Registered Nurse (RN) - Home Health Director of Nursing
Gentiva
Houston, TX

Lead with Compassion. Serve with Purpose. Transform Home Health.

We have an exciting and rewarding opportunity for a Home Health RN Executive Director / RN Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in home health, hospice, or clinical operations management.

If you're a proven leader who is passionate about driving quality care, developing high-performing teams, and ensuring operational excellence, we invite you to bring your expertise to a role where you can make a lasting impact.

Key Responsibilities:

• Direct the day-to-day operations of the home health branch, ensuring compliance with all applicable federal, state, and accreditation standards (CMS, Medicare, Joint Commission, etc.)
• Oversee the coordination of patient admissions and discharge planning to ensure a seamless patient experience
• Provide clinical oversight and leadership to interdisciplinary home health staff, including RN Case Managers, LPNs, therapists (PT, OT, ST), aides, and administrative personnel
• Interview, hire, train, supervise, and evaluate staff while fostering a supportive and collaborative team culture
• Promote best practices in skilled nursing, chronic disease management, and patient-centered home care
• Monitor and improve operational efficiency, service delivery, and patient satisfaction
• Lead performance management efforts, including staff evaluations, scheduling, workload distribution, and addressing employee concerns
• Ensure continuous survey readiness and participate in quality assurance and performance improvement (QAPI) initiatives
• Manage branch financial performance, including budgeting, payroll, supply costs, and referral development
• Build and maintain strong relationships with physicians, hospital discharge planners, and community referral sources

You’re a confident, solutions-focused leader who can step in, assess quickly, and guide a team toward success. You excel at balancing clinical excellence with operational efficiency, and you’re passionate about empowering your staff to provide the best possible patient experience.

Qualifications – What You'll Bring:

• Current RN license in good standing in the state of practice.

• Associate's degree in Nursing or related field.

• 2+ years of experience as a Home Health Administrator, Director of Operations, or equivalent leadership role.

• Strong knowledge of CMS regulations and home health compliance requirements.

• Proven leadership, communication, and problem-solving skills.

Preferred Experience (Not Required)

• Experience as an interim or turnaround leader in home health.

• Bachelor's degree in Nursing or related field.

• Background in managing multi-site or high-volume agencies.

• Track record of improving operational metrics in a short time frame.

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 RN 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.