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Hospice RN Executive Director I

Gentiva Hospice•Stockbridge, MA

About The Position

The RN Hospice Executive Director I 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 and 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 communication and relationship-building with the Governing Body, referral partners, and the community. The Executive Director is accountable for clinical quality, operational performance, and sustainable census growth. The role oversees personnel and office operations, monitors compliance and patient-care quality, manages financial resources and budgets, and works with the Administrator and corporate leadership to establish and achieve goals. The position may include routine patient visits or participation in an on-call schedule, but only when the employee is a Registered Nurse. This is a safety-sensitive position.

Requirements

  • Registered Nurse with at least an 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 applicable state-specific requirements for the Administrator role when functioning as the Alternate or Interim Administrator.
  • Strong understanding of hospice regulations, compliance, and Medicare conditions of participation.
  • Demonstrated ability to manage teams, budgets, and interdisciplinary operations.
  • Exceptional communication, organizational, and leadership skills.
  • Commitment to high-quality, compassionate care for patients and families.
  • Current license to practice nursing in the state of employment, if applicable.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.

Nice To Haves

  • Bachelor’s degree 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

  • Lead the assigned hospice program and interdisciplinary teams, overseeing clinical quality, operational performance, and sustainable census expansion.
  • Promote excellence and continuous quality improvement, using statistical and qualitative information to manage quality.
  • Promote and monitor compliance with accreditation, licensing, regulatory, state, and federal requirements; ensure policies and procedures are followed.
  • Remain 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 by the Administrator and Governing Body to guide service delivery.
  • 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 to establish performance goals and standards, monitor progress, complete timely performance evaluations, and address disciplinary situations in accordance with policy.
  • Make appropriate employee assignments and promote fair, consistent workload distribution.
  • Manage office operations, direct multiple teams where applicable, plan tasks and resources, set priorities, monitor progress, and take corrective action as appropriate.
  • Collaborate with the Administrator on selection and management of outside vendors and service providers, including contract management.
  • Assess branch, department, and team performance and ensure accurate, timely documentation of services.
  • 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 service-area market opportunities and help ensure the accuracy of marketing and public-information materials and activities.
  • Provide a safe environment for patients, visitors, customers, and employees; investigate and document incidents, 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 procedures, including the Emergency Preparedness Plan, ensuring employees understand their roles.
  • Manage financial resources prudently, complete financial reviews and budget worksheets on schedule, monitor budget variances, control overtime and temporary staffing in collaboration with the Administrator, and seek cost reductions without compromising quality.
  • Anticipate resource needs and recommend space and other resources for required services.
  • May perform routine visits to patient homes or institutional settings and/or participate in the on-call schedule, if a Registered Nurse.

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.
  • 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, for full-time associates.

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