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Gentiva

In-home hospice, palliative, and health services

Hospice Registered Nurse Executive Director 1

Full-TimeDeadline 8/1/27
No salary listed
Junior, Mid
Bachelor's, Associate's
Chambersburg, PA, USA
In Person
Medical, Clinical & Veterinary

About the job

Requirements
  • The candidate must be a Registered Nurse with a minimum of an associate’s degree in nursing.
  • The candidate must have a minimum of one year of management or supervisory experience.
  • The candidate must have two or more years of experience in hospice or home care.
  • The candidate must meet all state-specific requirements for the Administrator role if functioning as the Alternate or Interim Administrator.
  • The candidate must have a strong understanding of hospice regulations, compliance, and Medicare conditions of participation.
  • The candidate must be able to manage teams, budgets, and interdisciplinary operations.
  • The candidate must hold a current license to practice nursing in the state of employment, if applicable.
  • The candidate must hold CPR certification.
  • The candidate must have current automobile insurance and a valid driver’s license.
Responsibilities
  • Provide hands-on leadership for a hospice program, with accountability for clinical quality, operational performance, and sustainable census expansion.
  • Incorporate continuous quality improvement principles into day-to-day activities.
  • Use statistical and qualitative information to manage quality.
  • Require employees to exhibit technical knowledge and effective job-related skill education.
  • Promote and monitor compliance with accrediting, licensing, regulatory, state, and federal requirements and standards.
  • Ensure that policies and procedures are followed.
  • Remain current with trends, developments, and technologies relevant to the area of work through self-development, in-service attendance, and circulation of relevant information.
  • Recommend and implement policies and procedures developed by the Administrator and Governing Body to guide and support service delivery.
  • Manage human resources effectively.
  • Promote positive communication and keep employees informed by ensuring that appropriate staff meetings are conducted and documented.
  • Provide core orientation, location- and job-specific orientation, in-service training, and continuing education for employees, volunteers, and contract personnel.
  • Conduct educational programs for outside agencies as needed.
  • Recommend sufficient qualified and competent personnel to provide services.
  • Select, supervise, and evaluate interdisciplinary team members in collaboration with the Administrator.
  • Collaborate with the Administrator, corporate leadership, and employees to establish performance goals and standards, monitor progress, and redirect efforts when goals are not met.
  • Determine employee qualifications and competence in collaboration with the Administrator.
  • Complete performance evaluations in collaboration with the Administrator before their due dates.
  • Take timely disciplinary action in collaboration with the Administrator and document actions according to policy.
  • Assign work according to employee abilities and limitations and ensure fair and consistent workload distribution.
  • Direct multiple teams at the assigned location, when applicable.
  • Plan and organize tasks and resources to achieve strategic goals and objectives.
  • Measure progress toward goals and take corrective action on projects when appropriate.
  • Review and analyze relevant facts when developing plans of action and making decisions.
  • Achieve predetermined objectives and goals.
  • Participate in selecting outside sources for needed services in collaboration with the Administrator.
  • Maintain contract management for outside vendors and providers in collaboration with the Administrator.
  • Assess and improve branch or department performance and individual team performance.
  • Ensure service documentation is accurate and timely.
  • Monitor and supervise the quality of patient care at assigned locations.
  • Process emergency calls and requests for assistance.
  • Assist with problem-solving for patients in all settings.
  • Prepare, monitor, and review monthly bills, supply costs, expense requests, mileage reimbursement, payroll, and other expenses.
  • Recommend service-area market opportunities for new programs or services.
  • Ensure the accuracy of marketing and public information materials and activities in collaboration with the Administrator.
  • Perform routine visits to patient homes or institutional settings and participate in the on-call schedule when requested and when serving as a Registered Nurse.
  • Provide a safe environment for patients, visitors, customers, and employees.
  • Investigate and complete detailed reports for incidents, accidents, grievances, complaints, medication errors, and other problems within policy time frames, and implement corrective or preventive action in collaboration with the Administrator.
  • Work with physicians, patients, families, staff, and others regarding problems, needs, and concerns.
  • Supervise and evaluate family satisfaction surveys in collaboration with the Administrator.
  • Incorporate safety topics into staff meetings.
  • Review safety policies and procedures, including the Emergency Preparedness Plan, and ensure employees understand their safety-related roles.
  • Complete financial reviews in collaboration with the Administrator according to the recommended schedule.
  • Complete and submit budget worksheets by scheduled deadlines.
  • Keep annual expenditures within the annual budget unless variances are volume-driven and approved.
  • Anticipate resource needs and plan budgets within known parameters.
  • Justify budget variances on a regular schedule and seek cost reductions without affecting quality.
  • Control the use of overtime and temporary personnel in collaboration with the Administrator, except when justified by volume or staffing changes.
  • Recommend space and other resources needed for services.
Desired Qualifications
  • A Bachelor’s degree in Nursing (BSN) from an accredited school of nursing is preferred.
  • Three years’ experience in direct patient care in a clinical setting is preferred.
  • Three to five years of healthcare sales or management experience is preferred.

About the company

Gentiva provides in-home hospice, palliative, and home health care across the United States through a national network. Care is delivered by clinicians and therapists in patients’ homes, including an Advanced Illness Management model for those not yet hospice-eligible. The company differentiates itself with an integrated at-home care platform and strategic acquisitions, such as ProMedica’s home health, palliative, and hospice operations. Its goal is to help patients stay at home, reduce avoidable hospitalizations, and support families and caregivers throughout the care continuum.

Company Size

5,001-10,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Atlanta, Georgia

Founded

2004

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Simplify Jobs

Simplify's Take

What believers are saying

  • Humana agreed in June 2026 to sell its remaining Gentiva stake for $900 million.
  • Gentiva signed the Addus Personal Care divestiture, sharpening focus on hospice and home health.
  • CMS included Gentiva facilities in FY2026 hospice compliance lists, sustaining Medicare visibility.

What critics are saying

  • The 2024 DOJ settlement imposed $19.4 million over ineligible hospice claims and kickbacks.
  • Another False Claims Act case triggers payer exclusions and cripples growth.
  • Hospice reimbursement scrutiny and survey risk threaten margins if CMS tightens enforcement in 2027.

What makes Gentiva unique

  • Gentiva runs 317 hospice locations across 35 states, with Texas and North Carolina anchors.
  • Its hospice, palliative, and home health mix spans end-of-life through recovery care.
  • The 2023 ProMedica integration added 4,000 employees and expanded the Heartland footprint.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Paid Holidays
  • Wellness Program
  • Professional Development Budget
  • Life Insurance
  • Disability Insurance
  • Commuter Benefits

Company News

Yahoo Finance
Jun 12th, 2026
Humana Reshapes Care Exposure With Gentiva Exit And Illinois Medicaid Win

Humana (NYSE:HUM) agreed to sell its minority stake in Gentiva for approximately US$900 million, exiting equity ownership in home health, palliative, and hospice care. The insurer was also selected as a winner in Illinois' Medicaid managed care program, adding a new state contract to its government focused portfolio. For a company centered on Medicare Advantage and other government backed insurance, these moves represent a meaningful repositioning of how Humana (NYSE:HUM) is exposed to care...