurance and a valid driver’s license.
Ability to operate a computer, facsimile equipment, copier, and cell phone effectively.
Must have and maintain transportation for work.
Sensitivity to the needs and feelings of terminally ill patients and their families, including after a patient’s death.
Ability to adapt to a variety of tasks and changing priorities while maintaining efficiency and composure.
Ability to communicate effectively with people from all socioeconomic backgrounds and influence opinions, attitudes, or judgments.
Ability to make generalizations, evaluations, or decisions using sensory or judgmental criteria.
Demonstrated patient advocacy, maturity, cooperation, flexibility, and tact in the workplace and with hospice team members.
Organizational and leadership abilities; knowledge of terminally ill patients, 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, and ACHC), human resources, and management principles.
Must meet 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 and continuous quality improvement, using statistical and qualitative information to manage quality.
Promote and monitor compliance with accrediting, licensing, regulatory, and legal requirements, and ensure policies and procedures are followed.
Recommend and implement policies and procedures developed by the Administrator and Governing Body.
Keep current with relevant trends, developments, and technologies through self-development and education, and share pertinent information with employees.
Manage human resources, including recommending staffing levels, selecting, supervising, and evaluating interdisciplinary team members in collaboration with the Administrator, and determining employee qualifications and competence.
Collaborate with the Administrator and organizational leaders on goals and performance standards; monitor progress, complete timely evaluations, and take and document appropriate disciplinary action.
Assign work based on employees’ abilities and limitations and ensure fair workload distribution.
Promote positive communication, keep employees informed, conduct and document staff meetings, and remain available to employees.
Provide or arrange orientation, in-service training, continuing education, and educational programs for employees, volunteers, contract personnel, and outside agencies as appropriate.
Manage office operations and direct multiple teams at the assigned location when applicable.
Plan and organize tasks and resources to meet strategic goals, establish priorities, monitor progress, and take corrective action when needed.
Assess branch, department, and team performance; review situations and relevant information to make informed decisions and achieve objectives.
Participate in selecting outside service providers and maintain contracts for vendor and provider services in collaboration with the Administrator.
Ensure service documentation is accurate and timely, monitor and supervise patient-care quality, process emergency calls, and assist with patient problem-solving 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.
If a Registered Nurse, perform routine patient visits in homes or institutional settings and/or participate in the on-call schedule when requested.
Provide a safe environment for patients, visitors, customers, and employees; investigate and report 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 and incorporate safety topics into staff meetings.
Review safety policies and procedures, including the Emergency Preparedness Plan, and ensure employees understand their safety responsibilities.
Manage financial resources prudently, complete scheduled financial reviews and budget worksheets, monitor and justify variances, and seek cost reductions without compromising quality.
Control overtime and temporary personnel in collaboration with the Administrator, except when justified by increased volume or reduced staffing.
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 and spine concierge care, for full-time associates.
Education support and tuition assistance for 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 pet, critical illness, accident, and long-term care benefits for full-time associates.