Gentiva

RN Executive Director Specialist

Overview

Expand Access. Lead Markets. Transform Care.

We are seeking a RN Executive Director Specialist – Hospice to join our leadership team. This role acts as the administrator on call and is responsible for the overall operation of assigned markets, including the employment of qualified hospice staff and the delivery of high-quality services across multiple sites. The Executive Director Specialist RN will provide leadership and stability by filling in across markets, ensuring consistent compliance, quality, and patient care standards.

What You’ll Do as Executive Director Specialist – RN:

  • Serve as the Administrator on record at assigned hospice agencies

  • Oversee the day-to-day operations including staffing, compliance, patient services, and performance improvement

  • Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards

  • Lead, coach, and support hospice care teams to meet patient-centered goals

  • Manage operational budgets with full P&L responsibility

  • Collaborate with cross-functional leaders to ensure smooth transitions and sustainable team performance

  • Travel up to 100% throughout the region to provide onsite leadership

About You

Qualifications – What You’ll Bring:

  • Registered Nurse (RN) with current license in the state of residence

  • 3–5 years of leadership or sales/management experience, preferably in hospice or healthcare

  • Experience with Medicaid/Medicare regulations and reimbursement

  • Strong understanding of hospice operations and regulatory compliance

  • Able to work independently and travel frequently

  • Effective communicator with strong decision-making and time management skills

  • Highly proficient with technology and digital platforms

  • Demonstrates professionalism, integrity, and commitment to quality care

Preferred Experience (Not Required):

  • Bachelor’s degree in nursing or related field preferred; equivalent experience accepted

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)

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: 2026-145666
Category: Single Site Ops and Clinical Leadership
Position Type: Full-Time
Company: Gentiva

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

WesleyLife

Assistant Director of Nursing (ADON), RN

Join WesleyLife and Help Revolutionize the Aging Experience! A Typical Day for an Assistant Director of Nursing (ADON): Collaborate with the Director of Nursing (DON) for overall nursing leadership within our 54-bed Health Center. Evaluate the quality of resident care, monitor compliance with current laws, process improvements and assist in implementing best practices. Orienting, training and supervision of team members. Assist in resident evaluations, and serve as a liaison for team member shift transitions. Work with Director of Nursing and other leadership team members on quality assurance performance monitoring. Participate in surveys and inspections by various government agencies and more! Qualifications: Licensed Registered Nurse (RN) in the State of Iowa, graduate of an accredited School of Nursing. Minimum 3–5 years of nursing experience, preferably in a geriatric or long-term care setting. Knowledgeable of state and federal regulations, quality assurance, compliance, and clinical practices. What We Offer You: Comprehensive Benefits Package: Including health care, vision, dental, and 401(k). Free wellness center memberships and cash incentives for healthy habits Voluntary benefits including life, accident, and critical illness coverage Scholarship Assistance, Educational Discounts & Tuition Reimbursement Ready to make a difference? Apply today! WesleyLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all team members. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. As part of your pre-hire screening process you will be required to complete a pre-hire health assessment and 4 panel drug screen.
WesleyLife

Assistant Director of Nursing, RN

Join WesleyLife and Help Revolutionize the Aging Experience! Essential Job Functions & Responsibilities Plan, develop, oversee, and assist with all staffing schedules for the households. Provide input/develops performance evaluations and recommends actions on employee complaints, resolution, terminations, etc. Develop, maintain, and update written policies and procedures that govern the day-to-day nursing operations of the health center in coordination with Director of Nursing. Make written and oral reports/recommendations to the Director of Nursing as necessary/required, concerning the operation of the nursing staff. Assist in the evaluation of the health care services needed for each resident relative to the level of lifestyle accommodations. Communicates and counsels with residents and family members regarding potential problems, needs, and care plans as appropriate. Serves as a liaison for staff transitions from shift to shift and promotes cooperation between departments. May provide oversight of MDS transmission and completion. Participate in community surveys, inspections, etc. made by authorized government agencies. Oversee infection control programs and reporting. Work with Director of Nursing and other leadership team members on quality assurance performance monitoring. Works with and oversees restorative nursing in coordination with Wellness Director and Director of Nursing. Provide leadership to the team in absence of the DON. Perform other duties as instructed by the Director of Nursing. Education & Experience Graduate of an accredited School of Nursing plus have a minimum of three - five years experience in nursing administration in a geriatric setting. Must possess a current license to practice as a Registered Nurse in the State of Iowa. Knowledgeable in nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care. Strong supervisory and leadership skills to develop/supervise nursing personnel in a team environment. Community Location: 1015 S Iowa Ave, Washington, IA 52353 Compensation & Flexibility: The salary rate will be based on years of experience. Ready to Make a Difference? WesleyLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all team members. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. As part of your pre-hire screening process you will be required to complete a pre-hire health assessment and 4 panel drug screen.
Summit BHC

Director of Nursing- SUD

Director of Nursing- SUD | St. Gregory Recovery Center | Bayard, Iowa About the Job: PURPOSE STATEMENT: The Director of Nursing is responsible and accountable for providing professional nursing care to clients. Directs, plans, coordinates, monitors and supervises the effective and efficient use of the operations of nursing and the safe delivery of behavioral health/nursing services with a positive, empathetic, and professional attitude. Ensures the development, implementation, and evaluation of policies, programs, and services consistent with the facility’s strategic goals and objectives. Roles and Responsibilities: ESSENTIAL FUNCTIONS: Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and client centered care. Manages the daily operations of nursing services. Identifies and prioritizes issues of importance, including those priority issues as set by leadership. Collaborates with department leaders and corporate leaders, as needed. Communicates instructions, expectations and timelines clearly and concisely. Develops, maintains and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations. Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of client acuity/care needed. Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing. Maintains productivity levels that are aligned with client census, curtailing unnecessary overtime and/or excessive staff work hours. Manages staff scheduling and maintains an updated plan for contingency staffing. Maintains accountability expectations for self and staff in all areas of job performance. Engages staff in quality and safety basics to ensure sustained, measurable compliance. Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff. Holds staff accountable for non-compliance and client safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct. Oversees medication management for the facility. Orders and maintains adequate inventory of medication. Ensures compliance with medication management standards and record keeping. Implements corrective actions based on pharmacy consultant inspection of medication rooms and medication management processes. Reviews and reconciles medication reports in collaboration with the pharmacy vendor. Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion. Makes nursing diagnosis of the medical and emotional status of clients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Provides overall supervision of client assessments and care plans. Coordinates nursing services with all other departments. Participates in daily or weekly management team meetings to discuss client’s status, identify indicators for reassessment of client’s condition, reaction/responsiveness and involvement of other disciplines. Discusses census changes, client or staff complaints or concerns. Establishes, implements and oversees the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections. Collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all client’s physical, biopsychosocial, age, developmental and cultural needs are met. Develops and implements health care related training that assures the best possible delivery of health-related supports and services. Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development. Maintains adequate and appropriate inventory of supplies and equipment for the provision of client services. Oversees the maintenance of client clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance. Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey. Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/client safety issues in conjunction with Risk Management. May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed. Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes. Assumes client care assignment in emergency situations as needed. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing required. Master’s degree in psychiatric or mental health nursing preferred. If not MSN, you must enter into a nursing consultation agreement with a master’s level nurse for supervision per state requirement. Three or more years’ experience in nursing practice required. One or more years’ psychiatric or behavioral health experience required. Skills in assessment, considerable knowledge of nursing principles and practice, staffing, budgeting, employee management, regulatory requirements and documentation of care; ability to meet regulatory requirements. LICENSES/DESIGNATIONS/CERTIFICATIONS: Valid current RN license from the state or from a compact state, where applicable. Certified in Psychiatric Nursing preferred. CPR certification and de-escalation training required (training available upon hire and offered by facility). First aid may be required based on state or facility. WORK LOCATION: This position is onsite at the facility and is not a remote position. SUPERVISORY REQUIREMENTS: Two or more years progressive managerial experience required. Why St. Gregory Recovery Center?St. Gregory Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. St. Gregory Recovery Center is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
WesleyLife

Assistant Director of Nursing (ADON), RN

Join WesleyLife and Help Revolutionize the Aging Experience! As the Assistant Director of Nursing (ADON) with Hearthstone, you will: Collaborate with the DON for overall nursing leadership within our Long-Term Care and Skilled households Provide ongoing training, support and supervision to employees Assist in the evaluation of the health care services needed for each resident Assist with oversite of staffing schedules Schedule and conduct in-service meetings for staff Prepare and participate in surveys and inspections made by authorized government agencies Partner with the DON for nursing operation efficiencies Oversee infection control program and reporting Communicate with physicians, family members, etc. regarding resident status as appropriate Participate in quality improvement activities Audit skills of nursing staff Qualifications: Licensed Registered Nurse (RN) in the State of Iowa, graduate of an accredited School of Nursing Minimum 3–5 years of nursing experience, preferably in a geriatric or long-term care setting Knowledgeable of state and federal regulations, quality assurance, compliance, and clinical practices Strong supervisory and leadership skills to develop/supervise nursing personnel in a team environment Highly organized, able to manage multiple priorities, and skilled in effective delegation What We Offer We know a great career is about more than just a paycheck — it's about belonging, growth, and making a difference. At WesleyLife, we provide: Compensation & Flexibility: The starting pay rate will be based on years of experience. DailyPay Access: Get paid when you need it — instantly access your earnings before payday Flexible Scheduling: We work with your needs and schedule Health & Wellness: Comprehensive Benefits Package: Including health care, vision, dental, and 401(k). Free wellness center memberships and cash incentives for healthy habits Voluntary benefits including life, accident, and critical illness coverage Education & Career Growth: Scholarship Assistance: Up to $3,000/year Tuition Reimbursement: Up to $1,500/year Educational Discounts: 18% off tuition at Purdue University Global Ongoing leadership training and development pathways Extra Perks: Referral Bonus Program — bring your friends and earn rewards Recognition and appreciation programs that highlight your impact A workplace culture that prioritizes respect, teamwork, and support Why Choose WesleyLife? At WesleyLife, you're not just starting a job — you're joining a purpose-driven community where your well-being, growth, and impact truly matter. With nearly 80 years of excellence in serving older adults, we empower our team members to thrive while making meaningful connections and changing lives every day. WesleyLife is proud to be recognized as one of Senior Care’s Best Places to Work by WeCare Connect! We’re committed to a workplace where every team member is seen, heard, and appreciated. Ready to Make a Difference? We’re excited to meet people who share our passion for service, wellness, and community. Apply today and help us continue to revolutionize the aging experience — the WesleyLife Way. WesleyLife believes in welcoming all people to our team and is an equal opportunity employer. Because of our commitment to your health and well-being, you will be required to successfully complete a pre-hire health assessment, drug screen, and tobacco screen. #PR1
Azria Health Winterset

Assistant Director of Nursing, ADON

LOCATED 30 MINUTES WEST OF DES MOINES We are looking for a results orientated Assistant Director of Nursing (ADON), with strong leadership interpersonal and communication skills to exercise administrative and functional supervision over nursing personnel as directed by the Administrator. The successful applicant will have strong leadership and supervisory skills, and enjoy working with the elderly. The Assistant Director of Nursing aides the DON in planning, organizing, developing, and directing the overall operation of the Nursing department to ensure the highest degree of quality resident care in accordance with all applicable laws, regulations and standards. Must be currently licensed Registered Nurse (RN). Must maintain an active Registered Nurse (RN) license in good standing throughout employment. Must have supervisory experience in a long-term care setting. Must have strong leadership skills and be able to lead a team of nursing staff, as well as help foster a team atmosphere with the nursing division Must be able to teach and lead by example on all shifts Liaisons with residents, families, support departments, etc. to adequately plan for resident needs Must be knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the long term care facility. Must have the ability to implement and interpret the programs, goals, objectives, policies, and procedures of the department Must be very knowledgeable in state reporting and developing and implementing plan of corrections Must understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism in all things EOE Job Type: Full-time We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.