Hospice RN Administrator II

Lead with Compassion. Serve with Purpose. We have an exciting and rewarding opportunity for a leadership role in Vestavia, AL. This position 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 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.

About the role

The Administrator RN II provides strategic leadership and operational oversight for an assigned Hospice location with a mid-size census. This role oversees day-to-day operations, including managing and directing interdisciplinary teams, ensuring high-quality, patient-centered care, and fostering a culture of compassion, respect, and integrity to meet business goals, regulatory standards, and community needs. Responsibilities include leadership and development, financial performance, community outreach, human resources, office operations, and relationship building with the Governing Body, referral partners, and the community.

Responsibilities

• Provides leadership for a mid-sized 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.
• Promotes and monitors compliance with requirements and standards established by accrediting or licensing agencies, regulatory agencies, and state or federal law.
• Uses statistical and qualitative information to manage quality.
• Ensures employees exhibit technical knowledge and effective skill education related to their job.
• Ensures policies and procedures are followed.
• Accepts responsibility for remaining current in the latest trends, developments, and technologies by pursuing self-development, attending in-services, and circulating relevant information.
• Develops, recommends, and implements policies and procedures in collaboration with the Governing Body.
• Manages Human Resources effectively by promoting positive communications, keeping employees informed, and conducting meetings.
• Promotes/provides core orientation, job-specific training, in-service training, and continuing education for employees, volunteers, and contract personnel.
• Conducts educational programs for outside agencies as needed.
• Recommends a sufficient number of qualified and competent persons to provide services.
• Responsible for the selection, supervision, and evaluation of interdisciplinary team members.
• Collaborates with the Governing Body, corporate leadership, and employees to establish goals and standards for performance; reviews and monitors progress regularly.
• Determines qualifications and competence of employees.
• Completes all performance evaluations prior to the due date.
• Takes appropriate and timely action in disciplinary situations; documents actions taken in accordance with policy.
• Makes appropriate assignments among employees in accordance with their abilities and limitations; ensures fair and consistent workload distribution.
• Manages office operations effectively by directing multiple teams, planning and organizing tasks, and achieving strategic goals.
• Measures progress toward set goals; takes corrective action on projects as appropriate.
• Considers the impact of decisions on the overall functioning of the company and its hospice affiliates.
• Reviews and analyzes facts to make informed decisions.
• Achieves predetermined objectives and goals.
• Participates in selecting outside sources for needed services and ensures contract management for outside vendors/providers.
• Assesses and improves branch/department performance as well as individual team performance.
• Ensures documentation of services is accurate and timely.
• Monitors and supervises quality of patient care.
• Processes emergency calls and requests for assistance.
• Assists with problem-solving for patients in all settings.
• Prepares, monitors, and reviews monthly bills, supply costs, expense requests, mileage reimbursement, payroll, and other expenses.
• Makes recommendations for market opportunities for new programs or services.
• Ensures accuracy of marketing materials, public information materials, and activities.
• Provides a safe environment for patients, visitors, customers, and employees.
• Investigates and completes detailed reports of incidents/accidents, grievances, complaints, medication errors, and other problems within established time frames; implements corrective/preventive action immediately.
• Works with physicians, patients, families, staff, and others regarding problems, needs, and concerns.
• Responsible for supervision and evaluation of family satisfaction surveys.
• Incorporates safety topics into staff meetings.
• Regularly reviews safety policies and procedures, including the Emergency Preparedness Plan; ensures all employees understand their role.
• Manages financial resources prudently by completing financial reviews, submitting budget worksheets on time, and ensuring annual expenditures are within budget.
• Justifies budget variances on a regularly scheduled basis.
• Seeks ways to reduce costs without affecting quality.
• Controls use of overtime and temporary personnel except when justified by increased volume or decreased staffing levels.
• Recommends space and other resources for needed services.
• May perform routine visits to patient homes or institutional settings and/or participate in the on-call schedule.

Requirements

• Registered Nurse with a minimum of an Associate’s Degree in Nursing required; Bachelor’s degree in nursing (BSN) from an accredited school preferred.
• Three to five years’ healthcare sales/management experience preferred.
• Minimum one year of management/supervisory experience required.
• Two or more years’ experience in hospice/home care required.
• Meets all state-specific requirements for the Administrator role.
• Three years’ experience in direct patient care in a clinical setting preferred.
• 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.

Qualifications

• Current license to practice nursing in the state of employment.
• CPR Certification.
• Current automobile insurance and valid driver’s license.

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)

About Us

At Gentiva, we offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our nationwide reach is powered by a family of trusted brands, including:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized—and kindness is celebrated.