RN Executive Director Specialist
Fresno, CAFull-time$158–170K/yrSeen 3 days agoSeen in employer's feed 3 days ago
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
Gentiva is seeking a registered nurse to serve as an Executive Director Specialist for hospice, acting as administrator on call and overseeing assigned markets across multiple sites. The role provides leadership and stability while ensuring consistent compliance, quality, and patient care standards. It includes frequent regional travel to provide onsite leadership and carries full P&L responsibility.
Skills & qualifications
Skills
Qualifications
Benefits
Full 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:
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Serve as the Administrator on record at assigned hospice agencies
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Oversee the day-to-day operations including staffing, compliance, patient services, and performance improvement
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Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards
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Lead, coach, and support hospice care teams to meet patient-centered goals
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Manage operational budgets with full P&L responsibility
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Collaborate with cross-functional leaders to ensure smooth transitions and sustainable team performance
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Travel 70% to 100% throughout the region to provide onsite leadership
About You
Qualifications – What You’ll Bring:
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BSN or higher degree in nursing
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Minimum of 2 years of supervisory experience in hospice or home health
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Current California RN License
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Experience with Medicaid/Medicare regulations and reimbursement
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Strong understanding of hospice operations and regulatory compliance
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Able to work independently and travel frequently
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Effective communicator with strong decision-making and time management skills
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Highly proficient with technology and digital platforms
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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):
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Competitive Pay
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401(k) with Company Match
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Career Advancement Opportunities
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National & Local Recognition Programs
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Teammate Assistance Fund
Additional Full-Time Benefits:
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Medical, Dental, Vision Insurance
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Mileage Reimbursement or Fleet Vehicle Program
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Generous Paid Time Off + 7 Paid Holidays
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Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
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Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
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Free Continuing Education Units (CEUs)
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Company-paid Life & Long-Term Disability Insurance
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Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese
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This is a safety-sensitive position
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Employee must meet minimum requirements to be eligible for benefits
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Where applicable, employee must meet state specific requirements
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We are proud to be an EEO employer
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We maintain a drug-free workplace
ReqID: 2026-145466 Category: Single Site Ops and Clinical Leadership Position Type: Full-Time Company: Gentiva Hospice
How this job compares
Set against the 30,760 open Nurse jobs on Olive Jobs, counted October 31, 2026.
- Pay
- This posting$158–170K/yr
- California median$104–149K/yr117 salary ranges
- US median$79–110K/yr2,608 salary ranges
This range's midpoint, $164K, is 31% above the California median midpoint ($125K) — in the middle half of Nurse salary ranges in California.
- Openings
- Olive Jobs lists 1,386 open Nurse jobs in California and 30,760 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in California
- Sutter Health255 open
- Kaiser Permanente191 open
- Maxim Healthcare72 open
- Experience
- This posting asks for at least 2 years of experience; Nurse postings that state a minimum ask for 1 year at the median (12,780 postings).
- Education
- This posting asks for a bachelor's degree; 3,467 of the 30,760 open Nurse jobs (11%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on October 31, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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