RN Hospice Administrator in Des Moines, IA

Lead with Compassion. Serve with Purpose.

We have an exciting and rewarding opportunity for a RN Hospice Administrator 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.

Key Responsibilities:

• Direct overall hospice branch operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare, Joint Commission, etc.)
• Provide clinical oversight and ensure timely and accurate documentation of hospice services
• Interview, hire, supervise, evaluate, and support interdisciplinary hospice staff including RN Clinical Managers, RNs, LPNs, social workers, chaplains, CNAs, and volunteers
• Oversee patient admissions and care planning, ensuring a smooth and efficient intake process
• Promote a culture of excellence in hospice nursing, end-of-life care, and family support
• Conduct performance evaluations, assign workloads fairly, and address employee concerns
• Lead continuous quality improvement (CQI) efforts and maintain survey readiness
• Monitor financial performance: manage expenses, payroll, supply costs, and budgeting while driving branch revenue growth through census development, referral management, and efficient resource utilization
• Maintain strong relationships with physicians, referral sources, and the broader community

• Current RN license in the state of employment (required)
• Bachelor’s degree in Nursing, Healthcare Administration, or related field (preferred)
• 3+ years of experience in hospice, home health, or healthcare operations leadership
• Strong understanding of hospice regulations, compliance, and Medicare conditions of participation
• Proven ability to manage teams, budgets, and interdisciplinary operations
• Exceptional communication, organizational, and leadership skills
• Commitment to high-quality, compassionate care for patients and families

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)

Apply Now:

If you’re an experienced healthcare leader looking for your next challenge, we want to hear from you. Join a team that values compassion, leadership, and meaningful work—when life matters most.

• 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

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

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