Hospice Assistant Director of Nursing

TruHeart Hospice; Tulsa (OK); On-site; USD 85,000 - 110,000; Full time

Job summary

TruHeart Hospice in Tulsa, OK seeks an experienced Registered Nurse to serve as Assistant Director of Nursing (ADON). The ADON partners with the Director of Nursing and Administrator to lead day-to-day clinical operations and ensure compassionate, compliant end-of-life care.

The role combines clinical leadership, staff mentorship, quality oversight, and regulatory readiness, with hands-on patient care when needed.

Qualifications

• Current unrestricted RN license in Oklahoma.
• Two years nursing experience preferred.
• Hospice, home health, palliative care, long-term care, or post-acute experience preferred.
• Previous supervisory or clinical leadership experience preferred.
• Strong clinical judgment, critical-thinking, and problem-solving abilities.
• Excellent communication, organization, and leadership skills.
• Valid driver’s license and ability to travel across the service area.

Responsibilities

• Assist the Director of Nursing with oversight of hospice clinical operations.
• Provide leadership and clinical support to RNs, LPNs/LVNs, hospice aides, and other team members.
• Assist with patient-care coordination, staffing, and visit coverage.
• Review clinical documentation for completeness, accuracy, quality, and regulatory compliance.
• Participate in Interdisciplinary Group (IDG) meetings and ensure plans of care are current.
• Assist with admissions, recertifications, routine/PRN visits, and other patient-care needs.
• Monitor patient condition and support symptom management and end-of-life care.
• Assist with hospice eligibility reviews in collaboration with clinicians.
• Support orientation, education, competencies, and ongoing staff training.
• Participate in QA/PI activities and regulatory readiness.
• Assist with infection control, incident reviews, and corrective actions.
• Promote timely communication among patients, families, facilities, physicians, and team members.
• Provide after-hours coverage and on-call support as assigned.
• Lead in the absence of the Director of Nursing and foster a positive team culture.

Skills

RN license

Clinical leadership

Communication

Organization

Travel willingness

On-call availability

Job description

TruHeart Hospice is seeking an experienced, compassionate, and highly organized Registered Nurse (RN) to serve as Assistant Director of Nursing (ADON). The ADON works closely with the Director of Nursing and Administrator to support the day-today clinical operations of the hospice program. This position combines clinical leadership, staff support, quality oversight, regulatory compliance, and direct patient care when needed. We are looking for a nurse leader who understands hospice philosophy, supports the clinical team, communicates effectively, and is committed to providing exceptional end-of-life care to patients and families.

Key Responsibilities

• Assist the Director of Nursing with oversight of hospice clinical operations.
• Provide leadership, guidance, and clinical support to RNs, LPNs/LVNs, hospice aides, and other clinical team members.
• Assist with coordinating patient care and ensuring appropriate staffing and visit coverage.
• Review clinical documentation for completeness, accuracy, quality, and regulatory compliance.
• Participate in Interdisciplinary Group (IDG) meetings and assist with ensuring plans of care are current and individualized.
• Assist with admissions, recertifications, routine visits, PRN visits, and other patient-care needs when necessary.
• Monitor changes in patient condition and support staff with symptom-management and end-of-life care needs.
• Assist with hospice eligibility and continued eligibility review in collaboration with the clinical team and hospice physicians.
• Assist with orientation, education, competencies and ongoing training of clinical staff.
• Participate in quality assurance/performance improvement activities.
• Assist with infection control, incident review, complaints, clinical audits, and correctiveaction follow-up.
• Support regulatory and accreditation readiness.
• Promote timely communication among patients, families, facilities, physicians, pharmacies, DME providers, and hospice team members.
• Assist with after-hours clinical needs and on-call coverage as assigned.
• Assume clinical leadership responsibilities in the absence of the Director of Nursing when designated.
• Promote a positive, accountable, supportive team culture focused on excellent patient care.

Qualifications

• Current unrestricted Registered Nurse (RN) license in the State of Oklahoma.
• Minimum of two years of nursing experience preferred.
• Hospice, home health, palliative care, long-term care, or other post-acute experience strongly preferred.
• Previous supervisory or clinical leadership experience preferred.
• Knowledge of hospice philosophy, symptom management, and end-of-life care.
• Familiarity with Medicare hospice regulations and accreditation standards preferred.
• Strong clinical judgment and critical-thinking skills.
• Excellent communication, organization, and leadership skills.
• Ability to prioritize in a fast-paced environment and provide clinical support to field staff.
• Valid driver's license, reliable transportation, and ability to travel throughout the service area.
• Ability to participate in clinical/on-call coverage as required.

The Ideal Candidate

Our ideal ADON is a hands-on clinical leader who is willing to support the team wherever needed. This individual should be comfortable mentoring nurses, reviewing documentation, communicating with physicians, solving clinical problems, and stepping into patient care when circumstances require it.

We value leaders who are approachable, accountable, compassionate, and committed to supporting both our patients and our hospice team.