Executive Director, Home Health and Hospice (Administrator) - FT Days

Management 72900 - Home Health Full-Time Days 8 Hour 0800


The Executive Director of Home Health and Hospice is responsible for total management, development, operation, and evaluation of the Home Care and Hospice Agency consistent with policies, procedures, and directives from the Governing Body. This position serves as Administrator of the Home Health Agency as well as the Hospice Program, meeting any applicable requirements of California regulations, Medicare regulations, and Accreditation Standards for Home Health and Hospice Care.

Core Competencies

  • Assumes fiscal responsibility for conducting operations within the scope of the authorized program budget, and has responsibility for daily financial management.
  • Develops and maintains administrative procedures to assure fiscal accountability and control, equitable personnel practices, efficient office management, and the attainment of management objectives.
  • Develops, evaluates and implements administrative policies, goals and objectives, and programs including annual evaluation and revision of Quality Assessment Performance Improvement Plan, Emergency Operations Plan, Infection Control Plan and Compliance Plan specific to Home Health and Hospice.
  • Develops the annual budget, including capital budget requests, growth targets, productivity targets and new programs to ensure financial stability.
  • Develops, maintains, and ensures efficient management of the administrative office including compliant billing and medical records management.
  • Ensures the development and maintenance of patient care policies and procedures in accordance with home health and hospice industry standards and scope of practice regulations.
  • Mentors agency leadership and staff to promote a harmonious, coordinated work force to provide high quality home health and hospice care.
  • Ensures assignment of an appropriate alternate administrator in his/her absence.
  • Ensures availability for adequate support for all paid, voluntary, and contracted staff.
  • Ensures clear, effective working lines of accountability and responsibility between and within the service staff and administrative staff.
  • Ensures maintenance of an efficient and effective communication system between all aspects of program services; interdisciplinary care team, home care, inpatient care, Medical Director, attending physicians, and medical center administration.
  • Implements all personnel policies approved by the Board of Trustees.
  • Informs employees of expected standards of care; monitors conformance to these standards.
  • Ensures adequate orientation, continuing education, and inservice training for all employees, which is documented and evaluated.
  • Oversees employment, termination, management, and evaluation of personnel participating in the program, either directly or by delegation.
  • Supports adherence to the chain of command for problem resolution.
  • Implements and maintains a planned and systematic process of quality assurance and process improvement using Lean principles with required reporting to and approval of the Governing Body.
  • Fulfills all regulatory requirements of the license and certification including notices of changes In management and ownership, CMS revalidation, OSHPD reporting, Hospice Conditions of Participation reporting and any required submission to preserve market basket updates and Value Base Purchasing requirements.
  • Participates in Health Care System's performance improvement activities via task forces, BPI projects, etc Ensures the development of financially sound contracts that meet regulatory and accrediting body standards.
  • Participates and holds membership in organizations and conferences that relate to standards, accreditation, legislation, and licensure.
  • Represents Home Health and Hospice in the community to other institutions, public bodies, government agencies, organizations, services, groups, and persons.
  • Acts on recommendations for improvement generated through agency performance improvement activities.
  • Works cooperatively with federal agencies, intermediaries, and third party payors in executing the Home Health and Hospice Programs.
  • Ensures the identification and assessment of future trends, which may affect the organization, its services, and funding of the organization.
  • Ensures the ongoing development and diversification of the organization.
  • Implements plans to meet the long-range programmatic and fiscal goals as defined and approved by the Board of Trustees.
  • Incorporates identified areas targeted for further study, uses conclusions from reviewing trended data and recommendations from QAPI committee when formulating improvement plan.
  • Provides leadership and vision in developing the long-range plans of the agency in the context of community need.
  • Works toward integrating Home Health and Hospice into the health care continuum system.
  • Conducts strategic planning to promote growth of the home health and hospice programs in accordance with the Organization Operational Goals.
  • Monitors financial performance and adapts operations as needed using sensitivity analysis, pro forma development, flex budgeting, forecasting and vendor contract review. Utilized current industry benchmarks to evaluate performance.
  • Ensures that staff and organization stay current on local and national issues and trends and changes in regulations.

Department Specific Competencies


Additional Information
Masters Degree in Business Administration, Health Care or related field.


Number of Years ExperienceType of Experience
Additional Information
Three years experience in home health and hospice administration and operations. Expert knowledge of corporate business and financial management, CMS Conditions of Participation, Title 22 Requirements, and Joint Commission Requirement.

License / Certification Requirements

Home Health Administrator Certification
Registered Nurse License