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: Serve as the Administrator on record at assigned hospice agencies Oversee the day-to-day operations including staffing, compliance, patient services, and performance improvement Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards Lead, coach, and support hospice care teams to meet patient-centered goals Manage operational budgets with full P&L responsibility Collaborate with cross-functional leaders to ensure smooth transitions and sustainable team performance Travel up to 100% throughout the region to provide onsite leadership About You Qualifications – What You’ll Bring: Registered Nurse (RN) with current license in the state of residence 3–5 years of leadership or sales/management experience, preferably in hospice or healthcare Experience with Medicaid/Medicare regulations and reimbursement Strong understanding of hospice operations and regulatory compliance Able to work independently and travel frequently Effective communicator with strong decision-making and time management skills Highly proficient with technology and digital platforms Demonstrates professionalism, integrity, and commitment to quality care Preferred Experience (Not Required): Bachelor’s degree in nursing or related field preferred; equivalent experience accepted We Offer 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) Legalese 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 Location Gentiva Hospice Our Company 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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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 DFW 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 DFW 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 Parent Agency located in DALLAS, TX at 7557 RAMBLER RD STE 560.
According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of
$48.76/hr ($101,421/yr).
The typical range is $39.25 – $53.19/hr
(25th–75th percentile).
Entry Level (10th)$73,403/yr
DFW Median$101,421/yr
Experienced (90th)$129,709/yr
vs. National Median+4.0%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area).
Salary data provided by DFW Senior Living Guide.