Hospice RN Executive Director III

Overview

Lead with Compassion. Serve with Purpose. Transform Hospice.

We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management.

If you’re a natural leader who is passionate about patient-centered care, team development, and clinical excellence, we invite you to bring your talent to a place where you can truly make a difference.

The Executive Director RN III provides strategic leadership and operational oversight for assigned Hospice location, with a large-scale, high-capacity census. This role will oversee and lead the day-to-day operations, including managing and directing interdisciplinary teams, ensuring the delivery of high-quality and patient-centered care, fostering a culture of compassion, respect and integrity to meet business and organizational goals, regulatory standards, and community needs. Responsibilities include leadership and development, financial performance, community outreach, human resources, office operations and communication and relationship building with the Governing Body, referral partners, the community. In this role, the Administrator ensures assigned Hospice location delivers outstanding service, while upholding the company’s mission, vision and values.

Essential Functions

Provides leadership for a large hospice program, accountable for clinical quality, operational performance, and balanced, sustainable census growth.
Demonstrates a commitment to excellence through focusing on quality care and/or service.
Incorporates continuous quality improvement principles in day-to-day activities.
Uses statistical and qualitative information to manage quality.
Requires employees to exhibit technical knowledge and effective skill education related to their job.
Promotes and monitors compliance with requirements and standards established by accrediting or licensing agencies, regulatory agencies and state or federal law relevant to areas of responsibility.
Ensures that policies and procedures are followed.
Accepts responsibility for remaining current in the latest trends, developments and technologies relative to area of work by: Actively pursuing self-development, attending in- services, and circulating relevant information to appropriate employees.
Recommends and implements policies and procedures, which have been developed by the Administrator and Governing Body that guide and support the provision of services.
Manages Human Resources effectively.
Shows consistency between words and actions.
Promotes positive communications and keeps employees informed of changes by ensuring meetings with appropriate staff are conducted and documented. Is available to employees when issues arise.
Promotes/provides for core orientation, at the direction of the Administrator, plus location and job specific orientation, in service training and continuing education for employees, volunteers and contract personnel.
Conducts educational programs for outside agencies as deemed necessary.
Recommends a sufficient number of qualified and competent persons to provide services. Responsible for the selection, supervision, and evaluation of interdisciplinary team members in collaboration with the Administrator.
Collaborates with the Administrator, Corporate leadership and employees to establish goals and standards for performance; reviews and monitors progress regularly and redirects efforts where goals are not being met.
Determines qualifications and competence of employees, in collaboration with the Administrator.
Completes all performance evaluations in collaboration with the Administrator prior to due date.
Takes appropriate and timely action in disciplinary situations in collaboration with the Administrator; documents actions taken in accordance with policy.
Makes appropriate assignments among employees in accordance with their personal abilities and limitations; ensures fair and consistent workload distribution.
Manages Office Operations effectively
Directs the multiple teams of the assigned location, if applicable.
Plans and organizes tasks and resources to achieve strategic goals and objectives.
Consistently demonstrates the ability to recognize, establish and deal with priorities.
Measures progress towards set goals; takes corrective action on projects, as appropriate. Considers the impact of department/location decisions on the overall functioning of the provider, the company and its hospice affiliates.
Reviews and analyzes facts of a situation when developing a plan of action; considers all relevant information to make the most informed decision possible.
Achieves predetermined objectives and goals.
Participates in selecting outside sources for needed services in collaboration with the Administrator.
Ensures contract management is maintained for services from outside vendors/providers in collaboration with the Administrator.
Assesses and improves branch/department performance as well as individual team's performance.
Ensures documentation of services is accurate and timely.
Monitors and supervises quality of patients' care of assigned location(s). Processes emergency calls and requests for assistance.
Assists with problem solving for patients in all settingsPrepares, monitors, and reviews monthly bills, supply costs, expense requests, mileage reimbursement, payroll and other expenses.
Makes recommendations for service area regarding market opportunities for new programs or service.
Ensures accuracy of marketing materials, public information materials and activities in collaboration with the Administrator.
May be asked to perform routine visits to patient homes or institutional setting and/or participate in on-call schedule (only if a Registered Nurse).
Provides a safe environment for patients, visitors, customers and employees.
Investigates and completes detailed reports of any incidents/accidents, grievances, complaints, medication errors and other problems within the time frames established by policy, and implements corrective and/or preventive action immediately in collaboration with the Administrator.
Works with physicians, patients, families, staff and others regarding problems, needs and concerns.
Responsible for supervision and evaluation of family satisfaction surveys in collaboration with the Administrator.
Incorporates safety topics into staff meetings.
Regularly reviews safety policies and procedures (to include the Emergency Preparedness Plan); ensures that all employees are oriented to and understand their role in safety policies and procedures.
Manages Financial Resources prudently and effectively.
Completes financial reviews in collaboration with the Administrator on recommended schedule.
Budget worksheets are completed and submitted by scheduled deadlines.
Annual expenditures are within annual budget except where variances are volume driven and have been approved.
Resource needs are anticipated and budgets are planned to meet those needs within known parameters.
Budget variances are justified on a regularly scheduled basis. Continually seeks ways to reduce costs without affecting quality.
Controls use of overtime and temporary personnel, in collaboration with the Administrator, except when justified by increased volume or decreased staffing levels.
Recommends space and other resources for needed services.

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. (Refer to State Specific Addendum for more information)

Education:
Registered Nurse with minimum of associate’s degree in nursing required
Bachelor’s degree in Nursing (BSN) from an accredited school of nursing preferred.
Master’s degree in business, nursing or related field preferred
Experience:
Minimum one year management/supervisory experience required.
Two or more years’ experience in hospice/home care required (if also functioning as the Clinical Nursing Supervisor for the office location).
Meets all state-specific requirements for the Administrator role (if functioning as the Alternate or Interim Administrator).
Three years’ experience in direct patient care in a clinical setting preferred.
Three to five years healthcare sales/ management experience preferred.
Licenses, Certifications and/or Registration:
Current license to practice nursing in the state of requested employment, if applicable
CPR Certification
Current automobile insurance and valid driver’s license
Equipment/Tools/Work-Aids: Must be able to effectively operate computer, facsimile equipment, copier and cell phone. Must have and maintain transportation to be used for work.
Personal Traits, Qualities and Aptitudes:Sensitivity to feelings of the terminally ill and their families before and after patient’s death. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Influence people in their opinions, attitudes or judgments about ideas or things. Make generalizations, evaluations or decisions based on sensory or judgmental criteria. Display evidence of patient advocacy. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team.
Specialized Knowledge and Skills:Organizational and leadership abilities; knowledge of terminally ill patients and their families along with understanding of hospice concept; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource), management principles.
Working Conditions:Office environment. Occasional travel to patient’s homes and/or institutional setting. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

Competitive Pay
401(k) with Company Match
Career Advancement Opportunities
National & Local Recognition Programs
Teammate Assistance Fund

Additional Full-Time Benefits:

Medical, Dental, Vision Insurance
Mileage Reimbursement or Fleet Vehicle Program
Generous Paid Time Off + 7 Paid Holidays
Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
Free Continuing Education Units (CEUs)
Company-paid Life & Long-Term Disability Insurance
Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Apply Now:

If you’re an experienced Hospice RN leader looking for your next challenge, we want to hear from you. Join a team that values compassion, leadership, and meaningful work—when life matters most.

Legalese

This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet state specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace

ReqID: 2026-141101
Category: Single Site Ops and Clinical Leadership
Position Type: Full-Time
Company: Gentiva Hospice

Share this job

Related Jobs

Hospice

Full-time

3 months ago

Registered Nurse, RN

NHC Big Stone Gap, VA

$70,000 - $73,000 / year

Position: Registered Nurse, RN Pay: $70000 - $73000 Depending On Experience Caris Healthcare RN provides nursing care to patients per the physician’s orders. The hallmarks of this position are assessing, planning, implementing, and evaluating total patient care and nursing care plans for each patient. Caris Healthcare’s mission is to provide hospice care with grace. Serving patients throughout the Southeast region, we support our team members, patients and their families with compassion, accountability, respect, integrity and service. If you are ready for a rewarding career with a company that offers employees a culture of integrity and excellence, consider joining the Caris Healthcare team At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide. Benefits include: Competitive Salary Bonus Eligibility Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Responsibilities Assess, monitor, and document patient’s symptoms using required software symptoms Collaborate with patient, family, partners, and interdisciplinary team to develop individualized plans of care for patients Serve as patient advocate, providing information on patient rights, grievance procedures, reimbursement procedures, and patient/family responsibilities Observe and evaluate patient’s physical and emotional status, safety factors, and family dynamics to determine education needs for caregivers Supervise, evaluate, and direct aides and licensed practical nurses in accordance with guidelines and regulations. Participate in on-call rotating schedule and provide back-up assistance as requested Qualifications Must be a Registered Nurse licensed in the state of operation. Nursing experience required, with experience in Hospice or Home Health preferred. Must possess a sound knowledge of nursing principles, procedures and elements of patient family teaching. If you see yourself a good fit and want to join our team apply today! Caris is an affiliate of NHC. Caris / NHC is an Equal Opportunity Employer.

Hospice

Part-time

2 months ago

Case Manager Registered Nurse- Part-time or PRN

NHC Johnson City, TN

$70,000 - $73,000 / year

Position: Registered Nurse, RN Pay: $70,000 - $73,000 yearly Depending on Experience Caris Healthcare RN Case Manager provides nursing care to patients per the physician’s orders. The hallmarks of this position are assessing, planning, implementing, and evaluating total patient care and nursing care plans for each patient. As an RN Case Manager, you are responsible for managing the total plan of care for each patient on your caseload. Caris Healthcare’s mission is to provide hospice care with grace. Serving patients throughout the Southeast region, we support our team members, patients and their families with compassion, accountability, respect, integrity and service. If you are ready for a rewarding career with a company that offers employees a culture of integrity and excellence, consider joining the Caris Healthcare team At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide. Benefits include: Competitive Salary Bonus Eligibility Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Responsibilities Assess, monitor, and document patient’s symptoms using required software symptoms Collaborate with patient, family, partners, and interdisciplinary team to develop individualized plans of care for patients Serve as patient advocate, providing information on patient rights, grievance procedures, reimbursement procedures, and patient/family responsibilities Observe and evaluate patient’s physical and emotional status, safety factors, and family dynamics to determine education needs for caregivers Supervise, evaluate, and direct aides and licensed practical nurses in accordance with guidelines and regulations. Participate in on-call rotating schedule and provide back-up assistance as requested Qualifications Must be a Registered Nurse licensed in the state of operation. Nursing experience required, with experience in Hospice or Home Health preferred. Must possess a sound knowledge of nursing principles, procedures and elements of patient family teaching. If you see yourself a good fit and want to join our team apply today! Caris HealthCare is an affiliate of NHC. EOE

Hospice Patient Care RN Manager

Gentiva Johnson City, TN

Overview Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams. We are seeking a dedicated Patient Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery of high-quality, compliant hospice services. This leadership role involves managing clinical operations, coordinating care, and developing staff to uphold the highest standards of patient care and regulatory compliance. As a Hospice Patient Care Manager, You Will: Oversee and direct patient care services to ensure the delivery of high-quality hospice care Manage visit scheduling, including reassigned, missed, declined, or rescheduled visits—making decisions based on clinical judgment and priority Triage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner Lead or facilitate Interdisciplinary Group (IDG) meetings, including presenting patient updates, reviewing charts, coordinating care plans, and documenting minutes Serve as a mentor, trainer, and clinical support to associates, supporting development, performance, and compliance Ensure all care delivery meets federal, state, and local regulatory standards, as well as company policies and procedures Support performance improvement initiatives, quality assessments, and operational efficiencies within your location About You Qualifications – What You’ll Bring: Current RN license in the state of employment Graduate of an accredited nursing program Minimum of 3 years of direct patient care experience, including 2 years in a hospice or home-based care setting Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid, JCAHO, ACHC) Knowledge and compassion for terminally ill patients and their families Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds Strong interpersonal, organizational, and leadership skills Competency in clinical documentation and technology systems Preferred Qualifications (Not Required): Bachelor of Science in Nursing (BSN) Previous leadership, team management, or supervisory experience in hospice or home health Familiarity with EMR systems and telehealth platforms Certification in Hospice and Palliative Nursing (CHPN) We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply today and help us lead the way in delivering hospice care that truly matters. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-144897 Category: Single Site Ops and Clinical Leadership Position Type: Full-Time Company: Gentiva Hospice

Home Health

Full-time

5 days ago

Registered Nurse Home Health

UnitedHealthcare Johnson City, TN

$67,905 - $101,857 / year

Explore opportunities with Amedisys, part of the Optum family of businesses . We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together . As a Nurse Case Manager, you will guide patients and families through the care continuum by assessing needs, coordinating care, supporting discharge and transition planning, and managing ongoing outpatient care. Under the supervision of an RN or MD, you will help ensure patients receive the appropriate level of care; provide education, coaching, and treatment-decision support; and collaborate with a Care Advocate and Social Worker. Primary Responsibilities: Performs patient assessments and collaborates with the care team to develop and implement a plan of care Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so Promotes patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques Supervises LPNs and HHAs Completes documentation timely and accurately Regularly communicate patient progress to the clinical manager and care team Plans and provides staff education Performs on-call responsibilities and on-call services to patients/families as assigned Participates in clinical development and continuing education programs Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current RN license, specific to the state(s) you are assigned to work Current CPR certification 1+ year of clinical experience as a Registered Nurse (RN) Valid driver's license, access to reliable transportation and liability insurance Pay Range $67,905 - $101,857 annual total cash target pay $39.18 - $58.76 per visit point $32.65 - $48.97 hourly rate Annual total cash compensation for this role assumes full-time employment (40 weekly hours) at full productivity and generally follows the range above. Total cash compensation includes earnings from per visit point pay and hourly pay and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. This role receives two types of compensation depending on the work being performed. When conducting visits, you will be paid per visit point rate compensation. Your per visit pay will be calculated by multiplying your per visit point rate by the productivity points you accrue for various types of visits. Each type of visit is assigned a certain number of productivity points that is inclusive of 'direct' and 'indirect' patient care activities. Visits are assigned based on patient and business needs. The number of visits performed each week will vary based on individual productivity targets and the productivity points assigned to the visits performed. You will be paid your hourly rate for certain non-visit activities such as orientation. We comply with all minimum wage laws as applicable. In addition to your pay, we offer benefits such as, a comprehensive benefits package, recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives. UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Full-time

1 month ago

Director of Nursing/Wellness Director-Johnson City

American House Senior Living Communities Johnson City, TN

: Director of Nursing/ Wellness Director Position Summary: The Wellness Director plays an integral role in upholding American House’s mission to enrich the lives of those we serve. Our Wellness Directors supervise, educate, direct and support all Wellness team members. This is a leadership position within the community and serves as manager on duty in the absence of the Executive Director. Duties/Responsibilities: Overall implementation, delivery, and coordination of resident services at the community. Carry out supervisory responsibilities of all wellness team members in accordance with American House's policies and procedures. These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Coordinate, along with the Executive Director, family/resident care conferences and serve as a direct liaison between residents, families, and staff. Assess/evaluate potential residents for Assisted Living/Memory Care level of care utilizing assessment tool. This may involve assessing/evaluating potential residents in their home or another healthcare setting. Ensure compliance with all state regulatory requirements including mandatory reporting to State Regulatory Body. Ensure that all incident reports are completed, filed, and that follow-up is conducted appropriately. Completing investigations as needed for all complaints, grievances, and incidents, and working with the Executive Director concerning appropriate responses and corrective actions. Ensure that all staff follows established safety regulations, including fire protection, infection control, blood borne pathogens, hazardous waste, and quality assurance programs. Maintain compliance with state regulations and policies for medication administration including oversite of medication management, validation of timeliness and completeness of medication records, completing required responsibilities for Medication Aide programs via supervision, delegation, training, and ongoing competency checks, where applicable. Provide marketing support within the community by participating in tours and discussions with potential residents and their families about wellness offerings and clinical needs of the prospect. Maintain high level confidentiality of all information related to the role Create positive employee relations through staff appreciation programs, recognition of excellent performance, and retention through regular feedback systems and promotional incentive programs. Monitor licensure and certification compliance for all Wellness staff. Provide written and oral reports to the Executive Director and Regional Wellness Director concerning the operation of the Wellness Department. Lead coordination of health care services with other third-party providers to ensure continuity of care. Collaborate with the Executive Director for budget, equipment, and supplies needs. Required Skills/Abilities: 3 years of management experience in healthcare or service-related setting Physiological and psychological knowledge related to gerontology Ability to have reliable transportation to perform offsite assessments and evaluations for prospective residents Preferred Skill/Abilities: Experience working with older adults and individual with memory loss Bachelor of Science in Nursing (BSN) Degree preferred Education and Requirements: Licensed Practical Nurse or Registered Nurse Must pass a pre-employment background check, drug screen, TB test and physical Physical and Mental Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Provide 24/7 on-call clinical support Ability to regularly stand, talk, bend, stretch, pull or push and lift items Ability to help others with daily activities including but not limited to; bathing, dressing/undressing, dining, exercising, etc. Ability to frequently communicate with residents, families, co-workers, etc. Must be able to exchange accurate information in given situations. Specific vision abilities required by this job include close vision, depth perception, and the ability to adjust focus. Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.