Hospice RN Executive Director I

GENTIVA · Stafford, TX Part Time
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Job Description

Overview Lead with Compassion. Serve with Purpose. Transform Hospice. We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management. If you're a natural leader who is passionate about patient-centered care, team development, and clinical excellence, we invite you to bring your talent to a place where you can truly make a difference. The Executive Director RN I provides strategic leadership and operational oversight for assigned Hospice location with a developing census. This role will oversee and lead the day-to-day operations, including managing and directing interdisciplinary teams, ensuring the delivery of high-quality and patient-centered care, fostering a culture of compassion, respect and integrity to meet business and organizational goals, regulatory standards, and community needs. Responsibilities include leadership and development, financial performance, community outreach, human resources, office operations and communication and relationship building with the Governing Body, referral partners, the community. In this role, the Administrator ensures assigned Hospice location delivers outstanding service, while upholding the company's mission, vision and values. Essential Functions Provides hands-on leadership for a hospice program with growth opportunity, accountable for clinical quality, operational performance, and sustainable census expansion. Demonstrates a commitment to excellence through focusing on quality care and/or service. Incorporates continuous quality improvement principles in day-to-day activities. Uses statistical and qualitative information to manage quality. Requires employees to exhibit technical knowledge and effective skill education related to their job. Promotes and monitors compliance with requirements and standards established by accrediting or licensing agencies, regulatory agencies and state or federal law relevant to areas of responsibility. Ensures that policies and procedures are followed. Accepts responsibility for remaining current in the latest trends, developments and technologies relative to area of work by: Actively pursuing self-development, attending in- services, and circulating relevant information to appropriate employees. Recommends and implements policies and procedures, which have been developed by the Administrator and Governing Body that guide and support the provision of services. Manages Human Resources effectively. Shows consistency between words and actions. Promotes positive communications and keeps employees informed of changes by ensuring meetings with appropriate staff are conducted and documented. Is available to employees when issues arise. Promotes/provides for core orientation, at the direction of the Administrator, plus location and job specific orientation, in service training and continuing education for employees, volunteers and contract personnel. Conducts educational programs for outside agencies as deemed necessary. Recomm

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

About This Employer

GENTIVA is a Alternate Delivery Site located in Stafford, TX at 10707 Corporate Dr., STE 200. This facility holds a 4.5-star Google rating based on 33 reviews.

Care services offered: Hospice Alternative Delivery Site (Ads)

View Full GENTIVA Profile → See all openings at GENTIVA →

Employer profile provided by Houston Senior Living Guide

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr
Houston Median $99,840/yr
Experienced (90th) $130,437/yr
vs. National Median +2.3%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

Facility Snapshot

Google Rating ★ 4.5 (33 reviews)
Facility Type Alternate Delivery Site

10707 Corporate Dr., STE 200, Stafford, TX 77477

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