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Hospice RN Administrator I

Gentiva Hospice•Cincinnati, OH

About The Position

The RN Hospice Administrator 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 compassionate, respectful, and integrity-focused culture that meets organizational goals, regulatory standards, and community needs. Responsibilities span team leadership and development, financial performance, community outreach, human resources, office operations, and relationship-building with the Governing Body, referral partners, and the community. The Administrator is accountable for clinical quality, operational performance, and sustainable census growth, while upholding the company’s mission, vision, and values. The Administrator promotes compliance with applicable accreditation, licensing, regulatory, and legal requirements; implements policies and procedures in collaboration with the Governing Body; and oversees employee recruitment, supervision, evaluation, training, assignments, and performance management. The role also directs office operations, vendor and contract management, service documentation, patient-care quality, safety and incident response, family satisfaction monitoring, and financial planning and budget performance. The Administrator may be asked to conduct routine patient visits in homes or institutional settings and/or participate in an on-call schedule. Gentiva provides hospice, palliative care, home health care, and advanced illness management through nearly 600 locations across 38 states. The company describes its work as compassionate care delivered wherever patients call home, in a collaborative environment where achievements are recognized and kindness is celebrated.

Requirements

  • Registered Nurse with a minimum of an Associate’s Degree in Nursing.
  • At least one year of management or supervisory experience.
  • At least two years of experience in hospice or home care.
  • Meet all state-specific requirements for the Administrator role.
  • Current license to practice nursing in the state of requested employment, if applicable.
  • 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.

Nice To Haves

  • Bachelor’s degree in nursing (BSN) from an accredited school of nursing.
  • Three to five years of healthcare sales or management experience.
  • Three years of direct patient-care experience in a clinical setting.

Responsibilities

  • Provide hands-on leadership for a hospice program, with accountability for clinical quality, operational performance, and sustainable census expansion.
  • Promote quality care and continuous quality improvement; use statistical and qualitative information to manage quality.
  • Ensure compliance with accreditation, licensing, regulatory, state, and federal requirements, and ensure policies and procedures are followed.
  • Develop, recommend, and implement policies and procedures in collaboration with the Governing Body.
  • Keep current with trends, developments, and technologies through self-development and in-service participation, and share relevant information with employees.
  • Manage human resources, including recommending staffing levels, selecting, supervising, and evaluating interdisciplinary team members, determining employee qualifications and competence, and completing performance evaluations on time.
  • Provide employee orientation, in-service training, and continuing education; conduct educational programs for outside agencies when needed.
  • Communicate with employees, conduct and document staff meetings, keep employees informed of changes, and address employee issues.
  • Set goals and performance standards with the Governing Body, corporate leadership, and employees; monitor progress and redirect efforts when goals are not met.
  • Assign work based on employee abilities and limitations and ensure fair workload distribution; take and document timely disciplinary action when appropriate.
  • Direct location teams and plan and organize tasks and resources to achieve strategic goals and objectives.
  • Monitor progress toward goals, correct project issues, assess branch and team performance, and consider the effect of decisions on the company and its hospice affiliates.
  • Select outside service providers as needed and maintain contracts for vendor and provider services.
  • Ensure service documentation is accurate and timely; monitor and supervise patient-care quality at assigned locations.
  • 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.
  • Identify market opportunities for new programs or services and ensure marketing and public information materials and activities are accurate.
  • Maintain a safe environment for patients, visitors, customers, and employees; investigate and document incidents, accidents, grievances, complaints, medication errors, and other problems, and promptly 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.
  • Include safety topics in staff meetings and review safety policies and procedures, including the Emergency Preparedness Plan; ensure employees understand their safety responsibilities.
  • Manage financial resources, complete scheduled financial reviews and budget worksheets, monitor expenditures and variances, anticipate resource needs, and seek cost reductions without affecting quality.
  • Control overtime and use of temporary personnel except when justified by increased volume or reduced staffing; recommend space and other resources for needed services.
  • May conduct routine visits to patient homes or institutional settings and/or participate in an 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 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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