RN Executive Director Specialist

Gentiva; Fresno (CA); On-site; USD 158,000 - 170,000; Full time

Benefits offered by this job

Competitive Pay

401(k) with Company Match

Career Advancement Opportunities

National & Local Recognition Programs

Teammate Assistance Fund

Medical, Dental, Vision Insurance

Mileage Reimbursement

Paid Time Off + 7 Holidays

Education Support & Tuition Assistance

CEUs & Life Insurance

Voluntary Benefits

Job summary

Gentiva Hospice seeks an Executive Director Specialist – RN to join our leadership team. This role acts as the administrator on call and oversees operations across multiple sites, ensuring high-quality patient care and regulatory compliance.

The ED Specialist will lead hospice teams, manage budgets with full P&L responsibility, and travel extensively (70–100%) to support on-site operations and performance improvement. You will mentor staff and drive Medicare/state adherence to standards.

Qualifications

• BSN or higher degree in nursing.
• Minimum 2 years supervisory experience in hospice or home health.
• Current California RN license.
• 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.

Responsibilities

• 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 70% to 100% throughout the region to provide onsite leadership.

Skills

RN License - CA

Supervisory experience

Medicaid/Medicare regulations

Regulatory compliance

Effective communicator

Travel ability

Technology proficiency

Decision making

Education

BSN or higher

Job description

Overview

Expand Access. Lead Markets. Transform Care.

We are seeking a RN Executive Director Specialist – Hospice to join our leadership team. This role acts as the administrator on call and is responsible for the overall operation of assigned markets, including the employment of qualified hospice staff and the delivery of high-quality services across multiple sites. The Executive Director Specialist RN will provide leadership and stability by filling in across markets, ensuring consistent compliance, quality, and patient care 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 70% to 100% throughout the region to provide onsite leadership

About You

Qualifications – What You’ll Bring:

• BSN or higher degree in nursing

• Minimum of 2 years of supervisory experience in hospice or home health

• Current California RN License

• 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

Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component.

Salary Range: $158,000 to $170,000

We Offer

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

Position Type: Full-Time

Company: Gentiva Hospice