Hospice Executive Director Full Time

Position Summary

The Hospice Executive Director is responsible for the overall leadership, strategic direction, and operational performance of the hospice agency. This role ensures the delivery of high-quality, compliant, and compassionate end-of-life care while driving census growth, financial performance, and team engagement. The Executive Director serves as the primary leader for clinical, administrative, and business development functions.

Key Responsibilities

Operational Leadership

• Provide day-to-day leadership of hospice operations, ensuring alignment with organizational goals and regulatory requirements
• Oversee interdisciplinary team performance, including clinical, administrative, and support staff
• Foster a culture of accountability, compassion, and continuous improvement

Clinical & Quality Oversight

• Partner with the Director of Clinical Services to ensure delivery of high-quality patient care
• Monitor quality metrics, patient satisfaction, and compliance indicators
• Ensure adherence to all federal, state, and local hospice regulations, including Conditions of Participation

Financial Management

• Manage P&L performance, including budgeting, forecasting, and cost controls
• Drive census growth and optimize reimbursement under Medicare Hospice Benefit
• Identify and execute strategies to improve margin while maintaining quality of care

Business Development & Growth

• Lead local market growth initiatives, including referral development with hospitals, physicians, SNFs, and community partners
• Build and maintain strong relationships with key referral sources
• Collaborate with sales/liaison teams to achieve census and admission targets

Regulatory Compliance

• Ensure compliance with all applicable laws, accreditation standards, and internal policies
• Lead survey readiness and response efforts (state and federal)
• Maintain accurate documentation and reporting practices

Team Leadership & Culture

• Recruit, develop, and retain high-performing team members
• Provide coaching and performance management to direct reports
• Promote employee engagement and a mission-driven culture

Qualifications

• Bachelor’s degree required; Master’s degree (Healthcare Administration, Nursing, or related field) preferred
• Minimum 3-5 years of leadership experience in hospice, home health, or post-acute care
• Strong understanding of hospice regulations, reimbursement, and clinical operations
• Demonstrated success in driving census growth and financial performance
• Proven leadership skills with the ability to build and lead high-performing teams

Key Competencies

• Strategic thinking and execution
• Financial acumen and P&L management
• Relationship building and business development
• Regulatory and compliance expertise
• Leadership, coaching, and team development

Why Join Us

• Mission-driven organization focused on compassionate, patient-centered care
• Opportunity to lead and grow a high-impact healthcare service line
• Competitive compensation, including performance-based incentives
• Supportive leadership environment with growth opportunities