Hospice Executive Director: Grow Census with Compassion

addus; Richmond (VA); On-site; USD 120,000 - 190,000; Full time

Job summary

Addus Healthcare in Richmond, VA is seeking an experienced Hospice Executive Director to lead daily operations, drive census growth, and ensure exceptional patient and family experiences.

Reporting to the VP of Operations, you will oversee clinical and administrative functions, build referral networks, ensure regulatory compliance, and develop a high-performing team of 5–10 leaders. The role emphasizes servant leadership, community presence, and fiscal accountability.

Qualifications

• Graduate from an accredited registered nursing program strongly preferred.
• Minimum Associate degree in business, healthcare or a related field and a minimum of 5 years related experience.
• Minimum of 3 years of supervisory or administrative experience in a hospice or home health setting.
• Experienced in program administration including knowledge of healthcare policies and reimbursement practices.

Responsibilities

• Direct and manage day-to-day agency operations to ensure high-quality patient care and operational excellence.
• Lead agency growth initiatives with a strong focus on increasing census and expanding community presence.
• Develop and execute strategic plans to achieve organizational goals and performance objectives.
• Monitor methods of program administration, planning, supervision, and evaluation.
• Ensure effective utilization of agency resources and maintain financial accountability.
• Foster a culture where patients and families always come first.
• Build and maintain positive relationships with referral sources, healthcare providers, community partners, patients, families, and employees.
• Promote exceptional customer service internally and externally.
• Serve as a visible leader in the community to strengthen referral relationships and support agency growth.
• Monitor day-to-day compliance with all state, federal, accreditation, reimbursement, and regulatory requirements.
• Ensure adherence to Medicare, Medicaid, HIPAA, and all applicable regulations.
• Manage the development, implementation, and ongoing review of administrative policies and procedures.
• Oversee program compliance with contractual agreements and regulatory standards.
• Lead, coach, and develop a team of 5-10 direct-report leaders and managers.
• Delegate responsibilities appropriately to administrative and supervisory personnel.
• Determine staffing needs and workforce planning strategies to support agency growth and operational effectiveness.
• Establish qualifications and responsibilities for all personnel.
• Authorize appointments to staff positions in collaboration with the Vice President of Operations.
• Ensure compliance with personnel policies and procedures.
• Build a high-performing culture focused on accountability, engagement, and service excellence.
• Negotiate and execute contracts with community providers and monitor compliance with contractual agreements.
• Maintain confidentiality due to access to sensitive business and patient information.
• Maintain regular, reliable attendance and flexibility to meet operational needs.
• Perform additional duties as assigned.

Skills

Leadership

Communication skills

Healthcare knowledge

Strategic planning

Education

RN program preferred

Associate degree in business/healthcare or related field

Job description

Addus Healthcare in Richmond, VA is seeking an experienced Hospice Executive Director to lead daily operations, drive census growth, and ensure exceptional patient and family experiences.

Reporting to the VP of Operations, you will oversee clinical and administrative functions, build referral networks, ensure regulatory compliance, and develop a high-performing team of 5–10 leaders. The role emphasizes servant leadership, community presence, and fiscal accountability.