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Gentiva

In-home hospice, palliative, and health services

Hospice RN Executive Director 1

Full-TimeDeadline 10/8/27
$90k - $115k+ 401(k) match + Mileage reimbursement
Junior
Bachelor's, Associate's
St. Louis, MO, USA+2 moreMore locations: Springfield, IL, USA | Fairview Heights, IL, USA
In Person
Medical, Clinical & Veterinary

About the job

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 hospice or home care experience.
  • Meet all 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.
  • Proven ability to manage teams, budgets, and interdisciplinary operations.
  • Current license to practice nursing in the state of requested employment, if applicable.
  • CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • This is a safety-sensitive position.
  • Meet applicable state-specific requirements.
Responsibilities
  • Provide hands-on leadership for a hospice program, accountable for clinical quality, operational performance, and sustainable census expansion.
  • Focus on quality care and service, apply continuous quality improvement principles, and use statistical and qualitative information to manage quality.
  • Require employees to demonstrate technical knowledge and effective job-related skills; promote and monitor compliance with accrediting, licensing, regulatory, and legal standards; and ensure policies and procedures are followed.
  • Remain current in trends, developments, and technologies relevant to the work through self-development, in-service attendance, and circulation of relevant information to employees.
  • Recommend and implement policies and procedures developed by the Administrator and Governing Body to guide and support service delivery.
  • Promote positive communications, keep employees informed of changes, conduct and document staff meetings, and be available when employee issues arise.
  • Provide core orientation at the Administrator’s direction, as well as 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 a sufficient number of qualified and competent personnel; 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 being 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 employees’ abilities and limitations and ensure fair workload distribution.
  • Direct multiple teams at the assigned location, when applicable, and plan and organize tasks and resources to achieve strategic goals.
  • Set priorities, measure progress toward goals, take corrective action on projects, and consider the impact of location decisions on the provider, company, and hospice affiliates.
  • Review and analyze relevant information to develop action plans; achieve established objectives and goals.
  • Participate in selecting outside service providers and maintain vendor and provider contracts 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 patient-care quality at assigned locations, process emergency calls and assistance requests, and help solve patient problems in all settings.
  • Prepare, monitor, and review monthly bills, supply costs, expense requests, mileage reimbursements, payroll, and other expenses.
  • Recommend market opportunities for new programs or services in the service area; ensure marketing and public information materials and activities are accurate in collaboration with the Administrator.
  • Perform routine visits to patient homes or institutional settings and/or participate in the on-call schedule when requested, if a Registered Nurse.
  • Provide a safe environment for patients, visitors, customers, and employees.
  • Investigate and report incidents, accidents, grievances, complaints, medication errors, and other problems within policy time frames; implement corrective or preventive actions promptly in collaboration with the Administrator.
  • 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; review safety policies and procedures, including the Emergency Preparedness Plan, and ensure employees understand their safety responsibilities.
  • Complete financial reviews and budget worksheets in collaboration with the Administrator and by scheduled deadlines.
  • Keep annual expenditures within budget except for approved volume-driven variances; anticipate resource needs and plan budgets accordingly.
  • Justify budget variances on schedule and seek cost reductions without affecting quality.
  • Control overtime and temporary personnel use in collaboration with the Administrator, except when justified by volume or staffing levels; recommend space and other resources for needed services.
Desired Qualifications
  • A Bachelor’s degree in Nursing (BSN) from an accredited school of nursing.
  • At least three years of direct patient-care experience in a clinical setting.
  • Three to five years of healthcare sales or management experience.

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...