Executive Director Specialist RN

Gentiva; St. Louis (MO); Remote; USD 90,000 - 120,000; Full time

Job summary

A national hospice care leader is seeking an Executive Director Specialist RN to oversee operations and ensure compliance at various hospice locations. This position requires strong clinical leadership, operational management skills, and the ability to travel extensively. Ideal candidates will have nursing leadership experience and knowledge of hospice operations. Competitive benefits are offered, including medical insurance and 401(k) with company match.

Benefits

Competitive Pay

401(k) with Company Match

Career Advancement Opportunities

Medical, Dental, Vision Insurance

Generous Paid Time Off

Education Support & Tuition Assistance

Qualifications

• 5+ years of leadership or sales/management experience, preferably in hospice or healthcare.
• Experience with Medicaid / Medicare regulations.
• Strong understanding of hospice operations and compliance.

Responsibilities

• Oversee day-to-day operations including staffing and compliance.
• Drive clinical quality to meet standards.
• Travel up to 100% throughout the region.

Skills

Leadership experience

Strong communication skills

Decision-making skills

Time management skills

Proficiency in technology

Education

Registered Nurse (RN) with current license

Bachelor's degree in nursing or related field

Job description

Executive Director Specialist RN

Lead with clinical compassion and operational excellence across multiple hospice locations.

At Gentiva, we know that strong clinical leadership ensures compassionate care reaches every patient, every day. As an Executive Director Specialist RN, you'll serve as the operational and clinical leader in our hospice locations across the region. You'll ensure compliance, lead quality initiatives, and support teams in delivering best‑in‑class care during times of leadership transition.

This is a fully travel‑based position, reporting to the AVP of Operations, designed for a nurse leader with the flexibility and skill to manage hospice operations while maintaining compliance with all federal, state, and organizational 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

Qualifications What You’ll Bring :

• Registered Nurse (RN) with current license in the state of residence
• 35 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

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

Keywords

Hospice RN Executive Director, Hospice leadership RN, Traveling RN hospice administrator, Hospice operations nurse leader

Gentiva

At Gentiva, it is our privilege to 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 place is by the side of those who need us from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include :

• 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.