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Hospice Administrator/Director of Nursing
Hospice Administrator/Director of NursingEast Star Consulting Inc • Fresno, CA, US
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Hospice Administrator / Director of Nursing

Hospice Administrator / Director of Nursing

East Star Consulting Inc • Fresno, CA, US
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  • [job_card.full_time]
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We are seeking an experienced and highly organized Hospice Administrator / Director of Nursing (DON) to lead our clinical and operational teams. This role is responsible for overseeing day-to-day hospice functions, ensuring compliance with Medicare Conditions of Participation and California state regulations, and supporting a culture of compassionate, high-quality patient care.

Responsibilities

  • Provide overall leadership for the hospice program, including clinical operations, compliance, and quality assurance.
  • Supervise and support all clinical staff, including RN case managers, CNAs, MSWs, chaplains, and office staff.
  • Ensure all care is delivered according to the Plan of Care, CMS CoPs, and California hospice requirements.
  • Participate in Interdisciplinary Team (IDT) meetings and oversee care coordination.
  • Ensure timely and accurate clinical documentation in the EMR.
  • Manage staffing, scheduling, and onboarding / training for clinical personnel.
  • Oversee QAPI program, policies, audits, and ongoing survey readiness.
  • Serve as the primary liaison with physicians, facilities, family members, and community partners.
  • Ensure regulatory compliance, including license maintenance, incident reporting, EMR audits, and chart reviews.
  • Support the development of strategic goals, growth initiatives, and community outreach.
  • Assist with emergency preparedness planning.
  • Represent the agency during surveys and audits.

Requirements

  • Current California RN license in good standing.
  • Minimum 2–3 years of hospice nursing experience; leadership or supervisory experience required.
  • In-depth knowledge of hospice regulations (CMS CoPs, AHCCCS / Medicare, California Dept. of Health).
  • Strong leadership, communication, and organizational skills.
  • Ability to manage multiple priorities and lead a multidisciplinary team.
  • Must pass background check and meet all California regulatory requirements.
  • Valid CA driver's license, auto insurance, and reliable transportation.
  • Preferred

  • Previous experience as a DON or Hospice Administrator.
  • CHPN, CHPCA, or other hospice / palliative care certifications.
  • EMR experience (
  • Strong survey / survey-readiness background.
  • Benefits

  • Competitive salary
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