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
- 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
- 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
- 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